Inspection on 09/06/05 for PIA 132 Manor Court Road

This inspection was carried out on 9th June 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

PIA 132 Manor Court Road 05/06/07

PIA 132 Manor Court Road 08/06/06

PIA 132 Manor Court Road 18/11/05

PIA 132 Manor Court Road 18/10/04

PIA 132 Manor Court Road 27/05/04

PIA 132 Manor Court Road 03/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 PIA - 132/4 Manor Court Road 132 Manor Court Road Nuneaton Warwickshire CV11 5HQ Lead Inspector Sheila Briddick Unannounced 9 June 2005 09:00 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. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service PIA - 132/4 Manor Court Road Address 132 Manor Court Road Nuneaton Warwickshire CV11 5HQ 02476 383986 02476 640146 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) People in Action Mrs Julie Morrissey (acting manager wef 16/03/05) Care Home 8 Category(ies) of Learning disability (8) registration, with number of places PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 October 2004 Brief Description of the Service: 132/134 Manor Court Road is a registered care home for eight people with learning disabilities and has been separated into two separately staffed homes that occupy the top and ground floors of two semi-detached houses. Effectively these are two group living homes. 24 hour care and People in Action offer personal support. 132 Manor Court Road is situated on the ground floor of the house and can accommodate four people with physical and learning disabilities. Each service user has their own bedroom with shared facilities of a kitchen, bathroom with W. C., separate WC and large lounge/dining room. There is a separate laundry area. 134 Manor Court Road can accommodate four people with learning disabilities and is situated on the first-floor level of the house. Each service user has their own bedroom with shared facilities of a kitchen/dining area, laundry, and bathroom with WC and lounge. There is a shared garden to the rear of the house. The property is situated close to Nuneaton town centre. Rail and public transport links are nearby. There is limited off-road parking. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours. A second visit of one hour was made to meet with service users and seek their views as part of the inspection. A tour of the premises took place and staff members on duty were spoken with. There is currently no registered manager for this home however an application has been put forward for the acting manager to become the fit person to manage the home. The Commission is currently processing the application. What the service does well: What has improved since the last inspection? What they could do better: Care planning must improve to ensure that plans reflect the changing needs of service users, how they are to be met and how service users views have been taken into account during the review process. Resident meetings must be reestablished so that service users can meet together to discuss their views regarding the home and care provision. Risk management must be reviewed to ensure that all activities in the home are safe for the people living there. This must include storage of kitchen utensils, safety of service users at nighttime and individual risks to service users in bathroom areas. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 6 The home should continue to pursue advocacy support for service users with no family member/friend representation. 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. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 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 PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 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) These standards were not assessed on this occasion. EVIDENCE: PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 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 and 7 The care plan review system does not reflect the good practice there is in this home of involving people in making decisions about their lives on a day-to-day basis, their wishes and aspirations. EVIDENCE: Staff were observed to be respecting service user rights to make decisions on the planning of the day’s activities. Various options were discussed which included where to eat lunch and which shops to visit. Staff spoken with discussed individual and personal decisions that service users had made regarding their appearance, having a pet in the home and holiday planning. Service users spoken with said that they could choose what they wanted to wear, what to eat, and that they could talk to the manager about what was good in the home and what should be changed. Service users said they had a house meeting every month however, written evidence suggested there had not been a house meeting for some time. The record of past meetings show that the meetings had been good allowing service users opportunity to discuss a variety of issues which included healthy eating, staffing information and activity planning. Individual diary records show that service user decisions are being respected. Inconsistent and irregular care plan reviewing however does not reflect the good practice in this home of involving service users in the review process. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 10 Care plan documentation is kept safely in each service user’s bedroom. Service users spoken with knew whom their keyworker was and that information is written about them on the care plan. The review documentation is a good format allowing for service user involvement in reviewing changing needs and goals although this format is not being used effectively as intended. Care plan reviews however were due on some care plans seen and there was some inconsistency in completing the review documentation of reviews that had taken place. There is no system in place for the manager to monitor that reviews do take place and that care plans are being updated to reflect changing needs. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 standard(s) 13 and 15 The people living in this home have appropriate support to live ordinary and meaningful lives and to participate in and contribute to the community in which they live. EVIDENCE: Service users spoken with said that they have ‘lots of things to do’ which included watching television, going on ‘different walks’, bowling, shopping and visits to the pub. Service users are using the local healthcare facilities, hospital services, banks and post office. Local colleges and craft centres are also accessed. On the day of the inspection service users were going shopping, eating out and keeping appointments at the GP surgery. Staff spoken with said that access to the local town was good and within easy walking distance from the home. Staffing is flexible to meet individual needs and an extra shift during daytime has recently been introduced on two days of the week to provide cover for extra activities in the community. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 12 Diary records maintained record a variety of activities take place on a regular basis. Service users spoke of how family members can and do visit them in the home. Staff encourage and support service users to maintain links with older family members now living in residential care homes themselves through weekly visits. Care plans seen identify the family links service users wish to maintain and how this is to be supported. