CARE HOME ADULTS 18-65
Strangers Way, 72/74 Luton LU4 9ND Lead Inspector
Mr Paul Worthy Unannounced Inspection 23rd February 2006 11.30 Strangers Way, 72/74 DS0000014974.V283822.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 Strangers Way, 72/74 DS0000014974.V283822.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. Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Strangers Way, 72/74 Address Luton LU4 9ND 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) 01582 505013 www.aldwyck.co.uk Aldwyck Housing Association Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: 72-74 Strangers Way provides accommodation to six people with learning or physical disabilities. It is situated on the corner of a main road in the Leagrave area of Luton. The home was created from two semi-detached three-bedroom houses. These were converted to provide two separate units (no 72 and 74): one with four bedrooms plus normal communal facilities and the other with two bedrooms, bathroom, kitchen and lounge. The units can only be accessed from the outside. The smaller unit (no 74) is intended for two service users who are able to live more independently and require a smaller staff input. The staff on duty work across both units. Night staff are based in no 72. There is off-road parking for three vehicles and the garden at the back of the house provides an attractive leisure space for all six service users. There is a good bus service along the main road and the railway station is about a mile from the home. Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection began at 11.30 a.m. It took place over 4.5 hours. There were six people living at the home. The four living in the no. 74 were seen interacting with staff and were joined when having their lunch. Three members of staff on duty and the manager were spoken. Relevant records were also inspected. At the first inspection of the inspection year all the core standards had been inspected against, with the exception of one relating to the personal support to the service users and two relating to staffing (training and recruitment). These core standards and other standards relating to staffing were inspected against during this inspection and requirements and recommendation outstanding from the last inspection were reviewed during the inspection to determine if they had been met or were in the process of being met. What the service does well: What has improved since the last inspection?
There had been a new shower installed at no 74 to allow two of the service users to be more independent and window restrictors had been put in place on those bedroom windows on the second floor that had been without. Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 6 Good arrangements had been put in place to ensure that staff were clear about their roles when on duty, in particular there was now a named shift leader and a clear list of duties for the shift leader. Staff noted how this helped ensure continuity and consistency of care. 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. Strangers Way, 72/74 DS0000014974.V283822.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 Strangers Way, 72/74 DS0000014974.V283822.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 EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.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 EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.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): None EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.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 Those living at the home receive personal support based on individual assessments and plans, which they are involved in drawing up, so that their independence and control over their lives is maximised. EVIDENCE: The service users plans that were seen covered their needs in respect of personal care and support in detail, and commented on their preferences where this was appropriate. There was evidence of the awareness of the need to ensure as much independence as possible: since the last inspection a shower had been installed to increase the comfort and independence of a service user; and help was being sought from an appropriate organisation to ensure the response to maximise independence for a service users with sensory deficiencies was as comprehensive as possible, the intention being to turn his room into a sensory room. Some of those living at the home needed a degree of prompting to allow them to maintain their personal care and monitoring to ensure their safety and this was made clear in the plans and associated risk assessments. Others were more independent and needed only support at a limited number of times during the day. Recent house meeting minutes for the more independent service users showed that an attempt was being made to ensure that they are involved in planning when they need support so that it reflects their life styles and the times when they are at home.
Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 12 The ongoing work of key workers to introduce person centred planning was seen to be creating new ways of involving those living at the home in planning for all the areas of personal care and support. Strangers Way, 72/74 DS0000014974.V283822.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): None EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.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): None EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. There were good arrangements to ensure that the home was appropriately staffed so that the needs of those living at the home would be appropriately met. EVIDENCE: The manager noted that there had been a difficult period when there had not been enough staff so that there had been a heavy reliance on bank staff. She confirmed that they were now fully staffed, including having a deputy manager, and that the mainly new staff group had jelled well together. Staff noted how supportive the team was and how well they worked together. They also noted how supportive management was; and how the new arrangements, including the clear arrangements for having a shift leader had helped ensure that staff were supporting those living at the home in a way that provided consistency and continuity. Talking to staff provided evidence that they had good up to date information about those living at the home and were proactive in working to help them live lives that were as normal and full as possible. It was observed that the staff and those living at the home had very good relationships, the staff clearly having a lot of affection for the service users and a desire to help them feel at home. Good arrangements for ensuring the initial and ongoing training of staff were seen to be in place from the records and from what staff reported about their training. This included good arrangements for ensuring NVQ training for all
Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 16 staff. There were good support arrangements for staff, including monthly supervision, regular team meetings and handover meetings. The sampled staff file for someone recently recruited showed that the required documentation to safeguard the safety of the service users when recruiting staff was being obtained at the time of recruitment and then held. Strangers Way, 72/74 DS0000014974.V283822.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): None EVIDENCE: Strangers Way, 72/74 DS0000014974.V283822.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 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 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 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x x x x x x x x Strangers Way, 72/74 DS0000014974.V283822.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. 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 Strangers Way, 72/74 DS0000014974.V283822.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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