Inspection on 19/10/05 for Parliament Street (23)

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Parliament Street (23) 07/11/06

Parliament Street (23) 20/05/05

Parliament Street (23) 09/12/04

Parliament Street (23) 26/07/04

Parliament Street (23) 10/10/02

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

CARE HOME ADULTS 18-65 Parliament Street (23) 23 Parliament Street Morecambe Lancashire LA3 1RQ Lead Inspector Ms Jenny Hughes Unannounced Inspection 19th October 2005 10:00 Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parliament Street (23) Address 23 Parliament Street Morecambe Lancashire LA3 1RQ 01524 414353 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) Mrs Mollie Green Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th May 2005 Brief Description of the Service: This home is a large, 3-storey terraced domestic house, which is in a road of similar properties running adjacent to the promenade in Morecambe. There is a small yard at the back, and seats to the front of the house, where people can sit in the better weather. The owner of the home provides non-personal care, emotional support, and guidance in this family environment, for younger adults with a mental health problem. It is a family home, with the owner’s daughter and grandson helping when needed. The three bedrooms are on the first floor, with a shower room next to them. The front lounge, dining room, and basement lounge give plenty of communal space. There is easy parking for cars on the road outside the home, and local shops and the seafront are a short walk away. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours, and was one of the two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owner was unaware that the inspection was to take place. The registered provider was interviewed, along with a family member who helps the owner, and two of the residents. The third resident slept through the visit. The care records were viewed, and some policies and procedures. What the service does well: What has improved since the last inspection? What they could do better: Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 6 As stated at the last inspection, the décor needs renewing in parts of the home, but the owner has started to do this, aiming to improve the environment and keep the home a pleasant, homely place to live for the residents. 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. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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): 6, 7 and 9 Residents take part in deciding what their personal goals are, and benefit from constant support and encouragement to enable them to make their own decisions and live an independent life. EVIDENCE: A new resident had arrived since the last inspection, and his file showed the owner had received a full assessment of his needs from social services, and she had discussed these needs with him and his social worker. “Yes I like it here, she looks after us well. I talk to (the owner) if I’m worried about anything”, stated the resident, “ I see my sister sometimes, and go to their house. And I like to go for good walks. I go along the promenade”. The owner chatted about ways she dealt with difficult behaviours by the residents, which very occasionally happened. She said that she identified ways of working which suited each individual. These were seen recorded in the individual files. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 the following standard(s): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 11 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 12 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 13 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): 24 and 30 The standard of the environment in this home provides its residents with a clean, comfortable, adequately decorated place to live. There is evidence of future planning to make ongoing improvements. EVIDENCE: The home is in a residential area, and is of similar type to all the family homes around it. As a resident told the inspector, “the shops are only around the corner, and there’re some good cafes as well”, another adding, “I like to go to church, and I can walk to the nearest one from here. The people were very welcoming and friendly there”. The house is not suitable to anyone with a physical disability, as there are no aids to help and support, so all of the residents need to be mobile, and selfcaring, as no personal care is provided. All parts of the house are open to residents, except the owner’s private room. The owner has re-organised the living space in the home to provide a dining room nearer to the lounge, to encourage residents to eat meals at the table, and a comfortable second lounge area in the basement space next to the kitchen, affording residents more privacy with any visitors. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 14 The owner has recently decorated the hall, stairs and landing, and aims to refresh the bedrooms every year. All of the residents are responsible for keeping their own room as tidy as possible, with guidance and help from the owner. “My room’s tidy isn’t it?” queried a resident, “I think it’s alright, and (the owner) tells us if she thinks it’s time we got it sorted. She helps us anyway”. Bedrooms contained personal belongings, with family photographs, toiletries, and wall posters and a much loved mountain bike being examples of this. The rooms were all clean, comfortable and safe, and adequately maintained. The owner or a family member tests smoke alarms every week. Most of the laundry for the home is done as a service wash at the local launderette, although there is a washing machine in the home to use if needed. The owner said that she tried to keep the home as bright and airy as possible for the residents, so that they had a nice place to live, with an ongoing plan for cleaning carpets and refreshing the décor. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 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): No staff are employed at this home EVIDENCE: No staff are employed at this home Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 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 The owner has a good understanding of the needs of the residents, and has a clear development plan for the home. EVIDENCE: The owner originally worked as an auxiliary nurse, and also has some working experience as a home help. She has been a carer for the ‘boarding out’ scheme for approximately 20 years.This scheme was developed to provide places to live in the community for people who were leaving the large hospitals which were for people with mental health problems. She has no qualifications, but has the years of experience, during which she has developed knowledge and skills to enable her to provide a high standard of support to the residents. She has no staff, and provides all of the care, support and guidance in the family home, with the help of her daughter and grandson. Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parliament Street (23) Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000009912.V258638.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 Parliament Street (23) DS0000009912.V258638.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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