Care Home: 122 Scorer Street

Similar services:

• Hillside
• Applegarth
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge
• Chestnut Grange Care Home

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 122 Scorer Street 122 Scorer Street Lincoln LN5 7SX     The quality rating for this care home is:   three star excellent 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: Douglas Tunmore     Date: 2 3 0 4 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 28 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 122 Scorer Street 122 Scorer Street Lincoln LN5 7SX 01522804167 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : adrian@scorerstreet.co.uk Adrian O`Brien,Rachel Amiee O`Brien care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 2 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 2 to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability Code LD Date of last inspection Brief description of the care home 122 Scorer street is a care home providing personal care and accommodation for 2 service users who have autistic spectrum disorders. It is owned by Mr and Mrs OBrien, with Mr Adrian OBrien being the registered manager. The home is located in a residential area a two-minute walk from the high street and town centre of Lincoln. The home has been registered since May 2004. In April 2008 the provider undertook day care provision at the home. A change in registration is planned for domicillary care provision by October 2009. No further residents will now be admitted. The home is a two storey terraced house with a courtyard style garden. Care Homes for Adults (18-65 years) Page 4 of 28 Care Homes for Adults (18-65 years) Page 5 of 28 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: three star excellent 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 quality rating for this service is three star. This means the people who use this service experience excellent quality outcomes. This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. From 1 April 2009 the duties of The Commission for Social Care Inspection (CSCI) will be taken over by the Care Quality Commission (CQC), the new independent regulator of all health and social care in England. Throughout this report the terms we and us refer to the Care Quality Commission (CQC). We took into account previous information held by us, including the previous inspection Care Homes for Adults (18-65 years) Page 6 of 28 report, their service history and records of any incidents that we had been notified of since the last inspection. Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. The main method used to carry out the inspection is called case tracking; this includes following the care of a sample of one person through their records and assessing their care. We spoke with the registered manager who is also the provider and the resident who was being case tracked. The manager was informed of the general outcomes of this inspection. The resident also gave us permission to contact a relative who wished to speak to us about the care provision at this establishment. The current weekly charges for the service as confirmed by the manager is one thousand three hundred and fifty one pounds and seventy six pence, this covers fifty six hours of one to one supervision and night care duties. Information about the dayto-day operation of the home, including a copy of the last inspection report and the homes statement of purpose and service user guide is available from the manager. What the care home does well: What has improved since the last inspection? What they could do better: 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Adults (18-65 years) Page 8 of 28 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home receive clear and detailed information to suit their needs to enable them or their relatives, social workers and advocates to make an informed choice as to whether or not they wish to live in this home. Where a person is referred to the home they receive a comprehensive assessment to ensure that their needs can be met Evidence: A review of all information available prior to this inspection and evidence seen at a previous visit carried out in May 2006 demonstrates that the provider would only admit residents after a full care needs assessment had been undertaken with other health care agencies and social workers. We looked at the file of one person who was being case tracked, which demonstrated that an assessment of care needs had been carried out and included the prospective resident, their family, social worker and the manager of the home. Other reports were also available from a social worker who made two visits to the home carrying out Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: placement reviews. The residents also undertook pre admission visits to get to know the staff. A letter was also sent confirming that the provider could meet the residents needs. The files showed that the resident had been given a service users guide. We looked at the residents file and found that the care needs assessment gave detailed information relating to the residents health care needs, behaviours and those prompts required to ensure the well being of the resident. A relative of the resident felt that the admission process was carried out in a sensitive manner, which focused on positive outcomes. The resident confirmed that he was made welcome at the home and that he new the providers from a previous home that he had lived in. He also stated that he had visited on two occasions before making up his mind to live there. The provider has one resident and has started a day care service. The provider confirmed that he will be registering solely for domiciliary day care provision in 2009 with the current resident leaving to live independently. He also said that no further admissions for residential care will be undertaken. Care Homes for Adults (18-65 years) Page 12 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully involved with their care planning including their risk assessments. People are encouraged to make decisions for themselves and be independent with the support and guidance of staff. Evidence: The providers AQAA informs us that, the resident is continually assessed with care plans reviewed and updated monthly or when the need arises. These reviews are discussed