Inspection on 13/02/06 for Premier Homes

This inspection was carried out on 13th February 2006.

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

Premier Homes 11/09/07

Premier Homes 15/11/05

Premier Homes 20/01/05

Premier Homes 03/06/04

Premier Homes 17/02/04

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

CARE HOME ADULTS 18-65 Premier Homes 8 Premier Street Old Trafford Manchester M16 9ND Lead Inspector Judith Morton Unannounced Inspection 13th February 2006 12:30p Premier Homes DS0000040225.V265164.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 Premier Homes DS0000040225.V265164.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. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Premier Homes Address 8 Premier Street Old Trafford Manchester M16 9ND 0161 226 2270 0161 226 5903 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) Mrs Michelle Regan Mr John Patrick Andrew Regan Mrs Michelle Regan Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission, services users will be adult ie aged between 18 and 65 years. 3 named service users will fall within the category of MD(E), mental disorder, excluding learning disability or dementia, and who are over the age of 65. These service users will be accommodated in Number 10 Premier Street. A maximum of 12 service users will fall within the category of MD, mental disorder, excluding learning disability or dementia. The care home operates at numbers 4, 6, 8, 10 and 12 Premier Street and 29 Premier Street which is situated opposite. No more than 15 service users will be accommodated at any one time. Minimum staffing levels as specified in the Residential Forum Guidance in Care Homes for Younger Adults shall be maintained. 15th November 2005 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Premier Homes is comprised of five separate houses located in Premier Street, Old Trafford, with the office being located separately in number 8. Premier St. The home is registered to provide care and accommodation to fifteen service users with mental health needs, three who may be over the age of 65yrs. Three service users live in each house. On the day of inspection there were fifteen service users living at the home. Each house is linked to a central fire and security alarm system. The home is situated close to pubs, shops and the local Metro link tram network and bus routes. Good relationships exist between the service users and their neighbours. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 2 ½ hours. It covered standards where requirements had been made and those that had not been checked on the last inspection. It should, therefore be read in conjunction with the first report. One of the service users files was checked and one of the properties was also visited. Two of the residents from the properties were spoken with. 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. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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 the following standard(s): 1&5 The diagrams being used and larger print make the Service User Guide more Service User Friendly and will mean that the people it is intended for will better understand it. EVIDENCE: The Service User Guide had been redesigned to include pictures and larger print, making it easier for some of the residents to read. The pictures indicated clearly what the text was describing; therefore the resident could turn to the paragraph they were interested in without reading the whole document. The manager said she would source a translation service, or Internet translation site so that the documentation could be produced in alternative languages if required. (See recommendation 1) The contracts had also been amended and the fees had been added, together with any contribution being made by the resident. The resident was now signing the contract, together with a member of Premier Homes management team. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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 the following standard(s): 7&8 The staff will have a better understanding of whether they are meeting the residents needs by asking them for their views and recording them in the daily records. EVIDENCE: A front sheet had been attached to the care plan. It contained the date of when the plan was reviewed, and identified where change had been required or if it had remained unchanged. There was a space for both the resident and staff member reviewing the plan to sign. The staff member who had provided the care support was completing the daily records. Blank copies of the daily record sheets were left in each of the houses and when completed were returned to the office for filing. The residents, whenever possible, were being asked their views for the written record. The residents meetings were being held regularly and the residents had been asked whether they wished to be involved more by chairing the meetings, taking minutes and/or typing them up afterwards. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 9 The meeting of 6th February had been chaired by one of the residents, no one volunteered for the minutes. However, the manager said that a number of residents were undertaking a computer course and in time they may wish to have a go at typing up the minutes or preparing an agenda. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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): 11, 12, 13, 14 & 15, The community based activities and occupations that the residents participate in mean that they are fully integrated in their local community. EVIDENCE: The daily routines promote a culture of independence and freedom outside of their home and residents were observed to go out to activities of their choice during the day. The residents had begun to prepare their own breakfasts where appropriate. The manager said that, those who were assessed as able would be encouraged to prepare lunch with support as a means of increasing their level of independence. Programmes should be devised to further the residents’ independence in this area and other household tasks. (See recommendation 2) Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 11 The residents attend a variety of daytime classes or occupations, depending on their needs, wishes and ability. The minutes of the residents meeting showed that the residents had been asked for suggestions for additional activities and had suggested bingo and Karaoke. Additionally they had discussed days out and 4 people were going on the Blackpool trip, 5 people were going on the Southport trip and 2 people wanted to go swimming. The manager was also going to look into swimming lessons for those who wanted to do this. The residents had discussed the holiday for the summer and had agreed that they would like to go back to Wales, so this was being booked. The residents remain in contact with their family at differing degrees depending on their individual circumstances. The staff at Premier Homes support them in this. Some residents will visit their families while others rely on having visits from them at Premier Homes. Other residents telephone their family and friends regularly. The manager said that they are looking at providing a computer for the resident’s use. This would enable those residents who are able, to send Emails. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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): 18 The level of support provided to the residents allows them to be as independent as they can within the boundaries identified in their risk assessment. EVIDENCE: The residents have a detailed assessment of their needs and a plan as to how their needs would be met, including the level of support required for this to happen. The resident’s preferred times for getting up and going to bed are recorded, together with their likes and dislikes around different topics such as diet, activity etc. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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 The training and experience of the staff will further protect the residents from abuse, self harm or neglect. EVIDENCE: There is a policy on the Protection of Vulnerable Adults and staff have received training in this area. Those staff undertaking NVQ level 2 or 3 also cover this. The staff are also provided with training specific to the client group they are supporting. Their knowledge of mental health issues enables them to know how to manage the residents in the best way and also to avoid situations that would heighten a situation. The staff are observant of the residents routines and practices and will prevent self neglect or self harm where appropriate. The manager described an example of this, as they were supporting a number of residents who had an addiction to alcohol and needed to monitor their intake closely so that appropriate action and support could be given. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 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): 24, 27 & 29 The forward planning by the manager and responsible person, in installing a shower and a handrail in number 10, will meet the needs of the residents who are becoming less mobile due to old age. It will also enable them to remain independent for longer. EVIDENCE: The lock on the back door from the kitchen to the rear yard in house number 10 had been replaced immediately following the last inspection as this would be the only means of escape for those in the kitchen, in the event of a fire in the lounge. The manager had arranged for a payphone to be installed in house number 6 as a trial for those residents who are unable to go out to a public telephone or those who do not own a mobile telephone. This was in place of residents using the office telephone, which was sometimes inconvenient for both the resident and the staff but also because the calls from the office were limited between 6pm and 7pm each evening. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 15 New bathroom fittings were to be fitted in number 6, 10 and 29. A handrail and shower is to be fitted in number 10 to enable those residents who are less mobile to remain independent when going upstairs and when attending to their personal hygiene. A programme of upgrading the furniture was underway and a new 3-piece suite had been provided in numbers 10 and 29. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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 The recruitment procedure being followed would further protect the residents. The training being provided to staff would ensure that the residents’ are being supported by knowledgeable staff. EVIDENCE: The home had 4 full time staff, including the registered manager. The manager had achieved NVQ level 4, Registered Managers Award. One of the full time staff was also studying towards an NVQ in Care at Level 4. Four of the 9 part-time staff had achieved NVQ level 2 and other staff had expressed an interest. Since the last inspection 3 further staff were enrolled onto NVQ level 2 and one onto NVQ level 3 The residents spoken with knew who the manager was and recognised the differing roles of all of the staff employed at Premier Homes. The residents approached both the registered manager and the responsible person during the inspection and were able to talk freely and ask questions. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 17 The staff file checked contained all of the relevant documentation for the safe recruitment of staff. The manager acknowledged that at least one referee is contacted by telephone to verify their reference. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 18 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, 41, 42 & 43 The residents’ views are being sought and included in the development of the service. EVIDENCE: The resident’s views are sought during residents meetings and throughout each day when support is provided. This was evident in the minutes of the residents meeting where a variety of different meals had been requested and were to be provided. The views of some of the residents are now also being sought when staff record the daily records. The comments made form part of Premier Home’s continual development of the service. Additionally, the residents are asked to complete a questionnaire about the service they receive at Premier Homes. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 19 The manager might consider producing a similar questionnaire for professionals, such as GP’s, Social Workers and Community Psychiatric Nurses so that their views too may be included in the annual development plan. (See recommendation 3) Individual records and home records are secure, up to date and in good order; and are constructed, maintained and used in accordance with the Data Protection Act 1998 and other statutory requirements. The residents are told that they can have access to their file if they request it. A quarterly review of maintenance sheet had been devised so that each of the houses would be checked and jobs identified with space for the dates when jobs had been carried out. There is a business and financial plan for Premier Homes, open to the Commission for Social Care Inspection (CSCI) for inspection. This is reviewed annually. Insurance cover is provided for business interruption costs (including loss of earnings). It is sufficient to cover the registered person’s legal liabilities to employees, service users and third party persons. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 20 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 X X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Premier Homes Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 3 3 DS0000040225.V265164.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No 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 2 3 Refer to Standard YA1 YA11 YA39 Good Practice Recommendations A translation service, or Internet translation site should be found in advance so that documentation can be produced in alternative languages if required. Programmes should be devised to further the residents’ independence in meal preparation and other household tasks. The manager might consider producing a similar questionnaire for professionals, such as GP’s, Social Workers and Community Psychiatric Nurses so that their views too may be included in the annual development plan. Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Premier Homes DS0000040225.V265164.R01.S.doc Version 5.0 Page 23 - 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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