Inspection on 26/10/05 for Scope - Harbour Close

This inspection was carried out on 26th October 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 - Harbour Close 03/11/06

Scope - Harbour Close 27/04/05

Scope - Harbour Close 17/02/05

Scope - Harbour Close 24/06/04

Scope - Harbour Close 03/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME ADULTS 18-65 Scope 8 - 11 Harbour Close Ridgeway, Murdishaw Runcorn Cheshire WA7 6EH Lead Inspector Maureen Brown Unannounced Inspection 26th October 2005 12:00 Scope DS0000005184.V261112.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 DS0000005184.V261112.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 DS0000005184.V261112.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Scope Address 8 - 11 Harbour Close Ridgeway, Murdishaw Runcorn Cheshire WA7 6EH 01928 712973 01928 712973 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 Kathleen O`Dwyer Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Scope DS0000005184.V261112.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 12 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 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 quidance issued through the Commission for Social Care Inspection 27th April 2005 3. Date of last inspection Brief Description of the Service: 8-11 Harbour Close is a purpose-built care home providing personal care and accommodation for 12 service users who have physical disabilities. The home is located in the Murdishaw area of Runcorn and is within easy access of local amenities including shops, social and educational facilities. The premises consist of four bungalows (each accommodating three service users), which are owned by Liverpool Housing Trust and managed by Scope. Each bungalow comprises of three single bedrooms, a kitchen/dining area, lounge, bathroom, separate shower room and a utility room. There are also pleasant and accessible garden areas to the front and rear. Limited car parking is available within Harbour Close. Scope DS0000005184.V261112.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 26th October 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 seven residents, the manager, two senior care assistants and two care assistants. Seventeen out of forty-three standards were assessed and most were met. The new manager is applying to be registered with the Commission. Feedback from this inspection was given to the manager and one senior care assistant at the end of the inspection. Twelve service user surveys and three relative surveys were received. 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. Most of the staff had NVQ level II and others were working towards this award. One member of staff was working towards the NVQ Assessors Award. All staff had completed the mandatory training. The home provides a good variety of relevant training and staff said that the training was good. Meals were varied and reflected each person’s preference. They offered choice and variety. 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. Relatives confirmed that they were welcomed into the home and they were satisfied with the overall care provided. One relative said, “Everyone at Harbour Close in my opinion is excellent”. Scope DS0000005184.V261112.R01.S.doc Version 5.0 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. Scope DS0000005184.V261112.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 DS0000005184.V261112.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): 1, 4 & 5 Sufficient information is provided for residents to make a decision about moving into the home. Prospective residents have the opportunity to visit the home. Each resident has an individual contract. EVIDENCE: Each resident had a copy of the home’s statement of purpose and function and the residents’ guide. They were kept with the residents’ plan of care. A copy of the most recent inspection report was available in the office and discussions with staff indicated they were aware of this. 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. The introductory visit took place with senior staff. Each resident has a contract that is known as service delivery agreement. This covers Scopes mission, values and key principles and expectation of the service including care and support. It also includes the costs, ending the agreement and the responsibilities of the resident. Most of the residents confirmed that they liked living at Harbour Close and that they felt safe within the home. See requirements Nos. 1 & 2. Scope DS0000005184.V261112.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 & 10 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 ring binders. Each contained information needed to support the residents. This included 24-hour summary sheets, care plan monitoring sheets, visiting professionals sheet, and risk assessments. 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 a monthly basis, in conjunction with the residents. The monthly reviews of care plans were not up to date. 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. Scope DS0000005184.V261112.R01.S.doc Version 5.0 Page 10 Residents stated that they had chosen the décor and furniture within their own bedrooms and staff stated that all residents had been involved in choosing the décor of the shared rooms. Each of the four 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. Some residents also used independent advocates and the manager stated that this had worked well for those who had used this service. All service users have their own bank accounts and were supported by staff as necessary with financial issues. Appropriate records were kept. Risk assessments were also in place. Each service user has a copy of the confidentiality policy in their file in the bedroom. Staff sign to say they understand this policy. Most residents confirmed that they were well cared for and that staff treated them well. See requirement No. 3. Scope DS0000005184.V261112.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): 13 & 16 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 a lifestyle programme of crafts, music, information technology, working on an allotment 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. Residents have access to college courses and one resident has started an information technology (IT) course, which staff said has started to build up that individual’s confidence. Scope DS0000005184.V261112.