Inspection on 28/02/06 for Stirling Close 8

This inspection was carried out on 28th 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

Stirling Close 8 11/06/07

Stirling Close 8 01/03/05

Stirling Close 8 31/01/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Stirling Close 8 8 Stirling Close Oulton Lowestoft Suffolk NR32 4RA Lead Inspector Jill Clarke Unannounced Inspection 28th February 2006 6:30 Stirling Close 8 DS0000024568.V285123.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 Stirling Close 8 DS0000024568.V285123.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. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stirling Close 8 Address 8 Stirling Close Oulton Lowestoft Suffolk NR32 4RA 01502 587652 01502 587652 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) Mr Colin Graham Hallam Mr Colin Graham Hallam Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8 September 2005 Brief Description of the Service: 8 Stirling Close provides care for three younger adults with a learning disability. Set in a residential area in Oulton, near Lowestoft, the home is within walking distance of the local shops, Public House and Health Centre. Local shops include a Chinese Take-a-away, hairdresser, newsagent and clothing shop. The bus stop at the end of the road has a regular service into Lowestoft, where residents can take advantage of a range of activities. These include swimming pool, cinema, beaches, theatre, restaurants, shops and train station. The layout of the semi-detached two-storey property is of an ordinary, family home. There are no special adaptations, other than handrails in the bathroom. All bedrooms are single, one with an en-suite bathroom. There is a small-enclosed garden at the rear of the home, and off road parking for visitors at the front of the premises. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of 2 regulatory inspections, undertaken between 1 April 2005 and 31 March 2006. The inspection undertaken by the Lead Inspector for the home, took place over 1½ hours, on a Tuesday evening in February. The aim of this inspection was to look at relevant standards, which had not been looked at during the first inspection undertaken on the 8 September 2005. When the inspector arrived, the residents had only ½ hour before they were going out to a club. Therefore this time was spent with 3 residents, as a group, and 1 resident in private, to hear their views on what it was like living at Stirling close. Then whilst the residents were attending the club, time was spent looking at records, and discussing the level of support given with the Support Worker. Records looked at included care plans, Quality Assurance Survey, Health & Safety, and home’s policies and procedures. Contact was also made on the telephone with the owner, who, with the member of staff on duty, was very helpful and supportive in answering any questions, and providing any required records to look at. Before the residents went out, 1 had invited the inspector to look at their bedroom, and the environmental tour also took in the communal rooms; lounge, dining room and kitchen. Discussions during previous inspections identified that people living at the home preferred to be known as residents, rather than service users. This report respects their wishes. What the service does well: The home offers a good level of care and support within a homely environment, reflected in one resident’s comments when they said “it’s like my home”. Residents interacted well with each other, and the staff, which gave a good atmosphere in the home. The location, within a residential street, but within access of local shops, promotes resident’s to be independence. Staff are committed to working individually with each of the residents to ensure they are able to meet their full potential. Relatives are made to feel welcome and are kept updated on resident’s welfare. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 6 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. Stirling Close 8 DS0000024568.V285123.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 Stirling Close 8 DS0000024568.V285123.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): None. See below. EVIDENCE: There had been no new admissions since the last inspection. Standards 1, 2, 3, 4 and 5 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘people wishing to move into the home, can expect to be fully involved in pre-admission assessment and trial visits. This will support the person in identifying if the home can meet the level of support they are looking for/need.’ Stirling Close 8 DS0000024568.V285123.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): None. See below. EVIDENCE: Standards 6, 7, 8 and 9 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘People using the service can expect to be fully consulted and supported to make their own decisions, on all aspects affecting their lives’. Time spent talking to the residents during this inspection, did not identify any concerns that the above statement does not still stand. Stirling Close 8 DS0000024568.V285123.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): 14 (re-assessed) Residents are continuing to be supported to pursue a range of social activities and educational interests, depending on their individual choices. EVIDENCE: Standards 11, 12, 13, 14, 15, 16 and 17, were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘people using the service can expect to be supported by staff, to access a range of social, leisure and educational pursuits. Meals are varied and nutritious, served at times which fit with the resident’s daily routines’. Time spent talking to the residents during this inspection, did not identify any concerns that the above statement was still not relevant. The residents were “looking forward” to visiting the club, which was on from 7 to 9pm. Asked if they had, had pancakes at tea being Shrove Tuesday, 1 resident said no, but they had cooked them at college. This led to general conversations; on what the residents had been doing since the inspector last visited, including visits to their relatives over Christmas. Stirling Close 8 DS0000024568.V285123.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): None. See below. EVIDENCE: Standards 18, 19, 20 and 21 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘people using the service can expect to have a say on how much support they want to be given, and when. They can expect a member of staff known as a ‘Key worker’ to advocate on their behalf, to ensure their wishes are respected and carried out’. Time spent talking to the residents during this inspection, did not identify any concerns that the above statement does not still stand. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 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 the following standard(s): 22 (re-assessed). The home has a robust complaints procedure. EVIDENCE: Standards 22 and 23 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘People using the service can expect staff to listen to their concerns and take appropriate action to investigate, and take action where required’. The home’s complaint procedure gives all the required information on how to complain, and what action would be taken to resolve any concerns raised. Discussions with residents raised no concerns, and confirmed that they felt comfortable to raise any issues or worries direct with staff. The home’s own Quality Assurance Survey asked relatives, about the home’s response to dealing with any complaints, 1 had written ‘ I haven’t made any’, and the other 2 had scored the home as being ‘excellent’. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 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 the following standard(s): 25 (re-assessed) and 30. People using the service are encouraged to personalise their bedrooms, as they want. EVIDENCE: Standards 24, 25, 26, 28 and 30 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘People using the service can expect a comfortable, clean and safe environment to live in’. A resident invited the inspector to look at their bedroom, which was personalised, reflecting the resident’s interests and achievements. Areas of the home which were seen, bedroom, kitchen, dining room and lounge were all clean, and furnished comfortably. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 14 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): None. See below. EVIDENCE: Standards 31, 32, 33, 34, 35 and 36 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘People using the service can expect to be supported by trained staff, who are committed to supporting residents to maintain, and increase their independence’. Time spent talking to the residents and staff during this inspection, did not identify any concerns, to re-assess any of the standards, and revise the previous judgement made. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 15 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): 39 and 42. People using the service can expect the home to be run in the best interests of the residents living there. Residents may not know what action to take, if the member of staff on duty became incapacitated. EVIDENCE: Standards 37, 38 and 41 were assessed as met during the last inspection 8 September 2005. This resulted in the following judgement being made ‘People using the service can expect the home to be well run, in the best interests of the residents. Staff are approachable and will support residents to maintain control over their lives, and have a say in the running of the home’. The owners undertake a yearly Quality Assurance survey for residents (3) and their relatives (3) to complete. People were asked to answer questionnaires covering all areas of the service including care and friendliness of staff, and were asked to give a rating ranging from Excellent to Poor. Completed copies of the last questionnaire sent out (July 2005), held positive (excellent to good) responses. When asked about ‘the overall impressions of the home?’ 2 had Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 16 described the home as ‘excellent’ and 1 as ‘good’. Extra comments made by relatives included ‘ good friendly atmosphere’ and that ‘***** (resident’s name) appears very happy’. All the residents had completed the questionnaires, with their replies falling in the excellent to good range. When asked how do you rate the friendless and politeness of staff?’ all 3 had rated this as ‘excellent’. This was also reflected by a resident spoken with who described the staff as “nice”, and that they “liked” the owner. Information gained from the quality assurance, is then used as part of the home’s business plan, to develop any areas, if required. Fire records looked at included Fire Safety Policy, which included a Fire Risk Self Assessment checklist, which had been last reviewed in March 2004. It was recommended that although records showed that fire alarm equipment was serviced regularly and weekly checks undertaken on the fire alarm system, that the home should review their Fire Risk Assessment at least once a year, or earlier if needed (e.g. changing the area in which cleaning fluids are stored). After reading an incident recorded in a care plan, involving a resident demonstrating challenging behaviour (including physical contact with staff). The inspector asked to see the incident book. There was no report completed to show what action had been taken to support both the resident and the lone member of staff working at the time. There was no lone working policy. This led to discussions that although the situation, which was backed up by the care plan was out of character, the home should have a policy to protect both residents, if the lone worker became unwell, so residents could get help, and if the carer required assistance quickly. The member of staff on duty said that they would phone the owner, who did not live far if they required help, and a resident would be able to use the phone to get help. Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 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 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 3 23 X ENVIRONMENT Standard No Score 24 X 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 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 X 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 2 X Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 18 N/A 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 YA42 Regulation 13 (4) (c) Requirement The home must produce a ‘lone workers policy’ and risk assessment, which covers what action, would be taken (by residents and staff) if the member of staff on duty became incapacitated. It must also give clear guidelines to staff on how to get assistance quickly in an emergency situation. Timescale for action 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations Although the home has completed a Fire Risk Self Assessment checklist, this should be reviewed at least once a year, or earlier if needed (e.g. changing the area in which cleaning fluids are stored).). Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Stirling Close 8 DS0000024568.V285123.R01.S.doc Version 5.1 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. 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