Inspection on 29/01/07 for 85 Park Road

This inspection was carried out on 29th January 2007.

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

85 Park Road 02/02/06

85 Park Road 12/08/05

85 Park Road 11/11/04

85 Park Road 25/06/04

Similar services:

SignHealth

Mere Hall View

Beechfield Lodge

Christopher Grange (Rhona House)

Auden House

Deafway

Sign, 100 Bowfell Road

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

CARE HOME ADULTS 18-65 Sense 85 Park Road Accrington Lancashire BB5 1ST Lead Inspector Mrs Christine Marshall Unannounced Inspection 29th January 2007 10:00 Sense DS0000038926.V323520.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 Sense DS0000038926.V323520.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. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sense Address 85 Park Road Accrington Lancashire BB5 1ST 01254 397937 01254 397274 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) www.sense.org.uk Sense, The National Deaf-blind and Rubella Association *** Post Vacant *** Care Home 5 Category(ies) of Sensory impairment (5) registration, with number of places Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: 85 Park Road provides 24-hour residential accommodation and personal care for 5 younger adults (aged 18 to 65 years) with sensory impairment, physical disabilities and learning disabilities. The home is part of the larger organisation of Sense, which is the largest specialist voluntary organisation in the United Kingdom working with people with deaf blindness and associated disabilities. Park Road is a detached purpose built house, located in a residential area of Accrington. It is within walking distance of shops, a public house and a park. There are good public transport links nearby and the home provides mini-bus transport for service users. Outside is a pleasant side garden with outdoor seating and parking for four cars at the front. There is a lounge on the ground floor, a dining room, conservatory, kitchen and laundry. There are single en-suite bedrooms on the ground and first floor. A staircase accesses the first floor. The allowances for residing at this home are in accordance with the funding authority guidelines. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to Park Road and the visit took place from midmorning to early afternoon. Time was spent with three of the five people who lived at the home, interacting with them, and looking at their care records. Staff were spoken with and daily routines were observed. A walk around the home included looking at bedrooms, the lounge and dining room, toilets and bathrooms. This was to assess whether the house provided a comfortable, homely environment, and to ensure the service users’ safety. One relative and one GP sent comment forms prior to the visit, which were satisfactory in their comment. The manager completed a pre-inspection questionnaire before the visit, which was very informative and enabled the visit to be pre-planned. Everyone at the home was friendly, welcoming and co-operative throughout the visit. What the service does well: As was found on the previous visit to the home, everybody enjoyed lots of daily activities and hobbies of their choosing, and each deaf blind person had staff support to help them to lead interesting and fulfilling lives. Each service user had a detailed plan of care, so all the staff knew what each person’s needs and wishes were, and how these were to be met. The staff training was very good and this ensured that staff understood how to support service users properly. Service users and staff got on well together and staff respected privacy and dignity. Service users gave many non-verbal indications that they were content with the home, the staff and meals, and seemed happy living at Park Road. The house was spacious, clean and warm. Sense DS0000038926.V323520.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Sense DS0000038926.V323520.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 Sense DS0000038926.V323520.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides enough information about their service, and gathers good information about prospective service users, so that their needs can be met. EVIDENCE: There were pre-admission assessments and these made sure that the prospective service users’ strengths and needs were identified, and that the home could provide the care that was needed. The service users were unable to say that they had been visited before going into the home. Staff were able to confirm that service users were welcomed on visits before they moved in. Generally all service users were assessed by the same tool, thus promoting equality of assessment and care provision. Sense DS0000038926.V323520.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and risk assessments reflected each person’s preferred way of life, and that health and welfare needs were met. EVIDENCE: Care plans are written records that describe the care that is given to each person living at the home. Each service user had an individual plan of care, based on a person centred approach, which helped staff to get to know each person’s needs and wishes. These reflected the complexity of his or her needs and detailed how these were to be met. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 10 Aims for care, including communication and coping strategies were very clear, as were any limitations, risk assessments and the reasoning behind this. The ethos of the home is that of equality and making positive statements, to improve each deaf-blind person’s quality of life, promote independence, happiness, satisfaction and social inclusion. Care plans were updated regularly with the involvement of the people concerned such as families and the deaf-blind person’s key-worker. Sense DS0000038926.V323520.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training promoted and protected service users’ rights to independence, choice, privacy, freedom of movement and nutritional preferences. EVIDENCE: Service users and staff worked together to improve practical skills such as cooking, shopping and household chores and service user choice was positively promoted. Staff explained how service users made food-shopping choices and how individual choice and ‘healthy eating’ was promoted in flexible menu planning. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 12 Service users enjoyed their meals and used the kitchen when they wished for drinks and snacks. Staff said that visitors were made welcome and they encouraged and enabled service users to keep in touch with family and friends. One service user was away from the home, staying with family for the weekend, another was attending college. Disability was not seen as a barrier and service users enjoyed a variety of individual hobbies and interests. These included going shopping, horse riding, swimming, going to the pub, church and cinema, beauty treatments, keep fit, walks, day trips and holidays at home and abroad. College courses were also available. Public transport is used to get out and about, or the home has a mini bus. Records showed that staff supported service users in something of their choosing every day. On the day of the visit, two several service users were taken to the shops for personal items and a choice of sandwich for their lunch. Staff were also busy planning a holiday so that the house would be quiet whilst it was being redecorated. Within the house, service users had privacy in their own bedrooms if they wanted, with a flashing doorbell to gain attention. Daily routines were flexible and each person’s communication interpretations were known and their decisions respected by staff. Restrictions on lifestyle choices were minimal, were noted as part of each person’s care plan as part of a formal risk assessment and understood as being in their best interests. Sense DS0000038926.V323520.