at length with the resident present allowing him comment and make suggestions. Monthly reports are written on the progress of the service user by his Key Worker and by request of the resident, copies of reports are distributed to the service user, his social worker and parents. This visit found that the resident has an individual detailed care plan. We found reviews are undertaken on a regular basis and reflected the changing needs of the resident. The home has a residents questionnaire, which explores those aspects Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: relating to issues of care provision in the home. The resident confirmed that he is fully involved in all care planning. He said that he knew about the possibility of leaving the home for independent living. He stated that he is going for an interview on the day of this visit as part of his care plan to become more independent. He also felt that he is fully supported by the provider in every way. The care plan was seen to be creative and showed that the provider puts value on improving the quality of life for people using this service. The resident confirmed that he had been doing questionnaires relating to living in the home, he said that he writes out the answers to questions and signs and dates it. A relative who was contacted with the permission of the resident, confirmed that he is told of any issues affecting his son. He also said that the provider has an holistic view of care and constantly reviews the needs of my son. This visit found that residents risk assessments and reviews are signed by the resident agreeing to the risk identified and or the change in their care plan and how this might effect their his living. We looked at the residents file and found that it is visited regularly by the resident with their key worker and all entries are discussed, documented and signed by both parties. A local authority contract monitoring visit was made to this home in August 2008. It was reported that An example of the care plan shown to me during the visit indicated that there is robust systems in place which records all the assessments regarding care, support and personal matters. Care Homes for Adults (18-65 years) Page 14 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People continue to be involved in meaningful and appropriate activities, which include educational and recreational activities. They enjoy varied and nutritious meals which they are fully involved in Evidence: An in house survey showed that the resident liked best was going out with staff and friends. The resident confirmed that he can see his family and friends when he wishes and is in weekly contact with his family. His relative was contacted and said that he is aware of his son moving to independent living and felt that he had been well prepared and supported in this achievement. He also stated that the provider has a history of consistent development and adjustment when caring for people. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: On the day of the visit the resident was preparing for an interview at a wildlife park. His family later confirmed that he had been appointed as a volunteer at the park. The homes activity programme was seen and showed that the resident has a wide and stimulating programme of activities. He attends further education and is working to wards a national vocational qualification. The providers diary and care plans showed that the resident was supported in taking a holiday to Scarborough. The resident confirmed that he decides where he goes for holidays. He is being supported in planning his summer activities and trips to places of interest to him. This includes visits home and day trips to RAF Waddington Air Show, Duxford Air Show, Yorkshire Museum, York Castle and Edan Camp are planned. The resident confirmed that he has retained his hobbies since the last visit, which includes working in the allotment, attending college, going to the local gym and going on holidays with a friend. He confirmed that he regularly goes to the local pub to play pool with friends. He also stated that he still collects military memorabilia. During past inspections and at this visit it was noted that the resident and staff engage in social dialogue as equals. The homes menu was seen and demonstrated that a wide and varied menu is available within the home. The residents likes and dislikes are recorded and the weekly menu is discussed with the resident. The residents in house questionnaire stated that the meals are very good and I have input. The provider confirmed that she has undertaken an advanced diploma in nutrition, which has enabled her to provide highly nutritional meals. The local authority contract monitoring visit was made to this home in August 2008 an found that annual surveys are undertaken both from residents and their families. Care Homes for Adults (18-65 years) Page 16 of 28 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 benefit from being fully involved in identifying their own needs and choices. Clear care plans, created from assessments of need help to ensure that peoples health and welfare needs are fully met. Medication is safely given by staff who know what they are doing. Evidence: This visit showed that there are satisfactory policies and procedures with systems in place relating to the administration of medication. The pharmacist visited on the 16/05/08 and found that all policies and procedures were in place and all aspects of medication seen was recorded appropriately. All medication sheets were seen to be up to date on the day of this visit. The resident is risk assessed as not being able to self medicate. We looked at the residents file which showed dates of referrals and visits to or from doctors, chiropodist, hygienist and dentist. Evidence was also available that weight charts record on a monthly basis the residents weight loss due to healthy eating. The Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: provider commented that the resident chooses services relating to his health care needs. A relative commented that his son does not like junk food and has lost weight at this home due to a healthy diet. Care Homes for Adults (18-65 years) Page 18 of 28 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. The home has a robust complaints procedure in place. There