Inspection on 17/06/05 for Unity Care

This inspection was carried out on 17th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Unity Care 29/09/09

Unity Care 10/10/08

Unity Care 18/10/07

Unity Care 15/09/06

Unity Care 30/11/05

Unity Care 09/02/05

Unity Care 23/07/04

Unity Care 26/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

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 Unity Care 90 Gravelly Hill Erdington Birmingham B23 7PF Lead Inspector Sarah Bennett Unannounced 17 June 2005 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. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Unity Care Address 90 Gravelly Hill Erdington Birmingham B23 7PF 0121 328 9826 0121 686 4406 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) Mrs Sylvia Hamilton Mr Wayne Hamilton Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years. Date of last inspection 9 February 2005 Brief Description of the Service: The home is a large terraced style property, with three bedrooms on the first floor for residents. Bathrooms are situated on both ground and first floors. There is a communal dining area leading to the kitchen, also on the ground floor is the office/sleep in room and communal lounge. To the front of the home is a very steep garden with limited off street parking. to the rear of the home is a garden, which is set at a steep incline. The home is registered to provide personal care and accommodation for up to three adults who have a learning disability. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by two inspectors over one and a half hours. A partial tour of the premises took place. There were two residents living at the home. Care and health and safety records were looked at. One resident’s records were sampled. One of the staff on duty was spoken to. Residents were out at the time of the inspection with staff and were not expected to return to the home for several hours. What the service does well: What has improved since the last inspection? What they could do better: Some redecoration is needed on the ground floor of the home. New sofas need to be bought for the lounge. The owner must visit monthly and make a report of their visit so that they can make sure that residents are getting the service that the home offers to provide. All medication prescribed for residents must be given to them when needed. Residents need to have regular check ups with the optician. Risk assessments must be more detailed to make sure that action is taken to minimise risks to residents. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 6 Rotas must state who is working at the home so that residents know who are there to support them. 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. Unity Care E54 S17070 Unity Care V234147 170605 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 Unity Care E54 S17070 Unity Care V234147 170605 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) EVIDENCE: Unity Care E54 S17070 Unity Care V234147 170605 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, 8 Residents assessed needs are reflected in their individual care plans. Residents are consulted on, and participate, in many aspects of life in the home. EVIDENCE: One residents care plan was looked at. The care plan stated how staff are to support the resident with their personal care, mobility, diet, leisure activities, relationships, daily living skills and communication. The care plan was reviewed in January 2005. A monitoring sheet was seen that monitored how the resident was meeting their goals to achieve independent living skills. Minutes of residents meetings indicated that residents discussed activities and college courses they would like to do. Regular meetings take place. Unity Care E54 S17070 Unity Care V234147 170605 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) 12, 13, 14, 17 Residents are part of the local community and engage in appropriate leisure activities. Regular, planned appropriate day activities need to be developed. Residents are offered a healthy, varied diet. EVIDENCE: Staff said that the residents were out with staff at the time of this inspection. As the weather was good they would be staying out for their tea and would return to the home later in the evening. Residents records sampled indicated that residents go shopping, to the pub and put for walks. Games, videos, televisions and music systems were available in the home. Staff said that there are no holidays planned yet but they may take residents to Butlins. Staff said that one resident has chosen not to return to the day centre. An activity plan should be in place for each resident so that regular activities that the resident has chosen and which helps to meet their goals take place. A large bowl of fresh fruit was available in the dining room. Adequate food stocks were provided. Records of food provided to residents were looked at. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 11 These showed that a variety of food, including a variety of Afro- Caribbean dishes were provided thus meeting the cultural needs of residents. A variety of cereals were available. All food opened in the fridge was labelled with the date of opening and covered. Unity Care E54 S17070 Unity Care V234147 170605 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) 19, 20 Residents physical and emotional health needs are met. The arrangements for the administration of medication are not always adequate to protect residents. EVIDENCE: Residents records sampled included a record of health appointments. A health action plan checklist had been completed and goals to improve the resident’s health identified. The resident had signed this. There were records to indicate that the resident had check ups at the dentist but no records of check ups with the optician. Staff said that residents are registered with a local optician. The medication cabinet could not be accessed as staff that were out with residents had the keys and the medication the residents needed. Medication administration records were looked at. There were no gaps noted in the records. One residents record stated that they were prescribed an anti – histamine, for hay fever. The record indicated that no tablets had been given. Unity Care E54 S17070 Unity Care V234147 170605 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) 22, 23 Arrangements