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were supported and treated with dignity and respect. There were systems in place for the safe administration of medicines. EVIDENCE: Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 14 Staff ensured that service user choices about personal routines, such as getting up/going to bed times, bathing, clothes choice and going out were respected. Personal care needs and strengths were recorded in care plans and staff helped sensitively and discreetly. Each person had a detailed routine plan and record, to ensure continuity of care. Staff closely monitored healthcare needs. GP, outpatient and other medical check visits were planned and recorded and service users were supported to attend clinics. There were safe medication storage, recording and administration policies and procedures, which were followed by staff who had undergone accredited training. Sense DS0000038926.V323520.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected through organisational policies and procedures and staff training programmes. EVIDENCE: There was a complaints procedure in the policies file, which staff had signed to indicate their understanding. Throughout the visit, service users were seen to indicate their feelings and requests, which were listened to and acted upon by staff. There had been no complaints since the last inspection and a relative’s comment card said that they had no complaints or concerns about the home. The home had an adult protection procedure and a copy of “No Secrets in Lancashire”. Staff said that they knew about this. Staff had also received training in protecting the service users. Although the staff were given copies of the General Social Care Council Code of Conduct for Carers, it is recommended that records of each member of staff Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 16 reading and understanding this document be kept, to make sure that staff are aware of their responsibilities and duty of care. Further policies and procedures regarding service users financial affairs and challenging behaviour were adhered to. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users were provided with a homely and comfortable environment that was suitable for its stated purpose of supporting younger adults who have a sensory impairment. EVIDENCE: The house is spacious, near to local transport, shops and other amenities. The furniture, fittings and decoration were reflective of equality of necessity, choice and preference; all furnishings were of good quality, domestic in style and renewed regularly. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 18 The home was bright, warm, clean and comfortable and although there was a good standard of décor, plans to redecorate within the next two weeks are in place. The property was necessarily clutter-free, but service user’s personal belongings and artwork gave the house a diverse and homely feel. The home had been designed for people with sight and hearing loss, with aids and adaptations for their independence. For example grab rails and colour contrasts on the stairs, a pull cord alarm system, loop system in the lounge, text phone, mini-com and alarm to the front door. Wide doorways had ‘objects of reference’ nearby, to enable recognition of the purpose of the room such as knives and forks and spoon to denote the kitchen and dining room. Raised and textured letters were fitted to some doors to allow tactile identification. Bathrooms had mobility aids and adaptations. Each deaf blind person had a spacious single en-suite bedroom, which was private with door lock and doorbell with light. En-suites were either bath or shower. Service users had personalised their bedrooms with their own belongings and enjoyed spending time in their private space. All the service users who were at home gave indications by their behaviours, body language and individual ways of communicating, that they were happy living at Park Road. They clearly felt at home and freely used the rooms as they pleased. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment policies and procedures were in place and service users were protected and supported by appropriately trained staff. EVIDENCE: Staff files, records and other documents along with discussions with staff, showed that satisfactory information such as identity checks, references and Criminal Records Bureau checks were obtained before staff were appointed. Staff members had a pleasant manner and relaxed and friendly relationships were enjoyed between service users and staff. The manager was confident that the staff team understood the changing needs of service users and gave appropriate support. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 20 Staff also had good knowledge of care plans and their role in supporting service users and explained how such matters were discussed in their regular supervision sessions with senior staff and at staff meetings. Induction and foundation training is in place and staff talked about National Vocational Qualifications (NVQ). Staff said that there had been recent certificated training in medicines administration, health and safety matters, protection of vulnerable adults and care practices relating to the special needs of deaf blind people. Over half the staff team (60 ) had completed NVQ to at least level 2 training. Staff related well to service users’ personal interests and there were sufficient numbers of staff were on duty to meet everyone’s needs. There was a good staff team mix, which reflects a wide range of values and experiences. Although staff had been given copies of the General Social Care Council Codes of Conduct, there was some uncertainty about whether each member of staff had read and understood this. It was recommended that records be kept of each member of staff who had familiarised themselves with this and how compliance with the codes should improve the lives of service users. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is adequately managed and service users health and safety is monitored and supported. EVIDENCE: The acting manager is in the process of registering with the commission and the home is being managed on a satisfactory level. One relative spoke very highly of the new acting manager in respect of the care given during her son’s recent spell of illness. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 22 Throughout the visit, service users showed their opinions in different ways, through action, sign, behaviour and body language, and it was clear from staff reactions that their views were taken seriously and acted upon. Every service user had a staff key-worker, who helped to make sure that their personal development was linked to their care plan. Service users relatives also acted as advocates in influencing change and securing improvements and their involvement was recorded. The home organises an annual ‘family day’ and has a fund raising committee of family and friends, which provided further opportunities for gathering feedback and involving stakeholders. Staff explained that they have weekly team meetings and agendas showed that suggestions from staff and service users were discussed. External quality monitoring was provided by monthly inspections from headquarters staff. The home had very good health and safety systems and staff protected the health and safety of everyone at the home by following procedures: All the staff had induction and on-going training in moving and guiding service users, first aid, fire safety, infection control and food hygiene. Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X 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 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 24 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. Standard Regulation 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. Refer to Standard YA31 Good Practice Recommendations 1 This recommendation carried forward from the last two inspection: The manager should ensure and record that staff are familiar with the GSCC codes of conduct, and how compliance with these codes improves the lives of service users. The now appointed manager should seek registration with the Commission as soon as possible. 2 YA37 Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Sense DS0000038926.V323520.R01.S.doc Version 5.2 Page 26 - 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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