were good systems in place to ensure the safety of residents. People are listened to and action taken regarding their wishes and concerns. Evidence: Previous inspections have found that the homes complaints procedure is available to residents. A pictorial format is also available for residents information. The provider confirmed that there have been no complaints since the last inspection in 2006. He also stated that all care staff and a resident has Lincolnshire County Councils Safeguarding Vulnerable Adults Procedures. The provider commented that no resident has been restrained at this establishment. Training profiles seen showed that all staff have undertaken protecting vulnerable adults. certificates were also available confirming that this training had been done. The resident stated that he felt safe living in this home and staff were fine and very friendly. He had no complaints and knew what action to take if he had any concerns. Care Homes for Adults (18-65 years) Page 19 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in clean, safe, and comfortable accommodation suited to their needs. Evidence: A previous inspection of this home in 2006 found the home to be clean, tidy and comfortably furnished. This visit found the home to be clean and no offencive odours were detected. One resident we spoke to told us he liked his bedroom. His in house questionnaire showed that his bedroom is clean and tidy and that he has a new bed. The provider confirmed that any maintenance issues are dealt with immediately. The provider has ensured that the physical environment of the home provides for the individual requirements of the people who use this service. Maintenance files show that en suite new bathrooms and toilets have been installed. The resident confirmed that he likes his room and carries out chores to keep his room tidy. He also said that he undertakes his own washing and ironing as well as cleaning out a substantial fish tank. A local authority contract monitoring visit was made to this home and found that; Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Scorer Street is a home of high standards, in excellent decorative order and well maintained. There is an ongoing rolling programme of redecoration and maintenance in place, which ensures that the high standards it aspires too, do not slip. Care Homes for Adults (18-65 years) Page 21 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a safely recruited, well-trained, established, supported staff team available who have the skills to meet the varying needs of the people living in the home. Evidence: This inspection found that robust recruitment practises are in place and one staff file containing all of the documentation required by law. During previous visits carers had stated that they had undertaken the homes recruitment process and confirmed that references and criminal record bureau checks were acquired prior to stating work at this home. Information received from the provider prior to this inspection showed that there are guidelines relating to the recruitment of staff. This inspection has found that each worker in the home has been given the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. The homes training plan identified the registered manager and those care workers who had undertaken training in 2008. A local authority contract monitoring visit was made Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: to this home in August 2008 and found that nationally recognised induction training is undertaken by all new staff. It was also found that staff have regular training pertinent to their roles and responsibilities and the training is carried out by a recognised training organisation. All staff have a NVQ, (National Vocational Qualification) level 2 with one working to wards level 3. The residents in house questionnaire identifies that he feels that all staff are very kind and considerate. It also identifies that if he needs assistance at night or day staff are always prompt. The resident confirmed that he is actively involved in the recruitment of new staff and writes questions to ask them at interview. Care Homes for Adults (18-65 years) Page 23 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People and staff benefit from the positive leadership of the manager. Management record systems show that residents health, welfare, safety and choices are promoted. The management team ensures that the people living in the home with the support of the staff have the opportunity to voice their views and opinions. Evidence: The manager has some twenty years experience, working with people with Autistic Spectrum Disorders and learning disabilities in both direct care and management positions. His job descriptions is sufficiently comprehensive to ensure that he can carry out all his statutory requirements. Both providers have obtained the registered managers award and have continued to undertake training in order to keep up to date with changes in legislation and care practises. Certificates were seen relating to all training undertaken by the providers. Past visits have shown that a high standard of management was in evidence with the manager being an effective role model. Staff have confirmed that they have access to Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: training materials and documents as well as the resident in relation to health and safety training. The provider has achieved the investors in people award ISO 900442000 for quality three years running as well has accreditation from the Autistic learning disability organisation. The manager keeps the commission informed of any absences and who would carry out his duties in the home as well as any issues affecting the general welfare of the resident. In house surveys were seen to cover a variety of areas in which the resident and staff are fully involved. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks are carried out. Staff also receive fire training as part of the homes initial training and as a regular training event so as to help ensure the safety of residents and care staff. Supervision is undertaken on a monthly basis and staff files showed that training needs are reviewed during these sessions. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 28 of 28 - 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!