Inspection on 19/01/07 for Scope - Coronation Drive

This inspection was carried out on 19th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Scope - Coronation Drive 12/01/06

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 19 January 2007 09:30 Scope DS0000005180.V321446.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 Scope DS0000005180.V321446.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. Scope DS0000005180.V321446.R01.S.doc Version 5.2 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.V321446.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. This home is registered for a maximum of 8 service users in the category of PD (Physical disability) 12th January 2006 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 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 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 at the side of the home or on the road. The staff team consists of the registered manager who is supported by a team leader, two senior support workers, thirteen support workers and the cook/cleaner. The fees at Coronation Drive are between £792.00 and £1290.00. Optional extras include personal items, toiletries, newspapers, magazines, holidays and hairdressing. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 9 January 2007 and lasted seven hours. Maureen Brown carried out the visit. Feedback was carried out at the end of the visit with the registered manager. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about them. Questionnaires were also made available for service users, relatives, staff and other professionals to find out their views. Other information since the last key inspection was also reviewed. During the visit various records were looked at and a tour of the home was undertaken. A number of service users and staff were also spoken with and they gave their views about the service. All the key standards were assessed and most were met. The previous requirement had been met. The overall judgement for Coronation Drive is good. What the service does well: The home had an established staff team who were keen for high standards to be maintained. Residents’ plans of care and individual case notes were well documented and reflected each resident’s needs. Day to day and formal supervision of staff was good and staff confirmed this. The staff managed daily activities and entertainments well and provide a wide range of choice. Residents said they were pleased with the choices on offer. Resident’s comments included “I can usually do what I want to do”, “staff treat me well”, “the home is always fresh and clean” and “I like living in the home”. The relatives contacted confirmed that they were welcomed into the home and they were satisfied with the overall care provided. Other comments included “our relative seems generally settled and happy most of the time”, “I can visit my relative in private” and “We are completely satisfied and pleased with the care”. Staff spoken to commented, “I like working here” and “I like to support the service users”. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Scope DS0000005180.V321446.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 Scope DS0000005180.V321446.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): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good 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. These documents were produced in Large Print format and written in plain English. It was suggested that other formats be considered. The staff stated that this was read to the service users. These documents were updated in December 2006. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 9 A pre care needs assessment was available in each service users file. It is designed to calculate the fees payable by breaking down each task required into care hours provided. Covers all areas of personal care, meals, medication, therapy sessions, financial assistance, external appointments, domestic tasks, leisure activities, individual time and holidays. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 10 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 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Three residents’ care records were seen during this visit. 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 services and in conjunction with the residents. Staff reviewed the care plans on a monthly basis. Service users files are in good condition and it was easy to access the information. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 11 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. Service users are supported in making decisions and choices about meals, clothing, going out, lifestyle programmes and day-to-day living. Service users finances are supported by staff. Risk assessments were available for all service users. A range of activities were noted such as moving and handling, pressure areas, bed rails, service users finances, going out, bathing, use of wheelchair and diet. All the assessments had been reviewed in January 2007. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 12 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’ were able to take part in a range of activities. 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 sessions a week. Activities take place regularly at the home. These vary from DVD nights, men’s and women’s nights, aromatherapy sessions, pool, darts, massages and manicures. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 13 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. 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. However no suitable courses were available at the local college and the manager was looking elsewhere for educational pursuits. 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 visit staff spoke to residents in a friendly manner, using residents preferred names. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 14 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 residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. 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. A monitored dosage system was used and the medication administration record sheets seen Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 15 were signed and up to date. Recommendations were made with regard to the monitoring of controlled drugs and weekly checks (this was addressed by the end of the visit); out of date medication, which should be returned to the pharmacist; and doctor’s instructions should reflect information on the Medication Administration Record sheets. The home has 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.V321446.R01.S.doc Version 5.2 Page 16 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 and relatives were satisfied with the support they received from the manager and staff. Clear policies and procedures were in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The complaints leaflet can be accessed on disc, audiotape or large print. It is also available in basic picture format. Details of timescales and the Commission are covered within the leaflet. The home had received one complaint since the last visit, which had been resolved to the complainant’s satisfaction. The Commission had not received any complaints about this service. 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. Scope DS0000005180.V321446.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. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: The home is well maintained both internally and externally. The décor is generally good. The décor in the communal areas is good and very good in the bedrooms, which are decorated to service users personal taste. Since the last inspection six bedrooms have been redecorated. Additional equipment such as hoists and tracking provided as necessary to meet the residents’ needs. The entire home was clean and odour free. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 18 It was noted that there was some minor damage to a couple of doorframes and corridor walls but the home was keeping up to date on repairing this type of damage and they have funds in the budget for this work. 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.V321446.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 & 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes recruitment policy and practices as they are consistently followed. 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 role. Twelve of sixteen staff had obtained NVQ level II in Care, two 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, fire awareness, food hygiene and medication training. All staff had completed mandatory training. Health and Safety, Adult Protection, foot care, health and safety, medication and key worker were other courses most staff Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 20 had undertaken. Two staff members are Moving and Handling trainers. 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 the agency was reliable. The recruitment procedure followed ensured that all the staff employed were suitable to work with vulnerable people. Three 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. Formal supervision was undertaken on a regular basis. This was up to date with records kept. Annual appraisals were completed with records available. Staff meetings are held on a regular basis. The last one was held on 11.1.07. Eight staff attended. Issues discussed included new rotas, staff holidays, money, training and key worker duties. The previous meeting was held on 24.10.06. Staff also receive Scopes core briefing every three months for updates on service issues. Scope DS0000005180.V321446.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 health, safety and welfare of the service users are protected. The views of service users are obtained and influence the running of the home. EVIDENCE: The registered manager has NVQ level II in care and the Registered Managers award. She is also a Designated Adult Protection Advisor and moving and handling trainer. She had updated her skills and knowledge on an ongoing basis. She has worked for Scope for sixteen years, six of which have been as the registered manager at Coronation Drive. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 22 Residents’ satisfaction and visitor surveys were used at the home. These were completed during March 2006. The results had been collated and the information was given to residents, families and the Commission. Other information is gained through individual discussions with the residents and residents meetings. Further information is gathered during the review process. Comments from service users included “I like it, its nice”, “it’s clean all the time” and “I like my key worker”. Service users agreed that they liked living at the home and they were happy with the quality of care offered. Visitors stated “they were greeted courteously when they visited the home” and “always a pleasure to visit here”. Residents meetings were held on a regular basis. The last one was held on 21.12.06. Seven service users attended. Issues discussed included health and safety, transport, other issues. The previous meeting was held on 29.10.06. 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 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. The accident records were seen and appropriately completed. Five accidents had occurred since the last visit one of which resulted in a visit to the local hospital. Scope DS0000005180.V321446.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 3 2 3 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 3 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 4 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 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 3 X 3 X X 3 X Scope DS0000005180.V321446.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. 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 2 3 4 5 Refer to Standard YA1 YA20 YA20 YA20 YA24 Good Practice Recommendations The registered person should consider other appropriate formats for the service user guide to be produced in. The registered person should ensure that controlled drugs are appropriately monitored on a daily and weekly basis. The registered person should ensure that out of date medication is returned to the pharmacist. The registered person should ensure that GP’s instructions reflect what is written on the Medication Administration Record sheets. The registered person should repair the minor damage to doorframes and corridor areas. Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Scope DS0000005180.V321446.R01.S.doc Version 5.2 Page 26 - 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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