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. Residents indicated that they preferred to go out in small groups or on a one to one basis with staff members. This was reflected in recent outings to Blackpool, Southport, New Brighton and local trips shopping and meals out. 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. The manager said that mail is delivered to residents and opened in their presence and read to them. Residents confirmed that staff respect their privacy. Scope DS0000005184.V261112.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): 19 Residents received support from the staff for personal care in accordance with their stated preference. 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, hairstyle and makeup. All residents were dressed differently according to their own choice. 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 indicated that they supported residents on these visits. Scope DS0000005184.V261112.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’s policy on complaints was seen and residents said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns onto the manager. A blank complaint form was seen in each residents file for their use. No complaints had been received by the home or the Commission 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 DS0000005184.V261112.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 & 30 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: All four bungalows were visited during the inspection. Each was furnished in a domestic style with additional equipment such as hoists, walk-in shower, low level light switches and tracking provided as necessary to meet the residents’ needs. 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. The tumble driers were located in the kitchens to allow for external ventilation. Cleaning materials were kept in a high-level cupboard along with basic information sheet on hazardous materials. Locks had been fitted following the previous recommendation. Meals were being prepared during the tour and it was noted that different meals were provided in each bungalow, reflecting each person’s own choice. These included sausage casserole, chicken, chips and beans, chilli con carne Scope DS0000005184.V261112.R01.S.doc Version 5.0 Page 16 and in the other bungalow residents were going out for their meal. Most of the residents said that they liked the food provided. Some carpets were seen to have ridges where carpets had moved that could be a hazard to residents. See requirement No 4. Scope DS0000005184.V261112.R01.S.doc Version 5.0 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): 34 & 35 Records were well maintained. Staff received support to enable them to meet residents’ needs. Recruitment policies have been consistently followed resulting in service users receiving care from staff that have been properly vetted. EVIDENCE: At the time of this inspection the agreed staffing levels were met. 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. The manager said that the General Social Care Councils’ code of conduct had been given to staff, but no record of this was available. Eleven of the eighteen staff had obtained NVQ level II in Care. The manager said a further four staff were currently undertaking the course. Also one member of staff was working toward the NVQ Assessors award. See recommendation No. 1. Scope DS0000005184.V261112.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, 39 & 42 Residents’ views are used to inform future planning within the home. Decisions about changes to the service are influenced by the information obtained from satisfaction surveys and conversations with each resident. Arrangements are in place to minimise the risk so that the safety and welfare of residents are promoted. EVIDENCE: Completed visitor satisfaction surveys were available. Responses had been collated and this information had been developed into a matrix and shared with residents in house meetings. During discussions with the manager and senior team it was agreed that the matrix format was not easy to use, and that they would look at alterative formats for future survey analysis. Residents’ surveys are conducted on an annual basis and information gathered is used to improve the service provided. Copies of these were seen in the care plans. Scope DS0000005184.V261112.R01.S.doc Version 5.0 Page 19 The new manager has been in post for two months. She has worked for Scope for thirteen years. She has NVQ level II, NVQ Assessors Award, is a Moving and Handling Trainer and Designated Adult Protection Advisor (DAPA). She has also undertaken other relevant courses to update her skills and knowledge. As part of the mandatory training all staff have attended moving and handling, first aid, food hygiene, health and safety, fire awareness and adult protection courses. Other courses that are available include key worker, challenging behaviour and whistle blowing. 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 check is being completed. All these checks ensure that the residents are being protected by the procedures in place. Scope DS0000005184.V261112.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 3 X X 3 2 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Scope Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000005184.V261112.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 Standard YA5 Regulation 5 Requirement The registered person must ensure that the resident or their representative sign the service delivery agreement. The registered person must ensure that the managers’ information is updated. The registered person must ensure that monthly care plan reviews are kept up to date. The registered person must ensure that the carpets are attended to and that the ridges are removed. Timescale for action 31/12/05 2 3 4 YA5 YA6 YA24 5 15 16 31/12/05 31/12/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations The registered person should ensure that staff signed to show they have received the GSCC Code of Conduct. Scope DS0000005184.V261112.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 DS0000005184.V261112.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. 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