Care Home: Mr Brian Hall

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What the care home does well The service continues to provide a warm, friendly home where the service user is cared for in a very positive way by a dedicated, motivated and wellorganised care provider. The service user and provider say they live a contented life and each spoke of their enjoyment of sharing a house together. The service user spoke of visiting friends and going for a game of `bingo` at a local club. He says he enjoys meeting friends at the pub and going to garden centres with the provider. The service user has his own key to the house, which gives him some independence. The provider works hard to promote the service user`s rights and as part of this has supported the service user to choose an advocate. In discussion with them it was very clear that the service user is fully involved in decisions about day-to-day activities of the planning a future activities in the home and social activities such as holidays. What has improved since the last inspection? The reviewing officer for the learning disabilities team has known the service user for a number of years and told us that he continues to grow in confidence through the encouragement and assistance of the provider to have their own views and opinions and to voice them. CARE HOME ADULTS 18-65 Mr Brian Hall 1 Ratcliffe Road Hobs Moat Solihull West Midlands B91 2JA Lead Inspector Sheila Briddick Key Unannounced Inspection 29th June 2007 10:00 Mr Brian Hall DS0000004548.V344623.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 Mr Brian Hall DS0000004548.V344623.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. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mr Brian Hall Address 1 Ratcliffe Road Hobs Moat Solihull West Midlands B91 2JA 0121 704 1095 0121 704 1095 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) Mr Brian Hall Mr Brian Hall Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2006 Brief Description of the Service: Brian Hall provides care for one resident with learning disabilities. He has provided a service to the same resident for a number of years. The accommodation is a modern 2 bed roomed house with one bathroom on the first floor. There are gardens to the front and back of the home, which are well maintained, and there is parking on the driveway or the road in front of the house. The lounge is open plan and has a good standard of furnishings and fittings. Dining facilities are situated at the far end of the lounge (back of the house) and look out onto the garden. There is a small conservatory, which is built onto the kitchen area, which can be used for smoking for either the resident or visitors. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The visit took place on Friday, June 29th 2007 at 10.00 am; this was arranged with the provider on June 27, 2007. The inspection visit finished at 12.30pm. The service user was involved throughout the inspection process and records relating to their care and the management of the service were looked at. The views of the Reviewing Officer of the Learning Disabilities Team were also sought as part of the inspection of the service. We would like to thank the service user and provider for their welcome and hospitality during the inspection visit. What the service does well: What has improved since the last inspection? Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 6 The reviewing officer for the learning disabilities team has known the service user for a number of years and told us that he continues to grow in confidence through the encouragement and assistance of the provider to have their own views and opinions and to voice them. 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. Mr Brian Hall DS0000004548.V344623.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 Mr Brian Hall DS0000004548.V344623.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): Standard 2. This standard was not assessed on this occasion. There has been no new service user come to live in the home. There are no plans for another person to come and live in the home. EVIDENCE: Mr Brian Hall DS0000004548.V344623.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): Standard 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person living in this home is confident that their needs and wishes will be met and that they will be fully consulted and kept informed concerning the ways in which this is done. EVIDENCE: Discussion with the service user and the provider and examination of records confirms that the service user is supported to make decisions about their life and to seek help and advice from the provider in doing so. The care plan had sufficient detail on how the individual needs of the service user are to be met. The needs covered in the care plan cover all areas where there may be risk and the information recorded demonstrates that independence is promoted. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 10 There is evidence on the care plan that the provider reviews the care plan as the service user’s needs change, each entry has been dated and the changed need recorded. A care management review is held between the service user, the provider and learning disability team on an annual basis with the most recent review having taken place on 21 May 2007. The social worker told us that they visit each year and they are encouraged by the development of the confidence of the service user. She told us that at each visit the service user is speaking more and engaging readily in the care plan review. Mr Brian Hall DS0000004548.V344623.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): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person living in this home has excellent support to live an ordinary and meaningful life and to participate in, and contribute, to the community in which he lives. EVIDENCE: The service user told us that he still enjoys going out on his own to the local pub and that trips out in the car are still a popular activity both with the service user and provider. They talked about the places of interest they visit which included visits to garden centres department stores and holidays away from home. They are planning a holiday in Southport this summer and will be staying in a hotel near to friends they have that live down there. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 12 The service user continues to enjoy bingo and he and the provider have a meal out at least once a week. The service user has a number of hobbies he enjoys, which includes watching DVDs about Laurel and Hardy and completing jigsaws. He was happy to show us the latest jigsaw that he had purchased and was completing. The service user also enjoys musicals and showed us a recent DVD he had been able to access through the support of friends of the provider. During the visit the service user was seen to be able to move freely around the home and was comfortable in his environment. He told us that he enjoys food and is able to enjoy meals of his own choice. The provider says that he encourages independence regarding food preparation but is mindful of safety in the kitchen. For example he has shown the service user how to prepare a ‘ready meal’ for himself in the microwave if he is hungry and is satisfied that the service user knows how to do this safely. There is a list of likes and dislikes relating to food on the service users care plan and who told us, Broccoli is the only thing I dont like. The service user enjoys the same circle of friends as the provider yet they maintain the relationship of mutual respect and dignity each having their own space. The service user told us he enjoys and participates in the provider’s wider family gatherings. During the visit a neighbours daughter came to visit and the service user welcomed them into the home and made them a drink. The social worker says that each time they review the care needs with the service user they always talk about friends and relationships and how they can encourage the service user to have more confidence to make new friendships. The social worker said that the provider would support any opportunity to promote the independence of the service user to make new friends when he was ready to. Mr Brian Hall DS0000004548.V344623.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): Standards 18, 19, and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care the person living in this home receives is based on their individual needs and the principles of respect, dignity and privacy are put into practice when care is offered to them . EVIDENCE: The service user manages his personal care and their care plan records a minimum amount of support is necessary to maintain safety. This minimum support is generally by the provision of verbal prompts to remind them to carry out some tasks. The service user is supported to access all health-care services and this includes a GP practice, dentist, optician and routine screening clinics, for example Well Man Check. The service user said that he liked his GP saying, He sort things out well. The provider says that he has confidence in the GP and receives all the support Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 14 and guidance necessary from him in promoting their health-care of the service user. The provider sought the advice and guidance of the pharmacist in January 2007 who made a visit to the home to give advice on medication. The report of the visit was read and no recommendations or requirements were made of the provider. Mr Brian Hall DS0000004548.V344623.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): Standards 22 and 23. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The person living in this home is satisfied that their views are listened to and acted upon and they feel safe. EVIDENCE: The service user told us that he knew how to make a complaint and said that he would involve his befriender , (Advocate), if he needed to. The service user chose his advocate friend himself, it is someone he knows personally and enjoys a positive relationship with them and their family members. The social worker of the learning disabilities team has no concerns about the service user’s well-being. The provider encourages the service user to be mindful about finances for example, the service user has access to his spending money but is encouraged to put away money on a regular basis to spend when on holiday. Mr Brian Hall DS0000004548.V344623.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): Standards 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The person living in this home has a living environment that is appropriate for their particular lifestyle needs and is homely, clean, safe and comfortable and well maintained EVIDENCE: We met with the service user and provider in the lounge, which was warm, comfortable, well furnished and decorated. There is very good access to local community facilities and services. The service user was seen to be comfortable moving around the home and free to do so as he wished. The service user is encouraged by the provider to see the home as a family member. The provider plans regular maintenance of the house and after the summer holiday is planning to have the bathroom refurbished and to replace the bath with a larger shower facility. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 17 Infection-control is managed as in an ordinary domestic environment. The garden is well laid out, maintained and used well during clement weather. Mr Brian Hall DS0000004548.V344623.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): Standards 31 to 36 are not applicable as there are no staff employed at the home. EVIDENCE: Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 19 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): Standard 37, 39 and 42. Quality in this outcome area excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed to promote the health, safety and well-being of the person who lives there. EVIDENCE: The provider demonstrated a good knowledge and understanding of the changing needs of the service user and his responsibility in promoting their welfare. All documentation requested during the visit was in excellent order and records were maintained up to date. Throughout the visit the provider encouraged the service user to be involved with discussion and give their views. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 20 The reviewing officer told us that the provider and service user get on, well and have a mutual agreement about activities in the home and their lifestyle. The provider could demonstrate that safety checks on electrical equipment and gas installations are carried out on an annual basis. He has sought the guidance of the fire services on smoke detector alarm systems in the house and told us that the service user understands about how to leave the house should there be a fire emergency. The provider records the times when this is discussed between them. Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 21 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 N/A 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 X 3 X X 4 x Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 22 N/A 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. Refer to Standard Good Practice Recommendations Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Mr Brian Hall DS0000004548.V344623.R01.S.doc Version 5.2 Page 24 - 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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