Inspection on 23/02/06 for Sign, 100 Bowfell Road

This inspection was carried out on 23rd February 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sign, 100 Bowfell Road 19/04/07

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 Joe Kenny Unannounced Inspection 23 February 2006 11:30 Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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.V278641.R01.S.doc Version 5.1 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.V278641.R01.S.doc Version 5.1 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.V278641.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may have associated mental ill health. Date of last inspection 8th November 2005 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. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out unannounced and took place over four hours on the 23 February 2006. The inspection involved discussions on findings of the previous inspection, opportunity to meet residents, the manager and staff employed at the home. Since the last inspection one resident had moved and two new residents had been admitted. One member of staff was supporting one resident on a hospital appointment, the registered manager was going off duty and the remaining member of staff remained on site. A selection of records and procedures were inspected and a brief tour of the building including one flat was undertaken at the invitation of one resident. The inspection only looked at a limited number of standards, so this report should be read together with the earlier report to get a full picture of how the home is meeting the needs of the residents living there. What the service does well: There continues to be a clear commitment to enabling residents to live in a very independent environment. One resident had moved to his own independent tenancy in the local community since the last inspection. It was equally encouraging to note that staff highlighted some concerns in relation to the individual’s ongoing care, even though it is not directly involved in outreach work. Staff demonstrated a clear knowledge of the individuals living at the home and staff have the necessary skills to support residents whose primary language is British Sign Language (BSL). Brief interaction was held with the two new clients, with the assistance of staff to interpret. The indications were that both individuals were settling in well had previously lived in similar independent settings. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 6 Staff again confirmed that opportunity is taken to hold communal activities such as meals in the lounge and in general the opportunity to come together to socialise in the lounge. 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. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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, 3 and 4 Residents’ are provided with information in relation to the home, to enable them to make informed choices as to where they live. EVIDENCE: There were three resident in at the time of the inspection, two residents out on community based activities and one resident in hospital. The resident in hospital was receiving regular visit by staff as part of the home support to the resident and staff in the hospital. Information relating to the two most recent admissions to the home indicated that each individual was assessed in terms of their needs and had been given the opportunity to visit the home prior to taking up a place. Discussion with the manager confirmed that issues relating to care and any identified risks were assessed and strategies put in place to mange any identified issues. All residents at the home continue to be self caring and at present no service user required hands on support in relation to personal care. This was evident from records relating to the support offered by key workers to residents living there and from observations of resident’s daily living routines. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 9 The manager stated that the two new residents had been given the opportunity to take up a trial visit prior to their admission. The manager confirmed that discussions relating to the individuals care needs had been received by the home in order to set out the individuals support plan. All residents and staff communicate in British Sign Language (BSL), which is the residents’ first language. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 8 Individual care plans identified the assessed and changing needs of individuals. The plan of care reflected the choices and preferences of residents. EVIDENCE: Information on residents’ care plans contained information from the time of admission and daily recording demonstrated support offered and how the individual spent their day. The member of staff on duty spoke about how she supported an individual resident as key worker and the larger group. This demonstrated a clear understanding of the principle of key working and support to all residents. Plans of support continue to be informative and developed in direct consultation with individual residents. The inspector was invited by one resident to view his flat. The resident confirmed that he was free to organise how he spent his day and communicated about his interests and how he was supported to pursue his interest. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 11 The resident further confirmed he retained responsibility for daily tasks such as purchasing his own provisions and preparing his own meals. The resident was supported to draw up a plan of meals for the week to assist in shopping arrangements. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 16 and 17 The residents are encouraged and supported to be directly involved in all aspects of daily living and benefit from opportunities for personal development. EVIDENCE: The life style and daily routines of residents are clearly established in consultation with each individual. All residents live in individual flats designed to meet their individual needs. Each flat offers lounge/dining area, entrance hall, fitted bathroom and kitchen facility. The lay out of the flat enables each individual to maintain a very independent lifestyle and retain responsibility for all daily living tasks and social arrangements. It was also evident the none of the residents required any form of personal care in relation to any aspect of daily living. