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Inspection on 12/12/05 for 8 Lansdowne Road

Also see our care home review for 8 Lansdowne Road for more information

This inspection was carried out on 12th December 2005.

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.

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 home continues to provide a small-scale, homely environment for three gentlemen who continue to be content with their lives there. The service offers discrete, but necessary, support, enabling the people living at the home to take pride in their freedom and independence.

What has improved since the last inspection?

The home has taken steps, discussed with the manager, to improve the safety and security of the people living in the home.

What the care home could do better:

The service continues to operate in a way that meets the needs of the three gentlemen living there very well. It needs to ensure it continues to meet these needs, and to be prepared to meet any additional needs that may result from their increasing age.

CARE HOME ADULTS 18-65 SCIC - Lansdowne Road, 8 8 Lansdowne Road Studley B80 7RB Lead Inspector Martin Brown Unannounced Inspection 12th December 2005 16:15 SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 - Lansdowne Road, 8 DS0000004461.V272976.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 - Lansdowne Road, 8 DS0000004461.V272976.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service SCIC - Lansdowne Road, 8 Address 8 Lansdowne Road Studley B80 7RB 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) 01789 298709 01789 296724 Stratford & District Mencap Ms Mandy Whitby Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (2) of places SCIC - Lansdowne Road, 8 DS0000004461.V272976.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range of Residents People admitted to the home must be in the age range of 18 to 64 years. 23rd August 2005 Date of last inspection Brief Description of the Service: Lansdowne Road is registered for 3 adults who have learning disabilities. Currently all residents are men. The home shares a staff group with other services run by SCIC in the neighbourhood. 8 Lansdowne Road is a four bed roomed detached house in a residential neighbourhood; it is indistinguishable as a care home from the neighbouring properties. On the ground floor is a large living/dining room. There are gardens to the front and rear of the house. The ground floor including the bedroom is wheelchair accessible, with a level access shower room. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 inspection took place on a week day late afternoon and was able to be a relatively brief one, taking just over an hour, owing to the very positive nature of the previous inspection. The inspector was assisted by service users, and the manager, who was the staff member on duty. Two service users were seen during the inspection; the third, who had been seen on the previous inspection, had not returned home from his day service/work before the end of the inspection. 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 - Lansdowne Road, 8 DS0000004461.V272976.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 - Lansdowne Road, 8 DS0000004461.V272976.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: The key standards in this section were seen to be met at the previous inspection in August, and were not assessed on this occasion. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 People living at 8 Lansdowne Road may enjoy, and benefit from, the development of individual ‘life story’ books. EVIDENCE: The key standards in this section were seen to be met at the previous inspection in August, and were not assessed on this occasion. The development of ‘life story’ books was discussed with the manager, who agreed that they could be a useful document for service users. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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): 12 Service users continue to enjoy a relaxed, or active lifestyle, according to wishes. EVIDENCE: These standards were met previously. One service user told me of his purchases for Christmas, and of the various places he went to, and how he got there. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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): 18,19 The home continues to offer support in a sensitive way that enables service users to get on with their lives as they wish, within a safe framework. EVIDENCE: These standards were met previously. One resident spoke of a forthcoming health appointment, another advised of his diet that the home was supporting and encouraging him with. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 The complaints system has been used to help rectify a resident’s complaint. EVIDENCE: The complaints log had one complaint, concerning the home being cold. The manager explained that a resident, being less active than staff, felt the cold more. Consequently, heating has been raised. The home was warm during the inspection. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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): 24,28,30 The home continues to meet individual and collective needs in a homely, comfortable and safe manner. EVIDENCE: The home continues to be clean, tidy, and well-maintained, and quite clearly regarded as ‘home’ by the people living there. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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): 35 Service users are supported by appropriately trained staff. EVIDENCE: Training was discussed with the manager, who advised that a thorough training programme is ongoing, and that all specialist and mandatory training is undertaken. Training records are kept at a nearby, larger, ‘sister’ home. These were examined as part of the inspection of that home earlier in the year, and were seen to be satisfactory. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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): 37 The home continues to be well-run in order to meet the needs of the people living in the home. EVIDENCE: The key standards in this section were seen to be met at the previous inspection in August, and were not assessed on this occasion. Good practices and procedures were seen to be in place to ensure, as far as possible, the safety and well-being of those living in the home. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 x 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 x x x 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SCIC - Lansdowne Road, 8 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x DS0000004461.V272976.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action SCIC - Lansdowne Road, 8 DS0000004461.V272976.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. Refer to Standard YA6 Good Practice Recommendations The development of individual ‘life story’ books is recommended. SCIC - Lansdowne Road, 8 DS0000004461.V272976.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 - Lansdowne Road, 8 DS0000004461.V272976.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. 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. 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