Care Home: Blackfriars

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What the care home does well The manager and her staff are careful to find out what people living in the home like to do and try to make sure that they can do it and they find out what they like to eat and try to make sure that is what they get. If a resident is ill they make sure that they get the right treatment. If a resident doesn`t like something they can complain to the managers. The home is clean and well decorated. The staff are cheerful, friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. The manager is also cheerful, friendly and helpful and does all of the things that help the staff to do their jobs. What has improved since the last inspection? There were no requirements or recommendations made as a result of the last inspection. CARE HOME ADULTS 18-65 Blackfriars 12-14 Blackfriars Oswestry Shropshire SY11 2DU Lead Inspector Mike Moloney Unannounced Inspection 14th August 2008 07:30 DS0000020685.V370284.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 DS0000020685.V370284.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. DS0000020685.V370284.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blackfriars Address 12-14 Blackfriars Oswestry Shropshire SY11 2DU 01691 670671 F/P 01691 670671 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) www.macintyrecharity.org MacIntyre Care Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000020685.V370284.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th September 2007 Brief Description of the Service: 12-14 Blackfriars is part of the MacIntyre Care Services organisation and is registered with the Commission for Social Care Inspection to provide a home to four people with learning disabilities. It is situated in a very pleasant area of Oswestry, close to all amenities and the property is in keeping with the local neighbourhood. The home is currently being run by Janet Anderson who is in the process of applying to the Commission for Social Care Inspection for registration. The fees are paid by the health authority on a block contract basis. DS0000020685.V370284.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 star. This means that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. All of the people living in the home have difficulty in communication verbally to one degree or another. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this inspection. DS0000020685.V370284.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000020685.V370284.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000020685.V370284.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): There have been no new admissions to this home for some time therefore it was not possible to evaluate the home’s assessment procedures. EVIDENCE: DS0000020685.V370284.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of two of the people who live in the home were looked at and both showed that the care for each had been regularly reviewed. A number of charts and documents that were in pictorial and other easy read formats were seen that showed that the likes, dislikes and wishes of the people living in the home were systematically being established in a person centred way. One of the people concerned was able to confirm that she had been involved in that process by explaining what some of the information meant. Before the charts were discussed the person that they were about was asked by the staff if it was alright to do so. DS0000020685.V370284.R01.S.doc Version 5.2 Page 10 Where activities had been identified there were records in place that showed that the staff had looked to see if there were any hazards involved and had established ways in which the risks could be reduced. One lady was seen to be making her own cups of tea, an activity she and the staff said was important to her and looking in her file showed that a full risk assessment had been carried out on this task. Other risk assessments were seen to be in place about such things as being in the home’s transport. Talking to the staff on duty at the time of the inspection established that they were familiar with what they said. DS0000020685.V370284.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of two of the people living in the home were looked at and one of the service users was spoken to at some length. All four were seen to have breakfast during the inspection. The records in both files showed what activity they had taken part in each day and one of the ladies was able to confirm that her timetable was accurate. Each programme was different with one person taking part in a number of day activities organised by the local authority. She spoke very positively about this. Another person, who likes travelling on the home’s transport, accompanies the staff when they go out on errands as well as going to her DS0000020685.V370284.R01.S.doc Version 5.2 Page 12 regular activities such as swimming. During the inspection she went with one of the staff to buy a new kettle and later went for her daily walk. She was very keen to go on both occasions. The records of the meals given to the people living in the home were seen and these showed that each person is given a choice of what they eat. During breakfast each person was asked what they wanted and all appeared to enjoy their meals. Cups of tea were made available to each one at various times during the morning with, as mentioned elsewhere in this report, one of the ladies making her own using her own kettle, cup, milk and tea. The particular needs of any of the service users were seen to be catered for with staff being aware of and able to explain those issues. DS0000020685.V370284.R01.S.doc Version 5.2 Page 13 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): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the service users’ records showed that health of each of the service users is closely monitored. Areas included in the monitoring were mental health, behavioural issues and oral hygiene. The staff providing personal support to people during the inspection were seen and heard to be sensitive, cheerful and professional in their manner. A record of each visit to or by a health care professional was seen to be