Care Home: Scope - Warrington Road

Similar services:

• Ruskin Lodge
• Dystlegh Grange
• The Good Companions
• Springfield Cottage
• Cuerden Grange Rest Home
• Cornmill Nursing Home
• Vitalise Sandpipers Centre
• Sue Ryder Care Birchley Hall

What the care home does well The home has an established staff team who are keen for high standards to be maintained. Peoples` plans of care had been improved and were well documented so they reflected each person`s needs and how these should be met. The staff provide a range of daily activities, with choice whenever possible so people can take part in whichever activity they prefer. People who live at the home said they liked the choices on offer. People living at the home told us; "The staff always treat me well and the home is always fresh and clean" and "The staff always listen to what I say. I always choose what I do each day", "I go to church at the weekends" and "I can usually do what I want during the day and evening." A healthcare professional who visits the home told us, "Staff appear very supportive in assisting service users to live their life and to make choices".Staff feel supported by management so they can provide good support for the people living at the home. They told us, "We can go to the manager at any time to ask for help and advice, the door is always open. They encourage staff to look to the future, and better themselves with NVQ etc. They try to find ways for people to get out and about and integrate into non-disabled settings such as clubs etc". Staff at the home encourage people who live there to be as independent as possible so they can make choices about their lifestyles and receive the support they need. What has improved since the last inspection? Completion of care plans has continued to be improved and they are reviewed monthly to make sure that people are receiving appropriate support in the way they prefer. Improvements have been made to the environment; the corridors and doorways have been redecorated but further work needs to be done to make sure the surroundings are of a better standard for the people who live in the home. Eight staff are currently working towards their NVQ Level 2 in care so they can provide good quality support for people who live in the home and all staff have undertaken food hygiene training. Managers and staff at the home are continuing to find out about college courses that might be available for the people who live at the home so they can pursue their educational needs. The information about the home (the statement of purpose and service user guide) is now produced in an easy to read format so it is easier for people to understand. CARE HOME ADULTS 18-65 Scope - Warrington Road 102 to 108 Warrington Road Widnes Cheshire WA8 0AS Lead Inspector Maureen Brown Key Unannounced Inspection 24 July 2008 9:15 Scope - Warrington Road DS0000005181.V369130.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 Scope - Warrington Road DS0000005181.V369130.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. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scope - Warrington Road Address 102 to 108 Warrington Road Widnes Cheshire WA8 0AS 0151 495 1256 0151 423 3621 howard.davies@scope.org.uk www.scope.org.uk SCOPE 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) Manager post vacant Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 12 service users in the category of PD (Physical disability) 17 April 2007 Date of last inspection Brief Description of the Service: 102 -108 Warrington Road is a residential care home providing personal care and accommodation for twelve young adults with a physical disability. The premises are owned by Liverpool Housing Trust, and are managed by Scope, a national organisation for people with cerebral palsy. All people who use the services have their own individual tenancy agreements. The home is approximately three quarters of a mile from Widnes town centre and is close to a church, shops and a pub. There are limited car parking facilities at the home. Parking is available in front of the property, on the road. Warrington Road comprises four purpose built bungalows, each with a kitchen/dining area, lounge, three bedrooms, bathroom, shower room and a utility area. Nos 104 and 106 each have one additional room set off the main areas of the bungalows. The room in 104 is used as an office and the room in 106 has been used for staff sleep in purposes in the past. It is currently being used as a storeroom. The home has patio and garden areas, which are and easily accessible. The staff team consists of the manager who is currently off work on sick leave. An acting manager has been put in place and he is supported by the team leader and seventeen support workers. The fees at Warrington Road are between £33,973.00 and £58,025.00 per year. Fees are calculated on individual assessment. Optional extras include CDs, videos, DVDs, holidays, magazines, clothing, toiletries, transport costs and hairdressing. Scope - Warrington Road DS0000005181.V369130.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 that the people who use the service experience good quality outcomes. As part of the inspection, an unannounced visit to this home took place on 24 July 2008 and lasted eight and a-quarter hours. An expert by experience also visited the home as part of our inspection. An expert by experience is a person who, because of their shared experience of using services and/or ways of communicating, visits a service with an inspector to help get a picture of what it is like to live in or use the service. During this visit the expert by experience spoke with five people who use the service and four staff members. This visit was just one part of the inspection. Before our visit, the home was asked to complete a detailed questionnaire to provide up to date information about services provided there. CSCI questionnaires were also made available for people who live at the home and staff to find out their views. Other information since the last major inspection was also reviewed. During the visit various records and the premises were looked at. Feedback about the findings was given to the acting manager and team leader at the end of our visit. What the service does well: The home has an established staff team who are keen for high standards to be maintained. Peoples’ plans of care had been improved and were well documented so they reflected each person’s needs and how these should be met. The staff provide a range of daily activities, with choice whenever possible so people can take part in whichever activity they prefer. People who live at the home said they liked the choices on offer. People living at the home told us; “The staff always treat me well and the home is always fresh and clean” and “The staff always listen to what I say. I always choose what I do each day”, “I go to church at the weekends” and “I can usually do what I want during the day and evening.” A healthcare professional who visits the home told us, “Staff appear very supportive in assisting service users to live their life and to make choices”. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 6 Staff feel supported by management so they can provide good support for the people living at the home. They told us, “We can go to the manager at any time to ask for help and advice, the door is always open. They encourage staff to look to the future, and better themselves with NVQ etc. They try to find ways for people to get out and about and integrate into non-disabled settings such as clubs etc”. Staff at the home encourage people who live there to be as independent as possible so they can make choices about their lifestyles and receive the support they need. What has improved since the last inspection? What they could do better: All possible steps should be taken to pursue discussions with the landlord about the poor state of repair of the corridor walls and doorframes, so that people are able to live in a well cared for environment. All staff files should include the required documentation to show that steps have been taken to make sure that the people who live in the home are protected from possible harm by thorough staff recruitment processes. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 7 Steps should continue to be taken towards the target of 50 of the care staff having a qualification in care to NVQ Level 2 or equivalent so people living in the home know they are being supported by qualified and knowledgeable staff. Action should be taken to make sure that the views of the people who live at the home are obtained about how the home is run. This is to make sure that their views are listened to and acted upon. 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. Scope - Warrington Road DS0000005181.V369130.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 Scope - Warrington Road DS0000005181.V369130.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): 1&2 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Sufficient information is provided about the home so that people can make a decision on whether it the right home for them. EVIDENCE: A copy of the information about the home (the statement of purpose) was seen in each person’s file that we looked at. This has been updated with more pictures and an easier to read format; it is also available in standard print, large print and audiotape. It gives information about the home, staff, manager and Scope organisation. Up to date details about how to contact the commission should be included, together with a review date to make sure that it is regularly updated. The current inspection report for the home was available within the office, and staff were aware of its location. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 10 Other information about living in the home (the service users’ guide), called the service user delivery agreement at Scope, was also available within each person’s file. This document covers the aims of the service, things the provider will do, and the rights and responsibilities of people whilst they are living in the home. The person using the service and a member of staff had signed this document. There is an assessment document used to assess people’s needs before they move into the home. There is also a care profile used that covers all areas of personal care and daily living, as well as how many care hours will have to be provided to meet the person’s needs. The manager told us that social services also provide an assessment, which is used to assess if the person’s needs can be met at the home. The expert by experience talked with people living in the home about whether they were involved in their own care planning process. They said, “they were involved in their care plan and they were very happy with the way their bungalow was managed”. Scope - Warrington Road DS0000005181.V369130.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People living in the home are supported to make decisions about their own lifestyles and with their health, personal care and social needs in a way that makes sure that their privacy and dignity is respected. EVIDENCE: We checked the care plans for four people to live in the home to see what support they receive. The standard of the care plans had significantly improved since our previous visit. They were easier to read, covered all areas of support needed and were reviewed monthly. They also include a 24-hour summary sheet of daily routines. Social service reviews were up to date. Staff told the expert by experience that they were aware of the specific needs of each person living at the home and provided them with the support they needed for their individual needs. People living in the home are helped to make their own decisions. Their individual choices are recorded in their care plan. People are also given as Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 12 much help as they need to manage their money. Each person requests personal allowance as needed and the acting manager oversees these accounts. The staff make sure that people living at the home can use advocates if required. The expert by experience asked the people living in the home what they thought about the support they received from the staff team. The three people spoken with agreed that staff were exceptional but said that another member of staff being on duty would be an advantage particularly in the mornings. One person said that “the staff do a really good job” - he had received support “above and beyond” and he summarised this by saying the staff and other people living at the home were like his “second family”. People who use the service are encouraged to choose their own lifestyle and decide what they would like to do. Risks are assessed and assessments produced as necessary. All risks assessments were up to date and are reviewed every six months or as necessary. A wide range of risk assessments was seen and included areas such as cot sides, finances, use of candles, people being left unattended, feeding and drinking, handling plan, safety belts, weight loss and medication. Scope - Warrington Road DS0000005181.V369130.