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 13 The location of the home also enables residents to maintain contact with all local and community based resources for personal and social interests. Staff stated that the communal area on the ground floor is used to hold group meetings, meals and social events. Residents continue to access the facility during the day, however the majority of time is spent in the privacy of their own flats. There was an evident emphasis on opportunities for personal development. This was evident from records, observations and the opportunity to visit one resident in his own flat. The residents in the home come together at agreed intervals to have tenancy meetings to discuss any issues of concern. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 an 20 Residents receive support on personal and healthcare issues from qualified staff in the way they prefer and require. EVIDENCE: No resident required direct support in relation to personal hands on care. The residents living in the home retain responsibility for all aspects of daily living and are supported by qualified staff designated to individuals as their key worker. All staff are skilled in British Sign Language and consult with residents as to the level of support they require. This was evident form discussions with staff and observations of staff interaction with residents. Staff supported the inspection and assisted the inspector to communicate with residents. Brief discussions were held with the residents most recently admitted to the home and with one resident who welcomed the inspector to view the facilities in his flat. All indicated that they were happy with the accommodation and support they received. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 15 All residents retain responsibility for their own medication. Residents attend health practices and will collect their own prescriptions and medication. Medication is held in their own secure flat, staff are present at the time medication is self administered by individuals and will sign the medication administration records to confirm they have witnessed medication being self administered. Residents also sign the medication records. Procedures relating to medication were clear and understood by staff. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Procedures relating to concerns, complaints and protection safeguarded residents from abuse. EVIDENCE: The home had clear policies and procedures relating to listening to residents views and concerns and procedures were in place to protect residents from abuse. Residents and their representatives have access to the homes complaints procedure, which is available in a format appropriate to the needs of individuals living in the home. No complaints had been received by the home or the Commission for Social care Inspection. The home had a policy on the Protection of Vulnerable Adults from Abuse. The home is advised to retain evidence of training provided to staff on this topic. The policy adopted by the local authority was not readily available at the time of the inspection; the home must ensure the document is available at all time to staff on duty. The home is also advised to retain documented evidence that all staff had been given the opportunity to read the Local Authority procedures relating to Adult Protection. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The residents lived in a homely, comfortable and safe environment. EVIDENCE: The home is purpose build and provides each individual with their own self contained flat. Residents retain responsibility for all domestic arrangements and are assisted by staff to maintain the communal lounge area on the ground floor. Two new admissions had taken place since the last inspection. The manager confirmed that each flat had been redecorated and furnished prior to residents moving in. The home was clean comfortable and had a pleasant relaxed atmosphere. The communal lounge on the ground floor offers appropriate seating, dining and kitchenette facilities for making drinks and light snacks. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 18 The grounds are secure and offer external landscaped gardens and patio area from residents to access in good weather. Residents have access to garden furniture and a barbecue area in the gardens. Car parking facilities are marked out on the grounds to the side of the building. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 36 The roles and responsibility of staff are clearly set out and staff are supported and supervised by the manager. EVIDENCE: The staffing structure for the home included the registered manager, team leader and six support workers. The staffing hours for the period covering the inspection 20 to 26 February 2006 indicated that 226.5 day hours were provided to residents for that period. The manager indicated that there was one vacancy in the staff team, these hours are covered by contracted staff from the home or by staff from the Chorlton home run by Sign. The night hours are covered by one person on sleep in/on call duty. Internal communication systems ensure records are maintained of the support offered to residents and there are formal hand over sessions between shifts. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 20 Staff on duty confirmed that training programmes are available to staff and that programmes of formal supervision session take place on a regular basis. The member of staff also stated that monthly staff meetings are held in the home. All staff are skilled in communicating with residents through BSL (British Sign Language), the residents primary language. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The above standards were inspected on the previous inspection and found to be in order. No further assessment was conducted on this inspection. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 22 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 X 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X X X X X X X Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NO 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 YA23 Regulation 13 Requirement The home must retain evidence of training in Adult Protection procedures provided to staff. Timescale for action 28/04/06 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 Refer to Standard YA23 Good Practice Recommendations The home is advised to retain documented evidence that all staff had been given the opportunity to read the Local Authority procedures relating to Adult Protection. Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Sign, 100 Bowfell Road DS0000005599.V278641.R01.S.doc Version 5.1 Page 25 - 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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