Care Home: Poplars Resource Centre

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What the care home does well Staff working at the Poplars are good at communicating with people who use non-verbal communication. They have a good understanding of individual`s needs and their choices and are motivated to provide an individual service. When staying at the Poplars people are encouraged to make their own choices and decisions and supported to do the things they enjoy doing. People are able to get out and about doing the things they enjoy and also to spend time at home with their hobbies. Support is provided to people to eat a healthy diet that is varied and meets any dietary requirements they may have. Staff sit and eat with everyone else making mealtimes a social occasion.Good support is provided to people to meet their personal and health care needs. Staff support people to be as independent as possible with their personal care. There are a number of adaptations around the building to make it easier for people to get around, be as independent as possible and receive support. All areas are on one floor and everyone has their own bedroom when they stay. A clear complaints policy is in place and staff have had training in recognising potential adult protection issues. This helps to ensure that if any concerns arise they can be quickly and effectively dealt with. What has improved since the last inspection? Since the last inspection of the Poplars in May 2007 the service have come to an agreement with Sefton Council to access a mini bus. As the vehicle belonging to the Poplars is not suitable for people using a wheelchair, the part time provision of an accessible vehicle will improve the social life of some of the people who stay there. Staff have received training in moving and handling and all health and safety checks have been carried out in a timely manner. This helps to make sure that the people staying at the Poplars are safe and well supported. What the care home could do better: Not everyone staying at the Poplars has a care plan in place, which provides guidance for staff in communicating with, and meeting the persons needs and choices. A system for ensuring care plans are in place for everyone who is supported within the service would help to ensure that the persons needs and choices are all identified and met. Information for the people who stay at the Poplars is not always provided in an easy to understand format. Providing information is easier formats such as picture or tapes may help people to understand more about their rights and their choices. A regular system for auditing how peoples medication is managed would help to make sure that it is managed safely and well at all times. A training plan for staff should be put together that identifies both any basic training staff need as well as training to meet the more specialist needs some of the people staying at the Poplars may have. CARE HOME ADULTS 18-65 Poplars Resource Centre 2 Poplar Street Southport Merseyside PR8 6DY Lead Inspector Ms Lorraine Farrar Unannounced Inspection 5th December 2007 12:30 Poplars Resource Centre DS0000069966.V354678.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 Poplars Resource Centre DS0000069966.V354678.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. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Poplars Resource Centre Address 2 Poplar Street Southport Merseyside PR8 6DY 01704 535118 01704 385391 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) Sefton New Directions Limited Miss Pauline Rimmer Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - code PC, to people of either gender whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of people who can be accommodated is: 8 Date of last inspection 23rd May 2007 Brief Description of the Service: The Poplars Resource Centre provides three different services, all for adults who have a learning disability. The first is a regular day service provided Monday to Friday. The second is a weekend day service that people can use during the day. The third service is a short break service whereby people stay at the Poplars for a period of time. This inspection reports relates only to the short stay service. The Poplars has a main building, which was purpose built and is adapted for use by people with physical disabilities. This provides five single bedrooms for people to use during their stay. There are also adapted bathrooms, an accessible kitchen and living areas. Although the day service is also provided in the same building the two services are physically separated, so people staying at the Poplars have their privacy. To the side of the building is a bungalow, which is fully self- contained and provides accommodation for three people. Situated in a residential area of Southport the Poplars is accessible by public transport and is near to local facilities. Until recently the service was owned and operated by Sefton Social Services. In April 2007 it was taken over by a company called Sefton New Directions LTD. The shares for this company are currently wholly owned by Sefton Social Services and staff and the manager remain the same. Staff are available at the Poplars 24 hours a day to provide support to people Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 5 with their personal care, health and lifestyle. For people who have saving of less than £21,500 it costs £63.95 to stay at the Poplars for a week. For anyone with savings over this amount it costs £336.50 per week. