Inspection on 17/10/05 for Selly Oak Road (310)

This inspection was carried out on 17th 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Selly Oak Road (310) 13/01/09

Selly Oak Road (310) 24/01/07

Selly Oak Road (310) 13/02/06

Selly Oak Road (310) 24/03/05

Selly Oak Road (310) 28/09/04

Selly Oak Road (310) 17/01/04

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Bryndale Avenue, 41 Flats 13, 14 & 18

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

CARE HOME ADULTS 18-65 Selly Oak Road (310) Selly Oak Birmingham West Midlands B30 1HL Lead Inspector Donna Ahern Unannounced Inspection 17th October 2005 15.30 Selly Oak Road (310) DS0000016962.V259845.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 Selly Oak Road (310) DS0000016962.V259845.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. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Selly Oak Road (310) Address Selly Oak Birmingham West Midlands B30 1HL 0121 459 5199 0121 451 3523 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) Birmingham Focus on Blindness Mrs Barbara Wright Care Home 5 Category(ies) of Sensory impairment (5) registration, with number of places Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents must be aged under 65 years That Barbara Wright successfully completes the Registered Managers Award or equivalent by August 2005. Date of last inspection Brief Description of the Service: 310 Selly Oak Road is a detached property situated in a residential area of Kings Norton in pleasant grounds and benefits from off-road parking. The rear garden is mostly laid to lawn with a patio area furnished with attractive garden furniture. The home provides care and accommodation to five adults with sensory disabilities. Disabled access to the ground floor of the home is good. There is no lift; therefore service users with a physical disability cannot be accommodated on the first floor. There are ramps, handrails and adapted bathing facilities on the ground floor of the home. Each service user has their own room, which has been decorated according to their individual tastes. The furnishings and decoration of the home are generally of a high standard. There is a service user’s lounge, a separate dining room, kitchen, laundry room, toilet and one bedroom on the ground floor. On the first floor there are four single bedrooms, staff sleep-in room/office, bathroom and separate toilet. The home is within walking distance of local shops, transport links to the city centre, leisure facilities and places of worship. Rubery, which has cinemas, shops and restaurants, is a fifteen-minute drive away. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over a late afternoon through to the evening. The inspector met and spoke to all the residents. A partial inspection of the physical standards was undertaken. Residents care plans and risk assessments were inspected. A number of Health and Safety records were inspected. The inspector had the opportunity to talk to the manager and two care staff. What the service does well: What has improved since the last inspection? The previous inspection required that the home implemented risks assessments for the residents who had epilepsy. This was actioned immediately and a review of resident’s epilepsy was also undertaken. Selly Oak Road (310) DS0000016962.V259845.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. Selly Oak Road (310) DS0000016962.V259845.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 Selly Oak Road (310) DS0000016962.V259845.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): 3 EVIDENCE: The inspector had the opportunity to speak to all five residents. There have been no new admissions since the previous inspection. Residents spoke very positively about their home and the support that they receive from staff. They told the inspector that they are kept fully informed about the running of the home. One resident is over the age of 65 years and a variation had been agreed to the homes registration. The organisation plans to reprovide the service in a purpose built home. Plans are only in the very early stages and the organisations said that all relevant parties would be kept informed of developments. Selly Oak Road (310) DS0000016962.V259845.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 and 9 Some development of care plans was required so that a comprehensive support plan is in place, which clearly states how resident’s needs are to be met. Risk assessments required review so that the manager can demonstrate that the risks residents face are well managed. EVIDENCE: Care plans were in place for each of the residents, two were sampled. The care plans contain current information. The manager stated that there are plans in place to develop the care plans and they will include comprehensive support plans for each person. Progress will be monitored at the next inspection. A number of risk assessments were in place and some were sampled they gave clear information about the risks to residents and the required action from staff to manage the risks. The risk assessments were due to be reviewed. They must be reviewed every six months or when a resident needs change. Residents said that they had been involved in their recent care reviews and that the Sight Loss Team of Birmingham Social Care and Health are now responsible for reviewing their needs. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 10 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): Residents have a meaningful lifestyle, engage in appropriate activities and maintain links with their relatives. EVIDENCE: Residents had just returned from the day centre that they attend Monday to Friday. They talked about the holidays that they went on in September and their plans to go to a hotel in Scarborough for four days over the Christmas holiday period. Some of the residents talked about the Caribbean night they went to at the weekend and how much they had enjoyed it. Residents said that they had been on various trips out which they had really enjoyed and their only concern was that the minibus is quite a few years old and they would like a new one. One resident said that they were very proud of the green beans and tomatoes that they had grown in the garden and would like to grow some potatoes next year. When they move to the new home they would like to have a green house. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 11 Some of the residents have special birthdays next year and they talked about the parties and special holidays that are planning. Residents were seen choosing how they wanted to spend their evening. A manicurist visited the home to attend to peoples nail care. After tea some of the residents chose to listen to the soaps together in their bedroom and some residents were listening to the news in the dining room and were then involved in the feedback session from the inspector. Residents said they have regular contact with their relatives and friends and that any visitors to the home are made welcome. Some residents receive support from staff to visit their relatives. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 12 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 and 20 Residents receive a good level of support with their personal care and healthcare needs. EVIDENCE: Care plans indicated that residents were supported to attend a range of health professionals. The outcome and any follow up required was documented. Recent reviews of resident’s epilepsy had taken place. One resident was referred to the Speech and Language service to have their eating and drinking needs assessed and the relevant information was available on their case file. Health Action Plans, which are personal plans about what a person can do to be healthy, were discussed with the manager. It was agreed that information would be forwarded to the home. The manger demonstrated a commitment to support residents with the implementation of these. Details of residents medication was recorded on their care plan and their consent to receive medication. Each resident has a wall-mounted cupboard in his or her own bedroom for medication. The CSCI pharmacist undertook a full inspection of the arrangements for the receipt, recording, storage, handling and administration of medication in March 2005 and found that good systems were in place. One resident’s medication was assessed at this inspection and found to be satisfactory. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: Not assessed at this inspection. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 14 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 and 30 Residents live in a homely, comfortable and safe environment. EVIDENCE: The home was clean, comfortable and free from offensive odours. All areas of the home were found to be well decorated and very well maintained. The inspector was advised that a maintenance man attends to routine jobs. The premises are in keeping with the local community. The organisation plans to reprovide the service in a new purpose built home. Plans were still in the very early stage. Residents have been informed. The organisation had agreed to keep CSCI informed of developments. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 15 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): 33 Staffing levels were adequate to meet the needs of residents. EVIDENCE: Rotas indicated and the manager confirmed that there was one staff member on duty at weekday mornings and at all other times there was two staff on duty on apart from Saturday afternoon/evening when there was three staff on duty. The management hours are in addition to this. At night the home continued to have one staff member on a sleep in duty. The staffing levels were satisfactory at the time of the inspection. The manager must continue to monitor the staffing levels to ensure that they are adequate to meet the changing needs of residents. The inspector was informed that the home had no vacant posts. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 16 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 and 42 Resident’s benefit from a well managed home. The health and safety of residents was promoted and protected. EVIDENCE: The manager has many years experience working with the client group and had worked for the organisation for many years. She completed NVQ level 4 in August 2005 and was in the process of completing the Registered Manager award. Throughout the inspection process the manager presented as open, positive and inclusive. A number of required records were examined including fire records, and accident records and were all found to be in good order. Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 17 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 X 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Selly Oak Road (310) Score X 2 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000016962.V259845.R01.S.doc Version 5.0 Page 18 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 Standard YA9 YA19 Regulation 13 (4) a, b, c 12 (1) a b Requirement Risk assessments regarding residents must be kept under review. The home must implement Health Action Plans for all residents. Timescale for action 30/11/05 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. Refer to Standard Good Practice Recommendations Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Selly Oak Road (310) DS0000016962.V259845.R01.S.doc Version 5.0 Page 20 - 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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