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Care Home: Arbour Street, 53

  • 53 Arbour Street Southport Merseyside PR8 6SQ
  • Tel: 01704532441
  • Fax:

53, Arbour Street is a large semi-detached property, which has been converted into a small care Home, which provides personal care and support for up to three residents with a learning disability. Three residents were present throughout the inspection. The home is registered as a `home for life` with Speciality Care (Rest Homes) Limited, and is managed by the acting manager Mr Paul Mawdsley. The home is to appoint a registered manager who has been approved by the Commission of Social Care Inspection. Since the last visit the previous Registered Manager has moved on to manage another service. The home is situated in a residential area, which is located close to the town centre of Southport. The local amenities are accessible via local transport services and include cinema, swimming pool, shops, pubs, restaurants and parks. The home provides a homely domestic setting for the three young adults resident. Each has their own bedroom and communal facilities include two lounges, dining area, small-enclosed garden and kitchen. Each residential placement is based on an individual needs assessment, individual care plan and activity programme. The charges for accommodation are £850.00 - £1500.00 per week.

  • Latitude: 53.640998840332
    Longitude: -2.9949998855591
  • Manager: Mr Werner Myburgh
  • Price p/w: £850
  • UK
  • Total Capacity: 3
  • Type: Care home only
  • Provider: Speciality Care (Rest Homes) Ltd
  • Ownership: Private
  • Care Home ID: 1859
Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Arbour Street, 53.

CARE HOME ADULTS 18-65 Arbour Street, 53 53 Arbour Street Southport Merseyside PR8 6SQ Lead Inspector Elaine Stoddart Key Unannounced Inspection 29th April 2008 09:45 Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arbour Street, 53 Address 53 Arbour Street Southport Merseyside PR8 6SQ 01704 532441 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Speciality Care (REIT) Homes Ltd Vacant Post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3. Date of last inspection 26th April 2007 Brief Description of the Service: 53, Arbour Street is a large semi-detached property, which has been converted into a small care Home, which provides personal care and support for up to three residents with a learning disability. Three residents were present throughout the inspection. The home is registered as a ‘home for life’ with Speciality Care (Rest Homes) Limited, and is managed by the acting manager Mr Paul Mawdsley. The home is to appoint a registered manager who has been approved by the Commission of Social Care Inspection. Since the last visit the previous Registered Manager has moved on to manage another service. The home is situated in a residential area, which is located close to the town centre of Southport. The local amenities are accessible via local transport services and include cinema, swimming pool, shops, pubs, restaurants and parks. The home provides a homely domestic setting for the three young adults resident. Each has their own bedroom and communal facilities include two lounges, dining area, small-enclosed garden and kitchen. Each residential placement is based on an individual needs assessment, individual care plan and activity programme. The charges for accommodation are £850.00 - £1500.00 per week. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A site visit took place as part of the unannounced inspection. It was conducted over one day. Three residents were accommodated. A tour of the premises took place and a number of care, staff and health and safety records were viewed. The three residents were spoken with, one member of staff and the acting manager. During the inspection two residents were case tracked (their care files were examined and their views of the service were obtained). This was not carried out to the detriment of other resident who also took part in the inspection. All the key and other standards were inspected during the site visit. Satisfaction survey forms “Have Your Say About …” were distributed to a number of residents, relatives and staff prior to the inspection. A number of comments received from the interviews that were conducted are stated in this report. An AQAA (annual quality assurance assessment) was completed by the service manager and deputy manager prior to the site visit. The AQAA comprises of two self questionnaires that focus on the outcomes for people. The self assessment provides information as to how the manager and staff are meeting the needs of the current residents and a data set that gives basic facts and figures about the service, including staff numbers and training. Information from the AQAA is included in this report. What the service does well: The home is comfortably furnished and spacious. Each resident has their own room and there are two communal lounges, a dining area and kitchen, which provide sufficient space for the residents accommodated. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 6 Residents are encouraged to maintain contact with peers and family members. The home has a pleasant, inclusive atmosphere and residents and staff were observed to interact positively. A core group of staff ensure that the residents receive continuity of care to meet their needs. The residents take part in a full activity programme supported by the care staff. Robust recruitment and selection processes ensure that staff are employed following the correct procedures to ensure residents safety. Regular reviewing systems ensure the residents’ progress is closely monitored. Risk assessments and risk management strategies ensure that the residents’ risks are minimised. Health care needs are recorded and access to health care professionals is available. Staff are trained in Equality and Diversity to ensure they are fully aware of the residents needs and cultural beliefs. Recording systems are organised, up to date and accessible. Care records are detailed to ensure the staff are aware of the residents needs, wishes and how to support them. What has improved since the last inspection? The new home manager has introduced a new menu to provide a healthier diet of daily fresh fruit and vegetables. A new fire alarm system has been fitted. The staff and residents have planted seeds in the garden to enable them to grow their own vegetables. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 7 The use of pictures and symbols has been expanded to aid communication. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments ensure resident’s needs are met. EVIDENCE: Two of the three residents have lived at 53, Arbour Street for many years. Residents were observed to be relaxed and comfortable in their environment. Residents spoken with said they were happy in their home and observation throughout the day confirmed this. Assessments of need are in place and are completed prior to admission. Two assessment details were viewed and these coverered all aspects of care, health and personal needs, risk assessments, social background, likes and dislikes, health care involvement, religious beliefs, medication and protocols for staff to deal with behavioural management. An up to date statement of purpose and service user guide should be put in place to reflect the service provision. A recommendation is contained in this report. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are met and they are involved with decision making. EVIDENCE: All three residents were spoken with and observed throughout the visit. The residents have communication needs, therefore discussion was limited. All three residents were observed to be settled in their home and interacted well with the staff on duty. Two residents’ care files were viewed and record their health, personal and general care needs. Both care plans viewed gave staff detailed information on residents care needs generated from a detailed assessment of need. Care plans in place shows interests, mental state, social needs, behaviour needs, sexual behaviour, health needs, communication needs, relationships, leisure, self-care and community skills. Strengths and needs assessments are recorded in their personal centred plan Staff spoken with confirmed they have up to date information on residents’ needs to enable them to provide the care and support. Behaviour monitoring records are in Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 11 place and clear instructions for staff on how to manage behaviour identifying triggers, warning signs and strategies to follow. A community nurse who attends the service regularly also monitors these plans. Communication assessments seen showed the residents had been consulted on how best to communicate with them. The staff provide the residents with the information, assistance and support they need to assist them in making decisions regarding their daily lives. Pictures are used to aid communication,. This was observed throughout the day as the residents took part in daily living tasks and activities. A key worker system enables the staff to communicate effectively with individual residents to understand their cultural and specific care needs. The residents are involved in monthly home meetings, annual surveys, reviews of their care and an advocacy service is sought if they need it. Choices are made daily to decide menus and activities. Key workers work with the residents to complete information on personal care, religion and health care needs. These are signed by the residents and enable the key worker to have up to date information available to them. Residents aims and goals ‘what I do now’ ‘what I would like to do’ all recorded. Clear instructions are available for staff so they know how to provide the care. The residents’ death wishes are dealt with sensitively and their wishes ‘If I die’ are recorded. The staff complete progress and evaluation forms monthly to record any changes in residents needs and adjust their care accordingly. Risk assessments are up to date and action is taken to minimise risks. The residents are given training about their personal safety. One resident attends college courses, which include road safety. Staff are trained in equality and diversity and promote this through daily communication with the residents, activities appropriate to the age and monthly meetings. Detailed up to date care plans identify religious beliefs and the residents attend weekly church meetings. The head office manages the residents’ finances. A record of all monies is maintained. The staff manages daily personal monies and two staff signatures are required for each transaction and receipts kept. Monthly statements are provided to each resident to show the interest obtained and balances. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents take part in leisure activities appropriate to their age and culture. EVIDENCE: Full assessments of need ensure that all needs are identified. Care plans show how the residents are to be supported and their likes and dislikes, interests and hobbies. Care plans and assessments were viewed for two residents and contained detailed information for the staff to access. Due to the residents’ level of learning disability they are unable to obtain work. Communication is supported via pictures and signing and the staff were observed to communicate well with the residents. Regular contact is kept with family members and carers to ensure students are given the opportunity to continue with cultural activities or beliefs such as attending Church. All records of visits and family contact are recorded. Two residents have regular contact with their family. One resident goes home to Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 13 stay with Mum monthly and another attends visits to his home weekly with staff support. Residents keep in regular contact with their family and friends by phone. Residents are given a wide range of experiences, learning opportunities and activities, both within the home and in the community. Activities include walks, swimming, trips to the museum, gardening, disco, pubs, trips to lakes and Yorkshire. The manager is planning to take the residents on a holiday abroad and all