Inspection on 14/07/05 for Southport Road, 119

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Southport Road, 119 25/06/09

Southport Road, 119 02/04/07

Southport Road, 119 28/06/06

Southport Road, 119 15/03/06

Southport Road, 119 07/02/05

Southport Road, 119 27/09/04

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 18-65 119 Southport Road 119 Southport Road Lydiate Liverpool, Merseyside L31 2JW Lead Inspector Lorraine Farrar Unannounced 14th 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. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 119 Southport Road Address 119 Southport Road Lydiate Liverpool Merseyside L31 2JW 0151 526 2849 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) Expect Limited Ms Susan Byott Care Home 3 Category(ies) of LD - Learning Disability registration, with number of places 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection 7th February 2005 Brief Description of the Service: 119 Southport Road is a small home registered to provide accommodation and support for three adults who have learning disabilities. The home is run by Expect Limited a local organisation who provide support to adults with learning disabilities or mental health support needs. This includes support with in all areas of daily living including personal care, leisure and health and safety. Staff are avaiable 24 hours a day, there are usually two staff during the day and twostaff sleeping in during night time hours. The building is owned by Liverpool Housing Trust who have take care of maintaining the premises. The home is a detached bungalow l in a residential area of Lydiate, therefore it blends in well with other houses in the local area. Accommodation includes, 3 single bedrooms, a through lounge / dining room, 2 bathrooms, a kitchen, enclosed rear garden and staff room / sleep in room. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection records and files in the home were looked at, a tour of the house took place, 2 staff were spoken with and brief conversations took place with two of the people living there, the daily lives of the people living in the home were also observed. What the service does well: What has improved since the last inspection? Since the previous inspection the organisation have made sure that they carry out monthly visits to the home and send the CSCI a report of their findings. They have also carried out a risk assessment to lessen the risk of legionella disease. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 6 There were eight requirements given to the home from the last inspection, the home have met six of these, one of the others could not be checked and the other needs to be dealt with by the organisation. 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. 119 Southport Road F53 F03 S5278 Southport Road V237083 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 119 Southport Road F53 F03 S5278 Southport Road V237083 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 The home has a contract in place for service users, which provides sufficient information to hem regarding their terms and conditions of residency. They have made these easy to read and understand. EVIDENCE: Resident’s files that were looked at had copies of their contract with the home, these have been made easy to read for residents using large print and plain language and where possible they are signed by the resident. These give residents information about the homes terms and conditions, fees etc. 119 Southport Road F53 F03 S5278 Southport Road V237083 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) 6,9 Care plans for residents contain good information regarding their personality and support needs. These are reviewed regularly but not kept fully up to date, which could have an affect on the support offered to service users particularly by unfamiliar staff. There are good risk assessments for residents, which help staff to support them to stay safe. EVIDENCE: The home use a good lay out for care plans and have care plans in place for all of the people living there. Parts of these are very good and the home have used photographs to help residents understand what is written. There is some clear and in-depth information about the person which is up to date, other information such as pen pictures and who helps the person with their money, was out of date and needs to be rewritten to makes sure it gives a true picture of the person and their choices and support needs. Plans read during the inspection had been looked at and reviewed within the past six months so the home are doing this at recommended times, however they have set themselves a target to review plans every month and this had not been met for the past couple of months. The home holds a big care 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 10 review once a year, some of these are slightly over due although one resident had recently had a review from their Social Worker which the home were involved with. Staff know residents well and can explain how they like to spend their time and be supported. Risk assessments are written for each person, these are individual to the person and say what the risk is and how much of a risk it might be. When the home have identified a possible high risk, they write guidelines for staff to follow to lessen the risk and help keep the person safe. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 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, 13,14 17 The home supports residents to get out and about regularly in their local community. However residents do not have much to do at home that they enjoy and appear bored when at home. The home makes sure residents have a variety of meals which they like and which suit their health needs. EVIDENCE: Each person living at the home has their own menu filled in each day, these show that people are offered food, which they like and which is right for their health. The home make sure people have different meals each day and that they include fruit and vegetables. The home have a general food supply and each resident has space to store food that they particularity like or which they have for their health. Where possible residents can and were seen to get their own drinks, staff also responded quickly when asked for a drink. