Inspection on 02/11/05 for Sussex Road, 113

This inspection was carried out on 2nd November 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sussex Road, 113 10/10/07

Sussex Road, 113 11/12/06

Sussex Road, 113 08/03/06

Sussex Road, 113 05/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Sussex Road, 113 113 Sussex Road Southport Merseyside PR8 6AF Lead Inspector Mrs Elaine White Unannounced Inspection 2nd November 2005 09:30 Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 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 Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 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. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sussex Road, 113 Address 113 Sussex Road Southport Merseyside PR8 6AF 01704 531025 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 3 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 7th March 2005 Brief Description of the Service: 113, Sussex Road is a large semi-detached, converted property, which is registered to provide care and support, for 38 weeks, for up to 3 young adults with a learning disability. There were 3 student’s resident at the time of the inspection who are in their final year of college and will be moving on to further placements at the end of the year. The home is located in a residential area close to the town of Southport. The amenities close by include shops, pubs, cinema and leisure facilities, which are accessible via the local transport services or within walking distance. One member of staff provides 24hour cover. The students access Arden College for their educational needs. The home is registered with Speciality Care (Rest Homes) LTD. The home manager is Ian Sargeantson and the registered manager is Mrs Greta Morphet. Margaret Hill, the Regional Director, is the Responsible Individual. The home provides a homely environment for the students resident. There are no disabled facilities required. All students have their own rooms. Communal areas include a lounge, dining/kitchen and enclosed rear garden. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days for duration of 6 hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. A tour of the premises took place and the one of the three residents; the home manager and the registered manager were spoken to regarding the care and support provided. General observations were made throughout the inspection. Care records and other home records were viewed. What the service does well: The home provides a comfortable, homely setting for the students. Discussion with the home manager, one of the three students and records viewed confirmed that an activity programme is in place. This involves the students in day-to-day activities both in the home and the community. The students have the opportunity to contribute to the running of the home and their educational programme as they take part in tutorials, student meetings and reviews of their care. A ‘welcome to 113 Sussex Road’ is displayed in the entrance with a picture of the staff and students resident. Each student has completed a brief description on ‘himself or herself’. Families are encouraged to take part in the review process, are made welcome to visit and often call at the home when they come to pick the students up for the end of term breaks. Essential Lifestyle Plans are completed for students during their transition period when it is time for them to move on from the home. The students, family and the manager are all involved this process. Person centred reviews encouraged student to take part by being involved in a presentation. The students maintain a daily diary, which identifies their feelings and thoughts. They are encouraged to monitor their own behaviour and boundaries are set by the home manager and the students to avoid confrontation. No complaints or incidents have been recorded since the last inspection. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Medication policies and procedures were viewed and discussed with the registered manager and home manager during the inspection. The carer responsible on each shift records all administrations made. Two recommendations were made 1.The controlled drugs should be stored in a controlled drug cabinet, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973 i.e. a locked box within a locked cabinet. 2. A monthly audit of the drugs should take place by someone with medical knowledge. This is in line with the policies and procedures in place at the home, which were viewed at the time of the inspection. A number of improvements needed in the environment were identified during the inspection and requirements still outstanding include – paint exterior of the home and staff bedroom, refurbish kitchen and repair broken radiator covers. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 7 The home must ensure that up to date certificates are in place for gas and electricity. Water temperatures must also be recorded and this was addressed during the inspection. Discussion with the home manager and viewing of records confirmed that staff meetings do not take place as only one care worker is on duty per shift with a short handover period. Time must to be made available for the staff to meet collectively to discuss home issues. Viewing of records confirmed that a number of records are not up to date or organised. Discussion with the manager confirmed that ‘office’ time is set aside however this is often used for training, house maintenance and external meetings. The home managers ‘office’ time should be reviewed to ensure the records are kept up to date and organised. The manager must provide the information within care files and record details why there is not a need for individual documentation to be maintained i.e. where students are independent of their personal hygiene needs and a daily check is not required/weight charts not recorded. This was agreed with the home manager at the time of the inspection. A training programme is in place however statutory training must be provided and kept up to date for all staff. 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. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 8 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 Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 9 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. A full assessment of need is completed prior to admission. EVIDENCE: A full assessment of need is completed prior to admission. One viewed for one student who has recently moved into the home form another Arden college establishment included information on health and personal care, medical details, background details, risk assessments and hobbies and interests. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 10 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): 6,7,8,9. Individual plans of care are in place and are reviewed to reflect changing needs. Risks and personal goals are identified in consultation with the students, families and other representatives. The students are involved in planning the daily running of the home. EVIDENCE: Full assessments of need are in place prior to admission. These include information on health and personal care, background details, risk assessments, hobbies and interests of each student. The students are provided with an educational, social and daily living programme to meet their individual needs and preferences. Weekly tutorials involving the students ensure that the educational needs of each student are monitored closely. A tutorial session was taking place during the inspection. Viewing of records and discussion with the home manager and one student confirmed that the home provides students with the choice to take part in both educational and social opportunities. One student interviewed said he was taking part in the Duke of Edinburgh Award Scheme as is hoping to achieve a silver award. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 11 Regular reviews of each student assess changing need. Risk assessments are provided and kept up to date through the reviewing process. The students are encouraged to make choices and be involved in the running of the home via reviews, tutorials, meetings and day-to-day decisions made at the home. Activities, menus and outings are decided collectively with the staff and students. The students’ families take care of their finances. Essential lifestyle plans are in place for students moving onto a further placement and are in their transition period. These involve the student, family and the home manager who jointly plan each student’s move onto a further placement. The plan includes what their needs and wants are to make his/her life full and happy. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 12 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): 11,12,13,14,15,17. The students take part in a range of appropriate community activities, which enable them to mix with other age, peer and cultural groups. Meals and mealtimes are flexible to suit the student’s routines. EVIDENCE: An activity programme is in place and includes access to community services such as the cinema, bowling and leisure centres. Transport is available via the college mini bus for trips and excursions. Each student has an educational programme, which is monitored by weekly tutorial sessions. Work placements for the students have taken place at the nature reserve and garden nurseries. One student spoken to confirmed he had been on a placement at a garden nursery. “I enjoyed it very much”. Activities are provided both in groups, individually and often with the other students from other establishments. The students were going to the disco in the evening and were looking forward to meeting their college friends. Life skills targets are set for each student when taking part in activities i.e. taking part in bowling and these are reviewed as and when each target is achieved. One student interviewed said he was taking part in the Duke of Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 13 Edinburgh Award Scheme as is hoping to achieve a silver award. “I am very happy at college and take part in lots of activities”. Family contact is encouraged and ‘link books’ enable the home to keep in touch with the parents and obtain feedback on the students’ progress during their stay with the families during the term breaks. At the time of the inspection one student had returned to the home with his mum who was settling him back in after his half term break. Essential lifestyle plans involve the parents, students and home manager. One student spoken with confirmed he is in his transition period had just received his essential lifestyle plan and said he is about to start completing it. Meals and meal times are flexible to meet the needs of the students who attend college during the week. Menus are displayed and students help to shop for the food and prepare their meals. The students were observed preparing their evening meal on their return from college. Theme weeks are planned i.e. ‘French week’ and these involve cooking meals and taking part in activities of that culture. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 14 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): 18,19,20. Personal support is provided in a way the students prefer. Physical and emotional needs are met and recorded within their plan of care. Medication policies and procedures are in place for the administration of medication. EVIDENCE: Medication policies and procedures were viewed and discussed with the registered manager and home manager during the inspection. The carer responsible on each shift records all administrations made. Two recommendations were made 1.The controlled drugs should be stored in a controlled drug cabinet, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973 i.e. a locked box within a locked cabinet. 2. A monthly audit of the drugs should take place by someone with medical knowledge. This is in line with the policies and procedures in place at the home, which were viewed at the time of the inspection. Recording systems are in place for monitoring personal care needs and weight charts. However at the time of the inspection a number of these were found to be incomplete. Discussion with the home manager highlighted that these are not required for the students as they are independent in their personal care. The manager must provide the information within care files and record details why there is not a need for individual documentation to be maintained i.e. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 15 where students are independent of their personal hygiene needs and a daily check is not required/weight charts not recorded. This was agreed with the home manager at the time of the inspection. All accident and incidents are recorded. Records viewed showed there have been no accident and injuries recorded since the last inspection. The students have access to health care services and records are kept of all visits. Their health, emotional and physical needs are reviewed regularly by all involved in their care. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 16 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): 22,23. Systems are in place to ensure the views of the students are listened to and acted on. Abuse policies and procedures are in place to protect the students. EVIDENCE: Abuse policies and procedures are in place and the home manager has received training in POVA (protection of vulnerable adults). The registered person should extend this training to include the other staff providing support at the home and is included within the recommendations of this report. A complaints policy and procedure is in place. One student interviewed said, “If I wasn’t happy I would tell my family”. There have been no recorded complaints since the last inspection. Students have the opportunity to discuss their views at tutorials and student meetings, which are recorded. Staff are recruited following a satisfactory CRB (criminal record bureau check). Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 17 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): 24,25,26,27,28,29,30. The home is clean, comfortable and meets the individual lifestyles of the students. Sufficient shared and private space is provided. EVIDENCE: The home was found to be comfortably furnished and clean. The home provides a pleasant environment for three young adults to live. No adaptations are required at present. A number of improvements to the interior and exterior of the home should be made to raise the standard of the appearance. Some of which are outstanding from the last inspection. These include – painting of the exterior, new kitchen cupboards and work surfaces, decorate staff room and staff bathroom and repair broken radiator covers. Two individual rooms were viewed during the inspection and were found to be comfortable, clean and brightly decorated. The students have decorated their rooms with their own personal items i.e. posters. All rooms are lockable. Space is available for students’ personal possessions and music systems, TV’s and videos. There is large bathroom, shared by the three students, which is lockable. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 18 There is a planned maintenance programme and the college presently employs a maintenance person to carry out these duties who is due to retire in the very near future. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 19 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): 32,34,35,36. Staff are recruited following the correct procedures. A staff training programme is in place. Not all staff have received the statutory training required. Staff are appropriately supervised. EVIDENCE: Staff are recruited following a satisfactory CRB check and two written references, which were confirmed to be in place when staff files were viewed. A training plan is in place for the staff and training received recorded within the staff files. Certificates for courses attended should be contained in files to evidence this. Records showed that some staff had not received the statutory training required and this included manual handling and first aid. The registered manager must ensure that these are brought up to date for all staff. The home manager is qualified in NVQ Level 3 and the two support workers are working towards their NVQ Level 3. A small staff group of three provide the care and support to the students. One member of staff is on duty per shift. Supervision has been arranged for the staff and must be ongoing every 6 – 8 weeks and records maintained. Handovers take place between shifts, however staff meeting do not take place. Sufficient time should be made available to staff to enable them to meet collectively. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 20 The staff were observed to communicate effectively with the students and a relaxed, pleasant atmosphere was present. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 21 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): 37,41,42. The registered manager is qualified and experienced. Records are securely stored. The home fails to provide up to date certificates for all services in place. EVIDENCE: The registered manager is qualified in NVQ Level 4. The home manager is responsible for organising the day -to -day management and running of the home and has a qualification in NVQ Level 3. Observation, discussion and viewing of records demonstrated the students are involved in the running of the home via daily discussions, meetings and tutorials. Families are encouraged to provide feedback via the ‘link books’ and make comments on the service and support in place. Staff and students were observed to interact together during the inspection and the students were relaxed in their environment. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 22 Policies and procedures are in place and reviewed annually. Certificates for gas and electricity services were not available and must be obtained. All accidents and incidents are recorded. Statutory training must be provided for all staff employed and kept up to date. This includes manual handling and first aid. The home would benefit from organised, more accurate and accessible records. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 23 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sussex Road, 113 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 2 X DS0000005295.V263747.R01.S.doc Version 5.0 Page 24 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 YA24 Regulation 23 Requirement The registered person shall provide up to date certificates for gas and electricity. The registered person shall ensure that all statutory training is provided for staff and kept up to date. The registered person shall make the following improvements to raise the standard of the premises. • • • Paint exterior and staff room. Maintain gardens. Refurbish kitchen. Timescale for action 31/12/06 2 YA35 18 31/03/06 3 YA24 23 31/03/06 (Outstanding from last inspection. Time scale not met). • Repair broken radiator covers. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 25 No. 1 2 Refer to Standard YA19 YA20 Good Practice Recommendations The registered manager should ensure that personal care records are maintained up to date with the assessed needs of the students. The controlled drugs should be stored in a controlled drug cabinet, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973 i.e. a locked box within a locked cabinet. A monthly audit of the drugs should take place by someone with medical knowledge. Abuse training should be provided to all staff. Staff should be allowed time for regular staff meetings. The home manager should be provided with sufficient office time to ensure the records are up to date, organised and accessible. 3 4 5 YA23 YA36 YA37 Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 26 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. Extracts may not be used or reproduced without the express permission of CSCI Sussex Road, 113 DS0000005295.V263747.R01.S.doc Version 5.0 Page 27 - 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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