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Inspection on 23/08/05 for 8 Lansdowne Road

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

This inspection was carried out on 23rd August 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 provides a small-scale, homely environment for three gentlemen who are told me they were very 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 met requirements and recommendations from the previous year`s inspections.

What the care home could do better:

While the service should not be complacent, it is operating at a level 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 - 8 Lansdowne Road 8 Lansdowne Road Studley B80 7RB Lead Inspector Martin Brown Unannounced 23 August 2005 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 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 Stationary 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 - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service SCIC - 8 Lansdowne Road Address 8 Lansdowne Road Studley B80 7RB Telephone number Fax number Email 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) registration, with number Learning Dis over 65 (2) of places SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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. Date of last inspection 24 March 2005 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 - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on Tuesday, 23rd August, 2005. I was made welcome by the service users, who showed me round, and by staff and the manager. All three service users were seen. The inspection took place late afternoon, and lasted just over two hours. 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 - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 2,5 Information about the home is now available in more service user accessible formats. Current service users tend to gain their information from discussion and what they observe around them. EVIDENCE: As there have been no new admissions, and none are anticipated in the foreseeable future, these standards were not looked at in detail, other than to note the provision of a statement of purpose and service user guide in a more illustrated, ‘service user friendly’ format, and the similar provision of individual contracts. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 Individual plans support the service in meeting individual needs. Risk assessment and management help service users in being independent within a safe framework. Service users are able to exercise choice and make decisions in areas that they see as important. EVIDENCE: Individual care plans are held in the office, and are reviewed regularly. Discussion with the people living at the home showed that they make decisions about what daily activities they undertake. Many activities had a routine nature, such as going up town on a particular day, but it was evident that this was what service users wished, and was what they felt happy and secure with. Service users were consulted on decisions concerning the home, but often saw priorities differently; seeing, for example, making an ornament for the home as a higher priority to being involved in the selection process for new staff. Risk assessments were seen. The management of risks, and the observed approach towards them, showed a sensible balance between safety and fostering and maintaining independence. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15,16,17 Service users have a varied lifestyle that meets their needs, and which they find fulfilling. EVIDENCE: Service users continue to have a variety of activities. One service user has a job, and had just returned from it before the end of the inspection, with the satisfied air of someone who had just done a hard day’s work. Service users have been, or are going on holidays, and discussed these. Service users use local transport and facilities, and are familiar with the local area and the local town, and have friends and contacts locally. Menus, and discussions with service users and staff, showed that they have a varied diet that meets their needs. One gentleman was keen to tell me of his diet and show some of the food that helped with that. The kitchen was wellstocked. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 18,19,20,21 The home offers support in a sensitive way that enables service users to get on with their lives as they wish, within a safe framework. EVIDENCE: Although service users are independent for much of the time, they accept and appreciate the support provided by staff. This had previously been provided by volunteer staff, before increasing needs justified the requirement for paid staff. Personal and healthcare support is provided in accordance with personal need. Support from outside professionals is forthcoming as necessary; regular appointments with chiropodists, dentists and doctors are maintained. Service users are able to phone Station Road for advice or help when necessary, and did so during my visit. It was clear from discussion with service users and staff, that the service provides support whenever a need is identified. Medication is administered and recorded appropriately, in accordance with individual needs. The home has ‘user friendly’ formats to record service users’ wishes in respect of illness, aging, and death. Some details had already been recorded, and residents’ wishes, including where there is a reluctance to discuss these matters, are to be respected. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 22,23 The practices, procedures, and policies of the home helps protect service users from abuse, and supports their views being heard and responded to. EVIDENCE: The abuse policy for the organisation was available; the complaints log was seen, the statement ‘no complaints received’ was regularly recorded. Service users, when asked, expressed satisfaction with the service. The manager was able to give examples of day-to –day difficulties, such as forms not being completed immediately, or of reported arguments between service users, showing how these were resolved informally, before getting to the complaints stage. Service users were able to independently make their views, which were overwhelmingly positive, known to me. Procedures and records for managing and supporting service users’ finances were seen and were explained satisfactorily. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 standard(s) 24,30 The home is able to meet individual and collective needs in a homely, comfortable and safe manner. EVIDENCE: The home was clean, tidy and well-maintained. Service users were keen to show me their rooms, which were personalised, and which evidenced their interests and activities. There is also what one service user called his ‘art’ room. This was well-equipped with art material. One very minor detail was observed, in that some of the hooks on some curtains were noted to have come off. The manager advised that service users tended to be a little ‘rough’ with curtains on occasion. One service user has a ground floor bedroom with en-suite facilities. The en suite flooring enables it to be cleaned and mopped on a daily or twice daily basis, as required. There is a very attractive and well-maintained garden, which is tended regularly by a gardener. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34, 36 The service users are supported by a consistent staff team, with whom they are familiar with and comfortable with. EVIDENCE: The home is staffed by a regular staff group that also works at other services belonging to the organisation. There are no agency staff used. Service users were positive in their responses concerning staff. Recorded supervision takes place at least bi-monthly. Satisfactory records were seen. Staff files were seen, and showed proper recruitment processes being followed. There was a list detailing individual Criminal Record Bureau checks, signed and dated by responsible individuals within the organisation. The manager advised that staff training details are retained at the main base for staff, at Station Road. These will be looked at on a future visit there. The staff on duty said she was happy with the training and induction, including the Learning Disabilities Award Framework, that she had undertaken. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 The home continues to encourage service user independence and choice, within a safe and secure environment. EVIDENCE: Records of regular fire alarm and safety tests were seen. Alarm activated door closures are fitted on appropriate doors. A visit from the Fire Safety Officer took place in January 2005. Fridge, freezer and water temperatures are regularly recorded. Hazardous substances are stored safely. The manager advised that service users were reluctant to attend meetings, preferring to voice their concerns and wishes on an informal basis, as they occurred to them. This was confirmed in discussion with service users. The organisation has a system of ‘My House’ booklets, which are completed twice a year, sent off, and collated centrally. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SCIC - 8 Lansdowne Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 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. 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. Refer to Standard 24 Good Practice Recommendations It is recommended that the home considers a different form of curtain holder, such as pole and rings, where service users sometimes find the curtains difficult to draw. SCIC - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 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 - 8 Lansdowne Road E53 S4461 SCIC - 8 Lansdowne Road V245846 Stage 4.doc Version 1.40 Page 18 - 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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