Inspection on 08/02/06 for Talbot Street, 72

This inspection was carried out on 8th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Talbot Street, 72 21/02/07

Talbot Street, 72 03/08/05

Talbot Street, 72 21/12/04

Talbot Street, 72 15/06/04

Talbot Street, 72 10/12/03

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

CARE HOME ADULTS 18-65 72 Talbot Street 72 Talbot Street Southport Merseyside PR8 1LX Lead Inspector Daniel Hamilton Unannounced Inspection 8th February 2006 11:40 72 Talbot Street DS0000005239.V281787.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 72 Talbot Street DS0000005239.V281787.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. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 72 Talbot Street Address 72 Talbot Street Southport Merseyside PR8 1LX 01704 501145 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) Talbot@autisminitratives.org www.peterhouseschool.org Autism Initiatives Barbara Ann Barker Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 3 LD The service should at all times employ a suitable qualified and experienced manager who is registered with the CSCI The manager must complete training to achieve NVQ level IV in management 3rd August 2005 Date of last inspection Brief Description of the Service: 72, Talbot Street is a small care home that is registered to provide personal care and support for up to three adults with a learning disability. The service is provided by Autism Initiatives, a national charity specialising in the care of people with Autism and the property is owned and maintained by Liverpool Housing Trust. The home is a large detached property situated in a quiet road not too far from the centre of Southport and all its amenities, with public transport and shops close by. The property is well maintained and spacious. It comprises of four single bedrooms, two lounges and a dining / kitchen area. There is a well-maintained garden at the front, incorporating a patio area and a further patio area at the rear, which is used extensively during the summer months. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 hours. It was an unannounced inspection and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. There had been no cause for any visits to the home since the last routine inspection in August 2005. A tour of the premises took place and observations were made. A selection of care, staff and service records were also viewed. The manager and two support workers were spoken with during the visit. Likewise, the three service users were encouraged to participate in the inspection process using their preferred methods of communication. What the service does well: The home provided a warm, caring and relaxed environment for the service users and the manager and her staff demonstrated a positive attitude and commitment to meeting the needs of the people living in the home. Service users were supported to take responsible risks as part of their day-today lives and risk assessments had been competed to ensure hazards were identified and appropriately managed. This was confirmed by a service user who reported; “The staff help stop me burning myself so I don’t get hurt”, when preparing meals. Service users received support to maintain and develop relationships with family members, friends and social contacts. A service user confirmed that; “He sees his family often.” The healthcare needs of service users were well managed and service users had regular access to a range of health care professionals. Procedures and systems were in place to enable service users and their representatives to recognise who to contact should a problem arise. The service users appeared relaxed and comfortable in their home environment and one service user reported that; “he definitely has no complaints”. Staff had access to a range of training to ensure they had the necessary skills and knowledge to support the people living in the home. The home’s manager was registered with the Commission and had completed a range of training that was relevant to her role and the care of people with Autism. Staff spoke highly of their manager and a staff member reported; “Barbara [Manager] is very on the ball. We have a good working team and the manager looks out for the best interests of the staff and the people living in the home.” 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 6 The home had established a programme of self-review and consultation with service users and their representatives, to ensure the home was run in the best interests of the service users. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 72 Talbot Street DS0000005239.V281787.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 72 Talbot Street DS0000005239.V281787.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): Not applicable. EVIDENCE: None of the above standards were assessed during this inspection. 72 Talbot Street DS0000005239.V281787.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): 9 Action was taken to identify, minimise and manage potential risks to protect the safety and wellbeing of service users. EVIDENCE: Each service user had a personal file, which contained a comprehensive range of risk assessments that covered: person-centred activities and risks; community based activities / participation and general health and safety in the home. Risk assessments viewed had been kept under regular review by the manager. Person centred risk assessments focussed on needs and behaviour such as: anxiety, agitation and the use of unfamiliar staff. Likewise, risk assessments for general health and safety addressed risks in the home such as; scalding; electrocution and using kitchen equipment. Risk assessment viewed identified: risks / hazards; nature of risk; danger of risk and action or precautions required. Appropriate action was taken by staff to minimise potential and actual risks and service users had access to 1:1 staff support when required. This was confirmed by one service user who reported; “They [staff] keep me safe” and “The staff help stop me burning myself so I don’t get hurt.” 72 Talbot Street DS0000005239.V281787.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): 15 Service users were supported to maintain family links and friendships, in order to foster and develop appropriate relationships. EVIDENCE: The home had a copy of Autism Initiatives’ “Policy and Guidelines around Relationships and Sexuality for People with Autism.” Staff spoken with demonstrated an awareness of the policy and their individual responsibilities to support service users to develop and maintain relationships. For example, the manager and her staff had developed a communication plan to assist one of the service users to develop a relationship with a close family member. Examination of daily record sheets, telephone calls / contact records, written correspondence and personal programmes showed that service users were able to maintain contact with family members, friends and social contacts both within and outside Autism Initiatives. For example, service users were supported to receive visitors in their home; visit, stay and remain in contact with family members on a regular basis and attend day centres, social groups and other venues to socialise with friends. One service user spoken with reported that: “He sees his family often.” 