Inspection on 14/05/07 for Skills for Living (Tudor Road)

This inspection was carried out on 14th 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

Skills for Living (Tudor Road) 06/01/06

Skills for Living (Tudor Road) 12/07/05

Skills for Living (Tudor Road) 12/10/04

Skills for Living (Tudor Road) 15/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Skills for Living (Tudor Road) 62 Tudor Road Hinckley Leicestershire LE10 0EQ Lead Inspector Keith Williamson Key Unannounced Inspection 14 May 2007 09:30 Skills for Living (Tudor Road) DS0000048170.V329973.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 Skills for Living (Tudor Road) DS0000048170.V329973.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. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Skills for Living (Tudor Road) Address 62 Tudor Road Hinckley Leicestershire LE10 0EQ 01455 618061 01455 440890 Lucy_hogg@hotmail.co.uk 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) Ms Lucy Hogg Ms Paula Florance Burton Mrs Jane Elizabeth Reid Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one falling within the category LD may be admitted to Skills for Living (Tudor Road) where there are 2 persons within the category of LD already accommodated. The maximum number of persons to be accommodated at Skills for Living (Tudor Road) is two. 6th January 2006 Date of last inspection Brief Description of the Service: Tudor Road is one of three Skills for Living, small family homes, for two adults who have a learning disability, and additional complex needs and behaviours. The house is semi-detached and in a road with similar houses, situated near to the centre of Hinckley. A range of local facilities are available. The house has two bedrooms, two good size lounges, a kitchen/dining room, in addition to a conservatory area. There is a pleasant garden with plants and shrubs to the rear of the house. A copy of the last report is kept in the home, information on the home is provided by the Registered Manager in the form of a Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, or homes brochure. High staffing ratios are provided to meet the needs of the young people living there, and in order to promote their independent living skills and community integration. The current fees charged are £1854 per week. This information was provided by the Registered Manager in the pre inspection information sent to the inspector prior to the visit. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation, in this case both residents were chosen. This visit took place over one day, commencing at 9.30am and took four hours to complete. One inspector conducted the inspection (or site visit). An opportunity was taken to look around the home, view records, policies and care plans and to talk to residents and staff. Information was gathered prior to the site visit from sources such as residents, their relatives and staff surveys and the pre inspection questionnaire from the manager. Feedback was given to the Registered Manager at the end of the inspection. Both the residents were seen and spoken with during the inspection process, though due to poor verbal communication skills of the resident group, few comments were made. Observations made throughout the visit confirmed the two residents were relaxed with their surroundings, the staff group and inspector. What the service does well: The homes management are forward thinking, and plan effectively for residents entering and living in the home. A specialist manager reviews care plans and risk assessments on a regular basis, they are independent of the home, and performs all reviews throughout the group of homes owned by the company. Residents are provided with a safe and secure environment in which to live. Staff are encouraged to promote a relaxed lifestyle for residents, with a strong emphasis on developing social skills through recreation. Daily records show that residents have recently enjoyed aromatherapy massages, walking and swimming, listening to music, watching videos, and had visits from relatives. Staff are encouraged to provide a relaxed and welcoming environment, that reflects in a stable home for the residents and their relatives and visitors. Residents are provided with the support required through care, health and personal plans, to live a life within an environment with controlled risks. The monitoring of residents healthcare is regularly undertaken, again by the specialist manager, and visits from specialist medical staff and General Practitioners are undertaken flexibly. Recording of these events was seen in the records of both residents. Evidence of a thorough recruitment procedure was seen with references and criminal record bureau clearances being obtained prior to new staff Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 6 commencing employment. Staffing levels are good, and provide one to one staff intervention at most times during the day. The staff are provided with a high level of training in order to provide a personal service for the small group of residents in the home. Staff turnover at the home is low and this provides residents with continuity and consistency of care. What has improved since the last inspection? What they could do better: This was a very positive inspection, where the home continues to develop with a stable staff group. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 7 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. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 8 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 Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 9 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&5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The admission process is detailed and effective resulting in accurate information for prospective residents and staff. EVIDENCE: Residents’ needs are assessed prior to moving into the home. The manager compiles information using the health and social care assessments, and a visit to the resident; providing an information base from which comprehensive and detailed care plans and risk assessments are then produced. Resident’s files were viewed and completed signed contracts are in place. Skills for Living (Tudor Road) DS0000048170.V329973.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 & 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are looked after well in respect of their health, medication and personal care needs, areas of risk are assessed appropriately. EVIDENCE: The care plans and records of both residents were viewed. The care plans contained detailed information as to how the care needs of the residents are to be met, are produced in plain English and pictorial form. Care plans are regularly reviewed internally within the home. This review process includes a specialist manager employed to review all plans at all the Skills for Living homes’, giving a consistent quality to the care plans and ongoing and regular service. The plan is person centred and focuses on the individual’s strengths and personal preferences. It celebrates the individual, their life experiences and sets out in detail how all their current requirements and aspirations are to be Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 11 met through positive individualised support. Though residents’ communication is limited, staff were experienced in the needs of individual resident requests, and were seen to be in tune with residents needs and wishes. Decision-making and autonomy is promoted through effective care planning, and pointers are given to staff how to promote resident choice. Care plans are held in the office along with other sensitive information being appropriately secured. Elements of care, which have a degree of risk, are assessed, detailing as to how the risk is to be managed consistent with the promotion of independence. Skills for Living (Tudor Road) DS0000048170.V329973.