Care Home: 100 Sefton Road

Similar services:

• Sunny Bank (P.R.S.) Ltd
• Ashwood Court Unit 1
• Thornton Lodge
• Alfred House Residential Care Home
• Barkerhouse Road (123)
• Fernhaven
• Thames House
• Creative Support

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 100 Sefton Road 100 Sefton Road Morecambe Lancashire LA3 1UD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Marie Cordingley     Date: 0 9 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: 100 Sefton Road 100 Sefton Road Morecambe Lancashire LA3 1UD 01524424436 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Hannah Jackson Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 3 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 3 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 100 Sefton Rd. is registered to accommodate up to three residents of both sexes, with a mental disorder. The service was instigated as the large hospitals were closing, during which time the local Social Services introduced a Boarding Out Scheme to provide a homely environment for people in the community. Mrs Hannah Jackson, the registered provider, owns the property and provides support Care Homes for Adults (18-65 years) Page 4 of 26 Brief description of the care home and guidance to her residents with the assistance of her husband. The house is situated in a residential area in the West End of Morecambe, it is close to shops, community facilities and the promenade. A small front garden has seats and is used by those who wish to smoke. Residents spend their time watching television, listening to the radio and at present, one resident attends a day centre, one has a part time job. Each resident has their own bedroom, there are also two lounges and a dining area for their use. Health care services are accessed when required as well as Community Psychiatric Nurse support. At the time of visit (March 09) the information given to the Commission for Social Care Inspection showed that the fees for care at the home are from 338 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection of this home included an unannounced site visit which was carried out over one day. As the visit was unannounced the manager and residents did not know it would be taking place until we arrived. During our visit we spoke with one of the residents of the home and the manager. We also looked at a variety of paperwork including peoples care plans. We carried out a tour of the home looking at residents communal and private accommodation. Prior to our visit, we wrote to the manager and asked her to complete a comprehensive Care Homes for Adults (18-65 years) Page 6 of 26 self assessment. The manager returned this to us within agreed timescales and included some useful information to help us assess the standards of care provided. What the care home does well: What has improved since the last inspection? What they could do better: Sefton Road is a home that was originally registered as a boarding out scheme in the nineteen-seventies. This scheme was very similar to the adult placement scheme and providers of this type of care were expected to care for people as part of their own family. Whilst special recognition was given to family placements homes in terms of meeting Care Homes Regulations, boarding out schemes were not afforded this recognition, but it is generally accepted that they should have been. It has been a difficult task for providers of homes such as this to adapt to the formal Care Homes for Adults (18-65 years) Page 8 of 26 ways of working that are now expected in line with the Care Homes Regulations, particularly as in some ways, this formal way of working conflicts with the family model of care they originally set out to provide. The provider of this home has made efforts to implement various records and policies and procedures but recognises that this is not a strong area of the service. However, following this and previous inspections, we have been satisfied that the shortfalls in paperwork do not have an adverse effect on the safety and wellbeing of people living at the home, in these unusual circumstances. We have made two recommendations as a result of this inspection. During our visit we were unable to confirm that there was a formal fire risk assessment in place. We advised the manager to ensure that such a risk assessment is in place and available for residents and visitors to view at all times. We also made a recommendation that the manager complete the mandatory health and safety training courses including moving and handling, first aid and food hygiene. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has a very good understanding of each resident and the support they require. Evidence: There are now only two residents who live at the home and the manager advised us that no new people will be admitted in the future. One of the residents has lived at the home for 37 years and the other for 15 years, as such we did not view their pre admission assessment information. We were able to confirm through discussion, that the manager has a very in depth knowledge of the residents and a very good understanding of their needs. The manager told us We are just like a family here, we have all been together for so long. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a say about how their care is provided and about how the home is managed. Evidence: There are no staff employed at this home and all support is provided by the manager and her husband. As the two residents have lived at the home for so long, their needs and individual preferences are very well known to those who support them. There are written plans of care in place for both residents which detail their individual needs and the support they require. However, the manager explained that she felt these were not necessary because of the nature of the home. In discussion the manager described how she encourages the residents to be involved in the running of the home. She said We always encourage them to be involved in any changes. No decisions are made without the residents because it is their home. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: The manager showed a good understanding of risk taking and was able to give examples of how residents had been supported to enhance their lives by taking responsible, well managed risks over the years. However, she commented that as both the residents were getting older they had less of a desire to try new things. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make decisions about how they spend their time. Evidence: Both of the homes residents are retired and are not in employment. One resident worked for many years before recently making the decision to retire. Following the decision to retire, the manager assisted the resident in exploring the various options available to him and supported him to access a local day centre. Both residents attend a local day centre on a regular basis. One person told us that they enjoyed this very much and liked meeting different people. The residents are encouraged to make use of their local facilities and take part in their community. As there are only two residents at the home the manager is able to offer Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: support for people to go out on a daily basis if they wish to. During our visit we noted that residents moved around the home freely and appeared relaxed in their surroundings. One resident was spending time knitting which the manager told us was her favourite activity. We discussed mealtimes and from records of meals served, were able to confirm that people living at the home are provided with a varied and nutritious diet. Again, the small size of the home means that the manager is able to provide meals in a very flexible way. She said We tend to eat together just like any family, but we can always fit round any plans people have. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the support they need to maintain good health. Evidence: Through discussion the manager demonstrated an in depth understanding of both residents and the support they require. As the residents have lived at the home for many years, during which time they have received all their support from the manager and her husband, they have developed very close relationships. We were able to confirm that people living at the home are supported to access health care services when they they need them. Both residents are registered with a local GP who knows them very well and provides regular general health checks. Records showed that where appropriate, specialist health care providers had provided input for example, those from mental health services. The manager assists both residents to manage their medication and to ensure that this is done safely, follows careful processes. All medication that is received at the home is recorded and stored safely. When tablets Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: are administered, the manager signs to confirm this and ensures that a record of any medication disposed of is kept. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to raise concerns and know that these will be dealt with properly. Evidence: The manager has close daily contact with each resident and is always available to deal with any concerns they may have. She told us We would always encourage the residents to speak up if anything was upsetting them so that we could get it sorted out. We spoke with one resident who confirmed that he would discuss any concerns he had with the manager and that he would be comfortable in doing so. Records kept within the home confirmed that there have been no complaints made at the home since its registration. In addition, no concerns or complaints have been received by the Commission for Social Care Inspection. We discussed safeguarding procedures which are used in the event that it is believed a resident has been the victim of abuse. The manager had an understanding of these and knew the processes to follow. Both residents at the home have contact with their social worker who visits them at the home on a regular basis. The manager told us that she encouraged the social Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: worker to call in on an unannounced basis at any time. Care Homes for Adults (18-65 years) Page 19 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are provided with comfortable, homely accommodation. Evidence: Sefton Road is a very small care home where accommodation is provided in ordinary domestic housing. As such it is a very homely environment. The home is conveniently located in Morecambe, close to a variety of local facilities and amenities. During our visit we looked around the home and found all areas to be clean, warm and comfortable. There are a number of areas for people to spend their time and both residents have their own bedrooms. In discussion, we were advised that the residents always have the opportunity to get involved with decisions about their home for example, by helping to choose new furniture or colour schemes. Care Homes for Adults (18-65 years) Page 20 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. None of the standards in this section are applicable because there are no staff employed at this home. Evidence: None of the standards in this section are applicable because there are no staff employed at this home. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the best interests of people who live here. Evidence: The manager of this home has extensive experience in care and has cared for both residents for many years. She has an extremely comprehensive knowledge of the residents who she describes as part of her family. We spoke with one resident who told us that he was very content living at the home. He said I am well looked after and I like it here. The other resident wasnt able to communicate with us verbally but appeared very content and relaxed in her surroundings. In discussion, the manager of the home showed understanding of the need to promote peoples health and safety and gave a number of examples of ways in which she did this. We werent able to confirm that there was a formal fire risk assessment in place. We discussed this with the manager and advised her to ensure that a fire risk assessment was in place for the home, in line with fire safety regulations. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 42 42 A fire risk assessment should be in place so that the home are working within fire safety regulations. The manager of the home should complete health and safety training in areas such as moving and handling, first aid and food hygiene. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!