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Inspection on 17/11/05 for Spinal Unit Action Group The

Also see our care home review for Spinal Unit Action Group The for more information

This inspection was carried out on 17th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service is unique & specialised, supporting residents to manage their complex health needs whilst remaining extremely independent. Staff hold the skills, knowledge and equipment to support people with spinal injuries. Although the residents have complex physical needs they control all other aspects of their lives. They make their own choices about how to live their lives which ensures as much independence as they wish. They all have input into the running of the Home on a day-to-day basis. Residents fully access the community without interruption or direction from the service, leading their own lives with the service support complimenting this.

What has improved since the last inspection?

No improvements were needed; the home has maintained its standard well.

What the care home could do better:

No improvements are required on the standards assessed.

CARE HOME ADULTS 18-65 Spinal Unit Action Group The 6 Weld Road Birkdale Southport Merseyside PR8 2AZ Lead Inspector Miss Orla Murphy Unannounced Inspection 17th November 2005 10:30 Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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 Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Spinal Unit Action Group The Address 6 Weld Road Birkdale Southport Merseyside PR8 2AZ 01704 563633 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) The Spinal Unit Action Group Mr Graham Sharpe Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 12 PD Date of last inspection Brief Description of the Service: The Spinal Unit Action Group (SUAG) is registered to provide care and support for up to 12 adults with a specific disability associated with spinal injuries. The Home is a registered charity and operates with a house management committee. The Manager is Mr Graham Sharpe. The Home is situated close to Birkdale village in Southport, shops and public transport. Southport town centre is close by, providing shops, parks and other local amenities. The Home gives care, accommodation and support for the Service Users but promotes and encourages each person to have an independent life exclusive of the Home. The Home, which is a large Victorian property, has been converted to provide 12 single rooms and ample communal space for the Service Users. A full range of aids and adaptations are provided within the home. Parking is available within the grounds and on Weld Road for staff, residents and visitors. There is a large, well-maintained rear garden. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 2 residents and staff were spoken to at the inspection. One resident was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events) were examined. What the service does well: What has improved since the last inspection? No improvements were needed; the home has maintained its standard well. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 6 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. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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 the following standard(s): 2 Resident’s needs are fully assessed. EVIDENCE: Initial assessments on spinal injuries, effects and their impact are carried out in the Spinal Unit of the hospital. The assessments of the resident case tracked was examined and found to be detailed and informative. Spinal injuries consultants, prior to admission, carry out assessments and additional assessments were on file from the local authority, which funds the resident. The resident spoken with was aware of the assessment process, and he felt he had been consulted and involved. Assessments do not detail social aspects, as residents are fully able to discuss this with whom they want to & feel records shouldn’t be intrusive. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 & 9. Residents all have a plan of care that they are aware of. Residents are fully in control in making decisions about their lives. Risk assessments are in place for all residents. EVIDENCE: There are basic care plans in place for each resident and that of the resident who was case tracked was examined closely. It was found to contain all personal details and care required. There is also a daily diary for each Service User showing relevant information of the care required and given. Information included doctor’s visits/appointments and requests about daily activities. Care plans were relevant, showing that residents control most aspects of their daily living. The resident spoken with agreed that they were fully involved in all aspects of their care and lifestyle plans. Service Users at SUAG mostly maintain full control of their personal lives and reserve the right to not have this commented upon (such as their activities and where they go out to etc) in their care plans, merely the care provided. This is a consistent message given by all Service Users spoken with over the past 8 inspections as they feel their private lives are their own business and not necessary to record. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 10 A risk assessment was in place for the resident case tracked and this looked at transfers, equipment, health, monitoring and moving & handling. Other risk assessments were viewed and were satisfactory. The resident case tracked was aware there was a need to assess the risks when supporting residents with spinal injuries and he was happy with this. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 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 the following standard(s): 12, 16 & 17. Resident choose their own occupation & activities. Resident’s rights and responsibilities are respected & upheld by themselves. Residents enjoy a varied and healthy diet. EVIDENCE: From discussions it is evident that most residents chose not to be involved in paid employment but all lead very active lives, travelling independently & accessing facilities locally & further a field. All current residents manage their own social & personal lives & do not need staff support or intervention. Residents spoken to confirmed they are fully in control of their lives and do not need intervention. Residents are fully independent in relation to their routine and choices whilst living at the home. Meals are served at various times and retained by request. Residents and daily records confirmed that staff work with supporting residents with their personal care in accordance with their activities and requests each day. Residents confirmed that the menu was chosen by them and was varied & popular. The menu was examined and had several alternative choices with records of what meals residents have requested. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19 Resident’s health needs are met. EVIDENCE: Residents have full medical support & input on an outpatient’s basis from the Spinal Injuries Unit In Southport General Hospital. Staff also receive input, advice & training to support residents. The resident case tracked said, “They (staff) know how to work with us, we have specific needs and we need to be careful with health”. Records of all hospital/medical care received & treatment were recorded in personal files. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 22. Residents are comfortable with voicing concerns. EVIDENCE: There is a procedure in place for residents/relatives or others to complain if they are unhappy with the service. The resident case tracked knew the procedure for making a complaint. He said staff were good at listening to concerns and generally there was no need to make a formal complaint because it was sorted out informally. There have been no complaints this year. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 14 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 the following standard(s): No standards were assessed. EVIDENCE: No standards were assessed. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35 Staff are skilled & competent. Staff are trained & skilled in spinal injury care. EVIDENCE: Staff in the home have advanced skills & qualities specifically relating to spinal injury care & monitoring. This is evident in routine support discussed with staff, managers & residents. Staff receive training in spinal injury care from the specialist team in Southport hospital and this is updated regularly. Staff also receive statutory training in Moving & Handling, First Aid, Food Hygiene, fire Awareness & Health & Safety. A training schedule to cover all aspects annually is in place. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The health, safety & welfare of residents is promoted and protected. EVIDENCE: Staff attend a rolling programme of training in this area and this was satisfactory. The Fire system, Gas safety & electrical safety checks are all up to date. They were serviced and certificates seen state they were satisfactory. Health & safety checks are carried out and kitchen/cooking/storage temperatures are monitored. Risk assessments examined were found to be up to date & satisfactory. Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X 4 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Spinal Unit Action Group The Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000005364.V269150.R01.S.doc Version 5.0 Page 18 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. 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 Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool 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. Extracts may not be used or reproduced without the express permission of CSCI Spinal Unit Action Group The DS0000005364.V269150.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!