Inspection on 25/01/06 for The Old Post Office Residential Home

This inspection was carried out on 25th January 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 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

The Old Post Office Residential... 22/05/07

The Old Post Office Residential... 08/11/06

The Old Post Office Residential... 27/07/05

The Old Post Office Residential... 03/03/05

The Old Post Office Residential... 05/07/04

The Old Post Office Residential... 15/03/04

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

Breme

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Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Old Post Office Residential Home Newport Road Haughton Stafford ST18 9JH Lead Inspector Jane Capron Unannounced Inspection 25th January 2006 01:15 The Old Post Office Residential Home DS0000057119.V280881.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 The Old Post Office Residential Home DS0000057119.V280881.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. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Old Post Office Residential Home Address Newport Road Haughton Stafford ST18 9JH 01785 780 817 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) The Old Posting Office (Haughton) Ltd Mr Joseph John Slack Mr Joseph John Slack Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. All five service users to have a learning disability Date of last inspection 27th July 2005 Brief Description of the Service: The Old Post Office is a five-bedded care home providing services to residents of either gender with a learning disability although at the current time the residents are all male. The residents may also have needs relating to mental health and may display some challenging behaviours. The home provides the residents with a wide range of activities and there is regular community access. They have good links with local colleges. All residents are involved in undertaking independent living tasks. Chioce and empowerment are promoted. The home has a policy for the use of physical intervention. The home is located in the village of Haughton some seven miles west of the town of Stafford. The village’s facilities include a couple of shops, pubs and a church. The home has its own transport. The care home is a detached property that has been internally refurbished to provide good quality accommodation for the residents. The care home provides single bedded accommodation and all rooms have ensuite facilities. The home provides a large lounge and dining room and a large domestic style kitchen. Externally the home has a secure rear garden that provides parking for approximately eight cars and has a patio area and grassed area providing seating suitable for the residents. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one afternoon. The inspection included discussions with several residents and observation of staff and residents together. Discussions took place with two staff on duty and with the Care Manager. A sample of support plans was examined as well as the arrangements for the administration of medication and for the management of residents’ finances. The communal areas were seen as well as the bedroom of the newest resident. Since the last inspection there has been one additional visit to follow up on previous requirements. There have been no complaints received. What the service does well: The residents spoken to enjoyed living in the home. They got on well with the staff and felt well supported. Residents did a lot of things both in terms of educational and leisure activities and daily living activities related to running the home. The home undertook assessments on prospective residents and provided them with the opportunity to visit the home prior to agreeing to move into the home. Residents were provided with choice and the opportunity to participate in a range of activities. They chose whether to attend college and what courses to attend, what social and leisure activities to undertake and whether to spend time in the communal rooms or in their bedrooms. They participated in daily living tasks such as food shopping, menu planning, food preparation, making drinks as well as helping with keeping the home clean and tidy. The home was clean and tidy and procedures were in place for the control of infections. Some staff had undertaken training in infection control. Staff were well motivated and keen to learn and develop. They were aware of policies and procedures and were knowledgeable about the needs of the residents and the support plans. Staff were supported by the managers with individual supervision and staff meetings being held. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 6 The manager had the necessary skills and knowledge to effectively manage the home. He was well respected by staff who felt him to be fair and supportive. He related well with residents and listened to their views. 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. The Old Post Office Residential Home DS0000057119.V280881.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 The Old Post Office Residential Home DS0000057119.V280881.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): 2,4 The home undertook assessments in order to identify whether the home could meet a resident’s needs. Prospective residents were able to visit the home to ascertain if the wanted to live there before the placement was agreed. EVIDENCE: The file relating to the recently admitted resident was examined and this showed that the home had undertaken a full assessment of the person’s needs. This assessment included the manager visiting the person and his carers on several occasions. The assessment included areas relating to health, personal care, educational and domestic issues as well as consideration of psychology reports. The existing residents’ views were sought before the placement was offered. The resident and his family visited the home prior to agreeing to the placement and the views of relatives were taken into consideration. Placements were not finalised until after an initial review had taken place. The Old Post Office Residential Home DS0000057119.V280881.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): 7,8 The home supported residents to make choices over their lives and to participate in a range of daily living activities related to the running of the home. EVIDENCE: Residents were supported and encouraged to make choices about their lives. This included how to spend their time including whether the wanted to attend college and which courses, the trips into the community they wanted, leisure activities they wanted to take part in as well as choices over getting up and going to bed times, choosing the menus and whether they wished t take part in activities both in and out of the home. Residents were supported to choose how to spend their money. Residents were encouraged to participate in activities relating to the running of the home. They undertook a range of daily living activities according to their abilities, along with the staff, including keeping their room and the communal rooms clean and tidy, helping with their laundry, planning the menus, laying The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 10 and clearing the tables, making drinks and assisting in meal preparation. The home had forums to ascertain residents’ views and to discus issues that affected the running of the home. Individual discussions took place over residents’ wishes over activities and where they wanted to go on holiday. Residents that were assessed as able managed their own finances and the staff supported others. Residents participated in doing the food shopping and doing their personal shopping. The Old Post Office Residential Home DS0000057119.V280881.