CARE HOME ADULTS 18-65
Polesworth Group - Long Street, 70 70 Long Street Dordon Tamworth Warwickshire B78 1SL Lead Inspector
Maggie Arnold Unannounced Inspection 9th February 2006 12:00 Polesworth Group - Long Street, 70 DS0000004375.V283164.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 Polesworth Group - Long Street, 70 DS0000004375.V283164.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. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Polesworth Group - Long Street, 70 Address 70 Long Street Dordon Tamworth Warwickshire B78 1SL 01827 895054 01827 892500 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) Polesworth Group Homes Limited Mr Stewart Harrison Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: 70 Long Street, also known as The Cottage is part of Polesworth Group Homes, which was established as a Limited Company in June 1991, with the aim of providing accommodation and support services to adults with learning disabilities. The home is one of three care homes housed in adjoining terraced properties owned by the company on Long Street. 70 Long Street accommodates two service users. It comprises of a modern kitchen with utility at the rear, a cosy dining room and lounge. On the first floor there is one large bedroom and another smaller bedroom and a light modern bathroom. Externally there is a small rear garden with lawn, flowerbeds and shrubs. The home is situated in a residential area of Dordon near to shops and other local facilities including a public house, a library and a health centre. As the current service users are able to safely maintain many aspects of their independence, 70 Long Street is only staffed for parts of the day. Staff are available 24 hours a day at 64-66 Long Street and the service users from 70 Long Street can call upon these staff should a need arise. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between the hours of 12.00pm and 3.00pm. The inspector shared her time between 68 and 70 Long Street, which is an adjoining Polesworth Care Home. The inspector spent the majority of her time in the 68 Long Street with residents from both 68 and 70 Long Street. One member of staff shares their time between the two homes. Although 70 Long Street is registered for three placements, there are no plans to admit a third person in the foreseeable future. With the exception of three core standards, all of the core standards had been scrutinised at the time of the last inspection, which took place in September 2005. Consequently this is a relatively short report. What the service does well:
The home continues to be is run in a manner that promotes the residents’ confidence and self-determination. Throughout the inspection process it was evident that the residents viewed 70 Long Street as their home. Discussions with the residents demonstrated that they felt involved in the day-to-day running of the home and liked the levels responsibility and independence they exercised. The two residents have individual daily routines, activities and interests. For example, at the time of the inspection one resident was the home busy with her household chores. The second resident came home for lunch but had morning and afternoon activities outside the home. Records seen were detailed, up to date, orderly and easy to cross-reference. Records of a confidential nature were securely stored. Areas of the home seen were clean, well maintained, homely and furnished in a domestic manner. One relative gave both written and verbal feedback regarding the service. The respondent said that they felt there was “shared responsibility” for the care and well being of their relative, that they were appropriately informed regarding any concerns and that the staff always answered any queries. The respondent concluded that the service was “excellent”. The home is swift to respond to requirements and recommendations. Where appropriate, the manager also adopts the good practice of considering implementing any requirements or recommendations arising from inspections of other sister homes in 70 Long Street. Polesworth Group - Long Street, 70 DS0000004375.V283164.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. Polesworth Group - Long Street, 70 DS0000004375.V283164.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 Polesworth Group - Long Street, 70 DS0000004375.V283164.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): This section was fully assessed at the last inspection. EVIDENCE: Polesworth Group - Long Street, 70 DS0000004375.V283164.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): This section was fully assessed at the time of the last inspection. EVIDENCE: Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The home supports residents to maintain family links and friendships outside the home. This works towards fostering a positive self-image and identity. EVIDENCE: Residents confirmed that the staff helped them to maintain contact with friends and family. Visitors are welcomed to the home at any time providing it isn’t very early or late in the day. This is to protect the privacy and dignity of the other resident who may still be in bed or preparing to retire for the night. As noted in the summary of this report, the inspector spent most of her time in the adjoining care home where the residents from both homes, the staff member and inspector shared a mid day meal. All of the residents worked together to set the table and clear away after the meal. It was particularly noticeable how friendly and supportive the five residents were towards each other. The residents and staff member said that should one resident be unwell, other residents rallied around to help them. For example, one resident had recently been particularly unwell and other residents volunteered to undertake some of their household tasks. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 11 The Commission received one completed relatives/visitors comment card. The comment card, which is produced by the Commission, asks questions about the service such as “Do the staff/owners make you welcome and have you ever made a complaint?” The feedback form advised that there were no concerns regarding the service and that the respondent “Would like to thank the staff for all their help”. The inspector also had the opportunity for a brief telephone conversation with the respondent who said that there was “shared responsibility” for the care and well being of their relative. The respondent confirmed that they were appropriately informed regarding any concerns and that the staff always answered any queries. She was particularly positive regarding the support given to their relative, who had experienced health problems, in the last twelve months or so. The respondent concluded that the service was “excellent”. The layout of the home allows the residents to choose whether they wish to see their visitors in their own bedroom or one of the shared rooms. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 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 the following standard(s): This section was fully assessed at the time of the last inspection. EVIDENCE: A brief check of the medication and accompanying records found them to be in good order. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 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 the following standard(s): 23 Policies and procedures are in place to reduce the risk of residents being financially. The system would be further improved if the home adopts the recommendation made in this report. This would work towards ensuring that the residents are more fully informed regarding their finances. EVIDENCE: This section was fully assessed at the time of the last inspection. A check of the residents’ personal allowances found no discrepancies. The residents’ saving account books are retained in the manager’s office which is located elsewhere and were not seen on this occasion. It is recommended systems be put in place that ensures residents can check the balance of their savings. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 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 the following standard(s): This section was fully assessed at the time of the last inspection. EVIDENCE: Areas of the home seen were warm, very clean and orderly. The decor and soft furnishing are comfortable and homely and reflect the interests and preferences of the two residents. One resident was busy cleaning her bedroom when the inspector arrived at the home. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was fully assessed at the time of the last inspection. EVIDENCE: One staff member was on duty at the time of the inspection. The staff member was well informed and cooperated fully in the inspection process. It was noted that the staff member worked in a relaxed but polite and respectful manner with the residents. For example, the staff member always said please when requesting residents to assist in various routines and thank you when the task was completed. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The home has effective quality assurance and quality monitoring systems in place that include the views of the residents. This helps to ensure that the service is run in a manner that takes into account the views and wishes of the residents. EVIDENCE: 70 Long Street has a number quality assurance and monitoring systems in place. For example, the Chief Executive of the Polesworth Group Homes visits the residents four times a year. The manager and staff are excluded from these formal meeting. The manager advised, although verbal feedback is given to him, the Chief Executive retains the records of the meetings. In accordance with the Care Homes Regulations 2001: Regulation 26 a representative of the Company also makes regular unannounced visits to the home. A copy of the findings of the Regulation 26 visit is forwarded to the Commission. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 17 The manager receives regular formal supervision and an annual appraisal from the Chief Executive of the Company. An annual performance review helps to monitor the standard of the service over the previous twelve months and agree on development plans for the forthcoming year. The meetings and visits help to ensure the accountability of the manager and staff and that the service is run in a manner that takes into account the views of the residents. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x x x 3 x x x x Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 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. 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 YA23 Good Practice Recommendations It is recommended systems be put in place that ensures residents can check the balance of their savings. Polesworth Group - Long Street, 70 DS0000004375.V283164.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office 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
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