three residents have a passport. Pictures are displayed in the home of activities and trips they have taken part in. The three residents were involved in gardening during the visit as they have planted seeds and were involved in cultivating them. All have bus and rail passes to access the transport networks. One resident is being taught to swim by Paul the manager. Friends are invited to call and stay for lunch. Residents interact with their peers from other units and have BBQ’s and visits. One resident attends college three days a week for road safety, life skills and cookery. Residents are encouraged to take part in the daily upkeep of their home to promote independence. They were observed to help to prepare lunch and assist in garden. Residents are offered with a key to their room and staff always knock prior to entering. Only one resident has requested to have a key. Lockable boxes are in each resident’s room to keep any valuables. Menus are varied and choices available as the residents are encouraged to plan their own menus using pictures. Paul the manager has introduced a new menu involving the residents. They shop daily and prepare fresh food and have lots of fruit and vegetables. The lunch was taken in a relaxed and unhurried manner and the residents all sat together in the dining area. Daily routines and activities are flexible should the residents prefer to do something else. A computer system is available for the residents use. Residents interacted well at all times with the staff and each other and were seen to be comfortable and relaxed. . Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19,20,21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported in the way they prefer and health care needs are met. EVIDENCE: Comprehensive care plans are available detailing information about health, personal care and support needs. Staff support residents with healthcare appointments. Staff aware of the importance of residents dignity, ensuring personal care carried out in privacy of own rooms or bathrooms. Staff always knock prior to entering residents rooms Residents are encouraged to complete their own personal care routines but are given support where needed. Residents are encouraged to make their own choices about what clothes they wear, what time they go to bed, whether to take a bath or a shower. Residents are encouraged to complete their own personal activities i.e. laundry, keeping their rooms tidy with support if required. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 15 All residents are registered with a local GP. Records are maintained of all health care visits, medical reviews and attendance at consultants. A visiting community nurse attends to monitor behaviour problems. Staff record daily behaviour and the plan outlines warning signs, triggers, strategies and reactive strategies to assist staff in managing this. A speech and language therapist is accessed via the college for all three residents. Evaluations of progress are completed monthly to monitor any changes in needs. Risk assessments are in place for daily living reviewed in February 2008. Detailed information is available to staff to ensure health care needs are met. Staff spoken with confirmed they are fully aware of their needs and have worked with the three residents for a number of years. All administrations are recorded on Medication Administration Record (MAR). Up to date medication details are on file and records of all incoming and outgoing medication are signed for by home manager. Secure storage is in place for medication. Staff sample signatures are on file. The manager monitors medication administration in staff supervision. Staff are trained in medication procedures. Medication provided through Boots the Chemist MDS with printed MAR sheets. Healthcare books for residents are in an accessible format. They show feelings, healthcare, body parts and medical information to enable students to describe how they feel, or if they have pain or if they wish to see a doctor. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel listened to and protected from abuse. EVIDENCE: There have been no complaints since last visit. A new complaints procedure is in place. Policies and procedures are available to staff. Policies and procedures protect residents from abuse, harm or neglect. Pictorial policies displayed on how to talk about bullying, abuse, being scared and how to complain. All staff attend POVA (Protection Of Vulnerable Adults) training. An on call manager for POVA alerts is available 24hrs a day. Staff are recruited following the correct to protect the residents. The residents’ families and carers are given information on how to complain if they wish. All incidents reported and now reported through the company. A copy of the local authorities POVA procedures is available. A whistle blowing policy displayed. Incident forms record all incidents, which take place and these are monitored closely. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in comfortable, safe surroundings. EVIDENCE: A full tour of the premises was made. The home is a large semi-detached house, close to Southport town centre. It is close to shops, pubs and other community facilities including transport links such as bus stops and train stations. The home is welcoming and spacious; it has shared parts including a kitchen, a dining room, a lounge and a computer/games room. Rooms are light and are well furnished. Most of the environment needs to be redecorated due to wear. Students are able to use the lounge to relax in and watch TV or listen to music. There are four bedrooms, each of the residents having a room of their own. Residents are encouraged to personalise their rooms with pictures, posters or other personal items. The home is kept clean and tidy and the residents are supported to carry out daily living tasks around the house such as cleaning and cooking. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 18 The home has garden and the residents have recently planted seeds for growing own vegetables. Care Plans evidence that residents are supported to carry out daily living tasks. Daily records on individual residents show what tasks are completed. Health & Safety training for all staff is in place. Policies and procedures are in place on keeping the home clean safe and tidy. Regular Health and Safety records show checks of the building both internal and external. Records of maintenance carried out by suitably qualified personnel and the manager is presently waiting for some jobs to be done. Up to date safety certificates are in place for all services. Staff sign in and out on duty and residents have ‘in and out board’ and emergency procedures to follow. The toilet broken on the day of visit and was repaired on site that day. Further improvements are needed to improve the standard. These include: redecorate throughout, radiator covers throughout (risk assessments are in place), recent fire report outline need for two fire doors, tiles to be re placed in bathroom and replace lino in kitchen due to lifting. Paper towels in bathrooms would be beneficial to avoid cross infection. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An effective team of staff supports residents. EVIDENCE: The staff group have clearly identified roles and detailed information available to them to enable them to meet residents’ needs. Staff spoken with are fully aware of care needs of the residents. The new manager settling in well has worked with the residents before when covering the service. A core group of four staff provide continuity of care. Two staff cover daytime and one sleeping night staff on duty. All staff go through a selection procedure to ensure they are suitable for the position. Including completion of an application form, having an interview, providing references, enhanced criminal record bureau checks (CRB). Two staff files viewed confirmed this. All staff complete mandatory training repeated each year. Some training is to be updated and dates for the manager to confirm provided this. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 20 The training matrix for staff was seen to evidence training. Copies of staff certificates were not available on the day. It is recommended that these be available on future inspection. All staff have a comprehensive induction prior to commencing work. Most of the established staff have either completed or have started NVQ Level 2 or level 3 in Care. The home manager almost completed Level 3 and is aiming to do Level 4. It is recommend NVQ continues to be available for all staff. All staff have regular supervisions and a yearly appraisal. Staff supported by an on call manager 24hours a day for POVA incidents and staff absences. Staff spoken with commented: “I love it here” “I have worked with these residents for three years” “I like to take the lads out and we get plenty of activities money to do this” “The new menu is brilliant” The residents and staff were observed to interact positively throughout the day and a pleasant, relaxed atmosphere was present. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,38,39,40,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well run, organised and the residents are protected. EVIDENCE: The previous registered manager has moved on to manage another service. The new home manager Paul Mawdsley has been managing for three months. He has worked with residents before when covering shifts at the home. The residents were observed to be comfortable and communicated well with the manager and other staff on duty. They appeared happy and relaxed in their environment. The home manager has almost completed NVQ Level 3 and wishes to continue to Level 4. The new manager has made improvements to the service, has very organised systems and an approachable management technique. Staff spoken with commented: Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 22 “Paul has done a good job and the home is organised” Views of those who use the service are sought during the monthly provider visits to the home to ensure that the home is run well and the residents are happy. Questionnaires are given to residents and sent out to relatives, asking what they think about the home, staff and communication. Health and safety policies and procedures are in place for people to follow to ensure that the home is safe for both the residents and staff. Regular health and safety checks are made of the building both internal and external. All safety certificates are up to date. Some were checked to confirm and the AQAA gave all dates of certificates. The fire alarm inspected on the 4/4/08. Water temperatures are recorded daily. COSHH risk assessments are in place for all hazardous substances. A new fire alarm system has just been fitted. Staff training files were seen to evidence staff training. Some training has been booked to be updated in the next two months. . Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 2 3 3 3 X 3 X Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA1 YA24 To improve the standard the service would benefit from redecorate throughout, radiator covers throughout (risk assessments are also in place), recent fire report outlined need for two fire doors, tiles to be re placed in groundfloor bathroom and replace lino in kitchen due to lifting. Paper towels in bathrooms would be beneficial to avoid cross infection. Good Practice Recommendations An up to date statement of purpose and service user guide should be completed outlining the services provided. 3 4 YA32 YA35 Staff should continue to take NVQ qualifications to equip them with the skills to carry out their roles. The training plan should continue to be updated to provide staff with the skills to support residents safely. DS0000005233.V361876.R01.S.doc Version 5.2 Page 25 Arbour Street, 53 5 YA37 The manager should apply to the commission for registration as the approved registered manager has now left. Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: 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 © 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 Arbour Street, 53 DS0000005233.V361876.R01.S.doc Version 5.2 Page 27 - 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. 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