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Inspection on 17/01/06 for SCIC - 62 Station Road

Also see our care home review for SCIC - 62 Station Road for more information

This inspection was carried out on 17th January 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service continues to provide a secure, friendly environment for, at present, six men, who continue to appear at ease and comfortable with their surroundings, each other, and the staff. The predominant `feel` is of a welcoming, friendly home, where the emphasis and ethos is one of mutual help and toleration, whilst allowing boisterousness and the occasional inevitable, but small-scale, disagreement.

What has improved since the last inspection?

Previous requirements have been met, helping to ensure that the home is a safer environment. Minor environmental improvements have also been made, as part of a process of ensuring that the home remains a homely, comfortable and pleasant place to live.

What the care home could do better:

The home should ensure that all areas of risk are catered for and minimised, without unduly restricting individual choice and freedom. `Life story` books should be extended to cover present day interests and activities, as a tool for assisting individual choice and development.

CARE HOME ADULTS 18-65 SCIC - Station Road, 62 62 Station Road Studley Warwickshire B80 7JS Lead Inspector Martin Brown Unannounced Inspection 17th January 2006 15:45 SCIC - Station Road, 62 DS0000004444.V273003.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 SCIC - Station Road, 62 DS0000004444.V273003.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. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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.V273003.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 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. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second unannounced inspection of the year at this home, and should be read alongside the previous inspection report, for a fuller picture. Where key standards have been assessed on the previous inspection and have been met, these have not necessarily been inspected on this occasion. The relative briefness of this report reflects the positive nature of this and the previous inspection. The inspection took place on a week day afternoon, and lasted two and a half hours. All service users were seen, along with the manager and the two members of staff on duty. All were welcoming and helpful. 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. SCIC - Station Road, 62 DS0000004444.V273003.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 SCIC - Station Road, 62 DS0000004444.V273003.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): EVIDENCE: These standards were not assessed during this inspection; the key standard was met at the previous inspection. SCIC - Station Road, 62 DS0000004444.V273003.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): 6 The extension of ‘life story’ books to include more current activities, preferences and dislikes in all aspects of individual lives, could provide a valuable tool in helping service users’ needs and wishes being better understood and met. EVIDENCE: These standards were met previously, and were not fully assessed on this visit, other than to note that the home has started to produce ‘life story’ books for and with service users, with the use of plenty of photographs. The manager advised that some service users have taken a keen interest in these, while one prefers to keep his many personal photographs in their existing folders. The manager advised that Person-Centred Plans for service users are continuing to be developed independently of the home, but with input from key workers. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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): 14,17 The home supports residents in a variety of activities, and is working at increasing activities that are found to be most appreciated. EVIDENCE: These standards were met during the previous inspection. People living at the home continue to have a variety of day services. The manager advised that everyone had been out for a meal at Christmas, something that had not been attempted previously, and that it was a great success, such that another is being planned for Easter. The behaviours of one service user is currently limiting activities he might otherwise be able to enjoy more; as discussed elsewhere, the home is addressing these. All those living at the house were seen to be enjoying an evening meal together in a relaxed unhurried way, with everyone clearing their own items away, in some instances with a little gentle prompting. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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 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. EVIDENCE: These standards were met previously. Concern was noted regarding the wellbeing of one particular resident. The relevant specialist was at the home on the day of the inspection with regard to this, and the manager was able to discuss at length the issues and what the home was doing to address them. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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): 22,23 The home works to protect service users from abuse, self-harm and neglect, and to listen to and act on service users’ views. 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. There is a complaints book; the manager advised that most issues involved residents having immediate concerns, such as someone shouting, which the manager advised were addressed informally. Service users continue to appear relaxed and comfortable at the home, and show no sign 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. The manager explained the financial procedures for safeguarding service users’ personal monies, a sample of which were seen to be in order, including the use of monies for personal transport. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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): 24,25,28,30 Service users continue to live in a homely, comfortable and well-maintained environment. Fire safety has been improved. EVIDENCE: The home continues to be clean, and well-maintained; rather than purchase a new dining table the old one has been very satisfactorily renovated. The freezer remains near the kitchen, but physically in the utility area, as previously noted. The manager advised that, short of a complete kitchen renovation, there is no suitable space for it in the kitchen and that therefore its current position is the least worse option. Alarm-activated door closures have now been fitted in required areas identified during the previous inspection. One service user was keen to show me his bedroom, which continues to reflect his interest and likings. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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): EVIDENCE: These standards were met at the previous inspection, and not assessed on this occasion. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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): 42 The home promotes the health, safety and welfare of all those living in the home. Service user safety would be enhanced by the completion of risk assessments in the identified areas. EVIDENCE: Data sheets were seen, as required for the Control of Substances Hazardous to Health. Dishwasher tablets are kept in the cupboard under the sink, where they are readily accessible when needed, rather than being locked away. Fire safety records are up to date; all staff have basic fire safety training; the manager advised that more thorough training is being planned for all staff. Approved staff transport service users in their own vehicles when the need arises. Appropriate insurance was seen. There are no risk assessments in respect of this. The manager advised that this activity was seen as low risk, but acknowledged that there may be elements of risk. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X 3 x 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SCIC - Station Road, 62 Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 2 x DS0000004444.V273003.R01.S.doc Version 5.0 Page 16 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 2 Standard YA42 YA42 Regulation 13(4) 13(4) Requirement Risk assessments are required for the storage and use of dishwasher tablets Risk assessments are required for the transporting of service users. Timescale for action 21/02/06 21/02/06 SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 Page 17 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA30 YA6 Good Practice Recommendations The freezer in the laundry area should be stored in the kitchen, or other more suitable area, as part of any renovation of the kitchen in the future. The good work so far done on ‘life story’ books should be expanded. SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 SCIC - Station Road, 62 DS0000004444.V273003.R01.S.doc Version 5.0 Page 19 - 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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