Inspection on 27/02/06 for Phoenix Court

This inspection was carried out on 27th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Phoenix Court 09/03/09

Phoenix Court 22/11/06

Phoenix Court 06/09/05

Phoenix Court 03/03/05

Phoenix Court 02/09/04

Phoenix Court 03/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Phoenix Court 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ Lead Inspector Lynda Jones Unannounced Inspection 27th February 2006 09:30 Phoenix Court DS0000001069.V285692.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 Phoenix Court DS0000001069.V285692.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. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Phoenix Court Address 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ 01706 819608 01706 819608 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) St Anne`s Community Services Miss Amanda Morgan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Phoenix Court is a care home registered to provide nursing care and accommodation for seven adults with learning disabilities. The home is operated by St Anne’s shelter and Housing Association, a charitable organisation. The accommodation is divided into two self-contained areas, first floor and ground floor. There are four bedrooms on the ground floor occupied by three women. There is also a kitchen, lounge, bathroom, bathroom/ WC, WC and a laundry on this floor. Upstairs the accommodation comprises three single bedrooms, occupied by three men. There is a kitchen, lounge, bathroom, bathroom/WC and an office upstairs. Externally the service users have secure access to the fenced garden at the rear of the property. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 6th September 2005 and there have been no additional visits made to the home. This was an unannounced inspection carried out by one inspector who was at the home from 9.30 am until 12.30pm. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records and talking to the staff on duty. What the service does well: Phoenix Court is a well run home providing good care to service users. Each resident has an individual care plan and risk assessment in place that helps staff to meet each persons needs and keep them safe. Residents are supported to go out frequently and to take part in a range of valued activities. Staff support residents to make decisions and choices about their lives. Some very good work has been carried out and recorded about daily routines in the home and about the preferences of each individual who lives there. The staff are good at providing personal care with consistency, in a way that suits each resident. Phoenix Court DS0000001069.V285692.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. Phoenix Court DS0000001069.V285692.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 Phoenix Court DS0000001069.V285692.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): 1&5 Information about the home is available. Everyone has a contract outlining the terms and conditions of residence. EVIDENCE: Phoenix Court has been home to the three men and four women who live there, since 1993. They moved there following the closure of a nearby hospital. This will remain their home for as long as their needs and aspirations can be met by the service provided. St Anne’s has all of the required policies and procedures in place regarding admission to the services provided. These are available at the home but have not been put to the test at Phoenix Court because there has been no change in the people living there. Every person has a contract which outlines their terms and conditions of residence. Phoenix Court DS0000001069.V285692.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): 6,7,9. Good support is offered to residents to enable them to make decisions about their lives. Staff are good at supporting people to make choices and to be as independent as possible. Some individual care plans need to be reviewed. EVIDENCE: Two care plans were examined. Both contained detailed information about the background and life experiences of each person. The personal objectives listed on one of the plans were varied; covering several proposed social and leisure activities and individual tasks aimed at promoting choice and independence. Evidence indicated that the objectives were regularly recorded against showing the sort of activities the resident had participated in for example, going to the cinema, bowling, going out to shows and having meals out. There was also evidence to show that staff were encouraging the resident to choose clothes, indicate preferences for meals and to spend time with them in the kitchen as meals were being prepared. These Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 10 records were up to date and a date had been set for a review of the plan the following week. Some of the personal objectives on the second plan had been set some time ago. Reviews of this plan appeared to be less frequent and the monitoring of personal objectives was not taking place regularly. Only four entries had made against one objective in the period between October 2004 and the last entry made in February 2005. Another objective, “to go to the local hairdressers” was dated March 2003. Since that date only six entries had been made, a note indicated that this resident had been having a hair cut at home since March 2005 but there was no evidence that this objective had not been reviewed. A further objective dated September 2004 was “to put together a box of tactile textiles”, five entries had been made and a note was added indicating that the resident was no longer interested in pursuing this objective. When objectives are no longer relevant they should be reviewed and removed at the next planning meeting. On one of the plans an objective was to “be supported by staff who have received appropriate training”. Residents and their families have a right to expect that all staff are appropriately trained to meet their needs, this should not appear on a care plan as a personal objective. Records show that residents are supported to take reasonable risks. Detailed assessments are in place describing actions to be taken to minimize identified risks. Phoenix Court DS0000001069.V285692.