Inspection on 01/07/05 for St Paul`s Hostel

This inspection was carried out on 1st 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

St Paul`s Hostel 31/01/08

St Paul`s Hostel 21/02/07

St Paul`s Hostel 24/02/06

St Paul`s Hostel 13/10/04

St Paul`s Hostel 21/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 St Pauls Hostel 4 St Pauls Road Middlesbrough TS1 5NQ Lead Inspector Brenda Grant Unannounced 1 July 2005 10:10 am 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. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Pauls Hostel Address 4 St Pauls Road Middlesbrough TS1 5NQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01642 241620 01642 241620 Middlesbrough Council Louise Naylor Care Home 21 Category(ies) of Learning Disability (LD) 18 Years - 64 Years registration, with number of places St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One named individual who is over the age category is allowed to reside in the home. Date of last inspection 13th October 2005 Brief Description of the Service: St. Pauls Hostel is situated at 4 St. Pauls Road in Middlesbrough and is a local authority care home for adults with a learning disability. The home is registered with the Commission for Social Care Inspection under the Care Standards Act 2000. St. Pauls Hostel is a two storey building providing care and accommodation for twenty one adults. The home is divided into two distinct units for seven respite service users and fourteen assessment/long stay service users. The latter unit is further sub divided for the differing service user groups. All bedrooms are for single occupancy. Two bedrooms have an en-suite facility with a toilet and wash basin and another two bedrooms have a bathroom and a separate toilet facility. The home also provides communal washing and bathing/showering facilities for all service users occupying the other bedrooms. Service users have access to the town centre and local amenities. Travelling further afield is by means of the homes mini bus. Staff said service users are encouraged to continue with educational and leisure interests. Each service user has a weekly programme of activities; most attend day care, Monday to Friday, at various locations in Middlesbrough. The home has regular service users meetings where service users are able to give their views about the running of the home. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours forty minutes, the inspector looked around the building and the grounds of the home as well as inspecting a number of records. Three service users, one staff and the manager were spoken to on the day of the inspection. The inspection findings confirmed that management and staff of the home continue to ensure service users needs are being met. Service users said they were happy living at the home and that staff were always ‘very nice’. It is disappointing that most of the building requirements, highlighted during the last inspection, have not been addressed and that further maintenance work has been identified despite the managers persistent efforts to have that work carried out. What the service does well: What has improved since the last inspection? The home has carried out a quality assurance survey seeking views, from service users and their representatives, on whether they think the services at the home are satisfactory. Most of the results of the survey were very favourable. The manager said she is to address the areas that people thought the service could be improved. Planting to the seating area of the rear garden has improved the appearance of the garden. Service users having Person Centred Plans, in a pictorial version, that service users can easily understand. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 6 Service users meetings having the minutes in a pictorial version. Regular reviews of service users Care Plans. 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. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 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 St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 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) 2 Prospective service users’ individual aspirations and needs are assessed. EVIDENCE: New service users are only admitted to the home after undergoing a full assessment of needs. The home has copies of those assessments, for existing service users, they confirm that service users and/or their representatives were involved during the assessment process. Based on those assessments, the home develops a Care Plan for each service user. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 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 & 9 Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Care Plans, using a person centred approach, set out how service users current and anticipated needs will be met. Service users said they participate in the reviews of their Care Plans. For long stay service users, reviews are at least every six months. The service users who receive respite care have their needs reviewed at least on a yearly basis. The home carries out service user Risk Assessments; recording what action is taken to minimize identified risks and hazards. Where necessary, service users are given training, to avoid limiting the service user’s preferred activity or choice. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 14 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. EVIDENCE: The home assists and supports service users to attend day care, college and work placements. Near the home there is a variety of local amenities that service users have access to; community centre, church, shops and leisure centres. Other activities, further afield that service users enjoy are: pubs, cinema, bowling, swimming and the theatre. Additionally, the home arranges outings in the mini bus to seaside, country locations and places of interest. The service users and the manager said service users are offered short breaks away from the home. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Where appropriate, service users are supported to control their medication and service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The manager said there are presently no service users who are in control of their medication. However the home has a recording system for carrying out Risk Assessments on those service users who would wish to look after their medicines. The home follows the policies and procedures for dealing with medicines. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Service users feel their views are listened to and acted upon. EVIDENCE: Service users said they were happy with how management and staff listened to service users views. None of the service users, spoken to by the inspector, said they had any complaints about the home and the care they receive. The home has a Complaints Procedure giving times of when responses will be made and there is a complaints recording system. The home holds monthly service users meetings where service users can collectively voice their opinions. Minutes of those meetings are now available in a pictorial form that service users can easily understand. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 In the main service users live in a homely, comfortable and safe environment but many of the repairs and general maintenance work is not carried out. Service users bedrooms do not always promote their independence. EVIDENCE: Generally, St. Paul’s Hostel is comfortable and homely. Staff and service users have improved the garden seating area with attractive flowerpots. Service users said they like their home. However, there are many areas around the home that is in need of repairs and general maintenance, most were highlighted during the last inspection, those of: • • • • Main kitchen, a cupboard door was broken. The stairway, respite unit room 2 and room 38 had the wallpaper peeling off. Respite unit room 1 the wallpaper was marked. Room 6, the skirting board had been removed and wallpaper peeled off the wall. B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 14 St Pauls Hostel • • • • • • • • • • • • • • • • • • • Room 13, a cupboard for cleaning materials, had no door handle Rooms 20, 57 & 58 had cracked ceilings. Room 21 had a cracked ceiling and a cracked wall tile. Room 22 had a cracked wall tile, the wash basin pedestal was cracked and the bath was stained. Room 28 had wallpaper that had been peeled off and the walls were marked. Room 31, had a cracked toilet cistern. Room 32 had a cracked light cover and a stained ceiling. First floor hall carpet was worn and stained. Rooms 40, 41, 44 & 45 had cracks on the walls. Room 49 had paint peeling off the window frame. Rooms 50 & 51 the varnish is peeling off the wardrobe doors and the doors had been damaged. Rooms 52 & 55 the walls were marked and in room 55 the knob of the wardrobe door was missing. Room 56 the wardrobe door varnish was peeling off. Room 58 the woodwork had paint peeling off, some of the sealant around the bath was missing and there was a tarnished mirror. The matting near a fire exit was stained. Much of the exterior paintwork had paint peeling off. The grounds of the home did not have a ramped access for wheelchair users. The parquet flooring of the dining room was badly damaged. The car park and paving had areas that were overgrown with weeds. Service users said they were satisfied with their bedrooms. Two service users were pleased to show the inspector some of their personal possessions and one service user was proud to show the inspector the pictorial versions of his/her Person Centred Plan that were on display in the bedroom. • • A bedroom did not have a wash basin. Not all bedrooms had sufficient electrical sockets or a TV point. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Service users benefit from well supported but not regularly supervised staff. EVIDENCE: Staff said the manager and senior staff supported them in their work. The manager confirmed that not all staff had received one to one supervision at least six times yearly. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 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 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 The home carries out a quality assurance survey with service users and their representatives but monthly self-monitoring is not always carried out. EVIDENCE: The home has actively sought views, from service users and their representatives, by carrying out a quality assurance survey. Results, from the survey, were favourable about the care provided at the home and the manager has compiled a report that is to be presented to the survey participants. The manager said the results are to be used to further develop the services at the home. The home has a self-monitoring system carried out by a senior manager. Reports, on the findings from the visits, do not show that the visits are monthly. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x 2 x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x x x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Pauls Hostel Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x x x B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 18 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 24 & 26 Regulation 23 Requirement The home must carry out all remedial repairs and maintenance work to the following: Main kitchen - broken cupboard door in the main kitchen. Stairway, respite room 2 and room 38 - peeling wallpaper. Respite room 1 had marks on the wallpaper. Room 6 - the skirting board had been removed and some of the wallpaper peeled off the walls. Room 13 - no door knob. Rooms 20, 57 & 58 - cracked ceilings. Room 21 - cracked ceiling and a cracked wall tile. Room 22 - cracked wall tile, cracked wash basin pedestaland stained bath. Room 28 - walls marked and wallpaper peeling off. Room 31 - cracked toilet cistern. Room 32 - Cracked light cover and stained ceiling. First floor hall carpet worn and stained. Rooms 40, 41, 44 & 45 - cracked walls . Room 49 - paint peeling off the B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Timescale for action --------------------------------------------31st October 2005 Page 19 St Pauls Hostel Version 1.30 2. 39 26 window frame. Rooms 50 & 51 - varnish peeling off wardrobe doors and the doors were damaged. Rooms 52 & 55 - marks on the walls and room 55 the knob of the wardrobe door was missing. Room 56 - varnish peeling on the wardrobe doors. Room 58 - paint peeling off the woodwork, sealant around the bath missing and a tarnished mirror. Near the fire exit - matting stained. Exterior paintwork - paint peeling off. The grounds - no ramped access for wheelchair users. Dining room - damaged parquet flooring. Car Park and paving - overgrown with weeds A bedroom - no wash basin. (Previous timescale of 31st March 2005 not met) The provider must carry out monthly visits and write a report of the findings from that visit. (Previous timescale of 31st March 2005 not met) 30th Nov. 2005 31st March 2006 30th Nov. 2005 15th August 2005 31st March 2006 31st August 2005 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 26 36 Good Practice Recommendations Bedrooms should have sufficient electrical sockets and a TV point. All care staff should receive one to one supervision at least six times yearly. St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit B, Advance, St Marks Court Teesdale, Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Pauls Hostel B51 B01 SN33846 St Pauls Hostel V233888 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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