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, 15, 16 & 17 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are helped to take part in a range of activities, to keep in touch with their families and steps are being taken to develop opportunities so they can continue with educational opportunities. EVIDENCE: It was noted that activities people enjoyed included 10 pin bowling, watching TV and DVDs/videos, meals with friends, glass painting, flower arranging, going to cinema, theatre and concert visits. Also music, singing, live shows, films and visiting family. The expert by experience saw two people enjoying a flower arranging session at the home and noted that the interactions between them and the staff were very positive. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 14 Each person has 3 lifestyle sessions each week. Currently people are involved in current affairs, cooking, bowling, crafts, woodwork and Boccia (pronounced Botcha, a sport which was designed originally for people with cerebral palsy but is now enjoyed by many others and is a Paralympic sport). The team leader explained that people living at the home have to ‘pass’ an entrance test to use the local college and this is difficult for them to do. Staff at the home are continuing to consult with the local college and are also looking at other colleges to see if there are any courses available that would be suitable for the people living at the home. People who use the service go out and about in the local community; family and friends are encouraged to visit and to be fully involved with people’s lives and activities as they may wish. People living in the home can see their visitors in private. They told us they are helped to keep in touch with friends from the past and have also developed new friendships and relationships. People living at the home told the expert by experience about how they go out and about in the community. They said that recently they had been able to go out more and they are “very pleased” about that. Some thought this was due to the time of year but others thought it was more due to the staff and organisation. The daily routines are run according to individual’s wishes. Staff encourage people to participate in normal daily routines. Each person has an individual plan of goals. These had been recently set up and will be monitored by the care staff and team leader. People at the home choose the meals they have each week. They decide on a weekly list and then buy the foods for the following week. A note of what each person has eaten and drunk is kept in the care plan to show that they are eating a healthy and nutritious diet. Some people have pictures of different foods that they can choose from for each meal. It was noted that a variety of meat, fish, cheese, eggs etc were used. Fresh fruit was also available. People who live at the home told the expert by experience about the meals that are provided. They confirmed that there are no restrictions on choice and “the staff will happily cook 3 separate meals if required”. Staff confirmed to the expert by experience that food is served individually and meals are prepared to each person’s choice. The staff said they were aware of people’s individual likes and dislikes. Scope - Warrington Road DS0000005181.V369130.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health, personal and social care needs of people who use the service are met and the people received support from the staff for health care in line with their stated preference. EVIDENCE: The care plans we saw included information about visits from/appointments with healthcare professionals. These include chiropody, hospital visits, GPs, district nurses, dentist, continence advisor, bereavement counsellor and opticians. Personal support is carried out in accordance with individual care plans and the person’s preference. A 24-hour summary sheet is completed for each person to show their personal preferences. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 16 Each person’s care plan includes an information sheet about using homely remedies; these had been signed by GPs. Medicines in the home are provided in a monitored dosage system and are stored in a secure cupboard. Medication administration record sheets that we checked were completed accurately. Nobody at the home is using any controlled drugs at the moment but there is appropriate storage for these, if needed. A full audit of medication administration procedures has been done following incidents where medicines were not given as they should have been. All staff have received training on giving medicines safely and have completed medication awareness training at the home before they can give out medicines to the people living at the home. Staff told the expert by experience about medication procedures and training. The four staff the expert by experience spoke with confirmed that medication is given with two members of staff present. They confirmed this had not always been the case and the insistence on two members of staff being present was a recent change. They said the medicine administration procedures were “much better now”, that they “feel more comfortable and confident with new system” and this was safer for them and for the people who live at the home. People living at the home also confirmed that medication was only handed out with two members of staff present and this had made things “better for both us and the staff, there is far less chance of errors”. Scope - Warrington Road DS0000005181.V369130.