Inspection on 16/08/05 for Polesworth Group 64 Long Street

This inspection was carried out on 16th August 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

Polesworth Group 64 Long Street 14/09/09

Polesworth Group 64 Long Street 23/06/07

Polesworth Group 64 Long Street 24/01/06

Polesworth Group 64 Long Street 14/03/05

Polesworth Group 64 Long Street 16/11/04

Polesworth Group 64 Long Street 07/11/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 68 Long Street

10 Whitfield Avenue

1a White Ladies Close

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

CARE HOME ADULTS 18-65 Polesworth Group - 64 & 66 Long Street 64 & 66 Long Street Dordon Warwickshire B78 1SL Lead Inspector Maggie Arnold Unannounced 16 August 2005 08:30 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. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Polesworth Group - 64 & 66 Long Street Address 64 & 66 Long Street Dordon Warwickshire B78 1SL 01827 895073 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) Polesworth Group Homes Ltd Mr Stewart Harrison Care home 6 Category(ies) of Learning disability (6) registration, with number of places Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 March 2005 Brief Description of the Service: Polesworth Group Homes was established as a Limited Company in June 1991, with the aim of providing accommodation and support to adults with learning disabilities. 64/66 Long Street is a care home for six service users situated in Dordon near Tamworth. The property is two terraced houses that have been knocked into one to provide Dordon Group Home and is unidentifiable as a care home blending into surrounding residential properties. Service users accommodation is located on the ground and first floor, the first floor being accessed via two staircases. The home offers four single bedrooms and one double bedroom with a shower and toilet en/suite. There is a very attractive bathroom with toilet on the first floor and a shower room with toilet on the ground floor. The ground floor also provides a small utility/laundry area, a large bright conservatory that is used as a dining area and hobbies/activities room. There is a large comfortable lounge with a variety of seating that is comfortably furnished and is domestic in style. There is also a staff sleeping in room. Externally there is a patio area, lawn, garden, brick and wooden sheds all at the rear along with some car parking space. Dordon Group home operates as a “family style” home with service users being involved in daily living routines and general household tasks where able to do so. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on Tuesday 16th of October from 8.30am to 10.15 am. Five residents and one member of staff were in the home at the time of the visit. The inspector also had the opportunity to meet the manager at his office which is located a short distance from 64-66 Long Street. What the service does well: 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. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 6 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 Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 7 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) 1-4 Prospective residents are given information about the home and have the opportunity to visit 64-66 Long Street prior to admission. This helps prospective residents to make informed decisions as to whether they wish to live in the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide in a format appropriate to the needs of potential residents. Discussions with the staff member combined with files and records seen evidenced that appropriate steps are taken to ensure that the home endeavours to ensure that potential residents are given the opportunity to visit the home and meet other residents prior to admission. There have been no new admissions to the home since the time of the last inspection and there are no vacancies within the home. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 8 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) 7-10 Residents have individual care plans and accompanying risk assessments. The home offers opportunities for personal development and varied leisure activities. This works towards improving/ maintaining residents’ mental and physical well-being and a good quality of life. Resident’s individual records are accurate and securely stored when not in use. EVIDENCE: The home has a comprehensive recording documentation process, which covers all aspects of care, as well as personal aspirations and changing needs. For example, care plans seen included details of likes and dislikes as well as support plans for communication, mobility, behaviour and the management of medication. Individual risk assessments and risk management strategies are in place and there was evidence that these were routinely reviewed. The home has a daily rota of household chores, which, subject to risk assessments, all of the residents participate in. Chores will vary from day to day. When the inspector arrived at the home the residents were busy undertaking various household chores. For example, two residents were dusting the lounge and hall and another resident was working in the kitchen. The inspector was advised that residents are paid a small amount each week for the jobs they do in the home. Records of a confidential nature were securely stored when not in use. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 9 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) 14 -16 The home assists residents to access a variety of activities that they find enjoyable and, where relevant, also promotes personal development. The home is pro active in supporting residents to develop and maintain links with family members and friends. This fosters a sense of identity and well being. The residents’ rights and responsibilities are respected which promotes the residents’ feelings of self confidence and respect towards others. EVIDENCE: Discussions with the staff member combined with residents spoken to and records seen evidenced that the residents are offered opportunities for various leisure activities. Throughout the visit residents were involved in activities ranging from knitting, reading magazines, colouring and tidying out drawers. An outing to a local park was arranged for after lunch. Other activities include meals out, attending a day centre and shopping trips. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 10 The home works towards supporting links between the residents and their family members and friends. At the time of the visit one of the residents was visiting her family. Most of the residents had family photographs on show in their bedrooms. Some of the residents spoken to talked about their friends and family members and confirmed that the staff helped them to stay in contact with friends and family. The staff member was courteous and respectful to the residents. For example, the inspector was introduced to the residents and the purpose of the visit explained. When looking around the home the staff member asked residents for permission to view their bedrooms. It was particularly notable that the staff member, when asking residents to do something, always accompanied the request with a please and thank you. A common courtesy that is not routinely adhered in all registered care homes. It is also pleasing to note that there was a lot of interaction between the staff member and residents. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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 standard(s) 18-20 Residents benefit from individual based care and support that is sensitively and discretely delivered by the staff. The home has appropriate systems in place for the safe management and storage of medication. EVIDENCE: On the day of the inspection all of the residents were appropriately dressed and groomed with clothing, hairstyles and jewellery that reflected their individual personality and choices. The staff member was familiar with the care needs of the individual residents. Care plans and accompanying records clearly demonstrated that the home, in partnership healthcare professionals, works towards meeting the needs of the residents. Records showed that residents receive routine healthcare checks from professionals such as General Practitioners, opticians and dentists. There was also documentary evidence that, as necessary, health concerns were followed up via hospital appointments. The home has a monitored dosage system (MDS) and accompanying daily medication administration record (MAR) sheets for the management of the residents’ medication. The medication and records are securely stored when not in use. With one exception, the MDS and MAR sheets were correct and in good order. It is pleasing to note that the manager addressed the recording discrepancy on the day of the inspection. There was no evidence of excess medication stored in the home. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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 standard(s) 23 The home has a complaints policy and procedure. Additionally there is also a Vulnerable Adults Procedure in place and staff receive Vulnerable Adult Awareness training. These work towards reducing the risk of abuse, neglect or self-harm of the residents. EVIDENCE: The home has a number of systems in place that reduce the risk of abuse, neglect or self-harm of the residents. In addition to a robust recruitment and induction programme staff also receive regular supervision and training. Staff training also includes Vulnerable Adult Awareness training. Policies and procedures are also in place for the safe management and security of the residents’ personal allowances. A check of residents’ finances found them to be in good order. It is recommended that wherever possible, for example, when out on day trips, two members of staff sign receipts for monies spent on residents behalf. It is also recommended that the home checks to ensure that the hairdresser who comes to the home is suitably insured to carry on the work. The hairdresser should also be issuing her own receipts for payments made on behalf of the residents. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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 standard(s) 24-30 The homely, comfortable and safe environment meets the needs of the present occupants. EVIDENCE: 64-66 Long Street consists of two adjoining properties that have been made into the one home. There are two sister homes next to the property. The home is comfortably furnished and decorated to a high standard. The conservatory, which also serves as a dining and activities room, combined with the lounge provides ample communal areas for the residents. There is also a small but adequate garden to the rear of the home that is easily accessible to the residents. The garden, which was well maintained and looked very attractive with borders of flowering summer annuals is also furnished with a garden table and chairs. There are four single and one shared bedroom. The shared bedroom has the added benefit of an en-suite facility for the sole use of the two occupants. The bedrooms were all decorated and furnished differently in accordance with the occupants’ wishes. Personal items such as photographs, cuddly toys, ornaments and television sets were evident throughout. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 14 The home has a shower room and a separate bathroom for use by the four residents who have individual bedrooms. Bathrooms and toilets were all spotlessly clean and had sufficient supplies of essential requirements such as toilet paper, soap and hand towels. In order to aid mobility and reduce the risk of falls a few minor adaptations have been made in the home. For example, handrails are fitted on both sides of one of the two flights of stairs to the first floor. A freestanding ramp has been provided from the kitchen to the utility room and grab rails fitted at the front of the home. The home was very clean throughout. There was no evidence of excess clutter or unpleasant odours. Essentials such as soap, towels and cleaning equipment were available in the home. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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) 31-36 The home has suitably trained and competent staff team who are committed to meeting the needs of the residents. The home has robust recruitment procedures in place that work towards protecting the safety and welfare of the residents. EVIDENCE: Unless there are reasons to the contrary there is usually only one member of staff of duty per shift. The home does not employ catering or domiciliary staff. The member of staff on duty had worked for the Polesworth Group Homes Company for approximately thirteen years and prior to that had worked in another care home. She was very well informed regarding her role and responsibilities and the needs and preferences of the residents. The staff member was also familiar with the aims and values and day-to-day routine of the home and demonstrated a high degree of commitment to her work. All of the records and information requested by the inspector were found or answered without delay. Scrutiny of the staff member’s file, combined with the staff interview and discussions with the manager evidenced that the staff are well informed and appropriately trained to meet the needs of the residents. The staff file seen held details of various training courses undertaken from January 1995 up to April 2005. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 16 In addition to achieving a National Vocational Qualification Level 2 in Care the staff member had also completed core training including Basic Food Hygiene, Care of Medicines, Emergency First Aid and Moving and Handling. There was evidence that core training was renewed as required. Specialist training included Mental Health Awareness, Challenging Behaviour, Person Centred Planning, Death and Bereavement and Abuse Awareness in Care Homes. Supervision also takes place on a regular basis and the staff member confirmed that the supervision notes are signed and dated. The information required by the Care Homes Act 2000: Care Homes Regulations 2001: Schedule 2, are held on file. Staff files are routinely updated and securely stored when not in use. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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 comfort, safety and well being of the residents is promoted by a well organised home. EVIDENCE: Policies and procedures such as stringent recruitment procedures, staff training and routine maintenance checks are in place that works towards protecting the health, safety and welfare of the residents. Residents are also encouraged to follow basic safe working practice. For example, residents are aware that people not known to the home are to be seen by a member of staff prior to being admitted. One the morning of the inspection a resident answered the door and asked the inspector to wait until she had told the staff member. A tour of the home found it to be spotlessly clean and well ordered with no potential trip hazards such as worn carpets or excess clutter and furniture. Potentially harmful cleaning items were securely stored in locked cupboards in accordance with the Control of Substances Hazardous to Health (COSSH) Regulations. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 18 The kitchen, laundry area, bathrooms and toilets which are all high risk areas with regards to the possibility of cross infection, were particularly clean and stocked with basic essentials such as liquid soap, disposable towels and as appropriate toilet paper. It was also noted that both residents and staff routinely wash their hands and put aprons on prior to working in the kitchen. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 4 Standard No 11 12 13 14 15 16 17 x x x 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Polesworth Group - 64 & 66 Long Street Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 20 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 No requirements arose from this inspection. 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 23 Good Practice Recommendations It is recommended that wherever possible two members of staff sign receipts for monies spent on residents behalf. It is also recommended that the home checks to ensure that the hairdresser who comes to the home is suitably insured to carry on the work. The hairdresser should also be issuing her own receipts for payments made on behalf of the residents. 2. Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 21 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 Polesworth Group - 64 & 66 Long Street E53 S4329 Polesworth Group 64-66 Long Street V244977 160805 Stage 4.doc Version 1.40 Page 22 - 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. 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