72 Talbot Street DS0000005239.V281787.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): 19 Service users were supported to access a range of health care services, to ensure their physical and emotional health care needs were met. EVIDENCE: Individual health care summary records were in place for each service user. Records were well maintained and available for: General Practitioner, Psychiatrist, Well Man / Woman checks, Dentist, Optician and Chiropody appointments. Records showed that appointments were organised on a regular basis, to ensure the health care needs of service users were monitored / maintained. Staff demonstrated a commitment to ensuring all aspects of the health care needs of service users were maintained. For example, a service user had required intensive input from the home’s staff with one aspect of healthcare. A letter was viewed from the service user’s consultant praising the support given to the service user by the manager and her staff team. The letter stated: “They have been inspirational.” One resident spoken with also confirmed that he was supported to attend appointments in order to stay fit and well. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Systems were in place to enable service users to complain and to respond to any complaints received. EVIDENCE: The home had a copy of Autism Initiatives’ Complaints procedure in place and leaflets were displayed which explained the procedure to follow when making a complaint. The complaint record book showed that only one complaint had been made since the last visit. The complaint had been made by the manager and concerned the absence of a Protection of Vulnerable Adult (POVA) Check for a member of staff, as identified at the last inspection. The Commission for Social Care Inspection had received no complaints about the home, since the last visit. Each service user had a leaflet in their bedroom, with pictures of staff and contact details for; the Inspector from the Commission for Social Care Inspection, The Adult Protection Officer and their Key-worker. Picture Communication Systems were also used extensively, to enable service users to express their views and choices and to understand daily living tasks / procedures. All the service users spoken with confirmed they were happy living in the home and one service user reported that he; “definitely has no complaints.” . 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable. EVIDENCE: None of the above standards were assessed during the inspection. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Staff received appropriate training, to ensure they were appropriately trained and qualified to support the people living in the home. The welfare of service users was protected via the home’s recruitment procedures and practice. EVIDENCE: The home employed 5 support workers and 1 casual worker. Records showed that 5 staff had completed a National Vocational Qualification (NVQ) in Care / Promoting Independence at level 2 or above (83.33 ). At the time of the visit, certificates were available for only 2 staff (33.33 ) as two staff were awaiting certificates and there were no records in place for the casual worker. One member of staff had recently enrolled to undertake a NVQ level 3 in Promoting Independence. Records showed that all staff complete “Introduction to Autistic Spectrum Disorders” and “Communication and Autistic Spectrum Disorders” training, to equip staff with the necessary knowledge and understanding to effectively support people with Autism. Staff were observed to communicate effectively with the service users and demonstrated a good awareness and understanding of the needs of the people living in the home. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 15 No new staff had commenced employment at the home since the last visit. The manager had obtained a copy of an outstanding Protection of Vulnerable Adult (POVA) check, which was not available for a member of staff at the last visit. Furthermore, new arrangements had been put into practice to ensure the necessary pre-employment records were passed to the manager, before new staff commenced work in the home. 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 16 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, 39 and 42 The registered manager was competent and experienced and service users benefited from a well run home. The service operated an ongoing programme of self-review and consultations, which included seeking the views of the people living in the home. EVIDENCE: The Manager (Barbara Barker) was registered with the Commission for Social Care Inspection. Barbara had completed the National Vocational Qualification level 4 Registered Managers Award and a range of training relevant to her role as a manager and the care of people with Autism. The manager had been in post at the home for approximately two years, during which time the home has developed in a positive manner. Staff interviewed spoke highly of the manager and complimented her managerial skills. Comments from two staff included; “Barbara [Manager] is very supportive and will help you with anything. She listens to everyone and is a good leader.” Likewise, “Barbara is very on the ball. We have a good working team and the manager looks out for the best interests of the staff and the people living in the home.” 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 17 The organisation had a Quality Assurance coordinator who was responsible for inspecting each home on an annual basis. At the time of the visit, the last Quality Assurance Audit on file was dated 16/12/04. Regulation 26 reports were completed on a monthly basis by the Service Manager as part of a tenancy visit. Furthermore, questionnaires were distributed to staff, service users and their families on an annual basis. Positive comments were noted from family members about the quality of service provided. The manager reported that the resident’s questionnaire was under review, as some service users were unable to complete it in its current format. An annual development plan was in place and annual reviews were completed for each service user. The organisation had a Service User Consultative Committee, which one service user attended. Since the last visit, the fire risk assessment had been fully completed. 72 Talbot Street DS0000005239.V281787.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 3 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 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 4 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 X X 3 X 3 X X 3 X 72 Talbot Street DS0000005239.V281787.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 72 Talbot Street DS0000005239.V281787.R01.S.doc Version 5.1 Page 20 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. 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