kept. Talking with the staff confirmed that these appointments had been made as and when necessary with such professionals as dentists and psychiatrists. The administration and storage of medication was looked at with storage consisting of a secure cupboard. The manager explained that the system of storage was about to be changed so that an individual’s medication would be DS0000020685.V370284.R01.S.doc Version 5.2 Page 14 kept in the locked cabinet in their bedroom. At the time of the inspection no controlled drugs were kept in the home. Appropriate administrative systems were seen to be in place and the records showed that they had been followed. The staff confirmed that only those who had received the appropriate training were allowed to administer the medications. DS0000020685.V370284.R01.S.doc Version 5.2 Page 15 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): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection two issues have been dealt with through the local policies and procedures for the protection of vulnerable adults. The home has co-operated fully with this process enabling appropriate conclusions being reached and actions taken showing that the people who live at this home are protected from abuse even though they may have difficulty communicating their concerns for themselves. Talking with the staff on duty and looking at the training records showed that they are fully aware of these procedures. The home was also seen to have a formal complaints procedure that contained all of the necessary elements. The manager confirmed that no complaints had been received since the last inspection. DS0000020685.V370284.R01.S.doc Version 5.2 Page 16 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): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated on a housing estate in Oswestry and is a bungalow that has been converted to its present use in a sensitive and practical manner that is consistent with others in the neighbourhood. It has a pleasant garden and each bedroom was decorated in an individual style. The manager and the staff said that a number of the rooms in the house were to be redecorated in the near future. They discussed ways that may help to reduce the disturbance for some of the residents such as asking if the decorator could work to a timetable that would allow the rooms to be brought back into use each evening or if individuals could be found temporary accommodation during the process. DS0000020685.V370284.R01.S.doc Version 5.2 Page 17 The home has a laundry area that is clean and well equipped. These facilities remain unchanged. The hot water temperatures were seen to be quite low with the records kept on a daily basis showing that the norm was 37/38 degrees C. The manager said that she would ensure that this is rectified with the temperature being increased to no more than 43 degrees C. DS0000020685.V370284.R01.S.doc Version 5.2 Page 18 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): 32, 34 and 35 Quality in this outcome area is excellent. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service and to support the smooth running of the service. They are enthusiastic about the well being of the service users and are keen to develop there lifestyles further. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During this inspection there were two staff there to give support to the people living in the home. As they worked they could be heard chatting with the person they were assisting or passing. They showed a good understanding of what each person was trying to get across to them. Each service user had a different level of verbal ability. They talked about learning more about conditions and syndromes that affect the people they work with as well as how they were finding the person centred planning approach more constructive. The manager stated that at least two staff were always on duty during the day with more being available when necessary and this was confirmed by talking DS0000020685.V370284.R01.S.doc Version 5.2 Page 19 with the staff on duty at the time of the inspection as well as by looking at the staff rota. The manager also stated and the staff confirmed that 75 of the staff team had achieved National Vocational Qualification level 2 in care. The organisation’s area office was visited as part of the inspection where the recruitment records were looked at and these showed that the preemployment checks required to ensure that people employed to work with vulnerable people were safe to do so had been carried out. DS0000020685.V370284.R01.S.doc Version 5.2 Page 20 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): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by qualified, competent management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home has been recently appointed to the position and is currently in the process of making an application to the Commission for Social Care Inspection for registration. The records of the visits carried out by senior managers of the provider company were seen confirming that those visits do take place. DS0000020685.V370284.R01.S.doc Version 5.2 Page 21 Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. Talking with the staff and looking at a variety of records confirmed that weekly checks take place on bath water temperatures and fire detection equipment. Other records seen, such as the fridge and freezer temperature records showed that food safety is routinely monitored. Accident records were looked at and these showed that such incidents were monitored by the senior management. Records showing that the safety testing of portable electrical appliances takes place at appropriate intervals were found to be maintained DS0000020685.V370284.R01.S.doc Version 5.2 Page 22 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 x 2 x 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 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x DS0000020685.V370284.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations DS0000020685.V370284.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 DS0000020685.V370284.R01.S.doc Version 5.2 Page 25 - 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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