Care Home: Spinal Unit Action Group The

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 6 Weld Road provides a specialist service for people who have had a spinal injury. Staff are knowledgeable about providing support to people who have had a spinal injury so the people living there are confident staff have the skills to support them well. The people living at 6 Weld Road are independent in running their lives and this is fully supported by the staff team. People make their own decisions and explained that staff will offer advice but that the final decisions lies with themselves Staff have built good relationships with the people living there and are friendly but respectful of their choices, taking time to chat and to consult with people whilst respecting their right to privacy. Visitors are welcome at any time and the people living there are able to spend time in private with them. Staff work in partnership with the people who live at 6 Weld Road in relation to how the house operates and in supporting them with their personal and healthcare. A chef provides a variety of meals to suit people`s different tastes and everyone living there that we spoke with said that these are consistently of a high standard. The people living at 6 Weld Road are confident in expressing their views and that any concerns or complaints they have will be listened to and acted upon. The house is fully adapted to support people to be as independent as possible with adapted bedrooms, shared rooms and kitchens. There is also sufficient space for people to get about freely and access the large garden at the rear of the house. What has improved since the last inspection? Since the last big inspection of 6 Weld Road clear care plans have been introduced to the service that provide guidance for staff in how to support people with their health and personal care. This helps to ensure that staff have access to information, if needed, on how to support the person in line with their needs and choices. Checks are now carried out on staff before they start work in the house. This helps to ensure that they are suitable to work with the people who live there. Training for staff is now planned and recorded. This helps to ensure that staff receive training in a timely manner to help them to support the people who live at the home safely and well. What the care home could do better: Care plans need to be checked to ensure that they contain guidance for staff on all aspects of a person`s health care that they may need support with. This will ensure that staff have the information readily available in the event that the person themselves is not able to advise them on the action to take. CARE HOME ADULTS 18-65 Spinal Unit Action Group The 6 Weld Road Birkdale Southport Merseyside PR8 2AZ Lead Inspector Ms Lorraine Farrar Unannounced Inspection 27 May 2008 12:25 Spinal Unit Action Group The DS0000005364.V362671.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 Spinal Unit Action Group The DS0000005364.V362671.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. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spinal Unit Action Group The Address 6 Weld Road Birkdale Southport Merseyside PR8 2AZ 01704 563633 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) suag.suag@tesco.net The Spinal Unit Action Group Mr Graham Sharpe Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD The maximum number of service users who can be accommodated is: 12 Date of last inspection 10th May 2007 Brief Description of the Service: The Spinal Unit Action Group is based in Birkdale and provides accommodation and support for up to 12 adults who have a disability associated with spinal injuries. The service is operated by a local charity and managed by Mr Graham Sharpe. The home is in a residential area of Birkdale with easy access to public transport, the town of Southport and many local facilities. The propriety is a detached Victorian house, which has been converted to meet the needs of the people living there. Inside there are twelve single bedrooms, a communal dining room and games room, with bathrooms and a kitchen on each floor. Outside there is off street parking and a large, enclosed back garden. All areas of the house are fully accessible for people who use a wheelchair. There are many adaptations within the house to support the people living there with their mobility. These include a lift, ceiling tracking, lowered light switches and adapted bathrooms and dining tables. Staff work at the house twenty four hours a day to provide support for the people living there. It currently costs between £498 and £538 each week to live at 6 Weld Road. The cost may vary depending on the support a person needs. Spinal Unit Action Group The DS0000005364.V362671.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 3 stars. This means the people who use this service experience excellent quality outcomes. We gathered information for this inspection in a number of different ways. Before we visited the service we sent a self assessment questionnaire to the manager, who completed and returned this to us. We also sent comment cards to some of the people who live and work there. Six of the people living there and five members of staff completed and returned these to us. Any information we have received since the last big inspection of the service was reviewed. This all helped us to plan the things we would look at during our visit to the home and also helped to provided information for this report. We carried out an unannounced visit to the house on 27 May 2008. This took place over seven hours and included reading records and looking at the building. We spent time observing daily life in the house and looking at the support the people living at 6 Weld Road receive. This included looking at the support they get with their personal and health care, care plans, medication, money and environment. We had discussions about how the service works with four of the people living there and with three members of staff including the manager. What the service does well: 6 Weld Road provides a specialist service for people who have had a spinal injury. Staff are knowledgeable about providing support to people who have had a spinal injury so the people living there are confident staff have the skills to support them well. The people living at 6 Weld Road are independent in running their lives and this is fully supported by the staff team. People make their own decisions and explained that staff will offer advice but that the final decisions lies with themselves Staff have built good relationships with the people living there and are friendly but respectful of their choices, taking time to chat and to consult with people whilst respecting their right to privacy. Visitors are welcome at any time and the people living there are able to spend time in private with them. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 6 Staff work in partnership with the people who live at 6 Weld Road in relation to how the house operates and in supporting them with their personal and healthcare. A chef provides a variety of meals to suit people’s different tastes and everyone living there that we spoke with said that these are consistently of a high standard. The people living at 6 Weld Road are confident in expressing their views and that any concerns or complaints they have will be listened to and acted upon. The house is fully adapted to support people to be as independent as possible with adapted bedrooms, shared rooms and kitchens. There is also sufficient space for people to get about freely and access the large garden at the rear of the house. What has improved since the last inspection? What they could do better: Care plans need to be checked to ensure that they contain guidance for staff on all aspects of a person’s health care that they may need support with. This will ensure that staff have the information readily available in the event that the person themselves is not able to advise them on the action to take. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 7 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. Spinal Unit Action Group The DS0000005364.V362671.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 Spinal Unit Action Group The DS0000005364.V362671.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 obtained about and given to people who are considering moving into 6 Weld Road. This helps to ensure that the service is the right place for the person to live and that it can meet their need and choices. EVIDENCE: The people living at 6 Weld Road told us in their comment cards that they were consulted about moving into the house. One person explained, “I visited with my case manager from the spinal unit” before they decided to move in. Nobody new has moved into 6 Weld Road for some time, although several of the people living there have previously stayed for short breaks. However some of the people living there have previously told us that they were able to visit and stay for a trial period before making the decision as to whether to move in. The service is in the middle of updating the welcome pack for people considering moving into 6 Weld Road and the people living there have previously told us that they received sufficient information about the service when they were considering living there. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 10 The manager explained that when anyone new is referred to the service an application form is completed and a letter from their consultant is obtained to ensure that they are medically fit to live at 6 Weld Road. He also explained that the service would ensure an assessment of the person’s needs and choices was carried out and a copy of any health or social services assessments would be obtained. This process of obtaining sufficient information about the support needs and choices of people and providing them with detailed information about the service provided helps everyone to decide if 6 Weld Road is the right place for them to live. Spinal Unit Action Group The DS0000005364.V362671.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 excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The support needs and choices of the people living at 6 Weld Road are recognised and fully supported by the service so they can follow the lifestyle they prefer. EVIDENCE: Individual care files are in place for the people living at 6 Weld Road. We looked at three of these and all stated that they had been written with the person they concerned. One person living in the home told us, “I typed my own plan and printed it out for them”. Another person explained that she is aware of her care plan and the deputy manager had recently discussed it with her again to make sure she still agreed with it. Plans contain guidance around the support the person needs with their physical health and personal care. Plans remind staff to consult with the person daily as they may change their minds on the support they require. The practice of Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 12 consulting regularly with people regarding their plans and involving them in preparing and writing them ensures that people are as involved as possible in the support they receive and have an opportunity to make not only their support needs but also their support choices known. One plan we looked at contained information regarding a health issue the person had. Although a risk assessment had been completed, no plan was in place to inform staff of how to recognise when he may need support with this and act upon it. The person concerned explained to us how staff support him with this aspect of his health in line with his choices. However a written plan would ensure that all staff were aware of how to identify when additional support may be needed and the action to take. Care files also contain individual risk assessments for the person. These cover areas such as their health, going out and about and their mobility. The risk assessments identify any risks to the person or others and give guidance on how to minimise these without impacting on the person’s choices. The people living at 6 Weld Road told us in their comment cards that they are able to make decisions about the things that they do each day. This was evident during our visit to the service when people were spending time at home or out and about as they wished. One person living there explained to us that if there are any issues within the home they call a house meeting with staff and the people living there and “sort things between ourselves” The people living at 6 Weld Road are very independent and staff were seen to respect this throughout our visit. One of the people living there explained, “its great here, you can do what you want. They treat you as normal its not regimented”. And another said, “I would definitely recommend it here. There’s no sign outside, as they don’t want it to look like a residential home. It’s like our own home, we can do what we want within reason”. Spinal Unit Action Group The DS0000005364.V362671.