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, 14, 15 16 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents experience an appropriate and fulfilling lifestyle. EVIDENCE: Each resident has an individual care plan and weekly timetable. These are negotiated with the residents or relatives prior to commencement, and cover leisure activities and personal development. Though neither resident has the power of speech, both can communicate through their moods with staff. Neither resident currently has any education courses, though leisure is encouraged and promoted, again through their care plan. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 13 Daily routines are reflective of individual resident lifestyles, and are designed to suit the residents’ needs. People who use services are able to enjoy a full and stimulating lifestyle with a variety of options to choose from and is promoted by appropriate staffing levels. Meal times are flexible, and menus made up in advance, the residents assisting in the shopping. The dietary needs of one resident is recognised and appropriate choices offered. Routines are very flexible and residents can make choices in major areas of their life. Daily records show that residents have recently enjoyed aromatherapy massages, walking and swimming, listening to music, watching videos, and had visits from relatives. Skills for Living (Tudor Road) DS0000048170.V329973.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 & 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are met on an individual basis. EVIDENCE: Personal support is offered on a flexible basis, care plans reflect what abilities residents have; and there is a strong emphasis on residents working toward independence, evidence is in place to suggest these plans are reviewed and updated regularly. The monitoring of residents healthcare is regularly undertaken, again by the specialist manager, and visits from specialist medical staff and General Practitioners are undertaken flexibly and recorded individually. Medication is administered appropriately, the staff when spoken with, showed a good awareness of administration techniques. Medication is stored securely in individual safes, the medication administration records (mar charts) being up to date, signed appropriately and having no omissions. Regular medication Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 15 audits are undertaken to ensure the appropriate medication is administered and records are accurate and up to date. Staff were seen to respond appropriately and sensitively in all situations involving personal care, by ensuring the privacy and dignity of the resident concerned. Skills for Living (Tudor Road) DS0000048170.V329973.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 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected by the complaints and adult protection policies and procedures. EVIDENCE: The manager has the necessary complaints policies and procedure in place. Staff spoken with demonstrated a good awareness of both the complaints and adult protection policies and procedures. There have been no complaints recorded since the last visit to this service, and none forwarded to the commission for social care inspection. Residents are provided with a copy of the complaints procedure in a pictorial form. Examination of the adult protection policy indicated that sufficient information is contained in the document for staff members’ guidance on how to prevent abuse in the home. The staff on duty said that each resident would clearly demonstrate through their behaviour and expression whether they were unhappy about a situation. Though neither resident engages verbally, each is able to communicate with staff through individual communication systems. This was demonstrated by one resident making various requests throughout the visit, the member of staff clearly understanding the residents’ non-verbal communications. Skills for Living (Tudor Road) DS0000048170.V329973.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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and clean environment. EVIDENCE: The maintenance and decor of the home is of a very good standard. Bedrooms are both single occupancy are individually decorated, personalised and include a range of personal electrical equipment. The public areas of the home provide a homely comfortable atmosphere, with a number of areas giving residents an excellent scope of utilising the space available. Staff showed a good awareness of cross contamination issues, with laundry facilities being appropriately sited and domestic in nature. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home has a well-trained, competent and supportive staff group who continue to promote and protect the well being of Residents in their care. EVIDENCE: The staff are provided with a high level of training in order to provide a personal service for the small group of residents in the home. Training dates are produced one year in advance, these are mostly are compulsory due to the Individualised training supplied, which includes the statutory training required by law. The staff turnover at the home is low and this provides residents with continuity and consistency of care. A number of the staff group have completed National Vocational Qualifications at levels two and three, A thorough recruitment procedure is followed with references and criminal record bureau clearances being obtained prior to new staff working with Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 19 residents. The main files are held securely in the Managers’ office, with copies of all documents also being held centrally at the company main offices The staff members spoken with confirmed that they received regular supervision and appraisal from the manager. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 20 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 & 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management of the home is effective, accessible and responsive to the needs of both the residents and staff. EVIDENCE: The home has a registered and qualified manager in place. Staff members spoken with felt that the management team were accessible and approachable, and willing to discuss any issues and guide practice. Residents demonstrated they had trust and confidence in the staff group as a whole, by the relaxed way they approached and interacted with staff and managers in the home. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 21 Quality assurance is seen as an important issue and relatives and professionals regularly participate in questionnaires issued by the Registered Manager. The are a number of senior staff within the group of Skills for Living homes’, that monitors performance through informal and formal visits, these are recorded and used to inform development of the home. Unannounced visits are completed on a regular basis. The system for safekeeping of residents’ monies was inspected and found to be secure, regular audits are in place to ensure accurate accounting takes place. A selection of records including heat and smoke detector tests, and accident records were inspected. These were well maintained and accurate. Staff confirmed they receive regular updated training in this area, and assist in the periodic testing. Other health and safety records are prominently displayed in the kitchen area of the home, and are up to date. Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 X 3 X 3 X X 3 X Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 23 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 Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. Extracts may not be used or reproduced without the express permission of CSCI Skills for Living (Tudor Road) DS0000048170.V329973.R01.S.doc Version 5.2 Page 25 - 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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