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 12 The people living in the home enjoy going out and about and the home are able to support residents to do this regularly. During the inspection one of the residents was out shopping and another resident asked if they could go out later and got a positive answer. In the two weeks before the inspection the homes notes said that each resident had been out most days to different places including, walking, shopping, for a drive, visits to pubs and the art gallery and meals out. The two people at home appeared to quite restless and bored. A member of staff spoken with had some good ideas for supporting residents with activities in the house. The home should consider helping residents to have some planned activities in their week, such as whether they would enjoy a local college course or community group. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 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) 19,20 The home are aware of residents health needs and keep records to record any changes and seek advice if needed. However they do not always offer support to residents to make regular healthcare appointments, which help detect early signs of a health problem. The home store medication well and have a good recording system in place, but not all staff have had training in medication and there was a difference in the times a medication is given and the times the chemist has given. These could lead to a mistake being made with a resident’s medication. EVIDENCE: The home has Health Action Plans for all residents, these plan the dates to attend routine health appointments such as the dentist, and the date they should next go. Not all of these had been filled in for example one plan said a resident was due to go to the dentist and have their medication reviewed in February 2005 but this does not appear to have been arranged for them. The home must make sure they support residents to make and go to routine healthcare checks at the times they are due. The home also write monthly notes for each person, these have information about the persons mental and physical health that month and show that staff are aware of changes in how the person is feeling and provide support to get help if it is needed. The home has leaflets for all residents’ medication which say what it is for and any side effects staff should look out for. Staff sign to say what they get from, and take back to the Pharmacist to make sure that there is a clear way to 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 14 check medication is accounted for. All residents’ medication sheets (MAR sheets) were signed and kept up to date. But one of the Mar sheets did not say what time the medication should be given, although staff said they know this. The home uses a blister pack system for their medication, their Pharmacist puts all the tablets for the week in a pack with is spilt into times of the day. Some of the tablets in the pack were at different times of the day to the times the home are giving them. This could lead to a mix up with residents medication so the home need to make sure that the write down on the MAR sheets the times medication must be given and that this is the same as the times medication is in the blister packs. Not all of the staff working in the home have had training in medication although this has been set as a requirement by the CSCI on previous inspections. Staff said that this training is being organised and they will attend, the organisation must make sure all staff who support residents with their medication have training to lessen the risk of a mistake happening. Medication was stored well in the home. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 15 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 The home has good systems in place for recording and looking after resident’s monies. Staff have training and have the information to deal with a possible allegation of abuse if it occurred. EVIDENCE: The home has good plans in place saying who helps the resident to look after their money and how it is managed. Their records show that money is checked and counted regularly and receipts are numbered to make any spending easy to check. They also have leaflets in the house explaining how the person’s benefits work and who to get in touch with if there are any problems. The home has a copy of Social Services Adult Protection Procedures and their own policy in place and staff have training in the protection of vulnerable adults to make sure they can identify any abuse and know how to deal with it. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 16 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) 24,25,26,27,30 The home provides a family style environment, which fits in well with the local community. Residents have enough space both to share and to be alone if they want. Some areas of the home appear bright and modern but overall the home appears grubby and in need of some care and attention. There is a risk to resident’s health due to the lack of cleanliness and presence of mould in the home. EVIDENCE: The home is a family type home and rooms are of a regular size, the lounge / dining room and garden are big enough for residents, staff and visitors and the home also has a large kitchen and two bathrooms. The overall impression of the home is that it is grubby and needs deep cleaning and attention to small details. The dining area looks bright and pleasant but the tablecloth had burns in. Skirting boards and doors are marked and should be repainted. In the hall there appeared to be mould growing in the corner, the home must take action to get rid of this as it could have an affect on residents health. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 17 Resident’s bedrooms are all single and have enough space for them to fit their possessions in, if they want to residents can have a key to their room and also to a drawer to lock private things in. At the last two inspections a requirement was given that the home needed to fit a sink in one of the bedrooms, this has been fitted but was not working, the home must make sure this is connected to the water supply as soon as possible so that it can be used if needed. Two of the bedrooms are decorated in a fresh style with good furniture and bedding, in the third bedroom wallpaper was ripped and in need of repair. The home has two bathrooms, both have toilets and basins, one has a bath with a shower overhead the other has a large walk in shower. Both of these rooms appeared grubby and need some work to make them cleaner and more hygienic for residents. The bathroom had a broken radiator cover, the shower curtain was mouldy and the floor needed sealing. The shower room had mould on the windows, the toilet brush was dirty and the bin had no cover on. Both toilets and the bath were unclean. These things could spread infection in the home and have an affect on resident’s health. The kitchen was clean but one of the chairs was ripped and must be replaced. The home must give the CSCI an action plan saying how they intend to put these things right. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x EVIDENCE: The manager did not have a key for the box containing staff files so these could not be read during this inspection. The home must make sure that the manager has access to these files at all times. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 19 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) 42 The home are aware of risks to residents health and safety and take action to prevent these. They make sure all safety checks and certificates are done, but not all staff have taken part in a recent fire drill, which could be a risk to both residents and staff if the fire alarm went off. EVIDENCE: The home does not have a manager registered with the CSCI, they have appointed Ms Nikki Williams as the manager. Ms Williams has worked for Sefton Support Services for some time as a manager and experienced in working with adults who have a learning disability. When this inspection took place Ms Williams had only been working in the home for 3 weeks. In order to meet current regulations for care homes the manager needs to be registered. Certificates and records in the home are all up to date for health and safety checks such as gas, electrics, temperatures, water equipment. The home do regular checks on fire routes and lights, some of the staff have taken part in a 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 20 fire drill recently but other staff have not. The home needs to make sure that all staff take part in fire drills regularly so that they are aware of what to do if a fire happened. 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 21 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 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 2 x x 1 Standard No 11 12 13 14 15 16 17 x 2 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 119 Southport Road Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 22 yes 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 20 Regulation 18(1)c Requirement the home must ensure that all staff who handle service users medication have recieved accredited training This is a previous inspection requirment. Staff advised this is planned. The home must ensure staff files contain all the information required by the Care Homes Regulations 2001. This is a previous inspection requirement. No acess to files was available at this inspection The organisation must apply to the CSCI to register a manager for the home The home must offer residents support to make regular healthcare appointments. The home must make sure all the information in care plans is up to date for the person The home must make sure that the times they gice out medication and the blister packs correspond. The home must make sure that all staff take part in regular fire drills. The home must connect the Version 1.40 Page 23 Timescale for action 2. 33 17(1) 19(1) 3. 4. 5. 6. 37 19 6 20 7. 8. 42 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc 9. 10. 11. washbasin in a residents bedroom to the water supply The home must carry out a survey of the possible damp in the hallway and take action on the findings. The home must provide the CSCI with an action plan to address the enviromental issies listed in standards 24 - 30 of this report The organisation must make sure the manager has access to staff files. 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. 2. Refer to Standard 35 35 Good Practice Recommendations The home should complete a training matrix for all staff. This is a previous inspection reccomendation. Access to staff files was not available at this inspection. The organisation should the oppurtunity for staff to undertake training via the Learning Disability Award framework. This is a previous inspection reccommendation The home should cosider supporting residents with some planned activites. 3. 12 119 Southport Road F53 F03 S5278 Southport Road V237083 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Burlington House Crosby Road North Liverpool, Merseyside L22 0LG 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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