Inspection on 26/07/05 for Southlands

This inspection was carried out on 26th 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

Southlands 16/01/08

Southlands 13/03/07

Southlands 13/01/06

Southlands 12/01/05

Southlands 13/05/04

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

CARE HOME ADULTS 18-65 Southlands 56 Southfield Road Middlesbrough TS1 3EU Lead Inspector Val Daly Unannounced 26 July 2005 09:30 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. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Southlands Address 56 Southfield Road Middlesbrough TS1 3EU 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) 01642 230562 Mr D Kerrison Mrs S Kerrison Care Home (CRH) 10 Category(ies) of Mental Disorder (MD) 10 registration, with number of places Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 12/01/05 Brief Description of the Service: Southlands is a large three storey converted terraced house built around the turn of the 20th century. It is situated in a busy thoroughfare in Middlesbrough and was established as a care home in 1987. The home is registered with the Commission for Social Care Inspection under the Care Standards Act 2000 a sa care home for 10 adults with a mental disorder. It is indistinguishable from other homes in the area and is in keeping with other family homes in the street. The home is managed by Mrs Sally Kerrison who is also the proprietor. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10am. And lasted for three and a half hours. Two residents and two members of staff were spoken to during the inspection. Numerous records including care plans, policies/procedures and staff records were examined. What the service does well: What has improved since the last inspection? What they could do better: There is a care plan in place for each resident, however the plans need to be clearer regarding mental health needs and how they are being met. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 6 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. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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 standard(s) 5 Resident contracts contain the required information. EVIDENCE: Each resident has a written contract, which clearly sets out what services they will receive in the home and at the same time making them aware of what is not covered in the weekly fee. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 & 9 Care practices ensure that people can live as independent lifestyle as possible. Although a wide range of information is contained in the service user plan at times the specific information needed is not always available. EVIDENCE: Each resident has a care plan and there was evidence to show that they are involved in the care plan process. However the plans were unclear, care needs regarding mental health needs were not explained. Two residents spoken to described how they spend their days, making their own decisions and that staff were always available if they needed any help. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 17 The daily routines encourage residents to lead independent lifestyles. EVIDENCE: Residents are involved in a wide range of activities. Many attend day services and take part in craft making, cookery and social skills. One resident works three days a week at a day centre making outdoor furniture. A resident was happy to discuss his leisure activities, nights out, visits to relatives and day trips and holidays. The main meal is usually at tea time during the week. Residents are included in menu planning. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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 standard(s) 20 Good systems for storing and administering resident’s medication are in place to ensure that residents get the treatment, which they have been prescribed. EVIDENCE: The home has policies and procedures in place for the administration, storage, receiving and disposal of medication. Within the documentation residents have signed to agree that staff in the home are responsible for the administration and storage of their medication. There is information for staff regarding possible side effects from the medication. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 12 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) 23 There are satisfactory procedures in place, which protect the residents from abuse. EVIDENCE: Staff training files were examined. They showed that staff have received training in adult protection and the protocol to follow. The home has a policy and procedure in place to follow in the case of suspected abuse. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 13 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, 25 & 30 The home is homely, comfortable and clean and provides residents with a safe and well-maintained environment in which to live. EVIDENCE: During a tour of the home it was noted that all bedrooms were individually decorated and furnished. One resident said he had chosen the colour of the wallpaper and bedding in his bedroom. At the time of the inspection two of the bedrooms were empty, the manager said new residents, prior to them moving in, would choose that décor. The home was very clean and tidy throughout. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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) 32, 34 & 36 Residents are supported by a trained and competent workforce that receive appropriate supervision to ensure that individual residents needs are met. EVIDENCE: The home has recruitment policies and procedures in place. Three staff files were examined and they each contained the required information. There is a formal supervision system in place and this also extends to domestic staff. Annual appraisals are carried out. A training programme is ongoing which shows the training received and planned for. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 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) EVIDENCE: These seven standards were not assessed at this inspection. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 16 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 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 4 Standard No 11 12 13 14 15 16 17 x 4 4 4 x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southlands Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 17 No 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 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 6 Good Practice Recommendations Care plans need to be clearer regarding mental health needs and how they are to be met. Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Unit B, Advance St Marks Court, Teesdale Stockton-on-Tees TS17 6QX 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 Southlands B51 B01 S59 Southlands V240690 260705 Stage 4.doc Version 1.40 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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