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): 12,13,15. Residents have good opportunities to take part in valued and appropriate activities both in the home and in the community on a regular basis. Good support is provided to enable people to keep in touch with family and friends. EVIDENCE: Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 12 A good range of leisure opportunities are provided to residents both in the home and in the community. Records are kept of all of the activities that people are involved in each week. Through their knowledge about the interests of individual residents, the staff enable people to take part in activities which they enjoy. These are scheduled each week so that the appropriate numbers of staff are available to support people. On the day of inspection one resident was preparing to go out for the day with two staff, as it was her birthday. Other people at home got up and had their breakfasts at a leisurely pace. The residents use all local facilities, including hairdressers, shops, restaurants, pubs, cinemas and theatres. From discussion with staff, it is clear that residents are well supported to maintain contact with family and friends. Staff said that everyone at the home gets on well with their neighbours in the immediate locality. Phoenix Court DS0000001069.V285692.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): 18,19. The healthcare needs of residents are regularly assessed and reviewed to make sure that individual needs are not overlooked. Personal care is delivered in a way that suits each resident. EVIDENCE: Every resident has a completed “OK health check” on their personal file that is updated annually. The documents that were examined had been reviewed and the details were up to date. All residents’ have access to a range of health care services; the records show that routine appointments and check ups with dentists, opticians, chiropodists etc take place as planned. Some excellent work has been carried out to produce a series of quick reference guides about daily routines in the house. These can be used by bank or agency staff to ensure that consistent care is provided to residents in the event of temporary staff covering shifts. There is a guide for staff about the specific personal care routines of residents’ indicating what support is required in order to help each individual with their preferred daily routines. It includes details about the order in which they prefer to dress and how to assist people with their personal hygiene including the degree of support and prompting that each person requires. The guide includes information about meal times showing a table plan and details of Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 14 where people like to sit, what type of chair they need to use, what assistance each person requires with food and drinks. From discussion with staff and observation of care practice, it was evident that residents are supported to make decisions about their lives wherever possible. It was apparent that staff have a detailed understanding of the preferred routines and likes and dislikes of residents. Throughout the inspection, staff were observed to offer personal support discreetly, and with sensitivity. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: Not assessed on this inspection. See last report. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 16 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): 27 EVIDENCE: These standards were not assessed in detail on this inspection. See last report. The privacy and dignity of male residents continues to be compromised by the inability to find a suitable door for the bathroom that could meet the needs of all the men people living on the upper floor. This issue was raised in the last inspection report. Staff on duty said that a door was being specially made for this purpose and that this matter would soon be dealt with. New units have been fitted in the upstairs kitchen. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 17 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): 35 The residents are supported by trained and supervised staff who benefit from clarity of role and responsibility. EVIDENCE: Staff on duty reported that they were receiving regular supervision from the manager; this takes place approximately every six weeks and is planned in advance. Staff meetings take place once a month. The records show that St Anne’s provides all staff with a range of training opportunities. Training had taken recently taken place on Adult Protection Awareness, Promoting Equality and Loss and Bereavement. Some staff had also undertaken training on mental health issues. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 18 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): 37,39,42. Residents benefit from a well run home. Health and safety issues are given high priority. EVIDENCE: The home is well managed, staff on duty said the home was a pleasant place to work, they said the manager and staff team were very supportive and they enjoyed working at Phoenix Court. Staff felt that the home was genuinely run in the best interests of the residents and they felt that they consulted individual residents about their lives using various indicators and methods of communication. Health and safety matters are given high priority. One member of staff takes particular responsibility for monitoring health and safety issues and carries out regular checks take place around the house. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 19 Staff report that all repairs that they report for attention are prioritised and attended to promptly by the St Anne’s maintenance team. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 20 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 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 2 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X 3 X X 3 X Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 21 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 YA6 Regulation 15 (1) Requirement An up to date comprehensive, person centred plan must be in place for all service users. Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA27 Good Practice Recommendations A suitable door should be fitted to the upstairs bathroom. Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Phoenix Court DS0000001069.V285692.R01.S.doc Version 5.1 Page 23 - 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!