Inspection on 06/05/05 for Southlea Residential Care Home

This inspection was carried out on 6th May 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

Southlea Residential Care Home 18/08/08

Southlea Residential Care Home 18/07/07

Southlea Residential Care Home 13/09/06

Southlea Residential Care Home 12/10/05

Southlea Residential Care Home 04/11/04

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

CARE HOME ADULTS 18-65 Southlea Residential Care Home 23a Cross Lane Radcliffe Manchester M26 2QZ Lead Inspector Mike Murphy Announced 06 May 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. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Southlea Residential Care Home Address 23a Cross Lane Radcliffe Manchester M26 2QZ 0161 764 0761 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) Southlea Limited Mrs Margaret Yvonne White CRH Care Home 5 Category(ies) of MC Mental Disorder - 2 registration, with number MD(E) Mental Disorder - over 65 - 3 of places Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum registered numbers 5, there can be up to 3 MD(E) Adults with Mental Disorder over 65; 2 MD Adults with Mental Disorder. 2. The service should at all times employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. Date of last inspection 04 November 2004 Brief Description of the Service: Southlea is a privately owned care home registered to provide care and support for up to 5 people with mental health needs. The home is a large Victorian property situated on a main road in the Radcliffe area of Bury. It is close to several amenities and has good transport links. The metro-link is close by and Bury is a 5-minute bus/tram ride away. Accommodation is provided in single rooms with en-suite facilities.The home provides practical and emotional support 24 hours a day from staff with training in, and knowledge of, mental health needs. Staff work closely with other professionals to ensure that the needs of service users are met and reviewed. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was the home’s first of two annual inspections for the inspection year 2005 to 2006. The inspection took place over five and a half hours. The inspection included discussion with residents, a tour of the premises, inspection of care and other records maintained at the home, discussion with management and staff, and consideration of responses in returned questionnaires sent to residents, their supporters, visiting social workers, GPs, and community psychiatric nurses. What the service does well: Southlea care home, which has undergone a change in ownership and manager in the last 12 months, continues to provide an environment and staffing arrangements that address the assessed needs of resident’s admitted to the home. Positive comments were made by resident’s in respect of the respectful and caring attitude of staff and the accessibility of senior staff at the home when they had any concerns. The home was well managed and provided residents with a clean and comfortable environment in which to live. Residents were supported appropriately and encouraged to make as many personal choices and retain as much personal independence as possible. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 6 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. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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 Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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) 1,2,3,4,5. Prospective residents and their supporters are provided with the information they require to make informed choices about the suitability of the home. EVIDENCE: Southlea care home have produced a statement of purpose and service users guide that are readily accessible to all, and each resident had a copy of these documents which contained appropriate information and guidance for residents and have been updated to reflect changes in the management of the home in the last 12 months. Detailed assessments of residents needs had been conducted on all the 5 residents prior to admission by a variety of health and social care professionals and by the senior staff at the home. These assessments ensure that the residents placement at the home is appropriate. Discussions with all the residents indicated that they were very much involved in the decision to live in the home. Prospective residents were able to visit the home as often as they wished prior to admission to meet the other residents and decided if the home was appropriate for them. A written contract of terms and conditions was in place for each resident at the home. Each resident was provided with a copy of those terms and conditions. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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) 6,7,8,9. Southlea continues to provide an environment that encourages residents to retain their independence and make as many individual choices as possible within a framework that seeks to ensure their individual needs are safely met. EVIDENCE: Each resident has a detailed care plan – all of which had been recently fully reviewed. care records were examined and found to be comprehensive and well maintained. They contained information relating to residents personal/social history, physical health, mental health, diet, personal care, friends, family, social contacts, risk assessments and strategies for care delivery. There was evidence of continuing good links with other healthcare professionals, including mental health specialists, and of service users’ involvement in care planning and review. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 10 Residents confirmed that they are provided with encouragement and support and were enabled to make decisions about their own lives and day-to-day routines. Care records included risk management issues relevant to each individual in relation to decision- making. Discussions with service users revealed that they felt that they were actively enabled and given the opportunity to participate in the day to day running of the home. Residents continue to be cared for in a very domestic and homely environment in which their views and input are important and valued Risk assessments were detailed, individualised, and up to date, with review dates identified. Where appropriate risk management arrangements are agreed with the resident and other relevant agencies. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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 standard(s) 12,13,15,16,17. As the home provides placement for a maximum of 5 residents the home is to provide an environment that is ‘domestic’ and ‘homely’ in character and conducive to encouraging a lifestyle that supports individual freedoms as much as possible. EVIDENCE: Resident’ users spoke positively in respect of being able to make decisions regarding the structure of their day and to participate in activities in which they are interested. It was also apparent that staff, at the home, provided support and reassurance in enabling participation in activities of daily living. In the main, due to the age and temperament of the current service user group, activities undertaken tend to be of an informal nature in accordance with the expressed wishes of the individuals concerned. However, the new manager has recently introduced a programme of outings and day trips with a view to developing more group friendly activities within and outside the home. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 12 Residents and staff report no unreasonable restrictions with regard to residents having contact with friends and family, unless a risk assessment suggests the need for such a restriction for the protection or welfare of a resident. Residents stated that their visitors continue to be made to feel welcome by staff. They also said that they are able to receive their visitors in the privacy of their own room if desired. Residents reported a high degree of satisfaction with meals provided. The dining room was adequately/appropriately furnished. There was flexibility in terms of when and where meals are taken. The kitchen provided for the preparation of residents meals was found to be clean, appropriately equipped and to contain ample food stocks. Residents are able to access the kitchen for drinks and snacks when desired. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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 standard(s) 18,19, 20 Personal and healthcare support in a way that meets the assessed needs of residents who live at the home is provided. EVIDENCE: Residents were of the view that they were involved in agreeing their support needs with staff. Inspection of care records and discussions with residents indicated that that the healthcare needs of residents are assessed and recognised, and that appropriate procedures are in place to address them. Staff support and enable residents in attending appointments with a variety of health care professionals, including appointments with relevant specialists. All consultations with health care professionals at the home are conducted in private. The home uses a monitored dosage system for residents medicines. Medicines were securely stored. One person self-medicates and has been provided with a lockable facility. Medication administration records were accurately completed and well maintained. Staff had received an update to training in the management of residents medicines. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 14 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) 22,23. Appropriate attention had been given to provide an environment where residents and their supporters feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. EVIDENCE: Residents were aware of how to make a complaint if they felt it necessary. They said they felt able to approach the manager or staff with any concerns and that they would be listened to. A formal and accessible complaints procedure was in place. The home has appropriate adult protection policies and procedures in place. Ongoing training for staff and supervision ensures that potential protection issues are highlighted and addressed as they arise. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 15 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) 24,25,26,27,28,29,30. The home appeared to be well maintained. All areas of the home were accessible to service users. The home provided a homely and comfortable environment for residents. EVIDENCE: Bedrooms provided for residents were clean, comfortably and appropriately furnished and personalised according to individual taste. Residents spoke positively in respect of this accommodation and felt these rooms were their own space. All residents bedrooms benefit from en-suite facilities – wash basin, WC, and shower. Communal lounge and dining spaces provided for residents were clean, adequately heated, appropriately furnished, and provided a ‘homely’ environment. The home was clean, warm, and free odour on the day of inspection. Individual en-suite facilities in residents bedrooms minimise the risk of cross infection. Laundry arrangements for residents were appropriate for the size of the home. Residents felt that their clothes were laundered in a satisfactory way. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 16 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) 31,32,33,34,35,36. Adequate staffing levels and appropriate staff are provided to meet the assessed needs of resident’s who reside at the home. EVIDENCE: Staffing provision at the home was found to comply with minimum guidelines and to be appropriate and adequate. Random inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check), proof of identity (including a photograph), and evidence of induction and further training. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 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 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) 39.42 The home was being appropriately managed at the time of this inspection. EVIDENCE: A new manager has been appointed since the last inspection. This person will be undergoing the legally required process of registration with the CSCI. Discussions with resident’s, perusal of responses pre-inspection questionnaires sent to various stakeholders, and inspection of recording systems in the home, indicated that the home is managed in a positive and open way. Management was said to be accessible and responsive to issues raised. The registered owner and newly appointed manager were engaged in NVQ4 training in management and care at the time of this inspection. Residents manage their own finances. A signed record that personal allowances had been paid to residents was maintained. Residents confirmed that they had access to this money and could spend it freely. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 18 The following safety/servicing certificates were inspected at the time of inspection and found to be up to date; Yearly gas safety certificate, servicing of fire safety equipment and the fire alarm system. The 5 yearly NIEIC electrical safety certificate requires updating, as does the certification relating to the safety of portable electrical appliances within the home. These matters need to be addressed by the registered person. Accidents that occur in the home were appropriately recorded and had been appropriately managed. Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 19 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southlea Residential Care Home Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 20 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 42 Regulation 13 Requirement That a copy of an up to date 5yearly NIEIC electrical safety certificate is submitted to the CSCI The registered persons inform the CSCI in writing that portable electrical appliances within the home have been checked by a competent person. Timescale for action 30TH Of June 2005 30th of June 2005 2. 42 13 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 Good Practice Recommendations Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Southlea Residential Care Home F56 F06 S61330 Southlea V216551 060505 Stage 4.doc Version 1.30 Page 22 - 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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