Inspection on 19/05/05 for Oxford Road

This inspection was carried out on 19th May 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oxford Road 01/12/06

Oxford Road 19/01/06

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 PR8 2EG Lead Inspector Orla Murphy Unannounced 19th May 2005 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 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 Stationary 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 F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Oxford Road Address 39 Oxford Road Birkdale Southport PR8 2EG 01704 564 595 Telephone number Fax number Email 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) Ltd Mr Stephen Stanley Wilkinson PC - Care Home Only 16 Category(ies) of LD - Learning disability - 16 registration, with number of places Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 16 LD. 2. hat 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 8th September 2004 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 F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 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 first in the home’s required visits, which are 2 inspection visits per year. 3 students and three staff were spoken to at the inspection. Two students were “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: What has improved since the last inspection? Staffing is more stable and consistent and there are fewer staff vacancies. User-friendly documents are more available such as picture explanations of rules and policies. Students are more involved with student meetings held regularly. Staff communication appears to be better and records are filled in more often. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 6 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 F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 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 standard(s) 2 and 4. The Service carries out detailed and skilled assessments of students, which identifies their needs, and develops good plans to meet those assessed needs. Students get to spend a week at college and in a home before they move permanently to see if it will meet their needs. EVIDENCE: The assessments of the students’ case tracked were examined in detail. One of the students case tracked explained his ideas about the areas he needed help in. These were the same as those written in his assessment, with some additional ideas that related more to his future. Staff spoken to knew a lot about both students and their strengths and needs. The other student case tracked had no verbal communication skills but was observed interacting with staff and other students positively and carried out tasks described in her assessment at the appropriate level. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 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 standard(s) 6. The service supports students through their Individual Programme plans to develop skills and strengths in areas they need support in. The service supports students to learn educational, vocational and life skills. EVIDENCE: The Individual Programme plans for the student’s case tracked recorded a plan for all staff and the student to follow in the areas of education (Studies/vocational training), cooking, personal care, socialising, travel, assertiveness, communicating and leisure interests. The student who could communicate verbally told the inspector “ Its good here. I’ve been able to do lots of things I didn’t think I’d do like D.O.E (Duke of Edinburgh Award) and I always wanted to go to college”. He also said “ I think my family are happy with me being here”. He said the group has a monthly students meeting where they talk about lots of things; food, activities, events, staff and things they are annoyed or concerned about. The Service User who could not communicate verbally was observed having fun and expressing her feelings to staff and other students. When asked about her day she used signs to talk about her classes and was smiling and confident when communicating in this way. Staff were seen reading her signing and body language sensitively and skilfully. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 10 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 standard(s) 11, 13 and 15. The service enables students to be involved in every day experiences and opportunities. The service supports students in learning and developing toward independence at their level. Family support and contact is encouraged. EVIDENCE: The student’s case tracked both had weekly timetables that covered both College and home activities. These were examined and showed they have A wide range of experiences and learning opportunities such as Photography, 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. The evaluations for the student who cannot communicate verbally showed Good improvements in social skills and enjoying accessing the community. Drama had improved her confidence greatly and this was recorded in Daily records. The other student said “ I love going bowling and to the pictures” and “I’m really interested in computers and there are lots of them in college which I really like; I’m hoping to do that when I leave college”. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 11 He also said “ I visit my family in the holidays (term break) and they call me here; its nice to talk on the telephone”. The other student case tracked has lots of calls from family and these were recorded in daily records and the feedback given to her about these. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18. The service supports students to be as independent and safe as possible, whilst realising support and supervision is needed to help them support Themselves. EVIDENCE: The student case tracked said, “ staff remind me when I forget to look after myself properly but I’m getting better at it”. This was supported within his individual plan, realising that he needed prompts and encouragement to carry out his own personal care. He knew he had a GP in the area & said he’d tell staff if he was ill. Daily records seen were detailed in monitoring mood and well being of those case tracked. Doctor/Health appointments/visits were recorded in their files. Discreet references to personal care given were in the daily records and were the same as those written in their assessments. Staff spoken to were very aware of the support needed by both the students. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 13 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 standard(s) 23. The service enables staff to protect students from harm by providing clear training and guidance for staff, but must monitor this area to ensure recent historical issues like lack of staff checks and excessive working hours do not place students at risk. EVIDENCE: All staff has now attended POVA (Protection Of Vulnerable Adults) training. These records were seen and were satisfactory. There has been no staff referred to the register as “unsuitable” to work with vulnerable adults since the last inspection. Until recently, the service had a real problem with a high turnover of staff and inadequate staff checks upon employment. This area has improved but it is a weak spot for the service and it must be monitored regularly. Pictorial policies are displayed in the communal hall for students; telling them, in pictures, how to talk about bullying, abuse, being scared and how to complain. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 14 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 standard(s) 24 and 25. The home is comfortable, well furnished and suited to the students who live there. The premises are not suited to students who have mobility difficulties. EVIDENCE: The home is welcoming, spacious and warm in décor & furnishings. The student case tracked informed the inspector it “ Is lovely, like my mums house but bigger”. He had no concerns about group living or living with so many people and said it was good because he’d made some good friends. Each student has their own bedroom, which they choose the colour of décor before moving there. Communal areas were spacious and light. There are a lot of seats available in the 3 lounges for everyone. All of the students moved around the home with ease during the inspection. There is no lift to access the upper floors. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33. There are adequate numbers of staff on duty to meet student’s needs. EVIDENCE: The staff rota (for a 2 week period) was examined and this showed there were 6-7 staff on each shift when all students were present. Staff were observed allocating themselves work to do when on shift, supporting individual students. A student case tracked said he felt there were enough staff around to help and he liked his key-worker. This helps staff to support students to meet their curriculum properly. No staff were recorded to be working excessively long hours, which had happened previously, and this area has improved. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 42. The management of the home has been unstable and operating outside of the Care Homes Regulations 2001. Staff working hours have been excessive previously. 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. The current acting manager is now leaving and the home will be without a manager yet again. Accountable, consistent leadership is needed. A Manager must be employed as an urgency and apply to be registered immediately when starting in post. All fire, electrical and gas checks were seen and were up to date and satisfactory. The Manager must ensure staff continue to not work excessive hours, ensuring the safety and well being of the students. Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 4 x 4 x 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oxford Road Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x 1 x x x 2 x F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 18 noi 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 37 33 Regulation 8 18 Timescale for action A registered Manager must be in 31st post. August 2005. Staff working hours must be 23rd June monitored to ensure they are not 2005. excessive. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oxford Road F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing 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 F53 F03 Oxford Rd S5361 V231223 19.05.05 Stage 4.doc Version 1.30 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!