Inspection on 07/02/06 for 39 Silverbirch Road

This inspection was carried out on 7th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 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 22/08/05

39 Silverbirch Road 24/01/05

39 Silverbirch Road 23/08/04

39 Silverbirch Road 17/02/03

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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 7th February 2006 07:20 Silverbirch Road (39) New Outlook DS0000039326.V282454.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 Silverbirch Road (39) New Outlook DS0000039326.V282454.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. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 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.V282454.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents must be aged under 65 years. Mr Leon Smith, as Care Manager, completes his NVQ Level 4 in Care and Management by 2004. 24th January 2005 Date of last inspection 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.V282454.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and it took from 07.20 to 10.00. 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. Three service users and four staff were spoken to. The inspector thanks service users’, staff and management for their welcome and for their input to this inspection. Condition 2 has now been met. Please remove and send a new certificate. What the service does well: What has improved since the last inspection? Protocols for “as required” (PRN) medication are now in place for each service user. Staff members are now including their surnames when signing all records. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 6 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.V282454.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 Silverbirch Road (39) New Outlook DS0000039326.V282454.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 Prospective service users are provided with enough information to make an informed choice about living in the home. EVIDENCE: Standard 2 was met at the inspection of 22.08.05 and was not inspected at this visit. There have been no new admissions since the last inspection. The Service User Guide needs to be updated to reflect staff changes `and qualifications. Silverbirch Road (39) New Outlook DS0000039326.V282454.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 Service users assessed needs and goals are reflected in their person centred plan so that staff know how to support each individual. Risk assessment practices meet the needs of service users living in the home. EVIDENCE: Standards 6, 7 and 9 were met at the inspection of 22.08.05. Person Centred Planning is now in place. The manager and staff spoken with feel that they are very beneficial for service users’. Service users’ are at the centre of decisions made about their daily lives. Service users’ are involved in the whole process with assistance from the staff group. All records pertaining to service users’ are being signed by the author and includes their surnames. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 10 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): X 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: Standards 12, 13, 14, 15, 16 and 17 were met at the inspection of 22.08.05 and meet the needs of service users’. Not inspected at this visit. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 11 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): 19, 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 satisfactory. EVIDENCE: Standards 19 and 20 have now been met and meet the needs of service users. The manager and staff discussed their concerns about the health needs of two service users’. The service users’ are well monitored. Health Action Plans clearly show that referrals have been made to the appropriate professionals for specialist help in meeting service users’ needs. Occupational Therapists and Speech and Language Therapists (SALT) are having input with both service users’. The home continues to meet both service users’ needs, however, the manager is well aware that eventually they will no longer be able to meet their needs. They are planning now and not at the last minute to ensure that both service users’ have their needs met in an appropriate home of their choosing. The efforts of the staff and management are to be applauded in their diligence. The manager told the inspector that they are having difficulty in having social workers attend for service users’ reviews. Social workers are invited, however, Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 12 they do not turn up. A review is arranged for 10.02.06 and the social worker has been invited. The manager will need to make contact with the appropriate social work manager to resolve these issues. The administration of the morning medication was observed. The night member of staff and the deputy manager undertook this task. The task was carried out quietly and efficiently. Medications were double checked before being given to service users. It was pleasing to witness. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 13 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): X The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: Standards 22 and 23 were met at the inspection of 22.08.05 and meet the needs of service users. The manager stated that there have been no complaints since the last inspection. Standards not inspected at this visit. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 14 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): 30 The home was clean, warm and fit for its purpose and generally provides service users with a safe, homely and comfortable environment. EVIDENCE: Standards 24, 28 and 30 were met at the inspection of 22.08.05 and meet the needs of service users’. The communal areas including toilets and bathrooms were clean, hygienic and free from offensive odours. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 15 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 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: Standards 34,35 and 36 were met at the inspection of 22.08.06 and meet the needs of service users’. The inspector met with the waking night member of staff and the sleep in person. The waking member of staff has worked with the service users’ and has built good relationships. She was attentive to the four service users’ who were up and about. Each service user was asked verbally or ‘hand over hand’ what they would like for breakfast. They appeared to enjoy their choices. The sleep in person was from an agency. He told the inspector that he had done three shifts in the home, being supervised by a permanent member of staff. The inspector asked what experience he has had working with people with learning and associated disabilities. He said that he had worked in other homes in the city. When asked what training has completed he said that he has done all the statutory training. The inspector had sight of a letter from the agency stating that a CRB check had been carried out, there was a disclosure number. There was a list of all statutory training that he had completed. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 16 The service users’ were at ease in his company. He has a very pleasant manner. The manager told the inspector that there was some difficulty in staffing the home due to sickness, however, minimum staffing levels are being maintained by other staff members and agency staff. It was noted that agency staff do not work on their own. The inspector was shown a new staff rota planned to be introduced from April 2006. At the moment it is with the staff group to discuss and give feedback. The new rota will have staff working a shorter day in place of working twelve hour shifts they will work seven hours. This can only be of benefit to service users’ and staff. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 17 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): 39, 42 The home is well managed and promotes the health and safety of service users. EVIDENCE: Standards 37 and 42 were met at the inspection of 22.08.05 and meet the needs of service users’. Standard 39 has now been met and is on file. Fire records were inspected. All checks and tests have been done and are up to date. Fridge and freezer temperatures are test daily and records kept. It was noted that the minimum temperature for the freezer had been changed from –20 to – 10. The inspector recommended that the manager seek the advice from Environmental Health department as to the correct temperature. Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 18 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 2 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 4 X X X 3 X X 3 X Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 5(1) Requirement The service User Guide must be up dated to reflect the changes and the qualifications of the staff group. Timescale for action 31/03/06 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 Silverbirch Road (39) New Outlook DS0000039326.V282454.R01.S.doc Version 5.1 Page 20 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.V282454.R01.S.doc Version 5.1 Page 21 - 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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