Inspection on 19/01/06 for Oxford Road

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oxford Road 01/12/06

Oxford Road 19/05/05

Oxford Road 08/09/04

Oxford Road 12/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Oxford Road 39 Oxford Road Birkdale Southport Merseyside PR8 2EG Lead Inspector Miss Orla Murphy Unannounced Inspection 19th January 2006 3:30 Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oxford Road Address 39 Oxford Road Birkdale Southport Merseyside PR8 2EG 01704 564595 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Speciality Care (Rest Homes) Limited Mr Stephen Stanley Wilkinson Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 16 LD That the registered providers, Speciality Care (Rest Homes) Ltd do not rent, sub-let or otherwise use or permit the use of the registered premises to accommodate overseas students, staff or other persons Date of last inspection Brief Description of the Service: The home is a large detached Victorian property in Birkdale, Southport that has places for up to sixteen young people (16-25 yrs old) with learning disabilities. All are students at Arden College. Students must attend Arden College to use residential services. The company running the home and the college is called Speciality Care Homes Limited and it is a private company. Each student has their own bedroom and share 3 lounges, 1 kitchen and 4 shower/toilet areas. There is a large garden to the rear of the property, which is well maintained and used by the Colleges gardening course students. There is parking to the front of the property, both on the forecourt and on the street. The home has good access to public transport to Southport, Liverpool and Preston. It is about 5 minutes drive from Southport town centre and there has good access to leisure & shopping facilities. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the second in the home’s required visits, which are 2 inspection visits per year. 5 students and two staff were spoken to at the inspection. One student was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. The bedroom of the student(s) case tracked and communal areas were also examined. What the service does well: The service provides a very successful & meaningful education to students. They operate a “24 hr” curriculum, which basically says that everything students do is a learning experience. Students attend college daily and learn but activities in the evening and at weekends are also a learning experience, for example cooking, cleaning, travel, budgeting, sharing, group living, accessing the community. The service is also very good at giving young adults with learning disabilities good lifestyle opportunities and experiences and enabling independence, such as attending sports, clubs, pubs and restaurants. Many will have had only few experiences in these areas. Staff have helped students develop more ownership & presence within their home & this is evident in the displays of achievement & interest in communal areas. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None. This standard was exceeded at the last inspection. EVIDENCE: This standard was exceeded at the last inspection. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 9. Students make decisions in relation to their day-to-day lives. Risks are identified & assessed and plans are in place to address students vulnerability in relation to these. EVIDENCE: The student case tracked has lived at the home since September last year. She says staff are “very nice” and “help me with my work and going out”. She talked about the student council at college where other students can approach representatives about concerns or issues they want raised. There are student meetings regularly at Oxford Rd. Minutes seen showed that at these meetings the students discuss the menus, issues around group living (such as respecting each other), plans for activities and concerns they may have. As the college runs a 24-hour curriculum, this means learning is incorporated into home life as well as at college. So, days are quite structured but the students spoken to were very satisfied with this and feel sessions such as cookery and shopping make them more confident and independent. The student case tracked said she felt able to make decisions about her life but she also felt she would ask staff for advice where necessary. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 10 The student case tracked had detailed risk assessments on file & these were appropriate, covering areas the student needed extra supervision and support in. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 & 17. Students are fully involved in appropriate activities of their choice. Rights and responsibilities are encouraged as part of student’s development. Students have a healthy and varied menu, which they plan themselves. EVIDENCE: The student case tracked had a weekly timetable that covered both College and home activities. This was examined and showed he has A wide range of experiences and learning opportunities such as Computers, life skills, drama, catering, horticulture, basic skills, communication and personal care. These sessions were recorded and were Cross referenced with plans for sessions and evaluations for their personal Targets. All these documents were seen and were up to date. This student said she really enjoyed all the different sessions. In addition, a display of information on students is in place and this highlighted several community activities that are favourites, including bowling, pub, cinema, theatre, disco, meals out, sports centres and shopping. On the evening of the inspection several small groups were going out to different community activities. Responsibility is a key part of student’s individual plans. Those seen showed that student’s need to understand their learning goals and the responsibility these give them. The student case tracked was aware of this in terms of her Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 12 progress. She said “ I have to get better at some subjects but my tutor talks to me about those classes.” Some students have behaviour agreements where they agree to abide by certain rules to help them address issues they may have and all students abide by an agreement (when they move in) that addresses areas such as bullying, group living, attendance record and behaviour. Students chose the menu together. The menu is in both a written and picture format, which helps students who have difficulty reading. The menu was examined and showed meals were varied and nutritious. Lasagne and garlic bread was served on the evening of the inspection and looked very appetising. All students spoken to said the food was “nice”, and “lovely”. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20. Student’s health needs are met. Medication administration systems are satisfactory. EVIDENCE: All students are registered with a local General Practitioner (GP) on starting college. The student case tracked has specific health care needs. She said staff were very helpful when she needs support with this. An examination of the file showed that all health care appointments were recorded. Treatment received and the outcomes of the appointments were also recorded satisfactorily. Medication administration was examined and found to be satisfactory. Some advice was given to senior staff regarding administration directions for some medicines. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Students feel able to express concerns and feel listened to. EVIDENCE: The service has a satisfactory complaints procedure. A pictorial version is available and this is both on display in the home and is issued in the service user guide. The student case tracked and another student spoken to said they knew what to do if they were worried or angry. They both said they would talk to staff, talk to their parents or discuss it at a students meeting. The complaint record was examined and showed there were no complaints made in the home since the last inspection. CSCI has not received any direct complaints regarding the service since the last inspection. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30. The home is clean and hygienic. EVIDENCE: All communal and some bedroom areas were seen on the evening of the inspection. All these areas were clean, tidy, comfortable and adequately maintained. Students are responsible for general upkeep of their bedrooms and chores around the house as part of their independent living skills. Domestic support is also employed. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35. A competent staff team supports students, but training records were not available for inspection. EVIDENCE: Staff were observed being supportive, respectful and professional with students. Students spoken to all stated that staff were helpful and they listened to them. Records were well completed and staff had kept Individual plans, reviews and targets up to date. Staff are aware of students individual needs and each students goals/targets. However, staff training records, of courses attended and planned training were not available for inspection as they have been previously. The senior staff member on duty stated they were now held at the college. Copies of training attended and scheduled training must be held, available for inspection, in the home. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39. Students home is well run by the staff group but is lacking in management. Students have input into the day-to-day running of the home and give formal feedback annually. EVIDENCE: The current Registered Manager left the company in 2002. There have been 2 Acting Managers since then, neither of which has undergone the fit person process to become registered with CSCI. Though both acting managers have succeeded in managing the home, they were not legally accountable for the service, students or their actions until registered. Senior staff have been managing the home and have done their best for the service but accountable, consistent leadership is needed. The staff group have supported the service to remain stable and this is commendable, however a Manager must be employed as urgency and apply to be registered immediately when starting in post. Students and relatives, to determine satisfaction with the service, complete annual questionnaires. These are collated and senior management within the Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 18 organisation addresses issues; which was found to be satisfactory. Annual audits are also carried out. Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 1 X 3 X X X X Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2 Standard YA37 YA35 Regulation 8 17 Requirement A registered Manager must be in post. Records of staff training must be in the home, available for inspection. Timescale for action 01/04/06 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oxford Road DS0000005361.V282195.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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