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People living in the home and their relatives were satisfied with the support they received from the acting manager and staff. Clear policies and procedures were in place so that people living in the home are protected from abuse, neglect and self-harm. EVIDENCE: All staff working at the home have undertaken Scope’s and the local authority training on Safeguarding Adults. There are copies of Halton Borough Council’s policy “No Secrets” in the home for staff to refer to. There are also policies on adult protection, bullying, harassment and whistle blowing available in the home. The complaints procedure is included in the statement of purpose for the home and in each person’s file. It includes timescales for action but the information about the commission needs to be brought up to date to show the new contact details. The home has a complaint form that would be used if a complaint were received but none have been received directly by the home since our last visit. The commission had received two complaints about this home since our last visit. The regional service manager for Scope investigated these complaints and action has been taken to address them. All appropriate paperwork was completed and the issues raised have now been resolved. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 18 The expert by experience found that most staff spoken with were unsure about the complaints procedure and none had used it themselves. They all confirmed they would be comfortable in approaching senior staff with issues raised by people living in the home. The people who live in the home that the expert by experience talked with all knew about the complaints procedure but none of them had used it. Scope - Warrington Road DS0000005181.V369130.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 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is clean and adequately maintained so that people live in comfortable surroundings. EVIDENCE: A tour of the bungalows was undertaken which included some bedrooms. They were found to be clean and odour free. The kitchens were clean and fridge and freezer temperatures were recorded to make sure they were working properly. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 20 Generally the décor in the communal areas was good. However, there was significant damage to corridors and doorframes that had been raised at our last inspection as a problem. This had still not been attended to although staff had tried to make these areas look better by painting over the damage. This had been done several times but as soon as people in wheelchairs brushed against the damage, it showed again. The tenancy agreements people have show that the landlord is responsible for repair of skirting boards, internal walls, doors and doorframes. It is recommended that Scope pursue this with the landlord to improve the general environment for the people who live at the home. Several bedrooms were seen and these had been decorated to each person’s individual preference, including colour scheme and furnishings. Scope - Warrington Road DS0000005181.V369130.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff recruitment procedures are thorough to make sure that they are suitable to work with the people living in the home. EVIDENCE: The staff team consists of the acting manager, team leader and sixteen support workers. People who live at the home told the expert by experience that they were happy with the service provided by all Scope staff. Four members of staff told the expert by experience that things had improved greatly over recent months and that the management team members were very approachable, focused on the people who live at the home and not afraid to help out. They also said that they would like extra member of staff on duty in the mornings and understood that the team leader was looking at this. They could not think of anything else that would improve the service for the people who live in the home. Comments we received from people who live at the home included: “I cannot do what I want at weekends”, “Not always possible to do what I want during Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 22 the day, evening or weekends. This is due to low staffing levels not staff refusing”, and an area for improvement they identified would be “to have more staff so we can get out into the community”. Good progress has been made on NVQ training. Six out of seventeen staff have NVQ level 2 or 3 in care and eight staff members are currently working towards their NVQs. The target to meet the national minimum standard for staff training is for 50 of the staff to have an NVQ Level 2 or equivalent in care. A recommendation is made for the home to continue with the progress towards meeting this standard. The last staff meeting was held on 2 July 2008 with eight staff attending. Issues discussed included people who use the service, staff, medication, finances and communication. The previous meeting was held on 27.5.08 with nine staff attending. We looked at three staff files; two showed that the required checks had been carried out before the member of staff started work at the home. However, documents were missing from the third file. These were the copy of the application form, references and confirmation that a Criminal Records Bureau disclosure had been obtained. The acting manager explained that the file had been sent to head office and they had not realised that these documents were missing when the file was returned. Following our visit he had made unsuccessful efforts to find the missing information and agreed to get duplicates of these to complete the file. All staff have now undertaken food hygiene training so they can prepare food for the people who live in the home safely. Specialist training undertaken includes cerebral palsy awareness, speech and language, Mental Capacity Act awareness and procedures for making sure that people in wheelchairs are safe in the vehicle. The four staff who spoke with the expert by experience said they felt adequately trained and that they could request any training they felt they needed or would benefit from. Three gave an example of a recent request for training on cerebral palsy; the management team are currently arranging for this training to take place. All staff have received training on medication administration, manual handling, health & safety and First Aid. Refresher training was available when required. Good progress has been made with staff supervisions and appraisals. All staff had supervision sessions in April 2008 and appraisals in June 2008. Notes were available and ready for staff to sign at their next supervision session. Information given to the expert by experience showed a variation in the frequency of supervisions and appraisals but it was clear that supervision took place and that staff could ask for help from managers if needed. Scope - Warrington Road DS0000005181.V369130.