Inspection on 16/11/05 for Talbot Street (30)

This inspection was carried out on 16th 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 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

Talbot Street (30) 06/01/09

Talbot Street (30) 08/01/07

Talbot Street (30) 12/07/05

Talbot Street (30) 19/01/05

Talbot Street (30) 17/05/04

Talbot Street (30) 10/03/04

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 Talbot Street, 30 30 Talbot Street Southport Merseyside PR8 1HA Lead Inspector Mrs Elaine White Unannounced Inspection 16th November 2005 10:30 Talbot Street, 30 DS0000005231.V266449.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 Talbot Street, 30 DS0000005231.V266449.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. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Talbot Street, 30 Address 30 Talbot Street Southport Merseyside PR8 1HA 01704 548269 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 8 Category(ies) of Learning disability (8) registration, with number of places Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 8 LD The service should, at all times, employ a suitably qualified and experienced manager who is registered with the NCSC. 12th July 2005 Date of last inspection Brief Description of the Service: 30, Talbot Street provides care and support for up to 8 young adults with a learning disability. The home provides 24-hour support to the students resident. The students attend Arden College, which is an independent specialist Further Education College for students aged 16 to 25 years with learning disabilities and/or behavioural, social or emotional difficulties. Placements can be provided for 52 weeks. These are agreed with the placing authorities and the company. The home is managed by Speciality Care (Rest Homes) LTD and is part of the Arden College network. The home manager, Pauline Harwood, is responsible for the day-to-day running of the home under the supervision of the registered manager, Mrs Greta Morphet. The home is a large semi - detached property, which is situated close to the town centre of Southport. The home is a converted house, which has been divided into 8 units of accommodation on three levels. Access is gained via a main entrance to the students’ individual accommodation. There is a rear-grassed garden, which the students can use in the summer months. The home provides two communal lounges, a large dining area and kitchen. The front has a paved parking area. An office is available for staff on the first floor. Talbot Street, 30 DS0000005231.V266449.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 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. A tour of the building was conducted. Case tracking was conducted on the two residents to assess the care and support provided. Staff records and a selection of home records were viewed. One support worker, one senior and the home manager and one student was spoken with and their views obtained of the home. Comments received have been favourable regarding the home, the staff employed and the activities provided. What the service does well: The home is divided into 8 bedrooms, which are individually furnished to meet the needs of the young students. Rooms contain their own personal possessions i.e. DVD’s, TV’s, music systems etc for their own use. Two lounges and a large dining room provide ample space for the students to mix with staff and other students. These rooms are also used for student tutorials and daily living skills. Students were using the facilities for a tutorial at the time of the inspection. The students are encouraged to maintain contact with family; friends and visitors are made welcome at the home. A range of activities are provided to meet the needs and interests of the young adults. These include – cinema, iceskating, bowling, discos, pubs and restaurants. Risk assessments are in place for activities undertaken. A key worker system is in to provide 1-1 support to the students. Discussion with staff and a student confirmed that this works well as they can relate to one particular care worker. Access to other services is available as a number of the students require input from a speech therapist who attends the home to provide these sessions. Students with communication difficulties have the use of Dynavox and sign language to aid communication. The students each complete an, ‘All about me’ book, in cooperation with the college speech therapist, home manager and the tutor. This provides information about each student, such as, ‘where I live’, Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 6 ‘what makes me anxious’ and ‘how I communicate’. A picture symbol book to aid communicate is also used. This provides staff and other professionals with the information to assist communicate with the students. A ‘talking book’ (A taped recording) is in the process of being developed for the students and prospective students, to provide information on ‘welcome to the home’, ‘how to make a complaint and who to contact i.e. CSCI’, ‘tutorials’, ‘jobs’ and ‘finances’. This is being put into place by the home manager and registered manager and will be continually up dated as changes occur. The records in the home are organised, easy to access and kept up to date. Policies and procedures are in place and are regularly reviewed by the registered manager. What has improved since the last inspection? Little progress has been made to address the requirements to improve the standard of the environment since the last inspection. These are still outstanding and are contained in the requirements of this report. Improvements include – new kithchen units/replace rotten windows/paint exterior of the home/general repainting of interior due to wear and tear/replace lounge carpets/continue new hall carpet up the stairs to match and hall/continue completion of radiator covers and repaint front steps with non slip surface. (Time sacle for action 30th september 2005 – not met). Additional work required was noted during the inspection included the replacement of the worktop in ground floor bathroom. Students are provided with a weekly budgeting plan. This is planned with the key worker/student and together they choose their weeks activities and finances are applied for in advance. Communication aids and information is more readily available (as outlined in ‘what they do well’. Discussion with the manager highlighted that recruitment and selection of staff has improved. The home manager outlined that new staff complete a basic written test, prior to interview. Prior to employment they work at the home for a short period to get to know the students and other support workers. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 7 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. Talbot Street, 30 DS0000005231.V266449.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 Talbot Street, 30 DS0000005231.V266449.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 is undertaken prior to admission to enable the home to meet their needs. EVIDENCE: Since the last inspection six new students have been admitted. Care files of two students were viewed. Assessments were found to be in place for both students and contained information on health and personal care, educational needs, background details, risk assessments and hobbies and interests. Access is available to a speech therapist at the college and other health care professionals when required. Talbot Street, 30 DS0000005231.V266449.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. Care plans viewed contained assessments and essential skills targets, which are reviewed regularly to reflect changing need. EVIDENCE: Care plans were viewed for two students. Records showed reviews take place with the involvement of the students, tutors, home manager and other professionals. The placing authority conducts reviews monthly by the home manager and annually. The care plan is generated from the assessment and covers all aspects of health and personal care, social support and educational needs. Essential skills targets are set for each student and are reviewed regularly. A personal tutor is available weekly to provide tutorials with each student to monitor progress. A key worker system is in place and students are aware of who their key worker is. Pictures and information ‘All about me’ is displayed in the home for visitors to identify the key workers and the students resident. Risk assessments are provided and kept up to date through the reviewing process. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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): 11,16. The students are provided with the opportunity for personal development and their rights are respected. EVIDENCE: An individual educational and activity programme is in place, which includes community involvement, use of the local facilities based on their assessed needs and interests. Viewing of 2 students’ records, assessments, care plans, risk assessments and activity and educational programmes confirmed that the students are provided with the opportunities for personal development. The students are able to develop social contacts via college, community activities and trips out with other units. Opportunities are available for the students to access work placements, such as gardening, and other educational pursuits like the Duke of Edinburgh Award schemes, which involves them going away for weekends. Staff spoken confirmed the students have access to the amenities available in Southport with their support. These are provided individually or as a group and include – swimming, cinema, ice-skating, bowling and discos. The home provides a flexible approach to the activities provided based on the choice and preferences of the students. One student spoken to during the inspection commented that she doesn’t like to take part in some of the activities, as there “are too many people”. 1 –1 support is made Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 12 available for access to the activities of the student’s choice and includes – shopping and eating out. Students have the opportunity to discuss their activity, daily living and education programmes during weekly tutorials, residents meetings and individual key worker sessions. However discussion with the manager and staff who commented that student meetings are becoming more difficult due to the number of students with communication difficulties. “Not all the students are able to interact and express their views freely”. Communication aids are in place to assist this. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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): 18. Students receive personal care, support and guidance where required in a sensitive and dignified manner. EVIDENCE: The “All about me” book, which is completed by the student in consultation with others involved in their care identifies their likes/dislikes, what makes them anxious and what they need support with. This along with a full assessment of need and regular reviews helps the staff to know and understand the individual needs of each student and enables personal support to be given in the appropriate way. Some students are independent in their personal care needs and require minimum staff support. This is regularly monitored and reviewed by the home manager and the key worker. Two students with communication difficulties have access to Dynovox, which is a technical aid to assist in communication. Certain statements can also be programmed in i.e. ‘I have been to the disco’, to enable the student to contact their families via the phone. Signing and picture symbols are also used to promote independence. Staff on duty were observed to interact well with the students during the inspection and students were encouraged to make decisions. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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): 23. Policies and procedures are in place to protect students from abuse and staff receive training in abuse awareness. Staff are recruited using the correct procedure to ensure safety of the residents. Financial policies and procedures are in place and students are encouraged to manage their finances were possible. EVIDENCE: Records viewed and staff interviewed demonstrated that staff are aware the abuse procedures. “I wouldn’t think twice about reporting any abuse”, (Staff). Finance policies and procedures are followed by the staff who record all transactions made and obtain receipts. Students are encouraged to hold their own bank accounts were possible. One student working towards independence has his own account and manages his own finances. Families are also encouraged to manage the students’ finances. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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. A number of outstanding requirements and improvements must be made to raise the standard of the home. Student’s bedrooms contain personal possessions and equipment to promote their independence. Sufficient toilets and bathing facilities are provided. The home is clean and hygienic. EVIDENCE: All rooms were viewed and were comfortably furnished and clean. A number of requirements from the last inspection have been met, however there are several still outstanding and are included in this report. These include – new kitchen, replace rotting windows, paint exterior, replace carpets in lounges, continue new hall carpet up the stairs (to match) and repaint front steps (non –slip substance in view of accident records). During the inspection it was noted the need for the replacement of the downstairs bathroom worktop. Radiator covers are in place in most areas however these are yet to be completed throughout. There is a planned maintenance programme and a maintenance person is available for repairs. However, discussion with the home manager confirmed that the protocol in place for reporting repairs/replacement/decoration. Discussion with the manager confirmed that repairs required have been notified to head office and are yet to be addressed. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 16 “I report them but they are still not done”. 6 monthly home audits completed identify improvements required. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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): 33,34,35. Recruitment and selection of staff supports and protects the students’ resident. A training programme is in place to ensure the staff are trained to meet the needs of the students. Sufficient staffing levels are in place to support the students. EVIDENCE: Staff files viewed demonstrated that staff are recruited following the completion of a CRB (criminal record bureau check) and two written references. Discussion with the manager confirmed new applicants now undertake a written test prior to interview and have the opportunity to spend a day at the home to meet the students and staff employed. Staff meetings are held regularly and recorded. A training programme is in place and was viewed during the inspection. This confirmed that statutory training is provided and staff are encouraged and supported to take qualifications in NVQ (national vocational qualifications). Duty rotas and staff interviewed confirmed that five staff are on duty (day time) and two waking night provision. Staff spoken to were very positive about the training, support and supervision in place and commented, “I love working here. There is always training. The work is very rewarding and flexible. I get lots of supervision and the manager is very supportive”. “The staff are all lovely we all get on well”. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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 and reviews are in pace to monitor the home’s progress. EVIDENCE: The home manager demonstrated a positive approach to ensuring the needs of the students are met. Records viewed and staff and students spoken to confirm that the home is organised and staff and students are supported and supervised. Self-monitoring systems are in place in various formats. The manager to monitor progress, the environment and health and safety of the home completes six monthly quality audits. The management to assess the service provided and address any issues conduct regulation 26 visits monthly. The manager confirmed that questionnaires are due to be forwarded to relatives and students to obtain their comments on the care and support in place. The manager is in regular contact with the families’ pf the students and acts on their comments made. The manager reviews students care plans monthly to monitor changing needs. Students have the opportunity to express their views during tutorials, reviews and student meetings, which are regularly held and recorded. However, the Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 Page 19 manager commented that students’ contribution to home meetings is becoming more difficult in view of the number of students with communication difficulties. Communication aids are in place to assist this. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Talbot Street, 30 Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000005231.V266449.R01.S.doc Version 5.0 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 Requirement The registered person must ensure the following improvements are made to raise the standard provided. - New kitchen units/replace rotten windows/paint exterior of the home/replace lounge carpets/continue new hall carpet up the stairs to match/repair wall in room 2 and hall/continue completion of radiator covers/repaint front steps with non slip surface (outstanding from last inspection time scale not met). Replace worktop in downstairs bathroom. Timescale for action 31/03/06 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 YA24 Good Practice Recommendations The protocol of reporting and addressing repairs to be reviewed to avoid delays. Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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 Talbot Street, 30 DS0000005231.V266449.R01.S.doc Version 5.0 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. 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