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 excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The people living at 6 Weld Road have staff support available on request so they are able to lead a lifestyle of their choosing. EVIDENCE: The people who live at 6 Weld Road are very independent and go out and about as they choose without needing staff support. This was evident during our visit to the service when people were in and out of the house all day as they chose. One of the people living there explained that from the house it is easy to get into Southport using an electric wheelchair and that local train services are nearby and fully accessible. The service provides an accessible mini bus. Some of the people living there explained that they are asked if they want to go on days out or on holidays. For example they told us that recently the people living there, their families Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 14 and staff went out for a meal to a local hotel. One person explained that the terms and conditions for using the mini bus are clearly displayed downstairs so that everyone is aware of them. It was clear that if people wish to have visitors at 6 Weld Road then this is supported by the service. Throughout our visit to the service a number of people were seen to visit the people living there. Daily routines at 6 Weld Road are flexible. For example each day people are asked what time they want support to get up the following morning and this is recorded so that staff are aware. Meals are planned but one of the people living there explained these can be ‘reviewed’ if they change their mind. Another person told us that, “Our life’s our own, we go out at night, do whatever we want, come home when we want. We are not restricted”. A full time chef works at 6 Weld Road and records of menus showed that a variety of choices is offered. On the evening of our visit the chef was making two main meals and three different salads in accordance with the things people had ordered. Everyone we spoke with was complimentary about the meals provided. Their comments included, “the chef makes lovely food” and “out of this world, we get a wide variety, the chef takes care. We get homemade soups, beautiful salads, anything you want”. Care plans for the people living at 6 Weld Road record the support people need with their meals. Equally importantly they record the aids people need to be able to manage their meals and drinks independently. This support was seen to be provided. One of the people living there explained that staff always leave a drink in her room set up and positioned so they she can reach it independently. The people living there are involved in planning menus and one person explained that the chef tries new meals out for them. He also explained that he does the food shop with the chef. This involvement in everyday household tasks helps to ensure that 6 Weld Road continues to operate in partnership with the people who live there. Spinal Unit Action Group The DS0000005364.V362671.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 excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The people living at 6 Weld Road receive support to manage their health and personal care to ensure they can retain their independence as much as possible. EVIDENCE: Individual care plans record the support people need with their personal and health care and how staff should provide this. They also remind staff to consult with the person and ‘follow their instructions’ as well as describing the areas of personal care that the person is independent in. The practice of always ensuring people are consulted about the support they receive helps to ensure that the people living at 6 Weld Road remain in control of their lives and are supported in a way they prefer. Daily records showed that staff support people to access health service such as the GP, optician and chiropodist as well as more specialist services relating to spinal injuries. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 16 Records also showed that staff support people to monitor their health and clear records are maintained when an issue arises. This helps to ensure that additional support can be quickly obtained if needed. One person living there explained that staff, “keep a very good eye” on his skin and explain if it is not as healthy as it should be. It is then left to the individual to decide on the course of action they wish to take, such as having bed rest for a period of time to enable their skin to heal. He told us that in his opinion, “it’s fantastic here. You get 24/7 care. The girls know what they are doing; they are trained in spinal injury, handling people, pressure sores and spasms”. Staff work in partnership with the people living there in dealing with their medication. For example person explained he orders his own supply and staff deal with this for others. Staff record the amount of medicines received into the house to provide an audit trail. The people living there explained that they each have a locked cabinet to store a week’s supply of medication in. Plans give guidance on the support people need to take their medication and if this is provided staff sign to say they have supported the person with this. In addition staff have received training in medication awareness. The systems in place and training for staff help to reduce the risk of mistakes occurring with people’s medication that could impact on their health, whilst ensuring that people retain as much control over their own health as possible. Spinal Unit Action Group The DS0000005364.V362671.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. The people living at 6 Weld Road know how to use the complaints procedure so are confident that any concerns they have will be listened to and acted upon EVIDENCE: The people living at 6 Weld Road told us in their comment cards that they know who to speak to if they are unhappy or have a complaint. Staff told us in their comment cards that they are aware of the actions they need to take if concerns are raised about the service provided. No concerns or complaints have been received about 6 Weld Road since the last big inspection of the service. A policy is in place from the organisation to deal with any complaints or concerns raised. The people who live there are aware of this with one of the people living there explaining, “there’s a complaints procedure, you go through management and if not satisfied go to the committee”. Other people we spoke with said that they had been told how to raise concerns and said that they were confident that any concerns they had would be taken seriously and dealt with. Staff have received training in recognising and dealing with adult protection issues and a copy of the local authority procedures are available to guide them if needed. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 18 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 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. 