Inspection on 04/11/05 for Scope - Edward Street

This inspection was carried out on 4th November 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Scope - Edward Street 26/02/07

Scope - Edward Street 22/02/06

Scope - Edward Street 04/03/05

Scope - Edward Street 03/08/04

Scope - Edward Street 08/03/04

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 1 and 3 Edward Street Widnes Cheshire WA8 0BW Lead Inspector Maureen Brown Announced Inspection 4th November 2005 09:30 Scope DS0000005178.V258287.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 Scope DS0000005178.V258287.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. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Scope Address 1 and 3 Edward Street Widnes Cheshire WA8 0BW 0151 420 3364 0151 420 3364 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 Johanna Bunting Care Home 6 Category(ies) of Physical disability (6) registration, with number of places Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home is registered for a maximum of 6 service users in the category of PD (Physical Disability). The registered provider must, at all times, employ a suitably qualfiied and experinced manager who is registered with 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 wth any guidance issued through the Commission for Social Care Inspection. 4th March 2005 Date of last inspection Brief Description of the Service: 1-3 Edward Street is a purpose-built care home providing personal care and accommodation for 6 service users who have physical disabilities. The home is located in a residential area of Widnes and is within easy access of local amenities including shops, social and educational facilities. The premises consist of two bungalows (each accommodating three service users), which are managed by Scope. Each bungalow comprises of three single bedrooms, a kitchen/dining area, lounge, bathroom, separate shower room and a utility room. There is a separate office that is linked by a door to one of the bungalows. There are also pleasant and accessible garden areas to the side and rear of the home that are fully accessible to service users. Limited car parking is available at the home. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on 4th November 2005. The total time at the home was four hours. An hour and a half was spent planning the inspection by reviewing previous inspection reports and the service history. The inspection included a full tour of the bungalows, inspection of records and discussions with six residents, the manager and staff on duty. Twenty out of forty-three standards were assessed and most were met. Feedback from this inspection was given to the manager at the end of the inspection. Six service user surveys, six carers and relative surveys and two health care professional surveys were received. What the service does well: What has improved since the last inspection? The garden to the rear of the property has been completely redesigned and developed by a landscape gardener, incorporating a patio area and pond. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 6 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 DS0000005178.V258287.R01.S.doc Version 5.0 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 DS0000005178.V258287.R01.S.doc Version 5.0 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): 2 Full assessments of needs are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: Most of the residents have lived at Edward Street for many years and copies of original assessment documents were not available for inspection. Care plans contained documentary evidence that their needs were being assessed on a regular basis by both staff within the home and other professionals. Pre-assessment documentation was available for prospective residents. Residents had visited the home prior to admission and trial overnight visits were encouraged. Admissions were planned and ranged from a short visit to overnight stays, dependent on the needs and wishes of the person. From the residents surveys most of the residents said that they liked living at Edward Street and that they felt safe there. Scope DS0000005178.V258287.R01.S.doc Version 5.0 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 & 9 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Four residents’ care records were seen during this inspection. These were comprehensive and well presented in individual ring binders. Each contained sufficient information for staff to appropriately meet the needs of the residents. Monitoring sheets, 24-hour summary sheets, visiting professionals’ sheet and risk assessments were included in the care plans. The care plans were drawn up in consultation with the residents and family members and were based on their assessed needs and risks. Care plans were reviewed on a monthly basis, in conjunction with the residents. Agreements with the GP’s with regard to homely remedies had been set up but were not signed. These should be signed to show the GP’s knowledge and agreement of the document. Surveys received from visiting professionals stated that “they were able to see residents in private”, “there was always a senior member of staff available to confer with” and “they were satisfied with the overall care provided”. Scope DS0000005178.V258287.R01.S.doc Version 5.0 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. Risk assessments were carried out for moving and handling, self-medication, preferred activities and other identified risks to the individual resident. These were up to date and showed the identified needs of each resident. One resident said they “had chosen the décor and furniture within their own bedroom” and staff stated that all service users had been involved in choosing the décor of the shared rooms. Each of the bungalows held residents’ meetings with staff on a regular basis, allowing residents the opportunity to raise issues of concern or problems. Issues relating to meals, future holidays and activities were seen in the written notes. See requirement No. 1. Scope DS0000005178.V258287.R01.S.doc Version 5.0 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, 16 & 17 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. Residents’ dietary needs were well catered for with a balanced and varied selection of food that met peoples’ tastes and choices. EVIDENCE: The residents’ plans reflect the range of activities undertaken which included a “lifestyle” programme of crafts, mosaics, information technology, working on an allotment, woodwork, flower arranging and going out and about in the community. During this inspection it was observed that some residents’ were attending their “lifestyle” programme at the local community day centre. Each resident has three sessions a week. One relative commented “more opportunity for residents to have access to transport to visit family would be more than welcome”. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 12 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. Relatives confirmed that they could see residents in their own bedrooms. During this inspection it was seen that staff entered residents bedrooms with their agreement. Staff said that residents could go to their rooms at any time and residents confirmed this. During the inspection residents were seen using all parts of the home. Residents confirmed that staff respected their privacy and that the staff treated them well. The menus for the four bungalows were seen and these reflected peoples’ personal choices. Special diets were catered for such as soft diets. Residents had access to drinks and snacks in between regular meal times and residents confirmed this. Residents also agreed that they liked the food provided. Fridge, freezer and hot food temperatures were recorded. The kitchens were maintained in a clean and tidy condition. Scope DS0000005178.V258287.R01.S.doc Version 5.0 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): 18, 19 & 20 Residents received support from the staff for personal care in accordance with their stated preference. Administration and control of medications were appropriate for the needs of the service users. EVIDENCE: The sample 24-hour summary records seen described how the residents preferred to be supported in their daily routines. Times for rising and retiring, preferred moving and handling techniques and personal care preferences were recorded, as was choice of clothing and hairstyle. All residents were dressed differently according to their own choice. In each bungalow a locked steel cupboard was available for storage of medication. A monitored dosage system was used and all medication was stored appropriately. The medication administration sheets seen were signed and up to date. Residents tended to visit GP’s, chiropodists, opticians and dentists in the local community. These professionals would visit the home on request. Appointments with consultants and other hospital appointments were also undertaken. Records were kept of all these visits and they were up to date. Staff said that they supported residents on these visits. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 14 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 Clear policies and procedure were in place to ensure that residents’ views were listened to and acted upon. EVIDENCE: The home had a policy on complaints. Staff confirmed that they were aware of the procedure and would pass concerns onto the manager. A blank complaint form and a copy of the complaints procedure were seen on residents’ files. The home or the Commission had received no complaints since the last inspection. All the residents said that they knew who to speak to if they were unhappy with their care. Relatives confirmed they were aware of the complaints procedure. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 15 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, 29 & 30 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: Both bungalows were visited during this inspection. Each 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. Each bungalow was clean, tidy and free from any unpleasant smells. Records of menus and daily checks on fridge, freezer and hot food temperatures were kept. Cleaning materials were stored appropriately. A full set of hazardous substance data sheets were available in a file in the office and were accessible to the staff. Staff stated they were aware of this file and that chemicals must not be mixed with other chemicals. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 16 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, 35 & 36 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 that have been properly vetted. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Some relatives confirmed that in their opinion there was always sufficient staff on duty. The recruitment procedure ensures that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that all relevant pre-employment checks were carried out. This included application forms, two references, Criminal Record Bureau checks, proof of identity and health declarations. Five of eleven staff had obtained NVQ level II in Care. The manager said a further three staff were currently undertaking NVQ II and one staff was working towards NVQ III. The manager has recently completed the Registered Managers Award and is awaiting her certificate. Induction training is given to staff. A workbook format is used that has been developed in line with TOPPS training. Staff also attend Scopes one day Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 17 induction training. Mandatory training includes moving and handling, adult protection, first aid and food hygiene. Other courses available include Cerebral Palsy, risk assessments, medication, infection control and personal development. Each staff member should have a training and development plan. Staff supervision notes were seen on the staff files. These were up to date and covered all aspects of the staff role within the home. Appraisals were also seen on staff files, however these were not up to date. The self-appraisal process for staff had been completed but the second part of the process involving the manager was yet to be completed. Appraisals must take place on an annual basis. Residents’ surveys confirmed that the residents felt well cared for in the home. See requirement Nos. 2 & 3. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 18 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, 40 & 42 Arrangements are in place to minimise the risk so that the safety and welfare of residents are promoted. EVIDENCE: The manager has been in post for two years. She has worked for Scope for twelve years. She has recently completed NVQ level IV Registered Mangers Award and is the Designated Adult Protection Advisor (DAPA) for the home. She has also undertaken other relevant courses to update her skills and knowledge. From discussions it was apparent that she was aware of the residents needs and was proactively working towards empowerment of residents. The policies and procedures seen throughout this inspection were up to date and appropriate to this facility. The manager said that polices were produced by Scope and were regularly reviewed and updated as necessary. Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 19 Safe working practices include fire safety in which all weekly checks are carried out and recorded, up to date certificates for gas safety, Portable appliance testing and tests and servicing for all equipment for moving and handling. The electrical wiring certificate was not up to date. These checks ensure that the residents are being protected by the procedures in place. See requirement No. 4 Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 20 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 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Scope Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X 2 X DS0000005178.V258287.R01.S.doc Version 5.0 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 Standard YA6 YA35 YA36 YA42 Regulation 12 18 18 16 Requirement The registered person must ensure that the homely remedies sheets are signed by GP’s. The registered person must ensure that all staff have a training and development plan. The registered person must ensure that staff receive annual appraisals. The registered person must ensure that the electrical safety certificate is up to date. Timescale for action 30/12/05 30/12/05 30/01/06 15/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Scope DS0000005178.V258287.R01.S.doc Version 5.0 Page 23 - 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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