CARE HOME ADULTS 18-65
Primrose Place 34 Somerset Road Handsworth Birmingham West Midlands B20 2JD Lead Inspector
Susan Scully Unannounced Inspection 20th February 2006 09:00 Primrose Place DS0000016974.V284422.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 Primrose Place DS0000016974.V284422.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. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Primrose Place Address 34 Somerset Road Handsworth Birmingham West Midlands B20 2JD 0121 554 0440 0121 241 2597 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) Mr David Cobley Mrs Nelam Kaur Mr David Cobley Care Home 5 Category(ies) of Learning disability (5), Sensory impairment (5) registration, with number of places Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 20th June 2005 Brief Description of the Service: Primrose Place is a Victorian style semi-detached house located in Handsworth Wood. It lies in a quiet residential neighbourhood, close to local amenities including shops, parks and bus routes. The service offers quality accommodation for up to five adults with sensory impairment and/or learning disabilities. There is a comfortable service users lounge with sensory equipment and large separate diningactivites room with a piano. There is a kitchen, which service users can access. A separate laundry room is at the rear of the kitchen. There are five single bedrooms, three of which have en-suite facilities. Those service users who dont have these facilities have access to a bathroom and separate toilet. Off road, Parking is available for one car at the front of the house. To the rear of the house is an easily accessible garden with a lawn, shrubs and trees. There is also an attractive blocked paved area leading to the summerhouse. The home is decorated in bright colours with touch indicators in the ledges and handrails to enable service users who are visually impaired to get around the premises. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An unannounced inspection took place with two inspectors. Records pertaining to residents were sampled, including care plans, Quality Assurance, Risk assessments and Health and Safety. Discussions were held with the manager and staff. Many of the standard were measure at the last inspection. Therefore, the inspectors concentrated on Care records and Health and Safety. 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. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 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 Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 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): No judgment Standards not assessed. EVIDENCE: No evidence. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 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): 6 Primrose ensures information is clear and concise for staff to ensure resident’s needs are met. EVIDENCE: Information is recorded in care plans and assessed on a regular basis to ensure the needs of residents can be met more consistently. The records sampled showed good detail and staff said how easier they were to follow and gave details of any changes to residents’ needs or behaviour. The appropriate action is then taken. Residents are encouraged and supported to participate in activities of their choice. Staff demonstrated a good understanding of the emotional and identity needs of residents. Primrose provides a consistent and reliable service to residents and ensure residents goals and aspirations are met. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 9 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15, 16, 17 Residents maintain regular contact with family and friends. Choice and individual preferences are met. Residents are cared for respectfully and independence is promoted. Residents have a nutritional varied diet, which meets individual preferences and health requirements. EVIDENCE: Residents are able to make and express choices in their daily lives. Activities are encouraged and supported. Risk assessments are undertaken and managed. Primroses encourage and plan intellectually stimulation and creative activities. Resident have the choice to participate according to the capabilities. Meals are chosen by residents. Staff support resident to prepare and cook foods of their liking. Food stock is adequate and shopping is done weekly. Residents eat out and attend a day centre where meals are provided. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 10 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): 19 The Health and Welfare of resident is maintained and independence promoted ensuring the individuality of each person. EVIDENCE: Healthcare needs of residents are closely monitored and reviewed. All residents have access to other healthcare professionals if required. Accurate records are maintained. Residents receive support with personal care and choose when they require assistance. The staff demonstrate good practice within the DOH white paper Valuing People Guide lines. There were records pertaining to regular visits to GPs, Dentist and Opticians. Residents choose who they want to support them and in a way that is acceptable to them. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 11 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): No judgements. Standards not assessed. EVIDENCE: No evidence. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 12 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, 30 Residents live in a homely and well-maintained environment. EVIDENCE: This time and at previous inspections the home was clean. Residents have their own bedrooms that are decorated to their personal taste. Primrose is decorated to a good standard with adaptations such as grab rails in the corridors and bath for easy access. Residents move freely around the home with no restriction. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 13 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): No Judgement. Standards not assessed. EVIDENCE: No evidence. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 14 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): 37, 42 The owner / manager provide leadership and management which promotes residents’ well being. Health and Safety arrangement are maintained and in date. EVIDENCE: Residents benefit from a caring and very experienced manager / owner. Individual needs are carefully assessed and staff are encouraged to offer support with a personalised approach to residents. Primrose is adequately maintained. Staff receive regular supervision and training pertaining to the work they perform. Records concerning Gas Safety, Electrical Installation, and fire were in date. Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 15 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 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 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X X X X 3 X Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 16 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. Refer to Standard Good Practice Recommendations Primrose Place DS0000016974.V284422.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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