Inspection on 27/04/05 for Scope - Harbour Close

This inspection was carried out on 27th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Scope - Harbour Close 03/11/06

Scope - Harbour Close 26/10/05

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 WA7 6EH Lead Inspector Maureen Brown Unannounced 27 April 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service SCOPE Address 8-11 Harbour Close Murdishaw Runcorn WA7 6EH 01928 712973 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) SCOPE Mrs Kathleen ODwyer Care Home 12 Category(ies) of Physical disability 12 registration, with number of places SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17th February 2005 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 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. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The first part of this inspection was carried out during the morning of 27th April and the second part was undertaken during the afternoon of 31st May. The total time on site was six hours and ten minutes. The inspector spent two hours planning the inspection by reviewing previous inspection reports and the service history. The inspection included a full tour of the home, inspection of records and discussions with ten service users, the registered manager, two senior care assistants and four care assistants. Fifteen out of forty-three standards were assessed and all were met. At the time of this inspection the registered manager was retiring and the company are currently advertising this post. The two senior care assistants are covering the managerial duties between them during this interim period. Feedback from this inspection was given to the registered manager and two senior care assistants at the end of the inspection. What the service does well: What has improved since the last inspection? Visitor satisfaction surveys had been given to family and visiting professionals to complete. The survey responses were being examined. The home has a development plan for this year that is divided into areas covering staffing levels and recruitment of staff, NVQ in care and other staff training and residents’ planned activities. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 standard(s) 1 & 2 Sufficient information is provided for residents to make a decision about moving into the home. Full assessments of needs are carried out to ensure that the home can meet the residents’ users needs. EVIDENCE: Each resident had a copy of the home’s statement of purpose and function and the service users guide. The acting manager stated that these were refereed to in the annual review. They were kept with the residents’ plan of care. A copy of the most recent inspection report was available in the office and staff were aware of this. Care plans examined showed that assessments had been carried out with each person before moving into the home. 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. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 standard(s) 6, 8 & 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: Two residents’ care records were seen during this inspection. These were comprehensive and well presented in individual ring binders. 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 a monthly basis, in conjunction with the residents. 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 F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 10 Residents stated that they had chosen the décor and furniture within their own bedrooms and staff stated that all service users had been involved in choosing the décor of the shared rooms. One resident stated that he was in the process of choosing his bedroom colours prior to redecoration. 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. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 standard(s) 12, 15 & 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, 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 a community day centre, visit to the doctors and during the afternoon one person was going to a bingo session. 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. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 12 Residents liked to visit friends in the other parts of the home and said staff helped them with access if necessary. The menus for the four bungalows were seen and these reflected peoples’ personal choices. Special diets were catered for such as soft diets. The senior staff stated that meal planning was recorded and analysed weekly to ensure a varied and balanced diet was being prepared. Fridge, freezer and hot food temperatures were recorded and seen by the inspector. The four kitchens were maintained in a clean and tidy condition. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 standard(s) 18 & 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 resting 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. In each bungalow 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 sheets seen were signed and up to date. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 standard(s) 23 Clear policies and procedure were in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: The home’s Protection of Vulnerable Adults Policy was seen and was consistent with the “No Secrets” guidance from the Department of Health. One of the senior staff is the Designated Adult Protection Advisor (DAPA). The policy had a list of people to contact if an allegation or suspected incident of abuse had occurred. A copy of Halton’s Social Services policy on Adult Protection was available within the home and was accessible to staff. Staff confirmed that they were aware of the procedures and who to contact with any concerns. All staff had undertaken training on Adult Protection. One person had completed training on the “No Secrets” policy. This person was going to feedback this information to the rest of the staff team during the next couple of months. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 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 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. The tumble driers were located in the kitchens to allow for external ventilation. Each bungalow has a separate laundry room and three had domestic style washing machines and one had a commercial washing machine. Cleaning materials were kept in a high level cupboard along with basic information sheet on hazardous materials. Although residents’ would not SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 16 be able to get to this cupboard, it was recommended that locks be fitted to them, as a health and safety precaution. 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 F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. The manager said that annual staff appraisals were due to be undertaken. Staff stated that appraisals had not been competed for some time. One of the acting managers explained that new paperwork was being issued for appraisals and that they would be completed once this was available. Observed day-to-day supervision of staff was good and the staff team confirmed that they were supported by the manager and two senior staff in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis and records were kept. Supervision records were seen and covered areas such as training, aspects of care practice, key working with individual residents and policies and procedures. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 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. EVIDENCE: Completed visitor satisfaction surveys were seen and the senior staff team was examining the information. They said the responses were currently being collated and would be used to improve the service provided. It is recommended that this process of visitors continues and the results are shared with residents and other interested parties. 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 F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SCOPE Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none 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. Refer to Standard 30 39 Good Practice Recommendations The registered person should ensure that the cupoards storing hazardous materials are fitted with locks. The registered person should continue to collate the satisfaction questionnaire information and share this with service users and other interested parties. SCOPE F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 F51 F01 S5184 8-11 Harbour Close V223332 270405 Stage 4.doc Version 1.30 Page 22 - 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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