for making a complaint are adequate so that residents know their views are listened to and acted on. The arrangements for protecting residents from abuse need some further development. EVIDENCE: A complaints log book is kept. There have been no complaints about the home. Staff said that residents look after their own money and have their own post office accounts. One resident’s records were sampled. These included behaviour management guidelines. However, these were not signed or dated and did not record any techniques used to manage the residents behaviour. Residents records sampled included a list of the resident’s belongings that was signed by the resident but not dated. Unity Care E54 S17070 Unity Care V234147 170605 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) 24, 27, 28, 30 Residents live in a clean home. Arrangements to ensure that residents live in a homely and comfortable environment that meets their needs are not adequate. EVIDENCE: The sofas in the lounge showed signs of wear and tear and were torn in places. Some of the wallpaper was coming off the dining room wall. The vacant bedroom was being redecorated. Residents have their own bedrooms. Their bedroom doors were locked as they were out. Staff said residents have their own keys to their bedrooms. In the ground floor WC, which looks out over the garden there is no frosted glass or cover on the window. Staff said that the curtains were being washed and they hoped to put a blind on the window. The home was clean and free from offensive odours. Hand wash, hand towels and liquid soap were provided in all toilets and bathrooms. The washing machine and tumble dryer are sited in a cupboard in the ground floor hall. The steps leading to the rear garden are steep, however a handrail is provided. Staff said that residents do not often use the garden. Unity Care E54 S17070 Unity Care V234147 170605 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) 33 Staff rotas did not indicate that an effective staff team always supports residents. EVIDENCE: Staff rotas were looked at. The member of staff on duty in the home was not on the rota for any day in the week looked at. Staff said that this was due to them requesting a day off on the day before the inspection. Staff training records were not available. Staff said that they had nearly completed NVQ level 3. Minutes of staff meetings were seen. Three staff meetings have taken place since February 2005. Unity Care E54 S17070 Unity Care V234147 170605 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) 42, 43 Some further development is needed to ensure the health, safety and welfare of residents is always promoted. Residents do not benefit from competent and accountable management of the service. EVIDENCE: Risk assessments for the premises were looked at and had been regularly reviewed. These were not detailed and did not cover all the action taken to minimise the risks. Water temperature testing records were looked at. These are checked by staff each week and ranged from 42 – 44 degrees centigrade. In the dining room there was a broken chair. Staff said that it would be thrown away. Fire records were looked at. These indicated that regular fire drills take place to make sure that everyone knows what to do if there is a fire in the home. Staff test the fire alarm weekly and the emergency lighting monthly to make sure they are working. An engineer serviced the fire alarm in May 2005. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 17 Staff were unsure where the gas safety record was. A copy of the gas safety certificate was forwarded to the CSCI after the inspection. This indicated that the gas equipment was tested in June 2005 by an engineer who stated that they were satisfactory. Staff said that the owner visits the home about twice a month. Reports of these visits were not available. The owners last entry in the visitors book was in December 2004. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 3 x 3 Standard No 11 12 13 14 15 16 17 x 2 3 2 x x 3 Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Unity Care Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 2 E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 19 Yes 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 19 Regulation 12 (1) (a) Requirement All residents must have regular check ups at the opticians. A record of these must be maintained. Medication prescribed for hayfever must be administered to the resident. Behaviour management guidelines must be signed and dated. They must clearly state what techniques staff are to use to manage the residents behaviour. A blind or suitable covering must be provided in the ground floor WC. The sofas must be replaced in the lounge. The dining room must be redecorated. The wall must be repainted by the ground floor WC and shower room. Rotas must indicate the actual staff on duty. Timescale for action 31st July 2005 & ongoing Immediate & ongoing 31st July 2005 2. 3. 20 23 12 (1) (a), 13 (2) 12 (1) (a), 13 (4) ( c), 13 (7) 12 (4) (a), 23 (2) (b) 23 (2) (b, c) 23 (2) (b, d) 23 (2) (b, d) 18 (1) (a), 17 (2), Schedule 4 (7) 4. 5. 6. 7. 8. 24 24 24 24 33 31st July 2005 30th September 2005 30th September 2005 31st July 2005 Immediate & ongoing Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 20 9. 10. 42 42 11. 42 12. 43 13 (4) ( c), 23 (2) (b) Gas Safety Regs, 13 (4) (a, b, c) 13 (4) (a,b,c), HSWA 1992 26 The broken dining room chair must be disposed of. A copy of the gas safety record must be faxed to the CSCI. Immediate Completed Risk assessments must be detailed and state all the actions to be taken to minimise risks occurring. The owner or their representative must visit the home monthly. Copies of reports of these visits must be available in the home. These visits should be unannounced. (Previous timescale of 30th September 2004 not met) 31st August 2005 & ongoing 30th June 2005 & ongoing 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 12, 14 23 Good Practice Recommendations Activity plans should be in place for all residents. Inventories of belongings should be dated. Unity Care E54 S17070 Unity Care V234147 170605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Birmingham and Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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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