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 standard(s) 21 The people living in this home are supported sensitively and respectfully through the bereavement process. EVIDENCE: The staff working in this home have supported individuals well through the process of coming to terms with family member bereavement and are to be commended for their good practice in this. Individuals have been supported to complete the processes necessary when sorting out property left to them and encouraged to maintain family history by putting together family photo albums and other family memorabilia. A service user talked about the support they had been given and said that this had been ‘good’. The service user talked about visits being planned to revisit the country in which they lived with their family for many years. Specialist bereavement support had been accessed for service users and for the staff team in developing the skills and knowledge necessary to support service users effectively. Staff spoken with had appreciated this. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 standard(s) 23 Policies and procedures in place to protect service users from harm at night, or following accidents, are not robust enough to minimise possible risk. EVIDENCE: Staff spoken with demonstrated a good awareness of policies regarding the Protection of Vulnerable Adults, (POVA) and an understanding of their role and responsibility within the policy and procedure. Service users spoken with said that they felt safe in the home and that staff treated them well. Service users said that they had help with their money and they could keep money in their wallet to buy things when they wished. Referrals have been made to advocacy services on behalf of service users who have no family support to work with them in any decision-making process and this will include making provision for a Will. There have been recent changes to nighttime support for service users, which now offers a sleep-in staff support facility only. Risks to service users as a result of this change had not been reviewed thoroughly, this included reviewing current systems for enabling service users to seek support at nighttime if they needed. Records show that accidents to service users do not always routinely instigate a risk assessment or occupational therapy assessment as part of maintaining and promoting independence. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 standard(s) 24 and 25 The shared areas within this home are good providing service users with an attractive and homely place to live. New service users coming to live in the home do not always have bedroom facilities to meet their needs. EVIDENCE: All service users spoken with said they liked living in the home and felt safe. Service users said that they could have a key to their room if they wanted and were able to keep things that were theirs privately. Each service user has their own bedroom and is able to bring in their own furnishings and fittings to suit their interests and lifestyle. One-bedroom however is not decorated to the same standard as other bedrooms. An action plan had not been identified with the service user to redecorate the room and provide sufficient and appropriate storage space for their belongings. All shared areas of the home were comfortable, bright, cheerful and clean. Bathroom areas in particular have been decorated tastefully and are domestic in style. The garden area is providing a pleasant place for service users to sit and relax. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 The recruitment policy and procedure for this home ensures that service users are supported and protected from harm by the people caring for them. EVIDENCE: There have been no new staff coming to work in the home since the last inspection visit. The acting manager ensures that all information regarding staff recruitment is maintained in good order and stored securely. A copy of all information obtained during the recruitment process is held on individual staff files and this includes confirmation that Criminal Record Bureau (CRB) and POVA checks have taken place. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 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) 42 The policies and procedures for safe working practice in this home are ensuring that service user health, safety and welfare is being promoted and protected. EVIDENCE: All service users spoken with said that they felt safe living in this home and knew what to do in an emergency, this included fire safety. Staff spoken with had accessed training in the safe practice of moving and handling people, fire safety, first aid, food hygiene and infection control. There is a risk assessment in place for the safe storage of hazardous substances. A record is maintained of the maintenance of boilers and heating equipment and there is evidence of regular maintenance of electrical equipment and systems. There are systems in place to maintain hot water temperatures to a level that does not pose a risk to service users and these are checked weekly. Risk assessments are in place to ensure a safe environment indoors and outdoors. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 18 It is planned for an overhead hoist system to be put in place to assist with moving and handling and the installation of a chairlift is being considered to make access to the first floor of the property more easy for the people living there. Staff spoken with had received an induction and foundation training in safe working practice. This was a distance learning package and included assessment of competency and knowledge. Fire safety is managed well, systems are checked routinely and a record of all tests is maintained. Service users spoken with were familiar with the fire evacuation procedure. PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PIA - 132/4 Manor Court Road Score x x x 4 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 20 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 6 Regulation 15 Requirement All care plans must be reviewed with the service user at least every six months and updated to reflect changing needs, and agreed changes are recorded and actioned. Care plan review records must evidence the views of the service user, when able, and the next review meeting date. A monitoring system must be developed to ensure care plans are being maintained up to date for staff to have sufficient and up-to-date information necessary to meet the changing needs of service users. Consultation meetings, (house meetings), must be reestablished and held monthly with a record of the meeting maintained. Risks to service users at nighttime must be assessed and strategies implemented to minimise any identified risk. This must include provision of call alarm systems appropriate to the needs of individual service users. A risk management strategy E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Timescale for action December 1st 2005 2. 6 15 December 1st 2005 September 1, 2005 3. 6 24 4. 7 12 August 30, 2005 5. 23 13 August 30, 2005 6. 23 12 August 15, Page 21 PIA - 132/4 Manor Court Road Version 1.30 7. 25 23 must be introduced for reviewing 2005 service users needs following any accident or incident in the home. Strategies must focus on positive outcomes for service users and involve assessment if necessary from suitably qualified persons. All service user bedrooms must August 30, be reasonably decorated with 2005 sufficient storage to meet service user needs. 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 PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 PIA - 132/4 Manor Court Road E53 S4227 PIA - 132-134 Manor Court Road V232754 090605 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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