Inspection on 08/03/06 for Sussex Road, 113

This inspection was carried out on 8th March 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 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

Sussex Road, 113 10/10/07

Sussex Road, 113 11/12/06

Sussex Road, 113 02/11/05

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 8th March 2006 3:45 Sussex Road, 113 DS0000005295.V281692.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 Sussex Road, 113 DS0000005295.V281692.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. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 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.V281692.R01.S.doc Version 5.1 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. 2nd November 2005 Date of last inspection 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 Nick Hutley 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.V281692.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. Eight of the forty-two standards were assessed during this inspection. A tour of the premises took place and all three residents, a support worker and student tutor were spoken to regarding the care and support provided. General observations were made throughout the inspection. Care records and other home records were viewed. The students gave the inspector permission to observe the tutorial session as the students discussed their programmes. What the service does well: The home provides a comfortable, homely setting for the students. The activity programme in place involves the students in day-to-day activities both in the home, the local community and trips out i.e. to museums and football stadiums. 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 tutorial was taking place during the inspection and the students were observed to discuss their educational programmes and make any changes to it. One of the students’ resident acts as a spokesperson on the student council and agreed to take the views of the students to the next meeting. All three students are to move onto new placements and are taking part in their transition meetings to discuss their future. A ‘welcome to 113 Sussex Road’ is displayed in the entrance showing pictures 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 Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 6 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. 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. What has improved since the last inspection? What they could do better: Improvements in the environment were identified during the inspection and these include repair of kitchen chairs, new computer chair, replace/or clean lounge suite and repair of hall lighting. Requirements still outstanding include – paint exterior of the home and staff bedroom, refurbish kitchen and repair broken radiator covers. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 7 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.V281692.R01.S.doc Version 5.1 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.V281692.R01.S.doc Version 5.1 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: Full assessments of need are completed prior to admission and include medical details, background details, risk assessments and hobbies and interests. There have been no new admissions since the last inspection. The home is to be accommodated by three new students during the next term and these assessments will be inspected at the next inspection. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 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): 10. Policies and procedures are in place for confidentiality and all records are securely stored. EVIDENCE: Students’ records are securely stored at the home. Policies and procedures are in place on confidentiality and made available for staff reference. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 11 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): 16 Students’ rights are respected and independence is promoted. EVIDENCE: The three students have their own rooms for privacy, which are lockable. The students can choose to mix collectively in the lounge or dining area or have some privacy in their own room. Staff were observed to interact with the students both in the tutorial sessions and when discussing the events of the day on their return from college. The students all took part in their tutorial session and discussed freely their ‘likes and dislikes’ and any changes they wished to make in their educational programme. The students were involved in planning and preparing the evening meal and their evening disco activity. The students contribute to their lifestyles through tutorials, residents meetings, reviews and transition meetings. Activity programmes are in place and include activities during college, community activities within the local area and trips out on the college mini bus. The students are involved in planning their activity programmes. All three students have recently had their reviews in February and March this year, as they are moving on to new placements. Meals and meal times are Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 12 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. The students have the opportunity to mix with others at college, in the other establishments within the college network and work placements. Discussion took place individually with each student and comments were received on their involvement in the day-to-day running of the home. “The food is now brilliant”. “We have rally good food now”. “We have had some good trips out. We have been to Crosby beach and Matthew Street Liverpool”. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 13 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): 19,20. 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: Recommendations made at the last inspection have been addressed. Records are in place to evidence the personal support required and any visits to other healthcare services. Medication policies and procedures are in place. Medication is securely stored and records are maintained for all administrations made. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 14 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. The student’s views are listened to and acted upon. EVIDENCE: The students have the opportunity to air their views via student tutorials, residents meetings and reviews. Records are maintained for all meetings held. Observation during the tutorial confirmed that the students participate and are encouraged to have their say. Students were discussed which lessons they preferred and those they would like to change. One student acts as the spokesperson on the student council and raises any issues on the other students’ behalf. An advocacy service is available should the students require this. One student is presently using this service during his period of transition to help him make decisions on his new placement. All three students spoken with commented that they are satisfied with the systems in place. All students have regular contact with their families and expressed they would raise any concerns with them. A complaints procedure is in place for students and relatives to access. There have been no complaints made since the last inspection. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 15 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. 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, staff bathroom and repair broken radiator covers. Repairs and improvements noted during the inspection include – repair of hall light, kitchen chairs and lounge suit to be replaced/cleaned. 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 Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 16 videos. There is large bathroom, shared by the three students, which is lockable. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 17 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): All standards were assessed during the last inspection. EVIDENCE: The above standards were not assessed at this inspection. The home has recently appointed a new home manager and students spoken with are happy with the changes made. One student said, “I get on well with all the staff”. The staff were observed to communicate effectively with the students and a relaxed, pleasant atmosphere was present. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 18 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. Self – monitoring reviews are undertaken to monitor the home’s progress. EVIDENCE: Observation, discussion and viewing of records demonstrated the students are involved in the running of the home via daily discussions, meetings, reviews and tutorials. Discussion took place with all three students during the inspection and information on the service provided obtained. The students expressed their satisfaction with the care, support and educational programme in place but are anxious regarding their future placements. Support is provided throughout this period in the form of transition meetings. 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. Quality monitoring systems are in place to review the home’s progress. Monthly visits are made and records of these forwarded to the Commission of Social Care Inspection, (CSCI). An advocacy service is Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 19 available and one student is presently using this service to support him during his transition period. Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 20 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 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 2 25 X 26 X 27 X 28 X 29 X 30 X 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 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 3 X X X X Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 21 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. 1. Standard YA24 Regulation 23 Timescale for action The registered person shall make 31/08/06 the following improvements to raise the standard of the premises. Paint exterior and staff room. Maintain gardens. Refurbish kitchen. Repair broken radiator covers. (Outstanding from last inspection. Time scale not met). Repair hall light fitting and kitchen chairs, replace/clean lounge suite. Requirement 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 Sussex Road, 113 DS0000005295.V281692.R01.S.doc Version 5.1 Page 22 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.V281692.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!