Inspection on 27/10/05 for Poplars

This inspection was carried out on 27th October 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 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 25/05/05

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 Poplars 123 Regent Road Hanley Stoke on trent ST1 3BL Lead Inspector Jane Capron Unannounced Inspection 27th October 2005 10:45 Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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 Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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 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) Delam Care Ltd Miss Tracy Anne Baddeley Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2005 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 and 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 some 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 occasionally a second staff member 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. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day. The inspection included discussions with the staff on duty and three of the residents as well as an examination of service user documentation and an inspection of the accommodation. Since the last inspection there have been no complaints and no additional visits have taken place. What the service does well: What has improved since the last inspection? Since the last inspection staff have undertaken training in adult protection and medication that should improve the service to the residents. Residents confirmed that they were able to have snacks between meals and could have food such as fruit at any time. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 6 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. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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 Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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): 3 The home’s staff along with the specialist health professionals were able to meet the needs of the residents it accommodated. EVIDENCE: The home was aware of the needs it was able to meet. All staff received basic training relevant to the work before being on shift alone. Part of this included learning about the needs of each resident. Staff subsequently received further training relevant to the needs of the residents. The home had developed positive working relationships with health professionals. Discussions with a mental health professional confirmed that the staff responded appropriately to the mental health needs of the residents and this support had led to a reduction in visits by the health professional. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 The residents had well developed support plans that provided the necessary information for staff to be able to meet the residents’ needs. Residents’ views were sought and they were supported and encouraged to make decisions and to participate in a range of tasks associated with running the home. EVIDENCE: The home had developed comprehensive care plans that fully showed the needs of the residents. These plans covered the areas of health and personal care, domestic and educational needs as well as social and financial needs. These identified the level of support required by staff for residents to have their needs met. Support plans were being reviewed and the residents were involved in this process. Residents were supported and encouraged to make decisions about their lives. They decided about which college courses they wished to attend; they decided whether to go out on trips and whether to go on holiday. Support plans were in place to identify the level of assistance each resident needed to mange their Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 10 own finances. Discussions with residents confirmed that these plans were reviewed and that the home worked with residents to develop their skills in money management. Resident’s views were sought over such issues as menus and shopping and over social activities. Residents confirmed that they had monthly residents meetings. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,14,15,16 Opportunities were provided for residents to engage in a wide range of educational courses and to take part in some external activities however staff provided few opportunities for activities within the home. The home had flexible routines and provided residents with the opportunity to undertake a range of independent living tasks encouraging residents to maintain and develop their skills and to make choices over their daily lives. EVIDENCE: Residents were encouraged to take part in a range of independent living tasks including cleaning, meal preparation, laundry, going shopping and going to the bank. The home encouraged residents to develop social relationships both within and out of the home. Communication was encouraged and the home had previously involved specialist to encourage communication for a resident with sensory needs. All the residents were taking part in educational and fulfilling activities. They all attended college for some part of the week. Several attended for most days of Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 12 the week. Courses included sewing, physical fitness, personal presentation, floristry and jewellery making. One resident worked two days a week and one attended a day centre one day a week. The residents had the opportunity to go with residents from the other homes run by the same company on occasional evening trips for example to the theatre or discos. The residents had the opportunity to go on holiday and this year they chose to go to Blackpool. Within the home the activities centred around watching TV and videos. The home previously had the services of a part time activity co-ordinator who organised a range of activities but currently no one was undertaking this role although on occasions there was two staff on duty. Currently there were few activities taking place in the home and external activities centred on attending college and going shopping. The home had a relaxed atmosphere where the daily routines were flexible within the constraints of each resident’s individual schedule. Breakfast was taken when residents got up. Residents did have set days for cleaning their rooms and for attending college but otherwise they were able to make choices over how they spent their time. They were able to spend time in the communal areas or in their bedrooms. Residents were supported and encouraged to maintain contact with relatives and friends. Several had family visiting or went to visit family members. Several had developed good friendships with residents living in other care homes in the local area and regularly visited them. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The personal care and health care needs of the residents were identified and were being met ensuring that the welfare of the residents was being appropriately promoted. The medication within the home was being administered appropriately and was therefore promoting the health of the residents. EVIDENCE: Support plans identified the personal care and health care needs of the residents. Residents confirmed that they could bath or shower whenever they wanted and most did this on a daily basis. They confirmed that if they needed any assistance from staff this was provided. Residents dressed according to their choice reflecting their own style and personalities. The home had a key and co key worker system in place and co-workers had regular meetings with residents. Support plans were internally reviewed and residents had medication and medical reviews. The health care needs of the residents were being met and specialist health professionals were involved including psychiatrists and Community Psychiatric Nurses. Residents confirmed that they had eye and dental checks and visited Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 14 the chiropodist. Residents’ weight was being monitored and action was taken if there were concerns over weight changes. The home operated a monitored dosage system for medication. Medication was being stored securely and was checked on arrival to the home. Records of each resident’s medication were being kept and were up to date. Staff had received training in medication and their competency to administer medication had been assessed. The medication administration records showed that the medication was being administered correctly and those that self medicated had been subject to an assessment. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The staff’s training and knowledge of issues relating to adult protection was increasing the protection of the residents. EVIDENCE: Since the last inspection staff had undertaken training in adult protection issues and were aware of signs and symptoms of abuse and how to respond. The home had robust procedures in place for safeguarding residents’ money. Sampling showed that suitable records were being kept and that receipts supported the expenditure. Staff were aware of issues relating to violence and aggression and sought specialist advice on appropriate ways to respond. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,27,28,30 The home provided residents with suitable communal accommodation and although the bedrooms were suitably decorated and furnished the absence of some working locks was affecting the residents’ right to privacy. The homes cleaning schedules were providing residents with accommodation that was clean and lessened the risk of infection. EVIDENCE: The home was located within walking distance of some local shops and within a twenty-minute walk to Hanley shopping centre. The premises were a large Victorian House with a small front garden and a small rear yard. The home provided comfortable accommodation providing all single bedrooms, a bathroom and a separate toilet upstairs and a shower room with toilet downstairs as well as a large lounge and a dining room and domestic style kitchen. The home shared a small laundry with the two adjoining care homes. The home was satisfactorily decorated and at the time of the inspection the external was being painted as well as part of the stairs, hall and landing. One Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 17 bedroom had been decorated since the last inspection and the occupant was very pleased with the improvement. Bedrooms had the necessary furnishings and furniture and had been personalised with occupants having made them homely with a range of personal possessions. Bedrooms had locks fitted but some of these needed repair. Toilets and bathrooms were lockable. The home was clean throughout and at least one staff had received training in infection control. The home had cleaning schedules in place ensuring that all areas were cleaned regularly. Residents supported by staff cleaned their bedrooms. The home’s laundry was suitable to meet the washing needs of the residents and could wash at the necessary high temperatures. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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 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): 31,33,36 The homes’ staffing level was adequate to meet the health and personal care needs of the residents but provided limited time for social and leisure activities. Residents were supported by staff that were aware of their roles and who had the necessary qualities to interact appropriately and to develop positive relationships with the residents. The residents benefited from staff that were supervised and supported. EVIDENCE: Staff were aware of their role in supporting the residents to be as independent as possible and to have control over their lives. Staff were aware of their limitations and the home had senior staff available at all times in order that they could seek advice. Residents stated that they got on well with staff and felt at ease with them. The home had a basic staffing level of one staff on duty at all times. There were occasional times when two staff was on duty and additional staff support was provided when residents needed to attend health appointments. The Care Manager was not on shift but needed to divide her time between the three homes that she was responsible for. This level of staffing was adequate to Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 19 meet the general needs of the residents but allowed little time for staff to support residents to engage in social and leisure activities. The home had a sleep in staff member. Staff shortages and sickness were covered by staff from the other care homes in the area all of which were known to the residents. The home provided staff with support through individual supervision and through staff meetings. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 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 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 Whilst the home had some systems in place to monitor the quality of the service there was scope for this to be further developed to provide the residents with a service that was constantly improving. EVIDENCE: The home had a number of systems in place to monitor the quality of the service provided. These included weekly checks on financial procedures, monthly checks on the environment, checks on the support plans and regular checks on the medication. In addition the views of the residents were sought through residents meetings. Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 21 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 3 X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 2 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 4 13 X 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X 2 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Poplars Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000064016.V262311.R01.S.doc Version 5.0 Page 22 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 Standard 14 & 33 Regulation 16(2) & 18(1)(a) Requirement Timescale for action 01/12/05 2 3 26 39 12(4) 24(1) To ensure that staffing levels allow for residents to be supported to undertake social and leisure activities within and out of the home To repair the bedroom locks to 22/11/05 ensure that residents can choose to lock their rooms To further develop the system 01/01/06 for the review of the quality of the service and for improving the service. 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 30 Good Practice Recommendations To provide infection control training for all staff Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 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 Poplars DS0000064016.V262311.R01.S.doc Version 5.0 Page 24 - 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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