Inspection on 15/01/07 for SCIC - 62 Station Road

This inspection was carried out on 15th January 2007.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

SCIC - 62 Station Road 03/12/07

SCIC - 62 Station Road 17/01/06

SCIC - 62 Station Road 06/09/05

SCIC - 62 Station Road 14/02/05

SCIC - 62 Station Road 28/09/04

SCIC - 62 Station Road 18/03/04

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 SCIC - Station Road, 62 62 Station Road Studley Warwickshire B80 7JS Lead Inspector Martin Brown Key Unannounced Inspection 15th January 2007 2:30 SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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 SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service SCIC - Station Road, 62 Address 62 Station Road Studley Warwickshire B80 7JS 01527 857477 01789 296724 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) Stratford & District Mencap Ms. Mandy Whitby Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: 62 Station Road, which was previously also known as The Maltings, provides residential accommodation for eight adults with learning difficulties. It is part of the Studley Project, which is run by Stratford Care in the Community (Stratford and District Mencap). 62 Station Road is a detached purpose built home, situated about a mile form the village centre of Studley. There is good access to local transport and local community facilities. On the ground floor, there is a large lounge, a dining room, laundry room, one bedroom with en suite facilities and a kitchen. On the first floor there are a further seven single bedrooms for service users, a shower room, bathroom, two toilets and a room used by staff as an office and sleeping in room. There are six residents currently all are men. There is a garden to the rear, which has ramped access, laid to lawn with barbecue area and patio. Fees are currently £598.17 per person per week. Hairdressing, toiletries, and holidays are extra. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been made using evidence that has been accumulated by the Commission for Social Care Inspection. This includes information provided by the home, and a visit to the home. Questionnaires from all six residents were received, which had been completed by residents, with the acknowledged help of staff. Three comment cards were received from relatives, and these were all positive. The pre-inspection questionnaire was completed and returned by the manager. The inspection visit was unannounced, and took place on 15th January 2007, between 2.30pm and 6.30pm. A tour of the premises was made, relevant documentation was looked at, the manager, staff and residents were spoken with, and interactions between staff and residents observed. Three residents were ‘case tracked’, that is, their records and experience in the home were examined in detail. Staff and residents were welcoming and helpful throughout. What the service does well: What has improved since the last inspection? What they could do better: A better system for enabling staff to be reimbursed for social activities with residents would clarify responsibilities and liabilities in this area. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 6 By reducing its registration to six, the home could reassure present and prospective residents that the present, comfortable levels of occupancy would not be exceeded. Typed, rather than hand-written, individual care plans and risk assessments would be more accessible to all. Training for staff is generally thorough, but residents may benefit if all staff receive specific training in autism and dementia, to meet specific, identified needs. 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. The summary of this inspection report can be made available in other formats on request. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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 SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is no reason to doubt that any future admission would be subject to the same thorough assessment and introductory procedures as previous admissions. Six residents is an optimum number for the current service. EVIDENCE: There have been no new admissions since the last inspection. The most recent admission involved extensive assessment and introductory periods. The manager advised that any future admissions would involve a similar process. The home is registered for eight people, although the manager advised that the service acknowledged that the size and nature of the building is such that six is a more realistic number. There is one bedroom that is empty and used for storage, and one that is now the staff room, used as an alternative to the office for sleeping-in purposes. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their needs are reflected in individual Plans, and that they are supported in making decisions and taking risks as part of an independent lifestyle. EVIDENCE: A sample of three individual care files were examined. These included personal profiles, care plans and risk assessments, which covered areas relevant to that person, and which are updated at least every six months. These plans are hand written. The manager advised that it was hoped to have all such plans typed on computer in the future, to make them more accessible and easier to update. Residents have ‘life story’ books, which continue to be developed, with photographs and captions, to evidence activities which residents have enjoyed, and perhaps not enjoyed, as a reference for future plans. Person-centred Plans for residents are being done by outside agencies at day services. Residents have their own preferred routines around the home, spending time in their room, wanting to sort out their lunch in good time for the next day, or SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 10 enjoying a hot drink in front of the television. The service was seen to accommodate individual wishes and decisions. Risk assessments are in place to meet individual needs. One that impacts on everyone is the need to have the kitchen locked at times when there is no direct staff supervision, owing to the current needs of two residents. The kitchen remained open and accessible throughout the inspection, as there were always staff in the vicinity. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to have a variety of activities and contacts that they are happy with, and look forward to mealtimes, which offer balance between good nutrition and personal preferences. EVIDENCE: Staff discussed recent and regular activities enjoyed by individual residents, such as regular participation in a drama club, visits to the local pub, and individual outings and holidays. ‘Life story’ books, still being developed, show details of these, and residents were able to tell of recent and favourite activities. Residents continue to have contacts with families; the manager was able to give examples of how this contact was supported by the service. Comment cards returned by relatives were all positive. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 12 One resident spoke of his preference for ‘burgers and chips’ which staff advised he would eat to the exclusion of all else if given complete choice, but was quite happy with the menu for the night. Menus continue to offer a variety of healthy nutritious food, freshly prepared. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to work, with the help of outside professionals as necessary, to meet the physical and emotional health needs of all those living in the home. The manager showed particular concern and awareness of the current needs of three residents presenting particular challenges to the service. Medication continues to be administered and recorded satisfactorily, although some brief information concerning individual needs and preferences may be usefully included in the medication folder. EVIDENCE: The manager has given a high priority to identifying and meeting the particular health and personal care needs of three residents who have developed specific and individual needs, in one instance, very recently. Outside specialists are being used appropriately, with evidence of involvement by the continence nurse, the Speech and Language team, and mental health services, as well as regular community services. The particular needs of these residents were seen to be well-managed within the home, without causing undue disturbance to other residents within the home. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 14 The administration and recording of medication continues to be satisfactory. The majority is dispensed in ‘blister’ pack format. Medication Administration Record Sheets are clear, and the staff member spoken with about medication was clear on the purpose of various medications. He advised that management do regular audit checks (at least weekly) on medication. The medication folder does not have photographs of individual residents, details of any allergies, or of individual preferences in taking medicines. The staff member advised that all staff should be aware of this, but agreed that it would be useful information to have immediately available. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the service continues to work to protect service users from abuse, selfharm and neglect, and to listen to and act on service users’ views. One exception to this is the practice whereby there is an expectation that the resident pays for the (non-alcoholic) drink of the staff member accompanying them. EVIDENCE: The home has complaints and abuse policies relevant to the home, provided by the organisation. Comment cards received from relatives and other interested parties showed general satisfaction with the care provided. Service users have completed comment cards, with substantial assistance from staff. Questionnaires for the service are also complete with help of outside agencies, at day services attended by residents. There is a complaints book, and complaints largely continue to be addressed proportionately, in an informal manner. Service users continue to show they are relaxed and comfortable at the home, with no signs of having consistent concerns that are not addressed. Where behaviours or physical symptoms are of concern, the home is taking action, with outside support, to address these. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 16 Records for residents’ monies were seen to be in order. There is no provision by the service to recompense staff for money spent whilst accompanying them on social occasions, resulting in the burden falling on either staff or the residents themselves. Records showed this amounted to small but regular amounts being spent by some residents for this purpose. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from a homely, comfortable and well-maintained environment. Where there are matters affecting this, the service is taking appropriate action. EVIDENCE: A tour of the premises showed some very minor evidence of wear and tear, or, as the manager justifiably put it, of being ‘lived in’. The manager advised that it was hoped that the home would be extensively decorated in the near future, at present, there were no immediate plans for this, nor did the condition of the home indicate an urgent need for this to happen. Where items such as tables and chairs had previously been identified as being in poor condition, these have been replaced or renovated. Lighting has been improved, although the lounge area still appeared a little dark. The manager agreed that this could benefit from improved, or additional lighting. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 18 A large lounge and a separate dining area gives sufficient space for the current six residents, along with staff. Residents also spend time in their own rooms. Management and staff agree that any more than six residents can make the communal areas rather crowded. The manager advised that the funding authority agrees with this view, having put a ‘block’ on any placements above six. There was a faint odour of urine upon arrival. The reasons for this, and actions being taken to minimise it, were adequately explained by the manager. It was not noticeable later in the inspection. The home was clean and tidy throughout. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from the attentions of a properly recruited and well-trained staff team. EVIDENCE: There was a minimum of two staff on duty to met the needs of the six residents. Staff showed themselves to be knowledgeable concerning the needs of the residents and how to meet those needs. Relations between staff and residents were relaxed and easy-going, with residents clearly used to, and comfortable in, familiar routines and faces. The staff training matrix shows regular training in mandatory and specialist areas continuing to take place. Some, but not all, staff have had training in dementia care and autism. A staff training matrix, supported by individual files detailing individual training needs, demonstrated a continuing commitment by the service to staff training. Well over 50 of staff have achieved the relevant National Vocational Qualification at level 2 or higher. One recently recruited staff was able to show her extensive induction file, and demonstrate a good awareness of her responsibilities and duties. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 20 Examination of a sample of staff files showed that recruitment procedures continue to be sound, with evidence of satisfactory Criminal Record Procedures being obtained for all staff. The service has annual insurance details of all staff who are able to use their cars for work-related purposes. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service works well to ensure that the views of those who live at the home are listened to, and to ensure that their health, safety and well-being are promoted and safeguarded. EVIDENCE: The manager has been at the home for several years, and, despite plans to move to another position within the organisation, is still in position, and continued to demonstrate her commitment, in particular, to getting the best service and addressing particular difficulties for individual residents. The manager was able to leave before the end of the inspection, confident that staff would be able to offer any further information necessary. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 22 Regular residents meetings continue to help residents to express their views. ‘My house’ booklets have been produced, enabling residents to have their views of their care and associated issues recorded, with the support of people outside the home. These are then analysed by the organisation to see what, if any, areas for improvement are identified. The results for 2005 were available; the manager advised that these had shown all-round satisfaction with the service. The results of the 2006 survey were not yet available. On a more informal scale, and individual basis, staff continue to show an awareness of which service users were more likely to make their views known, and which service users needed to be encouraged and heeded especially carefully. Person Centred Plans continue for individuals at their respective day services. The manager expressed concern that these take place without reference to the extensive knowledge and experience that staff at the home have of individuals, which could support or at least inform some of the work taking place so that a thoroughly holistic view was obtained. The pre-inspection questionnaire returned by the manager indicated that all necessary health and safety and fire checks are taking place, and nothing observed during the inspection raised any concerns regarding the safety and well-being of residents. Risk assessments are now in place regarding the use of dishwasher tablets and the transporting of residents. The home had recently received advice and information from the Foods Standards Agency, which they are to apply proportionately to this group home for six adults. The manager is aware of the need for food safety and hygiene and also of the aim of having a non-institutional environment in which residents having access and learning ‘hands on’ skills in the kitchen. The service strives to achieve an acceptable balance in this area. Staff showed a good awareness of fire safety, and of what to do in the event of the alarm sounding. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 23 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 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 3 x SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 12 Requirement The service must demonstrate that there is a satisfactory system for reimbursing staff for monies spent during social activities with residents that does not result in either staff or residents being obliged to pay for this. Timescale for action 19/02/07 SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 25 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. 4. 5. Refer to Standard YA3 YA6 YA20 YA24 YA35 Good Practice Recommendations It is recommended that the home reduce its registration from eight persons to six. Care plans, risk assessments, and similar, would be more accessible to all if they were typed, rather than handwritten. It is recommended that each individual section of the medication folder should include a photograph and brief details of any allergies or preferences in taking medication. A review of lighting in the lounge area is recommended. It is recommended that all staff have relevant training in dementia care and autism. SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 SCIC - Station Road, 62 DS0000004444.V324671.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!