Inspection on 22/08/05 for 39 Silverbirch Road

This inspection was carried out on 22nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

39 Silverbirch Road 02/12/06

39 Silverbirch Road 07/02/06

39 Silverbirch Road 24/01/05

39 Silverbirch Road 23/08/04

39 Silverbirch Road 17/02/03

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 Silverbirch Road (39) New Outlook Erdington Birmingham West Midlands B24 OAR Lead Inspector Brian Reamsbottom Unannounced Inspection 22nd August 2005 10:00 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Silverbirch Road (39) New Outlook Address Erdington Birmingham West Midlands B24 OAR 0121 250 2067 0121 250 2067 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) New Outlook Housing Mr Leon Smith Care Home 6 Category(ies) of Learning disability (6), Physical disability (6), registration, with number Sensory impairment (6) of places Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years. Date of last inspection 24 January 2005 Brief Description of the Service: 39 Silverbirch Road is registered to provide personal care and support to six adults with a learning disability/visual impairment, who have been assessed as requiring full assistance with daily living tasks. The home is staffed 24 hours a day including waking night and a sleeping in member of staff. Service users would be admitted to the home following a full assessment that would determine the level of support they require. The full range of medical services, leisure and social activities are provided for the service users. A number of adaptations have taken place within the home in order to meet the assessed needs of the service users. Service users are encouraged and supported to maintain links with their families and the local community. The care needs of the service users are monitored and reviewed and action is taken to address any concerns. The home is situated in Erdington, a residential area of Birmingham and has ready access to local amenities. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and it took place over 4.5 hours. The documentation inspected included the following: care plans, risk assessments, fire records, medication records, health and safety records, accident book, daily records, complaints and adult protection records, staff personal files and staff training records. A tour of the communal areas took place and service users and staff were spoken to. What the service does well: What has improved since the last inspection? The manager and staff have improved the way in which service users are involved in the running of the home. Service users enjoy a greater variety of leisure activities in the community. The garden access has been made easier for service users and the layout is very pleasing. All the requirements from the last inspection have been met. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 6 Staff training is on going. The training on offer gives the staff team greater knowledge and skills, enabling them meet the needs of service users. 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. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 service users are provided with enough information to make an informed choice about living in the home. EVIDENCE: There have been no new admissions to the home the since it opened. Two service users personal files were inspected. Full detailed assessments were in place. They were easy to understand and included the wishes of service users. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 and 9 Service users assessed needs and goals are reflected in their individual care plans so that staff know how to support each individual. Risk assessment practices meet the needs of service users living in the home. EVIDENCE: Service users have a care plan. Service users, staff and management are in the process of introducing Person Centred Planning. This system will be beneficial to service users by increasing their involvement in the planning. Care plans and other records must include the surname of the persons making the records. Members of staff actively encourage service users to take responsibility for, as many things that they are able, within their individual capabilities. They seek to promote choice wherever possible, and respect the choices people make. Service users are actively involved in the running of the home. They have regular service user meetings where issues are discussed and action taken. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 10 By observation and speaking with two service users it was clear that they exercise their right to making decisions in their daily life. The staff members on duty were responsive to the wishes of service users. A wide range of risk assessments was observed to be available for each individual. They were relevant and up to date. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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): 12 13 14 15 16 and 17 Service users are part of the local community and participate in appropriate leisure activities. Staff support service users to maintain and develop relationships with family and friends. Dietary needs of service users are well catered for with a balanced and varied selection of food available. EVIDENCE: Service users have the opportunity to participate in appropriate activities, some based in the home with others in the community. Good use is made of the local shops, restaurants, pubs and other places of interest. Each individual has a weekly timetable of activities. The activities are what the service users have decided to be involved in. These include attending colleges and day centres to improve their cooking and daily living skills. Service users visit places of worship of their choice. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 12 Service users have holidays if they wish. One service user holidayed in Malta others went to a cottage. One service user does not like staying away from the home overnight. He likes to go on day trips of his choosing. A service user has renewed his season ticket for his favourite local football team. He goes to the match with a friend. If the friend is unable to attend a member of staff goes with him. Family and friends are encouraged to visit the home at all reasonable times. Service users visit the parental home and the homes of other family members. Records are kept of the food eaten by service users. The menus showed that food is varied, wholesome and nutritious. Service users are involved in the preparation and cooking of the evening meal at least twice a week. Service users choose the meals. