Inspection on 17/05/07 for SignHealth

This inspection was carried out on 17th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

SignHealth 27/02/06

Similar services:

Mere Hall View

Beechfield Lodge

Christopher Grange (Rhona House)

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

CARE HOME ADULTS 18-65 Sign 1 Claridge Road Chorlton Manchester M21 9WQ Lead Inspector Joe Kenny Unannounced Inspection 17th May 2007 10:00 Sign DS0000065296.V337562.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 DS0000065296.V337562.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 DS0000065296.V337562.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sign Address 1 Claridge Road Chorlton Manchester M21 9WQ 0161 860 4365 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) claridgeroad@signcharity.org.uk Sign The National Society for Mental Health & Deafness Mr Steve Felton Care Home 6 Category(ies) of Sensory impairment (6) registration, with number of places Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may have associated mental ill health. The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 27th February 2006 Date of last inspection Brief Description of the Service: Sign, Claridge Road, is registered as a care provision to provide accommodation within self-contained flats for up to six people under the age of 65, within the category of sensory impairment. People may also have associated mental ill health. The personal care and life skills are provided by the charity Sign that specialises in providing support to people who are deaf. The staff team are trained in communicating, using British Sign Language The accommodation comprises of six, single, self-contained flats with en-suite bathroom and cooking facilities. The design and lay out of the building enables those service users 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 Chorlton, Manchester, and is close to local shops and the leisure centre. The home is also close to public transport routes and there is easy access to local motorways. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was carried out unannounced on the 17 May 2007. The visit included use of an independent interpreter, who assisted in the inspection from 10:30 to 12:50. Time was spent in discussion with people living at Claridge Road and with the manager and staff team. Completed self-assessment forms were returned to the Commission by the manager and a number of comment cards were left at the home on the day of the visit for people to complete. Three were completed and returned to the Commissions area office. People were supported by their key worker to complete the forms. A number of records and administration systems were examined as part of the inspection and a brief tour of the house and self contained flats. People living at the address do not require personal care; people live in independent units, hold a tenancy agreement and are encouraged and supported to live independently. What the service does well: Sign offer a specialist service in a suitably designed establishment, supporting and encouraging independent living and social integration. The strong emphasis on community integration is achieved by the homes location and proximity to resources in the Chorlton district centre. Staff commented that people living in the home access local shops, public houses and fitness centres unsupported. The admission and referral process ensures people are consulted on and involved in decisions about moving to Claridge Road. Staff demonstrated a clear knowledge and understanding of the needs of people using the service and commitment to ensure peoples rights and choices were respected at all times. There were clear procedures to ensure internal lines of communication were established and maintained such as handing over of information when staff come on duty. Staff are further supported by comprehensive supervision, training and development plans. Management and administration procedures ensure regular health and safety tests and audits are carried out to ensure a safe living and working environment is maintained. Records were examined to confirm this. Sign DS0000065296.V337562.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. Sign DS0000065296.V337562.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 Sign DS0000065296.V337562.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service know that the home will meet their needs. EVIDENCE: Discussions were held with two people living in the home using an interpreter. They confirmed they had been consulted about moving into Claridge Rd and that they had been given the opportunity to visit and view the home, its location and living arrangements. The admission process clearly sets out the above steps as a means to support people considering moving to Claridge Road. The manager confirmed that information about a person considering moving there is received from the placing authority and that staff will also take the opportunity to meet with people to discuss the services offered. Information provided by the placing authority and from the information gathered by staff, along with visits carried out by individuals, assist in determining if people needs can be met. Once it has been determined that the persons needs can be met and they wish to remain, they are provided with a tenancy agreement detailing information about their placement. Each person is also provided with their own service user guide. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 9 Family members and other professionals such as their care manager support people throughout this process. Three comment cards were returned by people living at the home each commented that they had been provide with information about the home and two confirmed that they had been asked if they wanted to move there. Sign DS0000065296.V337562.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 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Support plans identify individual’s needs, choices and daily living arrangements and enable staff to assist people in the way they wish to be supported. EVIDENCE: There are a number of information leaflets available which describe the aims and objectives of Sign as a service, which proactively promotes deaf awareness and independent lives. The files of three people were examined. Each person has a separate file containing information specific to their assessed needs, plan of support and intervention provided by staff. Support plans were found to be detailed and informative. There was evidence to confirm that tenants were fully involved in their Support plan and any review of this plan. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 11 A clear objective of the service is to enable people to live as independent a life as possible. This was evident from discussions with people living at the home and from observation as they went about their chosen daily routines within the home and accessing local resources. Support plans were person centred and enabled staff to be clearly aware of the support and assistance each individual required. Staff demonstrated a commitment to supporting and assisting people in day to day living arrangements in a way which promoted independence and helped develop individuals’ skills, one example related to cooking. Staff had also gathered information leaflets on events and resources which people might be interested in accessing; this information is located as you enter the communal lounge. People using the comment cards confirmed they were free to choose what they wanted to do on a daily basis and that if an activity was organised there was ‘no pressure on me if I did not want to get involved’. All indicated that staff treated them well and acted on what they said. Sign DS0000065296.V337562.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): 12,13,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People rights relating to cultural and personal choices are respected; this promotes independence. EVIDENCE: There is a clear emphasis on developing and promoting independence in all aspects of daily living. The rights and choices of people are respected by staff in all aspects of daily life. The support and assistance provided by staff is reflected in people’s plans of support. People live in their own flats and are responsible for their own domestic, financial and catering arrangements. People are free to decide how they spend their day, when they get up, how they address domestic arrangements such as personal cleaning and laundry arrangements. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 13 Each person plans, purchases and prepare their own meals. They hold their own key to their flat and the main door, can have visitors when they like and can come and go as they please. Staff are available to support and assist people on issues such as planning meals, expenses and budgeting for their future. It was encouraging to note that people did come together for a planned communal meal, this event happens every month and is usually held on a Sunday, any person not wishing to participate at the event could take the meal to their own flat. As a response to a recommendation from the last inspection report, relating to nutritional assessments, staff work closely with people who may need assistance in the planning of their weekly menu. Evidence of this support and monitoring was provided by staff during hand over, between shifts, when staff shared information about support offered to individuals at breakfast and planning their lunch. One person commented that they were supported by staff to draw up a weekly activity plan which they kept in their own flat. One member of staff spoke about plans to develop a unit on the grounds; this would be interlinked to the main house fire detection system. This unit would be used as a crafts and therapeutic facility and to assist people to develop daily living skills. Sign DS0000065296.V337562.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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal and health care arrangements are respected and promote independence. EVIDENCE: The homes statement of purpose clearly states personal care is not provided by staff, a clear objective of the service is to encourage and enable people to live independently and retain responsibility for their own personal care. Staff are available for support, prompt and advise people in all aspects of daily living and personal development. Specific examples of support offered by staff on the day of the inspection related to meal arrangements, advice regarding laundry arrangements and leisure interests. There were further examples of support evident in written records within each persons file. Staff act as a named key worker supporting individuals and will assist in developing and reviewing support and care plans. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 15 There are a number of people with varying cultural backgrounds. The service has an equal opportunities policy and staff demonstrated good awareness of peoples cultural needs. A further example of promoting independent living related to medication procedures. People are encouraged to retain responsibility for their own medication. Each person is provided with a secure area within their flat to store medication. The only involvement undertaken by staff involves prompting and checking with people that they have remembered to take their medication. Staff are not directly involved in the administration of medication. During hand over issues relating to self-medication are discussed. Two people go out and collect their own prescriptions and medication. Their key worker will assist in checking in medication and securing it in their flat. People are registered at the local general practitioner practice which also offers dental and general nurse care service. Sign DS0000065296.V337562.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 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Procedures are available to ensure peoples are protected form abuse and ensure concerns are acted upon. EVIDENCE: There were effective procedures in place to ensure the concerns of people would be addressed. A register is held in the office to record and evidence investigations into complaints raised by people. People stated in discussion and on comment cards that they knew who to speak to if they had a concern, indicating they would speak to staff or the manager. To assist people, Sign offer an advocacy service specific to dealing with concerns of people using the service. Adult protection issues are addressed through the organisation own guidelines and in conjunction with Manchester Social Services adult protection procedures. Information on staff training files confirmed people had received training in the adult protection procedures. Sign DS0000065296.V337562.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides 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 a 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 facilities. Access is also provided to a computer in the communal area. This allows residents to gain information from the Internet if they wish to. There are facilities for making drinks and light snacks and the room can be accessed to watch television. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 18 The layout of each flat and domestic arrangements remain the responsibility of each individual. Each flat is suitably furnished to meet resident’s needs and choices. Sign DS0000065296.V337562.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): 32, 34 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A team of motivated, experienced and qualified staff supports people who live at Claridge Road. EVIDENCE: Since the last inspection a number of staff have moved on through internal promotions. Four new staff had started working at the home and completed induction training. All staff employed at the home are skilled in British Sign Language. Throughout the course of the inspection staff demonstrated a commitment to support people living in the home. This was evident through observation and discussions with staff about their experiences and support they offer people at Claridge Road. Staff held the necessary qualifications and skills to assist and support people with daily living arrangements and when accessing community resources. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 20 Staff spoke about a positive team spirit within the group and that supervision and training programmes enabled staff to constantly develop their skills. Staff spoke positively about the support and training available to them from the manager, senior staff and the organisation. All staff working in the home are skilled in sign language and are supported by the organisation in NVQ training and courses specific to meeting the needs of people supported. Recruitment and selection procedures are overseen by the registered manager at all stages from receipt of application, short listing and interview. The manager takes up references and CRB checks. Staff once appointed complete a planned programme of induction which is overseen by the manager and senior staff. The manager provided evidence of programmes of training, achieved by staff and further topic of training to be undertaken. There was clear indications that the recruitment and development plans for staff were directly linked into meeting the needs of people being supported. People using the comment cards said ‘staff here are very nice and all use B.S.L. (British Sign Language).’ Staff meeting are held on a monthly basis and planned in advance to December this year. Sign DS0000065296.V337562.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, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management and administration procedures ensure the service is run in the best interest of people living there. EVIDENCE: The manager and deputy manager hold the necessary qualifications and experience to support people using the service and the staff team. During discussions, staff stated that programmes of training and supervision were formalised and that the manager and organisation encouraged staff development. The manager and staff hold regular meetings with people using the service and there was evidence of quality assurance and monitoring surveys involving people living in the home and other professionals who supported them. Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 22 Appropriate procedures were in place to ensure regular health and safety checks were undertaken. This included tests and check on fire systems and evacuation procedures, maintenance and service of equipment and adaptations such as flashing light call and fire signals and domestic maintenance and cleaning arrangements. Internal quality assurance systems are in place such as Regulation 26 visits on the conduct of the home and a quality assurance person has been appointed recently. The manager completes his own internal monthly report on the conduct of the home. Sign DS0000065296.V337562.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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Sign DS0000065296.V337562.R01.S.doc Version 5.2 Page 24 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. 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 DS0000065296.V337562.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. 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