6 Weld Road is well maintained so it provides a clean, comfortable house for people to live in that has been well adapted to support their mobility and independence. EVIDENCE: 6 Weld Road is located in a residential area of Birkdale and is close to the town centre, shops, local facilities and public transport. The people living there told us in their survey forms that the house is always fresh and clean and this was seen during our site visit when all areas were clean and well maintained. Accommodation is provided over two floors, which are fully accessible via a lift and ramps. Aids and adaptations are provided throughout the house to meet people’s individual needs and to support them to be as independent as possible. These include adapted bathing facilities, a variety of shower and Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 19 bath chairs, overhead tracking and slings. Light switches and electric door openers are lowered so they are easier to reach. Dining tables are adapted so that people using a wheelchair can easily sit at them. Ramps are provided to reach the enclosed garden and entrances to the house. All bedrooms are single and provide enough space for people’s possessions, their adaptations and lifestyle. Wardrobes and storage within people’s rooms have been adapted to make them as accessible as possible for people to use. One of the people living there explained that before moving in full time they were consulted about their bedroom and the room was redecorated in keeping with their choices. Shared space in the house includes a communal dining room, small kitchen and downstairs snooker / party lounge. Outside there is parking available and a well-maintained, accessible garden. . A laundry room is based in the cellar, accessible for the people living there. Systems are in place to prevent and control any outbreak of infection and staff were able to explain how they put these into practice. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 20 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 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 at 6 Weld Road are skilled and experienced so that the people who live there receive support from staff they have confidence in. EVIDENCE: The people living at 6 Weld Road told us in their comment cards that staff always listen and act on what they say. During our visit to the service staff were seen to spend time with people socialising as well as providing support when needed. They talked respectfully to the people living there and had clearly built up good relationships with them. One of the people living there told us, “staff are great they know what they are doing. We have a good laugh”. All of the people we spoke with told us that there are enough staff working in the house to provide support to people when they need it. One our arrival the manager was not working and staff were unsure who was leading the shift, explaining that they shared the role. It is good practice to Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 21 identify a shift leader so that in the event of any issues arising all staff are clear as to their role. Over half of the staff team have obtained a qualification in care (NVQ). Staff told us in their comment cards that they receive training that is relevant to their role and helps them keep up to date. Discussions with staff and a sample of training records confirmed this. Staff have training in basic areas of support such as moving and handling people and infection control as well as more specialist training such as pressure area care. The training provided helps to equip staff with the skills and knowledge in how to support people safely and well. Records showed that before anyone is appointed to work at 6 Weld Road a series of checks are carried out. These include obtaining written references and checking with the Criminal Records Bureau (CRB) and register of people unsuited to work with vulnerable adults. These checks help to ensure the people living there are safe and that staff are suitable to support them. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 22 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, 38, 39 & 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. 6 Weld Road is well managed so it is run in the best interests of the people who live there. EVIDENCE: The manager of 6 Weld Road has been in post for many years. He is an experienced manager with a good knowledge of supporting the people who live there and meeting their specialist needs. The people living there told us that they find the manager helpful and approachable. Staff told us that they have “good management” and they feel they can talk to and seek advice from him. It was clear from discussions with the people living at 6 Weld Road and observation of daily life in the house, that the manager leads a team of staff Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 23 who are committed to providing an individual service to people that meets not only their support needs but also supports their choices and lifestyle. Systems are in place within the service for checking the quality of the service people receive. This includes regularly reviewing care plans with people to ensure they are still accurate. A member of the committee visits the house regularly and provides a report on areas such as documentation, the environment and the views of the people who live and work there. This helps to quickly identify any area for improvement and put plans into place to take action. Records and certificates showed that regular checks are carried out on the building and equipment. This includes checking electrical appliances, the gas supply and moving and handling equipment. These checks help to ensure that 6 Weld Road is a safe place to live and work in. A member of staff explained that, “we have lots of fire drills at varied times” and records confirmed this. The people living at 6 Weld Road were also well informed about fire safety procedures and are aware of the support they will receive and the action they need to take if the fire alarm sounds. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 24 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 4 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 4 3 X X 3 X Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA6 Regulation 15(1) Requirement Care plans must contain information about all health related issues that the people living at 6 Weld Road have. This will ensure that staff have access to guidance if needed. Timescale for action 30/07/08 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 YA32 Good Practice Recommendations A member of staff should be identified to lead each shift. This will help to ensure all staff are aware of their roles and responsibilities in the event of any issues arising. Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 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 Spinal Unit Action Group The DS0000005364.V362671.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!