Inspection on 14/08/05 for The Phoenix Centre

This inspection was carried out on 14th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Phoenix Centre 19/03/07

The Phoenix Centre 27/02/06

The Phoenix Centre 04/10/04

The Phoenix Centre 26/04/04

The Phoenix Centre 20/01/03

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

CARE HOME ADULTS 18-65 Stratford Resource Centre Ferguson Road Blackpool FY1 6RL Lead Inspector Janet Spink Unannounced 14 August 2005 9:00am th 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 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 Stationary 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. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stratford Resource Centre Address Ferguson Road Blackpool FY1 6RL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 477040 01253 477478 Blackpool Borough Council CRH Care Home 21 Category(ies) of MD Mental Disorder 21 registration, with number of places Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2) The service may only accommodate 21 young adults who are aged between 18 years and 65 years on admission with a mental disorder, excluding learning disability or dementia. Date of last inspection 4 October 2004 Brief Description of the Service: Stratford resource centre accommodates 21 people who have mental health problems. The aim of the establishment is to provide a rehabilitation service that supports people back in to the community by promoting independent living skills. There are a number of older people who remain living in the home who lived there prior to it becoming a rehabilitation service. The home also provides respite care. The building is owned by local authority and offers single accommodation all of which have an en-suite facility. There are a range of lounges on each floor and a smoking lounge is available for those who choose to use it. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and conducted over three hours. There were eleven people accommodated a the time of the inspection. The inspector spoke to five residents, the manager, a member of staff, viewed documentation and had a tour of the building. What the service does well: What has improved since the last inspection? What they could do better: Nine of Seventeen staff team have completed a recognised qualification in care. The home has achieved the target of 50 having this award. Four are presently awaiting their work to be assessed, and four awaiting to enrol for this award. The manager should make arrangements to enrol for the Registered Manager’s Award. The manager must submit an application to the CSCI to become registered. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 6 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. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 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 standard(s) 2 and 4 A written needs assessment is obtained prior to admitting someone to the home to ensure home only admits people whose needs it can meet. EVIDENCE: The written records for two people were viewed in respect of the pre-admission assessment. One of these residents was visiting for respite and one was accommodated for long-term care. Both files contained a detailed written assessment from an appropriately trained person such as a social worker, and the manager had also carried out her own assessment. Details included information such as diet, medication, risk assessments, personal care, activities and isolation. Service users were able to confirm that they were invited to visit for tea or an overnight stay prior to moving in to the home on a more long-term basis. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 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 standard(s) 6, 7 and 9 The individual care plans outline needs and personal goals for residents so that staff are aware of the level of support needed for each person. EVIDENCE: The two care plans viewed were appropriate to the initial assessment. They offered clear guidance to staff in respect of all identified care needs. It was evident that plans are reviewed on a weekly basis with residents’ full involvement, which ensures that any changes are identified regularly and appropriate amendments to care plans are made. Residents are encouraged to take responsibility for themselves and to make decisions regarding their care. Risk assessments are in place that clearly outline the identified risk and the appropriate risk management strategy. An example of this was where a service user who uses his bicycle has been encouraged to wear a helmet in order to limit the risk of injury. Other identified risks that have been managed are the use of the kitchen, people leaving the building without assistance and the risk of injury in the instance where someone may throw items. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14 and 16 The home provides an environment where residents’ self development is encouraged, and social integration is promoted through accessing community facilities. EVIDENCE: There were many examples given to the inspector by the residents, manager and staff of residents using the local community. One resident had had her nails manicured at the local salon and was having her hair done at the local hairdressers later that day. Some people attend college for “Stepping Stones” courses, which include cookery, art, English and maths. There were examples of others using local shops and pubs. Self development is encouraged in areas such as budgeting, and there is a small laundry facility for the use of residents. One resident was able to give an example of how when they first arrived at the home they would not leave the building, but has built up confidence to go out alone on occasions. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 11 The home also provides a number of activities and forthcoming events are displayed in the hallway. An activities co–ordinator is in place who has arranged activities such as cinema nights, karaoke, American pool, table tennis and videos. Residents are able to meet with visitors in their room or in a lounge, however some choose to maintain contact with their friends and family independently from the home. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18 and 19 The care plans give clear guidance to staff to ensure that all personal and healthcare needs are met. EVIDENCE: Personal care needs are documented in care plans, however there is more emphasis placed on healthcare needs due to the client group accommodated. Weekly reviews and constant monitoring of residents’ needs ensures that other professionals are contacted for advice and guidance as necessary. There was evidence of Community Psychiatric Nurses and Social Workers being involved in care as well as GPs and incontinence advisor. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 13 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 14 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 standard(s) These standards were not assessed. EVIDENCE: Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 The home would benefit from having a higher percentage of qualified staff so that residents are supported by a well trained workforce. EVIDENCE: At the time of the inspection there were seventeen care staff employed in the home. Six of these have completed NVQ level III and three have completed NVQ level 4 in care while a further four have recently submitted their work for assessing. The manager considers training to be a priority and the staff team has achieved the target of 50 having this qualification. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 41 The manager is open and transparent with good leadership qualities, but is not yet registered with CSCI so there is nobody accountable to the Commission that is in day to day control of the home. EVIDENCE: This inspection was unannounced and the manager was open and welcoming to the inspection. She has only recently been appointed to the post and intends to submit an application to the CSCI. It was apparent from observation that residents felt at ease with the manager and there is an open door policy. She is a Registered Mental Nurse and has a Bachelors in specialist mental health. She is aware of the requirement for her to achieve the NVQ level IV in management. The home takes some responsibility for looking after some of the resident’s money, and records were viewed to ensure cash was being appropriately accounted for. The corresponding amount of cash was in place with the amount recorded in documentation. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 17 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 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stratford Resource Centre Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 1 x x 3 x x F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 18 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 38 Regulation 8 (b) (i) Requirement The manager must submit an application to the CSCI to become registered in order for the home to comply with its conditions of registration. Timescale for action 28/10/05 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 32 38 Good Practice Recommendations 50 of the staff team should achieve NVQ level II in care. The manager should make arrangements to enrol for the Registered Managers Award. Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Stratford Resource Centre F57 S33251 Stratford Resource V211062 140905 Stage 4.doc Version 1.30 Page 20 - 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. 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