Inspection on 19/07/05 for Six Acres

This inspection was carried out on 19th July 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 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

Six Acres 29/05/07

Six Acres 16/12/05

Six Acres 16/12/04

Six Acres 09/06/04

Six Acres 11/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Six Acres 401 Bickershaw Lane, Bickershaw, Wigan, WN2 5PR. Lead Inspector Lindsey Withers Unannounced 19th July 2005 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 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 Stationary 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. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Six Acres Address 401 Bickershaw Lane, Bickershaw, Wigan, WN2 5PR. 01942 861113 01942 866933 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Brian Smith Mr Brian Smith Care Home 6 Category(ies) of Learning Disability 6 registration, with number of places Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Six persons with a learning disability Date of last inspection 16th December 2004 Brief Description of the Service: Six Acres is a privately run care home for up to six adults with learning disabilities. Six Acres is a bungalow situated off a busy road in the village of Bickershaw. It is owned and managed by the Smith family. Mr. Brian Smith, Senior, is the Registered Manager. The Home is close to shops and local facilities and is served by public transport. A smallholding can be found to the rear of the bungalow. Geese, ducks, hens and a goat provide activity and occupation for the people who live at Six Acres: everyone is involved in the well-being of the animals. One of the principal aims of Six Acres is to move people into their own or supported accommodation, where they can live more independently. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 3.5 hours on one day, and was unannounced. The focus of this inspection was around the management and staffing of the Home, complaints and the protection of service users, and systems that monitored how well the Home was doing. The inspection involved meeting with the members of the Smith family, speaking to the residents who were spending time at home, looking at staff and training files, and looking at how the Home tries to make the service better. What the service does well: 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. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 7 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 standard(s) EVIDENCE: Not assessed on this occasion. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 8 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 standard(s) EVIDENCE: Not assessed on this occasion. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 9 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 standard(s) EVIDENCE: Not assessed on this occasion. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 10 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 standard(s) EVIDENCE: Not assessed on this occasion. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 11 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 standard(s) 22 and 23 There is a complaints procedure that service users are aware of, that is presented in a way that they can understand. The Home employs appropriate interventions so that service users are safe and protected. EVIDENCE: There is a detailed complaints procedure. The complaints procedure had been produced on audio-tape but had not been very successful, as the tapes were prone to getting lost. As a result, a brief summary of the complaints procedure is kept in the foyer by the front door, and is included in the service user’s guide. (The service user’s guide is produced in large print, using words and pictures, so is accessible by the people who live at Six Acres.) During an introductory visit some weeks prior to this inspection, service users clearly explained to the Inspector how they could complain, who they could complain to, and where they would find the telephone numbers and addresses. The minutes of service users’ meetings recorded that, at each meeting, service users are reminded about the need for them to complain if they felt they needed to, and that the process of making a complaint was discussed. Six Acres had received no complaints since the last inspection, and none had been received by CSCI. Six Acres has an Adult Protection procedure which includes Whistleblowing. A copy of the local authority’s Protection of Vulnerable People document is located on the wall in the foyer by the front door. Information about adult protection is included in the service user’s guide. Good arrangements are in place in relation to service user’s money. Evidence was available to show that service users and their supporters are involved in any decision-making process in relation to finances. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 24, 26 and 30. Service users live in a comfortable environment, that offers communal and personal space that meets their needs. The Home is kept clean, with help from the service users, and good hygiene is practised. EVIDENCE: Service users have a small lounge/dining-room, a kitchen, and individual bedrooms but they are not restricted to these areas exclusively. During the inspection, service users came to the large lounge to join in with the Inspector’s visit. Service users take a pride in their home, and are, for the most part, happy to join in with household chores. Service users choose individual tasks to carry out each day, and all take responsibility for cleaning their own bedrooms, with assistance if it is needed. During a previous visit to the Home, service users had invited the Inspector to join them for a cup of tea in their lounge. Service users had been obviously comfortable in their surroundings, and had shown pleasure at having their own bedroom, in which they could keep their personal possessions. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 13 The Home’s planned maintenance and renewal programme was not looked at during this inspection, but was verbally expressed. Future plans include the development of a tennis court to the rear of the bungalow. At this inspection, the Home was clean and tidy. The policies and procedures for the control of infection were looked at and found to be in order. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The Home has a good recruitment process that meets current legislation and good practice guidelines. Service users benefit from a staff team that is trained and developed so they are competent to do their work. EVIDENCE: One carer had resigned since the last inspection and Mr. Smith, Senior, said that it was unlikely that they would recruit an replacement at the current time. However, a policy and procedure is in place, that takes account of equal opportunities. One file for a current staff member was examined and found to be in order. Staff (including family members) are supported, developed, and trained. There is a training plan that is developed from an analysis of need. One member of staff is scheduled to take First Aid training in September 2005. All other training certificates were available for examination and found to be current, for example, moving and handling and food safety. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 and 42. Residents are involved both formally and informally in the day-to-day running of the Home. Their views are taken into account. Policies and procedures are appropriate to the type of service provided by Six Acres, which are updated and reviewed on a regular basis. Service users benefit from living in an environment where their health, safety and welfare is promoted, and so far as is reasonably practicable, they are protected from harm. EVIDENCE: Service users have the opportunity during everyday life to express their views. On a more formal basis, there are regular service user meetings. Minutes are kept, together with a note of any action to be taken. Service users can say what changes they would like, and are asked what might improve the quality of life for themselves and others. The Minutes are recorded as spoken. The next meeting is planned as the current meeting closes. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 16 At a previous visit by the Inspector, service users had shown that they were empowered to speak their minds, and that they were involved in all aspects of life in the Home. Two letters had been received from families regarding the quality of care provided by Six Acres. Both were complimentary and helpful, in that they, too, included suggestions for improvements that might be made to the service. Contract monitoring reviews are carried out every six months for each service user (against the local authority contract), and regular unannounced spot checks are made. Records of the reviews are kept. The most recent th monitoring review had taken place on 15 July 2005. On a weekly basis, service users spend time reflecting on how the previous week had gone, and make comment in their care plan, either in their own handwriting or as expressed to a carer. All policies and procedures were in good order, and appeared to comply with current legislation. Documentation is reviewed six monthly, when amendments are made and new policies and procedures added, if needed. The last review had taken place in February 2005. Service users have access to policies and procedures in large print written form. Staff had signed to confirm they had read and understood policies procedures that related to health and safety issues. Mandatory training up to date. Systems, such as temperature control, fire safety, electrics, are checked regularly. Weekly and monthly checklists are maintained were up to date at this inspection. and was etc. and Risk assessments had been written in relation to safe working practice, and monitoring of the risk assessment had been recorded. Where a risk had been identified, for example, smoking in the bedroom, the service user involved had been able to explain the reasons why this was not good practice, and to say what arrangements had been made for him to smoke so that he and his home were kept safe. Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 17 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Six Acres Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 3 x 3 x F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 18 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 Regulation None. 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. 1. Refer to Standard None. Good Practice Recommendations Six Acres F56 F06 S5762 Six Acres V230437 09.06.05 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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. 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