Inspection on 19/04/07 for Sign, 100 Bowfell Road

This inspection was carried out on 19th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Sign, 100 Bowfell Road 23/02/06

Sign, 100 Bowfell Road 08/11/05

Sign, 100 Bowfell Road 09/02/05

Sign, 100 Bowfell Road 13/07/04

Sign, 100 Bowfell Road 26/03/04

Similar services:

SignHealth

Mere Hall View

Beechfield Lodge

Christopher Grange (Rhona House)

Sense

Auden House

Deafway

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

CARE HOME ADULTS 18-65 Sign, 100 Bowfell Road Bowfell Road 100 Bowfell Road Urmston Manchester M41 5RR Lead Inspector Sylvia Brown Unannounced Inspection 19th April 2007 10:00 Sign, 100 Bowfell Road DS0000005599.V335416.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 Sign, 100 Bowfell Road DS0000005599.V335416.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. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sign, 100 Bowfell Road Address Bowfell Road 100 Bowfell Road Urmston Manchester M41 5RR 0161 747 8156 0161 747 2566 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) Sign The National Society for Mental Health & Deafness Mr Michael Payne Care Home 6 Category(ies) of Sensory impairment (6) registration, with number of places Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may have associated mental ill health. Date of last inspection February 2006 Brief Description of the Service: Bowfell Road is registered as a care provision to provide accommodation within self-contained flats for up to six service users within the category of sensory impairment. Service users may also have associated mental ill health. The accommodation comprises of six, single, self-contained flats with en-suite bathroom, lounge and kitchenette. The design and lay out of the building enables those residents living there to lead independent lives. The grounds are spacious and there is a car parking facility to the side of the building. The home is situated in a residential area of Flixton and is close to local shops and leisure centre. The home is close to public transport routes and there is easy access to local motorways. The home employs skilled staff, trained in communicating, using British Sign Language. The current charge for accommodation and support service is £1,186 per week. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Sign Bowfell Road was an unannounced key inspection which means that all the key standards in each outcome area were looked at. This home has been inspected on a number of occasions and has been found to main a high standard in all aspects of its service. This inspection showed that the same high standard continues. Prior to the inspection the home completed a pre-inspection questionnaire that asks for specific details about various parts of the service,some of the answers were further discussed at the time of the inspection. Time was spent with Tenants (the preferred name to be used by those who people who use the service) and observing their daily routines and support provided by staff. Two tenants kindly showed the inspector around their private flats and talked about the support they received. Comments cards were provided to all tenants. The service provided independent advocacy services to support tenants to complete those comment cards. At the time of writing the report none had been returned, however tenants did speak with the inspector during the visit to Bowfell Road. Most tenants have lived at the home for some considerable time, and their care packages had been discussed at previous inspections, as a consequence only one tenant was case tracked at this inspection. This means their files and care support were looked at in depth. They were spoken with and their opinion about the service was sought. The care of two others tenants were also looked at though in less detail. Where appropriate and relevant comments made and received have been included within the body of the report. The inspection visit took place over one day, in addition to talking with tenants time was spent with the registered manager and staff team. There is a separate easy read summery available about this report which can be obtained from the Home and or CSCI. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 6 What the service does well: Bowfell road provides an overall excellent standard of support to people who are deaf and have associated mental ill health. To ensure tenants are kept fully informed, information is provided prior to admission and ongoing which explains the services offered and any changes in practice and procedures. Information is in formats suitable to meet the various needs and understanding of all tenants. Tenants rights as individuals are promoted. They are fully consulted about any assessments and records about them. They are able to say what they want from the service and how much support they need. Their independence is promoted which means that all tenants live their everyday lives as they desire. They are able to make choices and decisions for themselves and take risk as any other person does within society. Advocacy services are willingly provided by the home to enable tenants independent views be made know and recognised both within the home and wider community. Such practice support tenants to develop self worth and gain confidence when dealing with everyday life within and outside of their home. The home has appropriate aids and adaptations suitable to support those who are deaf. Health and safety systems are in place to ensure that Bowfell Road is a safe place to live. Tenants have a say in how the home is run and they meet regularly without staff to discuss any matters within the home. Any issue arising is then taken to the manager who acts on requests and suggestions for change where relevant to the service or individual. Tenants have a staff team to support their individual needs. The team is of mixed age, sex, ethnicity and experience. Some are hearing, all are fluent in sign language. This ensures that tenants have a variety of people who they can get support from and that those people have the skills and abilities to met their needs. The home is run in an open and friendly manner. The tenants have equal say on how the home is developed. They take control and have responsibility for their own lives and are supported to have everyday life experiences. The tenants are protected from abuse by a staff team who are trained in adult protection. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 7 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. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 8 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 Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who may need the service have the information needed to chose a home which will meet their needs EVIDENCE: The home has extensive information about the services they offer. All information is available in formats, which meets the needs and understanding of those who are deaf and who have an associated mental illness. Prospective tenants are able to visit the home, look at the accommodation and meet with other people who use the service before making any decisions about their future. The process for moving in is individually planned and takes as long as the prospective tenant wishes. Information relating to the one new admission indicated the tenant had been extensively consulted about their needs, wishes and aspirations. Their moving in process was lengthy and detailed records were maintained of all pre admission visits. Each tenant is provided with a written contract which is explained to them. After agreement the contract is signed by the tenant. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 10 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): 6,7,8,9 & 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are involved in the decisions about their lives and play an active role in planning the care and support they receive. They are able to live as independently as they desire. EVIDENCE: Care plans and files contained extensive amounts of relevant information on the tenants. Consultation processes were clear and information was in formats suitable to meet the needs of individuals. Routine and annual reviews and assessments were in place which the tenant was fully involved in. They are able to direct their own care support packages and inform the home what their personal wishes are regarding the amount of support they require. If preferred or required, tenants have direct access to advocates who can act on their behalf and ensure their independent views are made known and understood. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 11 Direct observations and records demonstrated that tenants are able to live as independently as they desire and are safe. The tenants confirmed at the inspection that they are able to make their own decisions about their daily routines and longer term plans. Because tenants are supported and enabled to live independently, they are also able to take everyday risks, some of which can have a negative affect on their health and welfare. They are consulted with about their risk taking, and the consequences. Where risk is agreed to be managed between the tenant and the home, risk management plans are in place. Where serious risks are involved, additional professionals are consulted regarding the long-term protection of the tenant. Tenants are aware that information is stored about them and were observed providing personal information to the manager for safekeeping. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15,16 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their lifestyle and are supported to develop and maintain their life skills. EVIDENCE: Throughout the inspection it was evident that all tenants lives as they desired and took control of their own life styles and routines. They were observed entering and leaving the home independently. Tenants confirmed that they go out into the community and have everyday life experiences. They are encouraged to join leisure centres, libraries and visit places of interest. Support is given to those wishing to seek employment and further education training. At the time of the inspection tenants were in the process of making decisions about their annual holiday. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 13 The tenants meet together and discuss aspects of the home and are able to influence change. Their individual accommodation supports them to live as independently as they desire, however communal areas are available and are places where tenants can meet with each other and socialise. Tenants have their rights respected and receive support services from staff and as stated earlier in the report from advocacy services. The home does not provide meals, rather the tenants make all their own meals as they require within their own flats. Light meals and snacks can and are made within the communal kitchen area when tenants meet together. Staff support tenants where required to budget for food and assist in the planning of meals to ensure that tenants are aware of what a healthy diet is. All tenants have the right to form personal relationships as they desire. They have the opportunity to invite family, friends, partners etc to stay overnight in their flats. Tenants are expected to inform those in charge that someone is staying so that they know who is in the building in the event of fire. Visitors are informed of fire procedures and are shown emergency exits and meeting points. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 14 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): 18,19,20 & 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The principles of respect, dignity and privacy are put into practice. Health and care support is provided where required. EVIDENCE: All staff are skilled at British Sign language and consult with the tenants in their first language regarding their health and care support needs. The tenants choose when they require support from staff. The primary aim of the service is to enable the tenants to care for themselves and have control over their own lives. Throughout the inspection some tenants were observed acting independently and attending to their own health care needs, whilst others were observed to prefer support from staff. At the time of the inspection no tenants required personal care support. Tenants take responsibility for managing and administering their own medication, some under supervision others totally independently. Tenants sign to confirm that they have taken their medication and administration records Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 15 are signed where staff witness medication being taken. The home continues to record all medications entering and leaving the premises and systems are in place to monitor medication and its safe storage. Records clearly identified that tenants physical and emotional health care needs are assessed and monitored. Specialist support services are obtained where required. For those service users who have fluctuating health care needs, additional support systems and services were in place to meet their individual physical, mental and emotional needs. Plans to ensure that tenants last wishes and feeling are know are currently underdevelopment by the organisation. Independent advisors are being sought in order to ensure that tenants are appropriately and independently consulted. Bereavement counselling is also being explored for future use. One tenant at the request of the parent has been supported to make a will. Independent advisors and solicitors have been secured in order to protect the tenants interest. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 16 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns. They have access to an effective complaints procedure and are protected from abuse. EVIDENCE: The home has a complaints procedure in place and additional literature informing tenants of how to make a complaint and or raise concerns. Tenants meet independently together to talk about routines within the home. The record of those meetings demonstrated that tenants feel able to express their views on how the service could be developed. During the inspection tenants stated they were listened to and had no complaints to make about the home, manager or any members of staff. The pre-inspection questionnaire stated that no complaints had been made about the service. The deaf community is reluctant to discuss issues around abuse, however staff stated that they have ensured that tenants are aware of how to report any issues of bad practice and concerns. The staff team have training programmes in place which includes training in adult protection procedures. Sign, 100 Bowfell Road DS0000005599.V335416.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): 24,25,26,27 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Sign Bowfell Road enables people who use the service to live in a safe, wellmaintained and comfortable environment, which encourages their independence. EVIDENCE: Bowfell Road is a purpose built home which supports the people who live there to live independent lifestyles. Each tenant has their own flat which has a lounge/ bedroom area, kitchen facilities and a bathroom. Two tenants kindly offered to show their flats to the inspector. Both were individual in their layout, decoration and possessions. Tenants have their own door keys to both the main building and their flat. Aids and adaptations are in place to support their individual and collective needs. These include flashing door bells, fire alarms, and vibrating pillows. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 18 The communal areas were clean and fairly well maintained. Within the past year, some upgrading has taken place which includes the communal kitchen area. Plans continue to upgrade fixtures and fitting within at least one flat and parts of the communal lounge. At the time of the inspection tenants shared laundry facilities, however arrangements are in place to seek tenants individual preference to have private laundry facilities within their own flats. Tenants and staff take responsibility for maintaining the cleanliness of the communal areas, with tenants looking after their own flats as they desire. Sign, 100 Bowfell Road DS0000005599.V335416.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): 31,32,33,34,35 & 36 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The staff are trained and skilled at supporting people who use the service. EVIDENCE: Sign operate robust recruitment and selection procedures. Staff have face to face interviews and statutory checks are completed before successful candidates start work. Tenants meet prospective staff who are invited to visit the home, afterwards tenants are then consulted about their opinions on the people they have met. If successful the applicant then completes a full induction procedure and a trial period of employment. All members of the staff team have British Sign language skills and communicate affectively with tenants. The duty rota identified that sufficient staff are on duty to support the individual needs of the tenants. The staff team meet regularly as a group and receive individual supervision. Training programmes ensure that they are kept up to date with best practice and continued development monitored by the manage team. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 20 80 of the staff team have NVQ training at level 2 or above and seven staff hold first aid certificates. Sign, 100 Bowfell Road DS0000005599.V335416.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): 37,38,39,41 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of Bowfell Road is based on openness and respect. A competent manager safeguards the tenant’s welfare. EVIDENCE: The manager was registered with the CSCI in 2004 and has completed NVQ training at level 4 and the Registered Managers Award. Throughout the inspection tenants were observed interacting with the manager and staff team. Positive relationships had formed and trust was clearly evident by the tenants in the manager and staff team. Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 22 The manager and staff team have a relaxed manner, which enable tenants to talk through concerns, share their opinions and seek advice when required. The views of tenants are sought and acted upon, with tenants having their own independent meetings within the home. An annual quality assurance is completed and information received contributes towards Signs annual review. Advice has been given to produce feed back to tenants which is also specific to the findings of Bowfell Road. Health and safety systems were in place and up to date. Good record keeping identified that routine and regular checks are made throughout the home to ensure the safety of the tenants and staff. Adaptations were in place to ensure that tenants and staff were alerted in the event of a fire. Advocacy services are provided which provides the tenants with independent advice and guidance. Tenants are kept involved with review processes and lead the way in which their care support packages are developed. Sign, 100 Bowfell Road DS0000005599.V335416.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 4 2 4 3 3 4 4 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 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 3 3 x 3 4 x Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 24 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. 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 Good Practice Recommendations Sign, 100 Bowfell Road DS0000005599.V335416.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Sign, 100 Bowfell Road DS0000005599.V335416.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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