Inspection on 08/11/05 for Sign, 100 Bowfell Road

This inspection was carried out on 8th November 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 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 23/02/06

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 8th November 2005 10:00 Sign, 100 Bowfell Road DS0000005599.V284608.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.V284608.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.V284608.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.V284608.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 9th February 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. At the time of this inspection there were six service users living at Bowfell. The accommodation comprises of six, single, self-contained flats.. 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 Flexion 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 staff that is trained in communicating, using British Sign Language. Sign, 100 Bowfell Road DS0000005599.V284608.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 6 hours on the 8 November 2005. The inspection involved meeting residents, the manager and staff employed at the home. A number of staff were on duty providing support to residents. Discussions were held with staff. Staff assisted in consultation with residents. A selection of records and procedures were inspected and a brief tour of the building and two flats were undertaken with residents’ consent. 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: The support offered to residents is clearly aimed at promoting and enabling residents to live independent lives. Residents were observed to go about their daily chosen tasks, to access the home through use of their own front door key and all residents held a key to their own flat. Issues relating to privacy were well established and staff were observed to ring the call button, which alerts residents to the fact some one is at their door. The manager and staff confirmed that they would not enter a flat with out the resident’s consent. The emphasis on independent daily living in the home was also complemented by a strong emphasis on community integration and meaningful life experiences. One resident was being supported by the home to realise a move to his own flat in the community. Promoting independence was understood by staff and was evident in discussions and staff practices. The manager demonstrated developments in literature to support internal communication systems and documents such as tenancy agreement and service users guides were developed in pictorial form. The development of records and documents was carried out in consultation with residents. Care plans gave a lot of information about what the resident liked, how they communicated and things that were important for the staff team to know about. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 6 No requirements or recommendations were made following this inspection. 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.V284608.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.V284608.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): 2 Prospective residents’ individual aspirations and needs were well assessed. Residents’ needs and aspirations were respected and responded to appropriately EVIDENCE: All residents had a planned admission that involved a full assessment of needs being completed. Prior to any admission, risks were assessed to make sure the home could meet the needs of the prospective resident. Residents live in self contained flats comprising of lounge dining area off their own entrance hall, fitted bathroom suite and fully functioning kitchen facility. All residents have keys to their own flats and the main door to the home. All residents and staff communicate in British Sign Language (BSL), which is the residents’ first language. The home had taken positive steps to review and develop all documents in an appropriate format and easily understood through use of images and pictures. A sample of documents seen on the day included the resident’s tenancy agreement and service users guide. The information was informative and clear. Residents were observed to move about the building with freedom and staff were present to support residents where needed. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Residents’ care plans and programmes of support clearly identified their needs and goals. Residents are consulted on matters relating to their care. EVIDENCE: Information on residents’ care plans was informative. Documents contained information from the time of admission and staff demonstrated through discussion that they were aware of the levels of support each individual needed. Plans of support are clearly written, with complete involvement of individual residents. A clear objective of the home was to enable residents to live as independent lives as possible. At the time of the inspection no resident required hand on support for any aspect of daily living tasks. Staff confirmed that all residents retain responsibility for all other personal aspect of living such as budgeting, catering and their financial affairs. Residents are supported by staff to set up their own savings plan for future purchases and holidays. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 10 Residents contribute to and are actively involved in planning and review of their own care. Issues relating to risk are discussed with individual and support offered by staff where required. Residents are consulted on development and review of policies and procedures which have a more direct impact on their lives. Corporate policies and procedures relating to the management and administration of the service are established by Scope, the registered charity. Through the assistance of staff, residents confirmed their appreciation of the support provided to them and also indicated that they did live very independent lifestyles. Residents demonstrated how they spent their time and pursued their interests, one resident indicating his desire to move to his own flat in the community. It was encouraging to note that in the period following this inspection the Commission received confirmation that the resident had realised his goal. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 13, 14 and 16 The residents benefited from opportunities for personal development and the rights of residents to live independent lives was recognised and respected as the homes aim and objective. EVIDENCE: From discussion with staff it was also confirmed that none of the residents required personal care in any aspect of daily living. All residents remain independent and retain responsibility for all aspects of their daily life. Residents continue to access local and community based resources for personal and social interests. Some residents continue to be involved in voluntary and paid employment and some attend local colleges. The manager confirmed that the leisure centre directly opposite the home is accessed regularly by residents either independently or as a group. The manager also accessed a membership for the local DVD Library and residents can use it to choose DVDs. