Inspection on 20/05/05 for Parliament Street (23)

This inspection was carried out on 20th May 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) 19/10/05

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 23 Parliament Street 23 Parliament Street Morecambe Lancashire LA3 1RQ Lead Inspector Jenny Hughes Announced 20 May 2005 10:00 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. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 23 Parliament Street Address 23 Parliament Street Morecambe Lancs LA3 1RQ 01524 414353 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) Mrs Mollie Green Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia (3) of places 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2004 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 owners daughter and grandson helping when needed. The three bedrooms are on the first floor, with a shower room next to them. The front lounge and basement dining area 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. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours, and was one of the two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was announced, in that the owner was aware that the inspection was to take place. The registered provider was interviewed, along with a family member who helps the owner, and the two residents presently at the home. 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: Décor in the home is tired in some areas, although the owner is in the progress of updating this. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 6 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. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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 A service is provided tailored to the individuals needs, following an assessment of need provided by the social worker, and individual discussion with the resident. EVIDENCE: Individual assessments are provided by the social worker, and were available on the files of the people in the home. Residents visit the home with their social worker before deciding whether they would like to stay there. “I came to see this place before I moved in, but I already knew someone here from the Centre, so that made me feel better about coming here”, stated one resident. The owner said she thought it was very important to have a talk with the new resident first, to make sure they would get on with the other residents, and also that they would get what they wanted out of staying there. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) 6,7 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: The residents files showed the assessments making the basis of care plans, where the aim was to make the residents as independent as possible, with goals for them to attain. “I’ve seen my file, and the owner says I can look at it anytime I want, but I don’t really need to”, stated one resident. One file noted how a resident had increased in confidence since her arrival, seeking out new interests on her own, “I got myself on a computer course at the college” one resident informed the owner, who confirmed that she constantly praises and encourages the residents to make their own decisions. Another resident called in with his girlfriend, who he said often called and had a drink or something to eat in the home. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) 12, 13, 15, 16 and 17 Residents are able to make decisions on what they wish to do in their daily lives, and benefit from the guidance and support of the owner, enabling them to become independent and feel fulfilled. EVIDENCE: Both residents were at the ‘Making Space’ centre on the morning of the inspection, and were in good spirits when they arrived home. One informed that “We make things like bird tables, or greetings cards, or pack things. We go 2 or 3 times a week. It’s quite good. Oh yes, I make tea at the community centre as well. There’s plenty of people to talk to. I like doing things”. Records showed the improvement in the confidence and the lowering of anxiety levels of the resident, since she arrived at the home, enabling her to decide to do new things. Encouragement is given in self help, as one resident confirmed, “since I’ve been poorly I’m trying to do and eat healthy things. The owner tells me what she thinks”. An improvement in the resident’s appearance was also noted. Another resident chatted about what he had been doing, but was impatient to leave the conversation to go out with his girlfriend who was waiting for him. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 11 The owner added, “ The residents are part of the family and are treated as such. They enjoy the grand-children visiting. Also, for example, the cat’s had kittens and they like that - it’s all part of everyday family life.” The main meal of the day is home-cooked. “We have a dinner at night”, confirmed one resident, “I like that, I’ve always had that. I can have what I choose.” The owner informed that the residents sometimes go food shopping with her and pick what they would like her to prepare, with her guidance. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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, 19 and 20 Residents benefit from the support of social and healthcare professionals. The system for administering medication is satisfactory, with arrangements in place to ensure residents medication needs are met. EVIDENCE: The individual records show any choices residents have in what care they would like, and how they would like it given. “I like having a lie-in”, stated one resident, “I can tell the owner anything. There’s no secrets here”, said another. Records also showed regular contact with social workers and G.P’s, and one resident chatted about her recent illness and what tests she was due to undergo. A structured system for administering medication is used, with signed records of when medication has been given to residents, and waivers signed by the residents when they are given the responsibility of taking the medication themselves after it has been handed to them by the owner. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) 22 and 23 Residents are confident their concerns will be listened to and acted upon. The owner and her family have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, and a complaints book to record any complaints in. The owner said that she always discussed the need to be open with the residents, and to tell her if they were not happy with something. Both of the residents said that they would tell the owner any problems they had, one adding, “There are no secrets here you know. She can’t make things better if she doesn’t know what’s wrong can she?” The owner said that she monitored visitors to the home, and tried to guide the residents on risk taking and personal safety. “They always know this is a safe place to come home to”, stated the owner. One resident told the owner about a persistent caller. “Well call me next time and I’ll help you deal with it”, said the owner. The owners family called in, with the residents cheerfully welcoming them. Her family said they followed the owners lead, and would let her know if they had cause for concern. The residents confidently chatted with the inspector about their day, and their plans for the following day. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) No staff are employed at this home EVIDENCE: No staff are employed at this home 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 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) 39 and 42 Systems for consultation with the residents and their representatives are good. Systems and practices in the home promote and safeguard the health, safety and welfare of the people living there. EVIDENCE: The residents said that they always told the owner if they liked or disliked something, and that the owner told them to do that. They said she always tried to make it better for them. The owner recorded their comments in a diary, and said that she dealt with them straight away, or as soon as possible. Records showed contact with the GP’s, Community Psychiatric Nurses and social workers, with any comments they had made on the service. The owner said that the residents are instructed on fire safety, and one confirmed this by telling the inspector what they would do and where they would go if there was a fire. The owner said that the appliances in the home are maintained as in any domestic home. An accident book recorded all residents accidents, and any follow-up required. 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 17 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 18 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 23 Parliament Street Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 19 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. 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. 1. Refer to Standard Good Practice Recommendations 23 Parliament Street F57-F09 S9912 23 Parliament St V185009 200505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection North Lancs Area Office 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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