Inspection on 03/11/06 for Scope - Harbour Close

This inspection was carried out on 3rd November 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Scope - Harbour Close 26/10/05

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 Key Unannounced Inspection 3 November 2006 09:00 Scope DS0000005184.V314717.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 DS0000005184.V314717.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 DS0000005184.V314717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scope Address 8 - 11 Harbour Close Ridgeway, Murdishaw Runcorn Cheshire WA7 6EH 01928 712973 F/P 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 Martina Mary Barr Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Scope DS0000005184.V314717.R01.S.doc Version 5.2 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 manager must obtain NVQ Level IV Registered Managers Award by 30th September 2007 26th October 2005 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. The staff team consists of the registered manager who is supported by a senior support worker and nineteen support workers. There is a vacancy for a senior support worker currently. The fees at Harbour Close are between 38,026.00 and £57,520.00 per year. Fees are calculated on individual assessment. Optional extras include CD’s, Videos, DVD’s, holidays, magazines, clothing, toiletries, transport costs and hairdressing. Scope DS0000005184.V314717.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 3 November 2006 and lasted 6 hours. The visit was carried out by Maureen Brown. 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 services at the home. 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. 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. Residents comments included “I can usually do what I want to do”, “I had a weekend visit to the home before deciding if I wanted to move in or not” and “no problems with the staff, I can talk to staff easily”. The relatives contacted confirmed that they were welcomed into the home and they were satisfied with the overall care provided. Other comments included “the home has a very welcoming atmosphere”, “I appreciate the work the staff do” and “the service users are well provided for”. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 6 Staff spoken to commented, “I like working here” and “I like to support the service users and feel I make a difference”. 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.V314717.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 DS0000005184.V314717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Sufficient information is provided for residents to make a decision about moving into the home. EVIDENCE: Each resident had a copy of the home’s statement of purpose and function that are 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. Following a previous requirement residents or their representatives now signed the agreement. Most of the residents confirmed that they liked living at Harbour Close and that they felt safe within the home. Scope DS0000005184.V314717.R01.S.doc Version 5.2 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 Quality in this area outcome is adequate. This judgement was made using available evidence including a visit to this service. The residents’ basic 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 presented in individual ring binders, which were in a poor condition. Each contained information needed to support the residents. This included 24-hour summary sheets, which were a very good account and written in the first person. Also included were 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 not being reviewed, on the monitoring sheets on a monthly basis and this process should be reinstated. Key worker meetings with residents were not being conducted on a regular basis. It was suggested that this should happen on a more regular basis. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 10 Daily record sheets 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 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. Most residents confirmed that they were well cared for and that staff treated them well. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this area outcome is good. This judgement was 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 a lifestyle programme of crafts, music, information technology, working on an allotment and going out and about in the community. During this visit 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 also have access to college courses. Some residents had decided to attend courses on information technology and photography. Staff commented on how the residents had gained in confidence as well as knowledge by attending the courses. Residents also commented that they were able to meet new people as well. On the day of this visit five residents were out. Two were Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 12 working at the allotment on the lifestyles activity and three were visiting Delamere forest. 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 and local trips shopping and meals out. During this visit 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. Residents were seen using all parts of the home. Observations of interactions between residents and staff were noted. On one occasion a member of staff was helping a resident decide what to do for the morning. The resident said they would like to watch a video, as it was too cold to go out today. The staff member then assisted them with this. Scope DS0000005184.V314717.R01.S.doc Version 5.2 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 Quality in this area outcome is good. This judgement was 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 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. A GP commented that “he was able to see his patients in private” and “he was very happy with the level of care – well done”. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 14 The medication system is kept in a locked steel cupboard within the bathroom of each bungalow. A monitored dosage system was used and all medication was stored appropriately. The medication administration sheets seen were signed and up to date. Drugs are returned on a monthly basis. Staff are trained in medication awareness. Staff files examined showed medication training undertaken. A medication policy and homely remedies sheets were available to staff. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this area outcome is good. This judgement was 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 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. No complaints had been received by the home or the Commission since the last visit. 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. The home’s Protection of Vulnerable Adults Policy was seen and this was consistent with the “No Secrets” guidance from the Department of Health. A copy of the Local Authority Adult Protection policy was available within the home and accessible to staff. The home’s whistle blowing policy was seen. The person in charge said that staff had undertaken training on Adult Protection and staff confirmed that they had received training. They were able to demonstrate what to do if there was a suspicion of abuse. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this area outcome is good. This judgement was 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: All four bungalows were visited during the visit. 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. Most of the residents said that they liked the food provided. 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. A previous requirement regarding some carpets that had ridges and could be a hazard to residents had been attended to. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this area outcome is adequate. This judgement was made using available evidence including a visit to this service. Records were maintained in a basic manner and service users would be protected by the homes recruitment policy and practices if these had been consistently followed. EVIDENCE: At the time of this visit the agreed staffing levels were met. Relatives confirmed that in their opinion there was always sufficient staff on duty. The recruitment procedure should be consistently followed to ensure that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that most pre-employment checks were carried out. However, only one file had evidence of identity checks being carried out. Following a previous recommendation the staff now signed to show they had received a copy of the General Social Care Councils’ code of conduct. The staff files were well presented and a clear system was used. Thirteen of the nineteen staff (68 ) had obtained NVQ level II in Care and four staff were currently undertaking this award. The staff team was well established. They had a range of experience and this was complimented by mandatory courses undertaken, such as moving and Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 18 handling and food hygiene. Other relevant courses were also available, such as Adult protection, first aid, fire awareness and medication awareness. Day to day supervision of the staff team is good. Staff commented that they received good support from the manager. However, formal supervision was not up to date with eleven out of nineteen staff receiving supervision over the last four months and prior to this supervision had been held on an irregular basis. Annual appraisals had been undertaken for all staff during August 2006. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this area outcome is good. This judgement was 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. Staff that support service users are not fully supervised. EVIDENCE: Completed residents surveys were available. The survey had been completed in April 2006. Responses had been collated and this information had been shared with residents in house meetings. Copies of these were seen in the care plans. The manager has worked for Scope for fourteen years. She has NVQ level II, NVQ Assessors Award, is a Moving and Handling Trainer and Designated Adult Protection Advisor (DAPA). She is currently working towards her Registered Managers Award and has also undertaken other relevant courses to update her skills and knowledge. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 20 Safe working practices include fire safety where weekly checks are carried out and recorded. Up to date certificates for gas safety, electrical safety, portable appliance testing and tests and servicing for all equipment for moving and handling. All these checks ensure that the residents are being protected by the procedures in place. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X 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 DS0000005184.V314717.R01.S.doc Version 5.2 Page 22 Yes 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 YA6 Regulation 15 Requirement The registered person must ensure that monthly care plan reviews are kept up to date. Not completed by 31/12/05. The registered person must ensure that staff receive formal supervision at least six times a year. Timescale for action 30/12/06 2 YA36 18 30/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA7 YA7 YA34 Good Practice Recommendations The registered person should ensure that the key worker meeting summary sheets are kept up to date. The registered person should ensure that the care plan files are replaced as they are in a poor condition. The registered person should ensure that identity checks are carried out on all staff and copies kept within the files. Scope DS0000005184.V314717.R01.S.doc Version 5.2 Page 23 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.V314717.R01.S.doc Version 5.2 Page 24 - 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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