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, 40 & 42 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The views of people who live at the home are sought and acted upon so that the home is run in their best interests and their health, safety and welfare of are protected. EVIDENCE: The manager of the home has applied to be registered with the commission but is currently on long-term sick leave. An acting manager has been appointed in the interim. He has worked for Scope for eighteen years, most recently as training manager, and has extensive experience and knowledge. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 24 Equipment in the home is serviced and checked at appropriate intervals to make sure it is safe. This includes small electrical appliances, gas installation, hoists, specialist equipment such as beds, and electric wheelchairs. The safety certificate for the electrical wiring, dated December 2006, was not available during our visit but had been seen previously. The fire protection log was seen and all records were kept up to date. Weekly fire system checks were completed, monthly emergency lighting tests, and full fire evacuation was completed 22 July 2008. The accident book was seen and records were appropriate. The last survey for people who use the service was completed in February 2007 and eleven people completed this. At the time of our previous visit the manager told us that other people with an interest in the home, such as relatives and health and social care professionals who are involved in the care of the people who live at the home are generally not contacted. It was suggested that all surveys be conducted at the same time, that families and others be included and that the results should be analysed and circulated. This had not been implemented and a further recommendation action to be taken to find out the views of residents, families and others about the running of the home. A senior manager from Scope visits the home regularly to see how it is being run and the reports of these visits were seen. The last visit was carried out in June 2008 and the report clearly showed what had been improved as well as identifying where further improvements could be made. Since our last visit, ‘bungalow’ meetings have been introduced. There was one just before our visit and the issues discussed included people who live in the home, staff, environment and other general issues. A selection of policies and procedures for the home was seen; these were appropriate for the service and were regularly reviewed. Scope - Warrington Road DS0000005181.V369130.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 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 X 3 X Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 26 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. 1 Refer to Standard YA1 Good Practice Recommendations The service user guide and statement of purpose for the home should include up to date contact details for the Commission for Social Care Inspection so people who use the service know how to contact the commission if they need to. The complaints procedure for the home should include up to date contact details for the Commission for Social Care Inspection so that people know how to contact the commission if they need to. Action should be taken to discuss the repairs needed to the corridors, internal walls, doors and doorframes with the landlord, who is responsible for the repair of these areas, so that the necessary repairs are carried out to ensure that people who live in the home live in a well maintained environment. 2 YA22 3 YA24 Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 27 4 YA32 5 YA34 6 YA39 7 YA42 The progress made on making sure that care staff who work in the home are qualified to NVQ Level 2 or equivalent in care should be continued to make sure that 50 of the staff hold these qualifications to ensure that people living in the home are supported by trained and knowledgeable staff. Staff files in the home should include all the information required by Regulations 17 and 19, Schedule 2 and Schedule 4(6) of the Care Homes Regulations 2001 so there is evidence that a thorough staff recruitment process is followed to make sure that people who live in the home are protected from possible poor practice or abuse. A system of seeking views about how the home is run from the people who live there, their relatives and other people involved in their care such as health and social care professionals should be implemented. The system of surveys for people living in the home to say what they think about how the service is running should be reinstated. In this way, people’s views about how the home is run can be obtained as part of the quality assurance process for the home. A copy of the up to date safety certificate for the electrical wiring system for the home should be kept at the home to show that the system is safe. Scope - Warrington Road DS0000005181.V369130.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North West Region Unit 1, Level 3 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@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 Scope - Warrington Road DS0000005181.V369130.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!