Inspection on 09/02/06 for Spinal Unit Action Group The

This inspection was carried out on 9th February 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Spinal Unit Action Group The 10/05/07

Spinal Unit Action Group The 18/10/06

Spinal Unit Action Group The 17/11/05

Spinal Unit Action Group The 30/06/04

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

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 9th February 2006 11:30 Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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.V284219.R01.S.doc Version 5.1 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.V284219.R01.S.doc Version 5.1 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.V284219.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 12 PD Date of last inspection 17/11/05 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.V284219.R01.S.doc Version 5.1 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 second in the home’s required visits, which are 2 inspection visits per year. 2 residents and 2 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? Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 Page 6 No improvements were needed; the home has maintained its standard well. 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.V284219.R01.S.doc Version 5.1 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.V284219.R01.S.doc Version 5.1 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): This standard was assessed and met at the last inspection. EVIDENCE: This standard was assessed and met at the last inspection. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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): These standards were assessed and met at the last inspection. EVIDENCE: These standards were assessed and met at the last inspection. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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 the following standard(s): 13 & 15 Residents take full part in the local community. Family support and contact is supported and encouraged. EVIDENCE: Residents are very much in control of their own activities & day-to-day choices. Specific activities are not recorded as residents can all talk about what they have been doing, if they wish to. Several residents have interests outside the home and were in & out, on the day of the inspection. Most have access via adapted cars or their own electric wheelchairs Residents will disclose what they wish to in terms of where they go. They access all local facilities and further a field. Most still have friends & colleagues and links in the area they have come from. The resident case tracked was having a respite stay in the home and said she was fully in control of what activities or socialising she chose to do. Family and friends are welcome in the home and residents go out to visit family & friends too. There is a relaxed atmosphere in the home and it is welcoming and friendly. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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 the following standard(s): 18 & 20. Students receive personal support needed in a way they prefer. Medicine is stored and administered appropriately. EVIDENCE: The resident case tracked said that staff were very sensitive, discreet and supportive when delivering her personal care. She confirmed they asked her preferences and took her advice when changes were needed. This was supported within her records, commenting upon progress/issues in this area and guidance where support was needed. She has a GP out in the area as she was staying on respite. Daily records seen were positive in monitoring mood and well being of those case tracked. Detailed information on risks and medicines were held on file to inform staff. Discreet references to personal care given were in the daily records and were the same as those written in his assessment. Staff spoken to were very aware of the support needed by all the residents. All resident self-administer his or her own medication. The medication records & storage for the residents were examined and found to be satisfactory. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 Page 12 Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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): 23 Residents are aware of and protected from abuse. EVIDENCE: All staff have undergone Protection Of Vulnerable Adult (POVA) training and the home follows the local authority’s POVA procedure. Daily records are maintained noting observations in well being & welfare. Staff spoken to are very committed to residents welfare and protecting residents where appropriate. The resident case said all staff were supportive and respectful but said she would report to the Manager if she had any concerns. As stated previously, this service’s residents are confident in speaking out and sharing concerns they have if required. No allegations of abuse have been reported to CSCI in the last inspection year. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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): 24 & 30 Residents live a purpose built, homely environment. The home is clean & hygienic. EVIDENCE: The home is located on a busy road, off the end of the Promenade in Southport and is close to the town centre, shops, amusements and facilities. The home is purpose built and bedrooms and bathrooms are located over three floors. There is a lift & all areas in the home are fully wheelchair accessible. There is seating to the rear of the property and a walled garden which residents enjoy using. There is an overhead tracking system in the home to support service users with lifting. All communal and some bedroom areas were seen on the day of the inspection. All these areas were clean, tidy, comfortable and well maintained. The resident case tracked said she was very happy with the standard of the environment. Residents that are able are responsible for helping in the general upkeep of their bedrooms and chores around the house as part of their independent living skills. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 Page 15 Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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 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): 34 The recruitment procedure protects residents. EVIDENCE: 4 staff files were inspected and the standards for the recruitment of staff are good. All files contained necessary details including 2 satisfactory references, identification documents, POVA [Protection of Vulnerable Adults] and Criminal Records Bureau [CRB] checks. Staff vacancies have been recruited to and staffing is generally stable and consistent. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 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 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): 37 & 39. The resident’s home is well run by the Manager & staff group. Residents have input into the day-to-day running of the home but are not consulted formally by the service and do not give formal feedback in an audit. EVIDENCE: The Manager is Mr Graham Sharp and he is present in the home in addition to staffing numbers. Staff are clear about their roles and lines of accountability are also clear. All residents spoken to feel the home is well run and staff support them to live their own lives. Those spoken to also said they would feel comfortable approaching the Manager and staff if they had concerns or issues they needed to discuss. The home currently has no formal annual Quality Audit with feedback from residents/relatives. This was discussed & advice given with the senior staff member. This must be addressed. Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 Page 18 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 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 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 X 3 X 3 X 1 X X X X Spinal Unit Action Group The DS0000005364.V284219.R01.S.doc Version 5.1 Page 19 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 YA39 Regulation 26 Requirement Timescale for action 01/06/06 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.V284219.R01.S.doc Version 5.1 Page 20 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. 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