Inspection on 12/01/06 for Scope - Coronation Drive

This inspection was carried out on 12th January 2006.

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

Scope - Coronation Drive 19/01/07

Scope - Coronation Drive 22/07/05

Scope - Coronation Drive 02/03/05

Scope - Coronation Drive 29/09/04

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Scope 10 Coronation Drive Ditton Widnes Cheshire WA8 8AY Lead Inspector Maureen Brown Unannounced Inspection 12 January 2006 09:15 th Scope DS0000005180.V274204.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 Scope DS0000005180.V274204.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. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Scope Address 10 Coronation Drive Ditton Widnes Cheshire WA8 8AY 0151 424 2737 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) SCOPE Mrs Amanda Sankey Care Home 8 Category(ies) of Physical disability (8) registration, with number of places Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home is registered for a maximum of 8 service users in the category of PD (Physical disability) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the The Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance issued through the Commission for Social Care Inspection. 22nd July 2005 Date of last inspection Brief Description of the Service: Coronation Drive is a purpose built house designed for eight adults with physical disabilities. The home is managed by Scope, which is a national organisation for people with cerebral palsy. All of the residents have their own individual tenancy agreements. The home is near to Widnes town centre close to shops, pubs and other local amenities. All accommodation is on the ground floor and comprises eight single rooms, a kitchen/dining area, a kitchen and a laundry room, bathrooms and shower rooms, all of which are have toilets. The managers office, staff room, staff toilet, and the bedroom for the sleeping night duty staff are located on the first floor of the home. There is a patio and garden area, which is easily accessible. Parking is available on the road next to the home. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during the morning of 12th January 2006. The total time on site was three hours forty-five minutes. The inspector spent half an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the communal areas, inspection of records and discussions with four residents, the registered manager and the support staff on duty. Sixteen out of forty-three standards were assessed and most were met. The previous requirement had been met and the recommendations made had been agreed and implemented as areas of good practice. Feedback from this inspection was given to the registered manager at the end of the inspection. What the service does well: What has improved since the last inspection? The statement of purpose and function and service users guide had been updated and reviewed. The paperwork for goals to be identified had been removed, as they were not necessary. Each resident now had a personal profile, which assists the staff in understanding that person’s life history. Food intake sheets where used are now completed regularly for each meal taken. The monthly summary sheets are completed for each service user. These sheets give an overview of what the resident has being doing over the last month and the resident’s health status. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 6 Resident’s educational have been reviewed, to ensure that residents have the choice of whether to undertaken any educational courses and enable the residents to learn and develop new skills. Directions for the administration of medication have been changed to ensure that details on either the bottle or pack and on the Medication Administration Record Sheets are clearly recorded. The corridors have been redecorated where there was deterioration due to damage. Formal staff supervision has been put into practice with records kept and annual staff appraisals had been undertaken. Since the previous inspection some staff training has been completed with one senior staff member becoming the home’s Designated Adult Protection Advisor (DAPA) and two senior staff obtaining NVQ Assessors Awards. 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. Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Sufficient information is provided for residents to make a decision about moving into the home. EVIDENCE: The home had a statement of purpose and service users guide that contained all the information required for people to make a decision about moving into the home. These documents included general information about the home, a description of the facilities, the fees charged, a copy of the complaints procedure and the details of the registered provider, manager and staff. Each resident had a copy of the home’s statement of purpose and function and the service users guide and these were kept with the resident’s plan of care in their own bedrooms. A copy of the most recent inspection report was available in the office and staff were aware of this. The requirement in the previous report regarding the updating the statement of purpose and service users guide had been completed in August 2005. Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&7 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained care plan monitoring sheets, personal information, 24-hour summary sheets, visiting professionals sheet, risk assessments, statement of purpose and function, service delivery agreement and service users guide. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. The care plans were reviewed on an annual basis by social service and in conjunction with the residents. Staff reviewed the care plans on a monthly basis. Recommendations made in the previous report with regard to paperwork for residents goals, residents personal profiles, records of residents food intake where necessary and monthly summary sheet had been agreed as areas of good practice and completed. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 10 Daily record sheets seen showed that day-to-day activities were recorded. This enabled staff and family members to see what a particular resident was undertaking during the day. They were written clearly, easy to follow and were signed by carers. Residents confirmed they had chosen the décor and furniture with some assistance from the staff team. It reflected residents’ personality and preferred taste of décor. The staff said that residents had been involved in choosing the décor of the shared rooms. Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15 Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The residents’ plans reflect the range of activities undertaken which included attending “lifestyles” day centre where a programme of crafts, music, information technology, working on an allotment, cooking or flower arranging is available. Each resident has three or four sessions a week at the day centre. Activities take place twice a week in the evenings at the home. These vary from DVD nights, men’s and women’s nights, aromatherapy sessions, pool, darts, massages and manicures. Residents spoken to said they enjoy going out and about in the community, to local shops, out for lunch, to the pub or cinema. The home has a wheelchairadapted vehicle, which all residents can access. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 12 A recommendation with regard to residents’ educational needs being reassessed had been met. The manager said that all residents had been assessed and that she had approached the local college. Further discussions with the college were due to take place in the near future. Visits from family and friends were recorded in the care plans and case notes. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge/dining area. During the inspection staff spoke to residents in a friendly manner, using residents preferred names. Residents can pursue their own religious preferences. Some residents liked to go to church regularly and staff assisted them in this area. Some of the residents had been on holiday with the Winged Fellowship, and some had visited family members. See recommendation No. 1. Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 Residents receive support from staff for personal care in accordance with their stated preference. Administration and control of medication was appropriate for the needs of the residents. EVIDENCE: The sample 24-hour summary records seen described how the residents preferred to be supported in their daily routines. Times for rising and resting preferred moving and handling techniques and personal care preferences were recorded. All residents were dressed differently according to their own choice. Specialist services used such as physiotherapists, dietician, continence advisors, occupational therapist and speech and language therapists were available via referrals through each residents GP. Records of visits were noted within each resident’s plan of care. A locked steel cupboard was available for storage of medication. This was located within the bathroom. A monitored dosage system was used and all medication was stored appropriately. The medication administration record sheets seen were signed and up to date. A recommendation made in the Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 14 previous report with regard to unclear directions for use of medications had been addressed. No controlled drugs were used at this time, however appropriate facilities were available if required. The home had a medication policy and the Royal Pharmaceutical Society guide to administration of medicines for care homes and children’s homes was also available for reference purposes. The manager said that she had on-line access to the British National Formulary. Scope DS0000005180.V274204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The policies and practices of the home ensure that service users are safeguarded from abuse and harm. EVIDENCE: The home had Halton’s local authority “no secrets” policy available and the manager confirmed that they would follow these guidelines in the event of an alleged or suspected case of abuse. The homes policy on protecting adults from abuse included information about reducing the risk, types of abuse and what to do in the event of witnessing abuse. Staff spoken with confirmed that they had a good understanding of the potential indicators of abuse and what to do if they became aware of an allegation of abuse. Documentation confirmed they had received protection of vulnerable adults training. One senior member of staff is the Designated Adult Protection Advisor (DAPA) for the home. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 16 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 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: The home was furnished in a domestic style with additional equipment such as hoists and tracking provided as necessary to meet the residents’ needs. Residents said that bedrooms were decorated to their preferred style and staff stated that shared lounge and dining areas were decorated with residents’ involvement in the colour scheme chosen. A recommendation from the previous report with regard to redecoration of the corridors had been met. The home was clean, tidy and free from any unpleasant smells. The garden was accessible to the residents and a new raised bed had been built for the residents to use. It had been planted with herbs and scented plants and the residents said that they liked the raised beds. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 17 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): 32, 34 & 36 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. Recruitment policies have been consistently followed resulting in residents receiving care from staff who have been properly vetted. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Three support workers, the housekeeper and the home’s manager were on duty. Observed day-to-day supervision of staff was good and the staff team confirmed that they were supported by the manager in their delivery of care to residents. Recommendations with regard to staff supervision sessions and annual appraisals had been addressed. From documentation up to date supervision notes and staff appraisals were seen to be up to date. Eight of sixteen staff had obtained NVQ level II in Care, one staff member was ready to submit her file for NVQ level II in Care and three staff were currently undertaking NVQ level II in Care. Two senior support workers had NVQ assessor’s awards. Mandatory training included moving and handling, first aid, Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 18 fire awareness, food hygiene and medication training. All staff had completed mandatory training. Health and Safety and Adult Protection were other courses most staff had undertaken. One of the staff team is a Moving and Handling trainer. The manager had a training plan, which was up to date and showed when refresher training was due. The manager said that the staff team was stable with very little change over the last two years. On occasion agency staff had been used, but the same staff were used each time. The manager said that the agency was reliable. The recruitment procedure followed ensured that all the staff employed were suitable to work with vulnerable people. Two staff files were examined and these showed that pre-employment checks were carried out. Amongst the documentation available were application forms, two references and Criminal Record Bureau checks. All staff had completed a medical questionnaire. Copies of supervision notes, appraisals and certificates of courses undertaken were also available. The files were up to date and well presented. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 19 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): 39 & 42 Residents’ views were used in the planning for the home. Decisions are influenced by the information obtained from the surveys and from conversations with residents. The arrangements are currently in place to minimise the risk so that the safety and welfare of the residents is promoted. EVIDENCE: Residents’ satisfaction surveys were used at the home. This was completed during the July & August 2005. The results had been collated however this information is not accessible to residents, families, other professionals and the Commission. Other information is gained through discussions with the residents. Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The insurance certificate was in place and up to date. Fire alarm tests were being Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 20 undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training. The gas safety and electrical safety certificates were available and up to date. See requirement No. 1. Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 21 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 3 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 3 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 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 2 X X 3 X Scope DS0000005180.V274204.R01.S.doc Version 5.1 Page 22 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 YA39 Regulation 24 Requirement The registered person must ensure that the results of the residents’ surveys are published and made available to residents and other interested parties. Timescale for action 31/03/06 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 YA12 Good Practice Recommendations The registered person should continue to explore the meeting of residents’ educational needs. 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