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 19 and 20 Personal support is given in accordance with service users needs and wishes. Health needs are appropriately met. Practices relating to the storage and administration of medication are generally satisfactory with only minor improvement required. EVIDENCE: Personal care is given as stated in the care plans and is carried out in the privacy of service user’s bedrooms, bathrooms and toilets. Staff members were observed to be polite and respectful when dealing with service users. Each service user is registered with a local GP. Service users records sampled indicated that where appropriate referrals are made to other health professionals. These include Dentists, Opticians, Hospitals and Clinics. Health Action Plans have been introduced with the involvement of service users, however they require further development. The management of medication is good. A Monitored Dosage System (MDS) is in place. However, there are no protocols for ‘as required’ (PRN) medication. Protocols must be drawn up to ensure the safety of service users. A Pharmacist from the supplier of the MDS visits the home on a regular basis giving support in the safe administration and storage of medicines. Records Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 14 were seen of the visits made by the pharmacist and the recommendations made. Medication is safely stored in an appropriate cabinet. All staff have completed their accredited medication training. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: There is a complaints procedure in place, also available in large print and audiotape, this is to be commended. There have been no complaints since the last inspection. On speaking with a service user it was clear that he understood the complaints procedure and how to complain. The Commission for Social Care Inspection have not received any complaints from any source. The adult protection procedures in place reflect the spirit of Birmingham’s Multi-Agency Guidelines. The robust recruitment procedures followed ensure that the right people are working with service users, ensuring their protection. Checks with the Criminal Records Bureau and satisfactory references are being obtained before staff commence work. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 28 and 30 The home was clean, warm and fit for its purpose and generally provides service users with a safe, homely and comfortable environment EVIDENCE: The home has a welcoming atmosphere. It was clean, warm and free from offensive odours. The decoration is of a high standard and meets the needs of service users. Furnishings, fittings, adaptations and equipment are as domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. Service users bedrooms were not inspected at this inspection. The kitchen was clean and safe with the usual domestic kitchen equipment and utensils. The lounge was comfortable with adequate seating for service users. There is a large screen television and a stereo music system. The dining room is off the kitchen and gives easy access to the garden. There has been a great deal of work done in the garden. A patio area has been constructed, new paths laid and lawn and shrubs have been improved. A service user was very pleased to show the garden off and said it is well used during good weather. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 17 The laundry is sited away from the kitchen. Hand washing facilities are prominently sited in areas where infected material would be handled if necessary. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 18 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): 34 35 and 36 The recruitment procedure is robust and ensures service users are protected from harm. Staff have received training to enable them to meet service users needs. EVIDENCE: It was noted that there was a good rapport between the staff team and service users. They were relaxed, comfortable and happy in each other’s company. Staffing records were inspected. All the information and documentation required by Schedule 2 of the Regulations is on the individual files. The organisation and well trained staff are committed to meeting the needs of service users. All staff have had induction training and have done all statutory training. The staff team has completed Learning Disability Award Framework (LDAF) training. The staff group have or are doing NVQ level 2 and 3 training. Staff meetings take place and a record kept. The staff group are having individual supervision sessions every two months which benefits the service users. Minimum staffing levels are being maintained. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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 39 and 42 The home is well managed and promotes the health and safety of service users. EVIDENCE: The manager has completed his NVQ training which was a condition of his registration. The staff are involved in producing a quality assurance monitoring system to include the views of service users, family, friends and involved professionals. There is an annual development plan for the business available if required Risk assessments are in place for the premises, fire, food, hygiene and service users. Records of testing of electrical, fire and gas equipment were seen to be in order. Water and fridge/freezer temperatures are tested on a regular basis and a record kept. Service contracts of electrical and gas appliances were available and in date. Staff are trained in First Aid, Moving and Handling, Fire, Health and Safety. Basic Food Hygiene and Infection control. Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 x 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Silverbirch Road (39) New Outlook Score 3 2 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X 2 3 X DS0000039326.V251418.R01.S.doc Version 5.0 Page 21 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. 1 Standard YA41YA6 Regulation 17(1)(2) Requirement All records must include the surname of the person making the record and the full date must be included Service users must have a Health Action Plan in line with Valuing People. A Health Action Plan is a personal plan about what a person with a learning disability can do to be healthy. It lists any help people might need to do those things. It helps to make sure people get the services and support they need to be healthy. Protocols for “as required” (PRN) medication must be drawn up in consultation with GP or Pharmacist. There is a continuous selfmonitoring, using an objective, consistently obtained and reviewed and variable method and involving service users and an internal audit takes place at least annually. Timescale for action 23/08/05 2 YA19 12 (1) (a) (2) 30/09/05 3 YA20 12 31/08/05 4 YA39 24.(1)(a) (b)(2)(3) 31/10/05 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 22 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 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Silverbirch Road (39) New Outlook DS0000039326.V251418.R01.S.doc Version 5.0 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. 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