Inspection on 26/10/06 for Station Road

This inspection was carried out on 26th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Station Road 2b/2c Station Road Clayton Bradford West Yorkshire BD14 6JA Lead Inspector Pamela Cunningham Key Unannounced Inspection 26th October 2006 11:00 Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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 Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Station Road Address 2b/2c Station Road Clayton Bradford West Yorkshire BD14 6JA 01274 884424 01274 885323 N/A 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) Hospitaller Order of St John of God Mr Peter John Carter Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2006 Brief Description of the Service: 2b and 2c Station Road are two bungalows registered as one home, each with six single bedrooms offering nursing care and support for people with severe learning and physical disabilities. The bungalows, which are purpose built and designed and equipped to a high specification, are located within the community of Clayton. Clayton is ideally situated, having easy access to all facilities within Bradford, and is only a few miles from open countryside. The buildings are well maintained externally. It is situated in a quiet residential area, and is surrounded by well-tended gardens. The home has two mini buses, which have tail lifts to enable the wheelchair bound service users to use the transport facilities and take them on organised outings. Each individual has their own private room decorated to their own personal taste, and which is provided with all necessary aids and adaptations to suit individual’s requirements. Every room is fitted with a nurse call facility. In each of the bungalows the service users share the communal lounge, dining room and patio areas. All service users have access to local day care activities according to their abilities and individual needs. They are also supported to use the local community facilities within Bradford and Clayton and everyone enjoys an annual summer holiday. Care is provided by a team of registered nurses with learning disabilities qualifications, and trained support workers. The charges made for nursing care provided on 26/22/06 are £919.22 per week. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced. It was done by one inspector, on one day on 26th October 2006 over a period of five hours. The main purpose of this inspection was to make sure that the home provides a good standard of care for the service users and to assess progress on meeting any requirements or recommendations made at the last visit. The methods used at this inspection included looking at care records; observing working practices and talking to staff, service users, and to the nurse in charge at the time of the visit. In addition to conducting the visit, time was also spent preparing for the inspection. Service users prefer to be called clients, and that is the term that will be used throughout the report. The manager wrote to all parents prior to the inspection informing them of the impending visit, however there were no visitors present on the day of the inspection. What the service does well: The home is very well run by a competent manager who is well respected by the staff. One of the support workers is responsible for all Health and Safety aspects in the bungalows. This means she has some ownership and takes pride in the job she does. Clients continue to be treated with respect, and live in a homely environment that offers them safety and security. Positive relationships are always seen between staff and clients. Staff, many who have worked at the home for many years, continue to work hard to ensure that the clients’ rooms are individually organised, decorated to their taste, and suitable for them. Individual cultural needs are respected and steps taken to make sure that these are met. Staff showed good awareness of the needs of the clients, and communication within the staff team is very good. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 6 The home offers a good range of activities with many of the clients attending day centres. The clients continue to have holidays abroad except ones who chose not to do so. There is a good range of specialist equipment available for them to ensure their safety. They are supported to maintain contact with family and friends, however, due to the increasing age of both clients and parents/carers, this is proving to be more difficult. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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 Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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 and 3 Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. Prospective clients and their carers/parents can be sure that the home will meet their needs, and wishes. EVIDENCE: Prospective clients know that the home they choose will meet their needs and wishes. This is assured by the in depth multidisciplinary pre admission process that takes place. Trial visits take place, and no permanent placement is agreed until the staff at the home are assured they can meet their needs, and that they will “fit in” with the other clients. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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, 8 and 9 Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. Clients know their assessed and changing needs, and personal goals are reflected in their individual life plans. They are consulted on, and participate in all aspects of life in the home, and are supported to take risks. EVIDENCE: Two individual life plans were chosen for assessing and case tracking. These are a working document for all staff, and were up to date and complete with all information needed to make sure client’s needs are assessed. This documentation is now kept in individual clients bedrooms One set of documentation included a special need care plan, with a description of how a certain condition the client was suffering from, had occurred. Documentation also contained evidence of care reviews. The named nurse also does written monthly reviews of care given. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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): All standards were assessed. Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. The range of activities provided varies according to the wishes and abilities of the clients, many of who go on planned outings and holidays, and shopping with staff. Menus are planned in conjunction with the community learning disabilities dietician and are adequate. EVIDENCE: The home has its own mini bus and residents are taken out as often as possible. The bus is also occasionally used to bring elderly relatives to visit their loved ones. Activities at the home are organised on a one to one basis, in two’s or in groups depending on the activity and the ability of the client. Holidays are organised to suit individual choice and preference. Day care is now available due to the building work at the centre being completed. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 11 I was told that one client goes out to collect his own magazine, and that one uses the local bus service, local butcher and supermarket, with help from the key worker. The nurse in charge said the home and clients are completely accepted by the local community and this helps them to live as normal a life as possible. She said, “It’s their right to live in a home where their choices are identified and upheld”. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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): All standards were assessed. Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. Service users receive support from specialist healthcare professionals. Clients are supported in the way they prefer, and their physical and emotional needs are met. There are no clients who are capable of administering their own medication. EVIDENCE: There was evidence in the Pre Inspection Questionnaire that service users are registered with a local GP. Other professionals’ help, such as speech therapy, community psychiatric nurse intervention, physiotherapy, dental and podiatry, and Community Psychiatric advice are accessed via the service users’ GP. Currently there are no clients who are capable of controlling their own medication; this is done for them on their behalf by the team of qualified nurses. The medication system is safe and includes written information in each clients file on behaviour management strategies in relation to the giving of medication. This is good practice Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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 and 23 Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. Parent/carer meetings ensure clients’ views are listened to and acted on. They are protected from abuse, neglect and self-harm EVIDENCE: Due to the lack of ability of the clients to understand, there is a difficulty in communication, however the majority of the staff have worked at the home a long time, and demonstrated clear understanding of the clients needs. The home has 10 support workers, all of who have been provided with abuse awareness training. Staff spoken to during the visit clearly demonstrated they were aware of the procedure to take, should abuse be suspected. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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): All standards were assessed. Quality in these outcomes is excellent. This judgement has been made through using available evidence including a visit to this service. The home provides a safe, clean and well-furbished environment for the clients, with specialist equipment to meet their needs. EVIDENCE: The home offers a very comfortable, homely environment with the fixtures and fittings being of a high standard. It was found to be clean, tidy and hygienic throughout. None of the bedrooms have en-suite facilities, however, specialist equipment is available ensuring the safety of residents and staff in some of the rooms. It was clear a great deal of thought has gone into the individual bedrooms ensuring that they suit the residents’ needs, wishes and choices Communal areas are nicely furnished and offer comfort and safety to the residents. There is a rolling programme of redecoration and refurbishment in the home, which means the client’s private and communal areas are always well decorated and furnished. Individual chairs are provided where required. Assisted bathing facilities are available for the residents in both bathrooms. Light and sound equipment is also present in some of the bedrooms. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 15 There is overhead tracking in 4 rooms, and over the baths in both bungalows. Overhead tracking and hoist facility has also been provided in the lounge areas. Certain clients have been provided with special beds and mattresses. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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): 32, 34 and 35 Quality in these outcomes is good. This judgement has been made through using available evidence including a visit to this service. Staff are adequately trained, and the clients are protected by the Orders rigorous recruitment practices. EVIDENCE: Pre inspection documentation identified all staff have undertaken mandatory training. Other training has also been provided. One of the support workers who has done the necessary training to fulfil this role, is responsible for all Health and Safety aspects in the bungalows. This means she has some ownership and takes pride in the job she does. It was not possible to inspect any recruitment documentation as these documents are kept in the sole possession of the manager who was not on the premises during the visit. However due to the rigorous recruitment process the Order adopts, there is no reason to believe the new one member of staff identified on the pre inspection information had not been thoroughly investigated prior to commencing employment. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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, 38, 39, 42 and 43 Quality in these outcomes is good. This judgement has been made through using available evidence including a visit to this service. The home is well managed and the manager is well able to discharge his responsibilities. He offers good leadership to the staff and ensures the residents are protected and cared for in a correct manner. EVIDENCE: The nurse in charge of the morning shift on the day of the visit said, “Peter is a fantastic manager. He is totally dedicated to caring for the clients. He listens to the staff, always has time for them, and listens to his support workers. It’s not just a job to him, it’s his life.” These feelings were repeated by one of the other qualified nurses and by two support workers. Policies and procedures in the home are available for all grades of staff to read, and have recently been updated. Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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 3 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 x 3 3 x LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 3 4 4 3 x x 3 3 Station Road DS0000068469.V313650.R01.S.doc Version 5.2 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. 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 Station Road DS0000068469.V313650.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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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