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): 13,14,15,16 The home provided residents with a varied lifestyle that included the opportunity to take part in a range of leisure activities. All residents benefited from regularly accessing the local and wider community. Residents benefited from being supported and encouraged to maintain and develop their relationships with family members. The home provided residents with a relaxed environment where rules were flexible whist taking account of all the residents’ needs. EVIDENCE: All residents accessed the community regularly most on a near daily basis. They visited the local shop, and regularly went into Stafford shopping for food and personal items. They visited local leisure facilities including local pubs, the swimming baths as well as the cinema and going onto Cannock Chase. The The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 12 residents attended the local GP surgery and all those that were able attended for health tests in Stafford. The residents were offered the opportunity to engage in a wide range of leisure activities of their choosing with each resident deciding what they wanted to take part in. Activities included walking, bowling, going to the cinema, swimming and on the Saturday following this inspection two residents were going to watch football matches- one to watch Manchester City and another to watch Aston Villa. The home also had an aromatherapist visiting on a regular basis. Within the home residents had TV s in their bedroom and the main TV in the lounge had the facility to watch Sky. There was also a range of games and facilities for doing arts. TV. Residents regularly went to the pub and had meals out. Residents spoken to state that they liked the home and that they were able to go out a lot and do lots of things that they enjoyed. The home supported residents to maintain contact with their family including taking residents to visit them. Relatives and friends were welcome to visit the home and over Christmas they had hosted a party for family and friends. Residents were encouraged to keep in contact through letter writing and telephone calls. The home provided residents with a relaxed environment where they could get up when they wanted depending on each individual’s agreed schedule. Meals were taken at a time that fitted in with residents’ activities and if a resident was out a meal was often taken out of the home. Residents were involved in choosing the meals and could choose an alternative if they wished. Drinks and snacks were available. The Old Post Office Residential Home DS0000057119.V280881.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): 20,21 The home procedures were ensuring that the health care and medication needs of the residents were being met. EVIDENCE: The health care needs of the residents were identified in the support plans and all residents were registered with the local GP practice. Speaking to residents confirmed that they had received dental and eye checks. One resident who needed home eye testing was awaiting this service to be provided. Observation showed that residents were having their hair done. Residents were receiving nail care. The home was monitoring the dietary needs of the residents. The home supported residents to attend outpatient appointments. The home had the services of a private psychiatrist who visited and assessed residents on a monthly basis. The home is due to recruit a private psychologist and this service would benefit residents and could provide staff with techniques to respond to any specific needs and behaviours of the residents. A sample of medication was inspected and this demonstrated that the home was administering medication as prescribed. Medication was being stored securely and the records showed no gaps in the administration records. Although the staff had received training in medication the staff would benefit from more in-depth training in this field. The Old Post Office Residential Home DS0000057119.V280881.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): The home met the necessary standards at the last inspection and therefore these standards were not assessed on this inspection. EVIDENCE: The Old Post Office Residential Home DS0000057119.V280881.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): 30 The home’s hygiene standards were providing the residents with an environment that was clean and where there were procedures were in place to control the risk of infections. EVIDENCE: On the previous inspection the home exceeded the minimum standards (2428) and therefore these were not assessed on this inspection. The home was clean and tidy throughout and the home had cleaning schedules in place. Staff spoken to had completed training infection control. The home was considering installing a different type of paper hand towel, as the current system was proving difficult for residents to use. It is recommended that these be installed. The home had a small laundry that was adequate to meet the laundry needs of the home. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 16 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): 32,33 The residents benefited from staff that were well motivated and supported by management but would benefit from an increase in the number of qualified staff. The home provided the necessary staffing levels to ensure that residents received the support they needed. EVIDENCE: Discussions took place with several staff. They were well motivated and keen to provide a good service to the residents. They were aware of the residents’ needs and of the support plans in place to meet the needs. They were aware of policies and procedures and were keen to learn and to develop their knowledge and skills. They had received training in managing challenging behaviour and had been trained in diversion and distraction techniques and in accepted physical intervention methods. At the current time the home had a nurse trained manager and deputy and the second deputy had achieved NVQ qualifications. None of the care staff had achieved NVQ training but a number were in the process of doing NVQ2/3. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 17 The roster was inspected. The home had suitable staffing levels on duty. During the day there was a minimum of one senior and two care staff on duty although at times throughout the day and evening there was additional staff on duty in order to support residents to attend college and to access the community. The home had the scope to increase staff to respond to specific needs and to ensure that there was always more staff on duty when all the residents were in the home. The staffing was predominately male. Staff spoken to stated that they were supported through individual supervision and through staff meetings. The Old Post Office Residential Home DS0000057119.V280881.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): 37,38,41,43 The residents were benefiting from a registered manager that had the necessary knowledge and skills and who had an open management style and listened to the views of staff and residents. The home’s record keeping practices were safeguarding the residents. The residents benefited from a home that was being externally monitored. EVIDENCE: The Care Manager has a history of nursing and has previous experience of managing a care home. He has successfully been through the CSCI registration process. The Care Manager is currently undertaking the NVQ 4 qualification in management. He has the necessary skills and knowledge to effectively manage the home. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 19 Staff spoken to speak highly of the manager finding him to be fair, open and honest and supportive to staff. He had a relaxed relationship with residents and was aware of the individual needs of the residents. The views of residents were sought through residents meetings and through the manager having one to one discussions with residents. The home held staff meetings that provided staff with the opportunity to express issues and to be kept up to date with developments. The home maintained records relating to the running of the home such as maintaining records about staffing, training and finances, and health and safety. Records relating to the residents were being kept and those seen contained the necessary information and were kept up to date. The home had the required insurance in place. The company had systems in place for monitoring the quality of the service, for financial management and budgetary control. The Responsible Individual was undertaking monthly visits. The Old Post Office Residential Home DS0000057119.V280881.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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 N/A 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 4 X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 4 X X 3 X 3 The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? no 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. 1. 2. Refer to Standard YA30 YA33 Good Practice Recommendations To install more suitable paper towel dispensers To consider training accredited through the learning disability award framework. The Old Post Office Residential Home DS0000057119.V280881.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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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