Inspection on 25/05/05 for Poplars

This inspection was carried out on 25th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Poplars 18/08/08

Poplars 04/07/07

Poplars 26/07/06

Poplars 27/10/05

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 Jane Capron Poplars 123 Regent Road Hanley Stoke on Trent, ST1 3PF Lead Inspector Jane Capron Unannounced 25 May 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. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Poplars Address 123 Regent Road Hanley Stoke on Trent ST1 3BL 01287 624968 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) Delam Care Limited Miss Tracy Baddeley Care Home 6 6 6 Category(ies) of LD registration, with number MD of places Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11.10.04 Brief Description of the Service: The Poplars is a six bedded care home owned by Delam Care Limited. It is located in Hanley in an area with a number of similar care homes owned by the same company. The Poplars provides a service to people of either gender with a learning disability although some may also have mental ill health. The home is one of three adjoining homes that are managed by one Care Manager. The homes have their own core staff members but absences and staff vacancies are covered by staff from the other homes or from other staff from within the Delam care group. The Poplars is in an urban area close to Hanley park and Stoke on Trent College. It is well located to access the shopping and leisure facilities of Hanley. The service users access a range of college courses and undertake social activities and holidays. The six homes in the area access two people carriers and the service users contribute to the running of these vehicles. The home has one care staff member on duty at all times and its aim is to provide service users with support, encouragement, supervision and monitoring in order to enable them to live as independent a life as possible. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection lasting approximately three and a half hours. During the inspection four of the six residents were seen and discussions were held with them individually. There was one staff member on duty and a discussion was held with him. A discussion was also held with the Care Manager who was on duty at an adjoining home. The communal rooms and a sample of bedrooms were examined. Two residents’ care plans were examined as well as medication records and residents’ finances. Also a number of documentation relating to health and safety were examined. The CSCI had received no complaints since the last inspection and no additional visits had been made to the home. What the service does well: The home had developed comprehensive care plans that covered the expected areas. These provided staff with the necessary information to be able to provide the necessary support to meet the needs of the residents. The home met the personal and health care needs of the residents and had developed positive links with specialist health care staff. The home encouraged the residents to undertake a range of domestic tasks. Residents had made their bedrooms their own with staff supporting them to personalise their rooms and by providing suitable locks. Residents were proud of their bedrooms. Residents are encouraged to attend college courses and to regularly access the community. Residents liked the staff. Comments were made such as ‘ they are kind’ and ‘they help you out’. The homes’ complaints procedure was known to residents and they expressed confidence that the home would take up any concerns they had. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 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. Jane Capron E09 E51 S64016 Poplars V228805 230505 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 Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 With the home’s assessment procedures and with the links it has with a range of relevant specialists, residents and significant others can have the knowledge that the home is aware of their needs and can put plans in place to meet them. EVIDENCE: The most recent resident admitted had been subject to an assessment both by the local authority and by the home’s staff. These assessments covered the necessary areas of health and personal care, educational, domestic and social needs. Areas of risk were identified. The assessments were the basis of the individual care plan. Residents stated that they received the support they needed. They confirmed that they were supported to access a range of health care professionals including the psychiatrist, the CPN and social workers. Observation of staff and residents showed that the staff member on duty had a relaxed manner and was able to communicate in an effective manner. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9. The home had clear care plans and risk assessments in place providing staff with the necessary information to meet the needs of the residents. Whilst residents were involved in decision-making and had opportunities to participate in aspects of running of the home there was scope for further development which would provide the residents with more choice and control over their lives. EVIDENCE: A sample of resident care plans were examined. These contained comprehensive information on residents’ needs and showed the actions required to meet the needs. Plans contained information on the health and personal care needs of the residents, their domestic and educational needs as well as any needs for social support. There was evidence that plans were being reviewed. Records and discussions with residents showed that they were involved in decision making over their daily lives. Residents were involved in managing their finances although the amount of support varied. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 10 Residents participated in activities around the home including making drinks, food preparation and cleaning. Residents’ views were sought through resident meetings. There was scope for further involvement in aspects of running the home including doing their own laundry, compiling the shopping lists, cooking, being involved in staff selection, and in the review and development of policies. The home had developed a range of relevant individual risk assessments associated with daily living practices including accessing the community, use of the kitchen and equipment, and making hot drinks and managing hot water. Risk assessments had been reviewed. Jane Capron E09 E51 S64016 Poplars V228805 230505 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) 11,12,13,14,17 The home provided opportunities for residents to undertake educational courses and independent living tasks around the home. Whilst external social activities were offered the lack of uptake indicated that the current home’s activities were not responding to the needs and wishes of the residents. The home provided meals that gave residents a varied menu but needed to ensure that residents were regularly made aware of the opportunity for snacks between meals. EVIDENCE: Residents were involved in independent living tasks around the home including meal preparation, cleaning and laying and clearing the table and washing up. Residents were involved in budgeting their money. All the residents have the opportunity to attend sessions at college for such courses as needlework, painting and decorating and art and drama. One resident worked part time and another attended a day centre once a week. All Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 12 residents regularly accessed the community going to local health services, shopping or to see friends in nearby care homes. The care company offered a range of social and leisure activities but residents did not appear to be regularly taking these up. There were few social activities taking place in the home apart from watching TV and several residents said they were bored at times. The home provided a holiday last year and the residents were planning where to go this year. The residents fund their own holidays. The home has use of a people carrier, which the residents contribute towards. The home provided a varied menu and had a range of food in stock although this were of the low cost value type. Residents stated that they enjoyed the meals and the staff responded to ideas for meals that they suggested. Whilst there was no choice provided at every meal an alternative was provided if a resident did not like what was on the menu. The main meal was at teatime with a snack type meal at lunchtime. Supper was provided. Residents stated that they were not provided with snacks between meals buying their own but the staff reported that these were available but not requested. The home monitored the weight of residents. Jane Capron E09 E51 S64016 Poplars V228805 230505 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) 18,19,20 The health and personal care needs of the residents were being met and the residents were benefiting from health specialist involvement in their care. Whilst medication was being administered appropriately the residents would benefit from staff whose training in medication was more comprehensive and whose ability to administer medication had been assessed. EVIDENCE: The care plans identified the personal and health care needs of the residents. Residents stated that they attended for health care appointments including the GP, dentist, chiropodist and the optician. Additional specialists including CPNs and psychiatrists were recorded as seeing residents when needed. The health care needs and any treatments were recorded in individual resident files. The personal care needs were identified in the individual care plans and these showed any support a resident needed to maintain their personal care. Residents stated that they were able to bath and shower whenever they wished and could get up and go to bed when they wanted. Residents bought their own clothes although staff provided support if needed. Residents had their own style that reflected their personality. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 14 A sample of medication and the records demonstrated that medication was being recorded, stored and administered correctly. A good record of each resident’s medication was kept that identified the medication, its appearance and the reason for it. Staff had received some training in medication administration but this was limited to two hours training from a pharmacist and did not assess competence to administer medication. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 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 standard(s) 22,23 The home had a satisfactory complaints procedure and complaints made were responded to providing residents with confidence that their concerns would be addressed. Whilst the home had an adult protection procedure the staff had not received the necessary training to ensure that incidents were identified and responded to appropriately EVIDENCE: The home had a complaints procedure and residents were aware of how to complain being able to identify the process they would use if they had a problem. Complaints received had been responded to promptly and suitable records had been kept. The home had an adult protection procedure in place and had copies of the local authority inter agency procedures. Staff had not to date received the required training in this area. Sampling confirmed that appropriate records and receipts were in place for residents’ money. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 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 standard(s) 24,26,28,30 The environment of the home was domestic in style and the communal and private areas provided suitable accommodation for the residents. The residents benefited from a home that was clean and hygienic with the likelihood of infection being reduced through infection control procedures being in place. EVIDENCE: The home was of a large Victorian family type. As at the last inspection the front of the home was surrounded by scaffolding due to ascertaining whether the building was suffering from subsidence. The flooding of the cellar had been addressed. The home was suitably located within a 15-20 minute walk of Hanley and close to local shops and the GP and dentist. The home was decorated in a domestic style to a satisfactory standard. The home had suitable communal rooms- a large lounge and a dining room and a domestic style kitchen. The home shared a small laundry with the two adjoining homes. There was small front garden and a rear yard with seating which although functional was not attractive. Bedrooms were of varying sizes. They were all lockable and most residents chose to lock their room. Bedrooms had been well personalised with pictures, ornaments and small personal belongings. Some of the bedroom furniture was quite old but was satisfactory for its purpose. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 17 The home was clean and tidy throughout. The residents and the staff undertook domestic tasks. The staff ensured that the bathrooms, toilets and kitchen are kept clean and provided support to residents to clean their bedrooms and other communal areas. Cleaning schedules were in place and the home had an adequate supply of aprons and gloves. Liquid soap was provided in the communal toilets and bathrooms. Staff had received training in infection control. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 18 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) 33,34,35,36 The current staffing level whilst able to meet the health and personal care needs of the residents did not provide adequate time to support residents to undertake social and leisure activities within the home on a regular basis. The residents were supported and protected by the homes procedures on staff support and supervision and by undertaking pre-employment checks on staff. EVIDENCE: Due to the needs of the residents the home’s staffing level is for one staff member on duty at all times. The staff member in addition to care duties undertakes domestic and cooking duties. At night a staff member sleeps on the premises. The roster confirmed that this level of staffing was provided at all times. The Care Manager does at times provide support to enable the staff member to go out with residents. In addition the home has the part time support of a staff member that organises activities. Whilst there are external activities available there was little evidence of activities taking place in the house on a regular basis and the level of one staff on duty, undertaking the range of tasks expected, would make undertaking activities in the home difficult to achieve. The home had regular staff meetings and staff received individual formal supervision. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 19 A sample of staff files confirmed that the home undertook the necessary pre employment checks including two references and a satisfactory CRB check. Staff were employed on a probationary period and were provided with a copy of the terms of employment. The home identified the training that all staff were required to undertake and the staff member on duty confirmed that they had completed the mandatory training and also a course about working with people with challenging behaviour. New staff received induction training through the local college. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 20 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) 37, 38,42 The overall management of the home was good providing an environment where residents had the opportunity to have their rights for privacy, dignity and independence promoted. The home’s procedures and practices serve to provide an environment that protects the health and safety of residents. EVIDENCE: The Care Manager has the necessary experience, skill and knowledge to be an effective manager. The manager operated an open door policy for staff and residents. The manager periodically undertook ongoing training to maintain her knowledge of current practice issues. Residents stated that the manager was supportive and was available to listen to them. The home had a Health and Safety procedure in place. Staff had undertaken training in lifting and handling, food safety, first aid, infection control and fire. The appropriate health and safety checks and testing was being undertaken. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 21 These included the fire equipment and fire drills, the regular testing of the temperature of water although seem levels were well below the 43 degrees, and the cleaning of shower heads. The home had a current gas safety certificate and an electrical installation certificate. The fire risk assessment had been reviewed. Insurance cover was in place. Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 2 x x 2 Standard No 31 32 33 34 35 36 Score x x 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jane Capron Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 23 yes 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. 2. 3. Standard 14 17 20 & 23 Regulation 16(2)(n) 16(2)(i) 18(1)(c) (i)& 13(6) 18(1)(a) 12(1)(a) Requirement To ensure that a range fo suitable activites are provided both in and out of the home. To ensure that residents are made aware that sancks are available between meals To ensure that staff receive appropriate training: i. in medication ii. in adult protection To ensure that staffing levels allow for the provision of suitable activities To ensure that the water is maintained at an adeqaute teperature m Timescale for action 1 .7. 05 10.6. 05 i. 1. 8.05 ii. 1.9.05 1.7. 05 20.6.05 4. 5. 33 42 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. 2. Refer to Standard 8 28 Good Practice Recommendations To develop practices within the home to increase the level of particiaption by the residents i.e laundry, shopping lists, staff selction. To make the rear yard more attractive place for residents. E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 24 Jane Capron Commission for Social Care Inspection Commission For Social Care Inspection Stafford Office - Dyson Court Staffordshire Technology Park Beaconside Stafford ST1 0ES 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 Jane Capron E09 E51 S64016 Poplars V228805 230505 Stage 4.doc Version 1.30 Page 25 - 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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