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced visit took place for five and a half hours on the 5th December 2007. Time was spent looking at the support three of the people staying at the Poplars receive. This included looking at the support they get with their care plans, medication, money, activities and environment. We met the four people staying at the Poplars and some of the staff who work there, including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection about the Poplars is also taken into account in writing this report. This includes comment cards sent to people who stay at the Poplars, their relatives and staff. Two comment cards were returned, one for a member of staff and one from somebody who uses the service. An easy to understand copy of the summary of this report is available. If you would like to see it please ask the manager or staff at the Poplars. As the Poplars has had a new owner in the past year, this is the second inspection that the CSCI have carried out in 2007. This helps us to make sure the service is consistent and maintaining care standards. What the service does well: Staff working at the Poplars are good at communicating with people who use non-verbal communication. They have a good understanding of individual’s needs and their choices and are motivated to provide an individual service. When staying at the Poplars people are encouraged to make their own choices and decisions and supported to do the things they enjoy doing. People are able to get out and about doing the things they enjoy and also to spend time at home with their hobbies. Support is provided to people to eat a healthy diet that is varied and meets any dietary requirements they may have. Staff sit and eat with everyone else making mealtimes a social occasion. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 7 Good support is provided to people to meet their personal and health care needs. Staff support people to be as independent as possible with their personal care. There are a number of adaptations around the building to make it easier for people to get around, be as independent as possible and receive support. All areas are on one floor and everyone has their own bedroom when they stay. A clear complaints policy is in place and staff have had training in recognising potential adult protection issues. This helps to ensure that if any concerns arise they can be quickly and effectively dealt with. What has improved since the last inspection? What they could do better: Not everyone staying at the Poplars has a care plan in place, which provides guidance for staff in communicating with, and meeting the persons needs and choices. A system for ensuring care plans are in place for everyone who is supported within the service would help to ensure that the persons needs and choices are all identified and met. Information for the people who stay at the Poplars is not always provided in an easy to understand format. Providing information is easier formats such as picture or tapes may help people to understand more about their rights and their choices. A regular system for auditing how peoples medication is managed would help to make sure that it is managed safely and well at all times. A training plan for staff should be put together that identifies both any basic training staff need as well as training to meet the more specialist needs some of the people staying at the Poplars may have. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 8 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. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 9 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 Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 10 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Systems are in place for assessing the needs and choices of new people however these are not always followed though EVIDENCE: One of the people staying at the Poplars was on their second stay at the home. A copy of their social workers assessment has been obtained and was on file. However there was no evidence that an assessment had been carried out by staff from the home or that a care plan had been compiled from the assessment. A member of staff said in their comment cards that they usually get up to date information about the people they are supporting but “sometimes we work with the client before adequate information is given”. An assessment by staff from the home would help to ensure that all possible information had been obtained about the person in order to help everyone decide if the Poplars is the right place for them to stay. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 11 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s individual needs and choices are supported within the Poplars. More comprehensive care planning would help make sure all aspects of the persons support needs have been identified. EVIDENCE: Care records were looked at for three of the people staying at the Poplars. Two of these contained clear information about the support the persons needs and chooses. This included information about their personal and health care, their likes and dislikes and how they communicate with others. However limited information was available for a third person who had stayed at the Poplars once before. A copy of their social services assessment was available along with information on their personal care skills. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 12 Staff were able to verbally discuss the support they offered and daily records showed support had been provided with health and personal care as well as activities of the persons choice. However the lack of a detailed care plan may mean that people do not get all of the support they require or prefer and could impact on their health and welfare. Completed care plans contained information about any risks to the person along with information about how to minimise these. For example one person required alterations made to their bedroom when they stayed and these were seen to have been put into place. Observations of daily life at the Poplars confirmed that people are supported to make decisions for themselves. This included deciding how to run their daily lives, where to go and how to spend their time. Staff were cleat about their role in supporting people and able to explain how people make their choices and decisions known. As a short stay service the Poplars does not take responsibility for managing peoples benefit money. However any money that people bring with them can be stored in the safe if they wish. This was seen to be well managed, with people taking their own money with them when they go out and clear records kept of the amounts held in the safe and any money spent. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 13 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, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people staying at the Poplars are supported to identify and live a lifestyle of their choosing. EVIDENCE: Records showed that people are supported to take parts in activities they enjoy during their stay. For example within the past four days one person had been supported to go shopping, to the pub, into Southport and out for lunch. One of the people staying at the Poplars said in their comment card that they can always do the things they want to do when staying there. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 14 Whilst at home people are supported to engage in the activities they enjoy. One man was playing indoor football whilst another was sitting in the lounge watching TV. Throughout the visit staff were seen to engage with the people staying, joining in with the football and chatting. People can also continue to attend the resource centre during their stay if they wish to do so. There has been a longstanding issue at the Poplars regarding transport. The service does have a mini bus however this is not accessible for people who use a wheelchair. As stated everyone staying at the Poplars at the time of the visit had been out and about. The manager advises that they now use an accessible mini bus through Sefton Council, that they can book, and they also use accessible taxis. The people staying at the Poplars get opportunities to meet other people via their involvement in local community facilities. Families of the people staying told us in May 2007 that they are kept informed and involved about how the person is and can visit whenever they wish to do so. Daily routines at the Poplars are flexible depending on the needs and wishes of the people staying there. Records showed that people can get up or go to bed as they choose and discussions with staff showed that they are aware of the need to support people in a way they prefer. During the site visit one of the people staying showed us around. It was clear that they felt very much at home at the Poplars and confident to use all shared areas of the home and their bedroom whenever they chose to do so. There is a cook in the main building who provides meals for the people staying there, in addition there is a small kitchen were the people staying can make drinks and snacks. In the bungalow there is a domestic style kitchen were meals are prepared. Menus showed that a variety of meals are offered and diet requests are met. The cook for the day was able to discuss how they meet people’s choices and try to offer a healthy meal or alternative. There were plentiful supplies of food both in the main kitchen and smaller kitchens. At mealtimes staff sit and eat with the people staying which helps to make the meal time a social occasion. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 15 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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people staying at the Poplars receive individual support to meet their health and personal care needs in a way that they prefer. However practices around the management of peoples’ medication could be more robust in order to ensure they are as safe as possible. EVIDENCE: Parents of one of the people who stay at the Poplars said, “As parents we are more than happy with the level of care our son receives”. Care plans at the Poplars generally contain information about how to support the person to stay fit and well. Clear information is recorded about the person’s preferences and about any health care needs or allergies they may have. During the site visit it was clear that staff follow the guidance written down. For example one plan stated that the person needed to be supported to sit out of his wheelchair and this support was seen to be provided during the visit. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 16 Daily records showed that people are supported to get up or go to bed at the times they choose. On one occasion one of the people staying went to bed early then got up an hour later. Records showed that staff supported her to have a drink and sit in the lounge until she felt ready for bed. Staff spoken with had a good knowledge of peoples support needs and their preferences and were able to explain how they support people to maintain their independence. Clear records are kept of the support provided to people and any issues with their health. For example it was noted that one of the people staying had a red area to their foot. Staff supported her to visit the GP and to apply cream. This level of recording is particularly relevant as many of the people who stay at the Poplars do not communicate verbally and rely on staff support to do this for them. The way medication is managed for three of the people staying at the Poplars was looked at. Medication was stored correctly in a locked cabinet. All staff who support people with their medication have received training in this area. When medication is received at the Poplars, often from the persons home rather than a chemist, it is usual practice for staff to count and record the medication received. However this had not occurred for one of the people staying. In order to check that people are receiving their medication as prescribed it is important that the amount of mediation received is accurately recorded. Another person’s medication sheet recorded that they had arrived with 73 tablets and been given 12 tablets. However there were 63 tablets remaining in the box as opposed to the 61 that should have been there is records were all accurate. Other medication that was checked tallied with the records and amount of medication held. Medication sheets are handwritten by staff when people arrive. It would be good practice for two staff to check and sign handwritten entries, as this would lessen the risk of mistakes occurring. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 17 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 & 23 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People who stay at the Poplars and their relatives are confident that any concerns they have will be listened to and acted upon. However this information is not always provided to them in a way they may find easy to understand. EVIDENCE: One of the people who stay at the Poplars said in their comment card that they know who to speak to if they are unhappy about anything and how to make a complaint. Although no relatives commented for this inspection, relatives did say in May 2007 that they are aware of the complaints procedure and confident any concerns they have would be dealt with. Clear procedures and polices are in place for dealing with any complaints or concerns that arise and staff spoken with were able to explain the action they would take if this occurred to ensure the persons concerns are dealt with effectively. No complaints have been made about the Poplars since the last key inspection, however a recording system is in place for staff to follow to ensure that any complaints are dealt with effectively and as quickly as possible. Information about how to make a complaint is available to people via the Poplars brochure. However this is not made available in an easy to understand format. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 18 This was identified at the last key inspection. The manager advised during this site visit that training has been arranged for staff in providing easy to understand information. Following this information for people who use the service will be produced in a picture format. The lack of information in a format that people may find easier to understand could lead to some people not being as aware of their rights as they could be. Money belonging to two of the people staying at the Poplars was examined. The amount held, records and receipts tallied. The procedures the service has in place for dealing with peoples money helps to ensure that it safely managed. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 19 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, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Poplars provides a comfortable environment with plenty of space and adaptations to support people with their mobility EVIDENCE: The Poplars provides accommodation for up to eight people. There are five bedrooms in the main building and three in the bungalow. Both living areas have their own living accommodation, laundry, bathrooms and gardens. There is plenty of space throughout the buildings to comfortably accommodate the people staying, staff and any visitors. All bedrooms are single, with some providing en-suite facilities. Where there are no en-suite facilities the bedrooms have sinks provided. The Bungalow is domestic in appearance and in furnishings and is decorated to a good standard. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 20 The main building is larger however the living areas have been furnished to provide a comfortable and welcoming place to sit and relax. People staying at the Poplars can use the facilities provided by the day service if they wish. This includes a snoozlem and art and craft rooms. Outside there is a large enclosed back garden, that provides seating, a swing accessible for people in a wheelchair and greenhouse people can access with support. Some parts of the décor in the main building are worn and appear shabby, with chipped paintwork and ripped wallpaper. A senior manager from the organisation advised that they are aware of this. She explained that work is due to take place in 2008 to meet current standards for people with disabilities, this includes widening doorways. `Once this work is completed she confirmed that re-decoration will take place. A variety of aids and adaptations are in place to support people with their mobility and personal care. These include, ramps, grab rails, adapted baths and showers, specialist mattresses and hoists. In addition door handles are colour co-ordinated and light switches lowered to make them easier for people to use. All areas visited were clean and tidy, both living areas have laundry rooms available and equipment is provided to help prevent any spread of infection. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 21 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, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people staying at the Poplars are supported by an experienced staff team, who can meet their needs and choices and in whom they have confidence. EVIDENCE: One of the people who stay at the Poplars confirmed in their comment card that staff treat them well and listen and act upon what they say. This was seen during the site visit when all staff spoken with had a clear knowledge of the people staying. Staff were able to explain not only the support they provide to people with their personal care but also the way the person communicates. They were knowledgeable about how to support people if they become upset and about the things people enjoy doing as well as how they like to spend their time at home. Throughout the site visit staff were seen to spend time talking with the people who were staying and socialising with them as well as meeting their support needs. From the reactions of the people staying it was clear that they felt comfortable with the staff team and trusted them to support them. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 22 Over 80 of the staff working at the Poplars hold a qualification (NVQ) in care. A member of staff who completed a comment card said that there is, “plenty of training offered. We can select our own training needs, apart from mandatory training.” All staff spoken with during the site visit were able to discuss the training they had received in previous months and confirmed that training is available if needed. Records of staff training showed that staff are supported to receive training in basic area of care and safety such as food hygiene and moving and handling people. However these records are not fully completed and did not contain full information about other training. For example the manager explained that recent training for staff had taken place on postural care. However this was not recorded on individual’s files. Up to date training records would help to identify any gaps in staff knowledge and to plan future training sessions. Regular staff meetings take place to provide an opportunity for staff to express their views and become involved in planning future improvements to the service. In addition all staff have regular one to one meetings with their line manager to discuss their work, any issues that have arisen and any training needs they may have. No new staff have been appointed to work at the Poplars in the past year. However the manager advised that the organisation intend to introduce a new induction programme for new staff that will meet national standards. This will help ensure new staff have the basic skills and knowledge to support people safely and well. The organisation has polices in place to ensure that good recruitment practices are followed before appointing new staff. Files were looked at for three members of staff. These contained evidence that Criminal Records Bureau (CRB) checks had been carried out for all staff. One of the files, for a member of staff who has worked for the service for some time did not contain copies of their references and none of the file contained copies of the person’s terms and conditions of employment. It is important that staff files contain evidence that all required checks have been carried out on the person to ensure they are safe to work with people who may be vulnerable. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 23 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to make sure the Poplars operates safely and well for the people living there. EVIDENCE: Ms Pauline Rimmer is the registered manager of the Poplars. She holds qualifications in management and working with people with learning disabilities and is an experienced manager of services for adults with learning disabilities. Throughout the site visit Ms Rimmer displayed a clear understanding of her role both in managing a care service and in supporting adults with a learning disability. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 24 There are several systems in place to check the quality of the service provided at the Poplars. This includes a team and organisation plan for the year that sets clear goals and targets to improve the service. Regular visits are made to the service by a senior manager from the organisation who compiles a report of their findings. This helps to check the quality of the service provided and also ensures senior staff within the organisation are aware of any issues and improvements needed and can help plan towards meeting these. As the people who stay at the Poplars often do not use verbal communication, the manager explained it can be difficult to obtain their views. However some surveys have been carried out with people using easy to read forms. The response to these was positive. The manager explained they are considering holding one to one meetings with people who stay to try and obtain their views of the service. Records and certificates showed that regular checks are carried out in the building and equipment to make sure it is safe to use. This includes regular fire and water temperature checks as well as contractor checks on lifting equipment and gas and electrical supplies. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 25 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 2 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 3 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 2 X 4 X 3 X X 3 X Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES 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. 1. Standard YA6 Regulation 15(1) Timescale for action A system must be put into place 20/02/08 to ensure everyone staying at the Poplars has a care plan in place, which provides sufficient information for staff to support the person. This will help to ensure people receive support in all areas they require it. Requirement 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. Refer to Standard YA22 Good Practice Recommendations Information provided to people using the service should be made available in different formats. This will ensure that everyone has access to as much information about the service as possible This is a previous inspection recommendation. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 27 2. YA35 A training plan based on the specific needs of the peoples who stay at the Poplars should be drawn up and implemented. This will ensure that people are always supported by competent staff who can meet their needs and choices. This is a previous inspection recommendation. 3. YA20 Where medication sheets are handwritten two staff should check and sign the entry. An audit system should be set up for checking medication management on a regular basis. This will help to ensure medication is managed safely. 4. YA34 An audit of staff files should be carried out. This will ensure that they have all the required checks and information in place. Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Poplars Resource Centre DS0000069966.V354678.R01.S.doc Version 5.2 Page 29 - 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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