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 12 The only communal area in the home is the lounge on the ground floor. Staff and residents can freely access this area during the day. The residents consulted with confirmed that they access community resources on a regular basis. This was also evidence from observations by inspectors on the day of the inspection. Staff supported and assisted residents to plan menus and to budget for shopping in accordance with their planned menu. When visiting one resident’s flat there was evidence of planned menu’s located on notice board in the kitchen. The resident confirmed that the menu plan was chosen by him. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Residents receive personal support from qualified staff in the way they prefer and require. Residents retain responsibility for their personal and health care issues. EVIDENCE: A clear objective of the service was to enable residents to develop daily living skills and responsibility for their personal and health care needs. As indicated, a strong feature of the way the home was managed included residents having control over their lives, privacy and dignity. Residents are supported by the staff team on health care issues and this is managed through the key worker model with each resident having a named member of staff as their contact support worker. Information is recorded and monitored by key workers and management staff, through daily recordings; supervision and internal review procedures, to ensure needs are met. Residents continue to self medicate and collect their own medication from the pharmacy. The staff support the residents; both the resident and member of Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 14 staff signed the Medication Administration Record. Staff are not directly involved in the dispensing process but will sign to confirm and witnessed medication is taken. The home had produced a very informative, detailed chart of medication with a colour photo of each tablet. The supplying pharmacist provides training. Residents go out to attend health care appointment in the community. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The residents’ views were listened to and systems were in place that safeguarded them from abuse. EVIDENCE: The home had a complaints policy and clear guidelines on persons to contact to address any concerns about the service. Information about making complaint was made available in a format residents could understand. 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. From discussions with staff, they were aware of the issues of adult protection and the safeguards necessary to ensure the resident’s were not at risk of abuse. Records also confirmed that training had been provided to staff on this subject. The home must ensure that the corporate policy on Adult Protection is crossreferenced with Local Authority procedures and guidelines. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 26 The residents lived in a homely, comfortable and safe environment. EVIDENCE: The building is purpose built and offers each resident an individual flat designed to meet their daily needs. All residents hold a key to the front door and to their own flat. Grounds are spacious and offer pleasant landscaped area to the rear of the home. Car parking facilities are to the side of the building. The home was comfortable and had a pleasant relaxed atmosphere. The communal lounge on the ground floor offers appropriate seating and dining facility. There are facilities for making drinks and light snacks and the room can be accessed to watch television. A tour of the home included visiting two residents in their own flat. The lay out of each flat and domestic arrangement’s remain the responsibility of each individual. Each flat is suitably furnished to meet residents’ needs and choices. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 35 The staff team were highly motivated, skilled and competent in supporting the residents, in particular their sensory needs. EVIDENCE: The registered manager held the necessary skills and qualifications relevant to his role. The current manager had been registered by the Commission and demonstrated a commitment to training and development issues for all staff Staff confirmed that the manager held regular supervision sessions and was supportive to staff recently recruited to the home. Staff were deployed on a daily basis and are present to support residents in the home and on community activities. A minimum of two staff were on duty at all times and one person on sleep in/on call during the night hours. Individual discussions were held with staff, which demonstrated a commitment and enthusiasm in their role. Programmes of training are well established and monitored by the manager of the home. Staff had received training in POVA procedures, thee day Mental Health care course and in Diabetic Awareness. The indications were the Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 18 training programmes were planned around the assessed needs and support required by resident’s as a means of ensuring staff were skilled an informed. All staff were skilled in communicating with residents through BSL (British Sign Language), the residents primary language. 50 of staff had an NVQ in care with other members working towards achieving the award. The home provided an appropriate gender mix within the staff team. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 The residents’ safety was promoted through established management and administration procedures developed by Scope. EVIDENCE: The home was maintaining good fire testing and maintained an accurate record. The staff spoken with confirmed a range of training on health and safety issues is provided by the home. Procedures were in place to monitor any repairs and maintenance issues and staff assisted residents to manage identified risks within their flat. Residents are consulted on individual issues by their key worker and internal tenancy meetings are held to discuss communal issues. The management style was observed to be open and staff and residents interacted and communicated in a positive and professional manner. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 20 The home had also developed a consultation process to ascertain the views of residents. This is conducted by a member of staff, employed by Sign who is not directly employed in the home. This audit is carried out annually and the manager also conducts an internal monthly questionnaire with residents. The manager was in the process of doing a summary report on the feed back from residents. Appropriate tests and checks are carried out in relation to fire systems, sounders and containment. Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 2 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 x 13 3 14 3 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x 3 x x x x 3 x Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 22 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 ensure that the corporate policy on Adult Protection is cross-referenced with Local Authority procedures and guidelines. Timescale for action 22/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sign, 100 Bowfell Road DS0000005599.V284608.R01.S.doc Version 5.1 Page 23 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.V284608.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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