Inspection on 10/09/09 for 362 Park Road

This is the latest available inspection report for this service, carried out on 10th September 2009.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Hillside

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Trevayler Residential Care Home

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8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 24/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: 362 Park Road 362 Park Road Loughborough Leicestershire LE11 2HN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Anthea Richards     Date: 1 0 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 362 Park Road 362 Park Road Loughborough Leicestershire LE11 2HN 01509231919 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: eman@freedomcare.org Freedom Care Ltd care home 1 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No person falling within category MD may be admitted into 362 Park Road unless that person also falls within category LD ie dual disability. No person to be admitted into 362 Park Road in categories LD or MD when 1 person in total of these categories/combined categories is already accommodated in this home. Date of last inspection Brief description of the care home 362 Park Road, is a detached bungalow, owned by Freedom Care Ltd, to provide care for one resident. The bungalow, is well maintained, the interior is up to date with decor and furnishings. It is situated on a main road in a residential part of Loughborough, close to a superstore and the town centre. It can be easily reached by public or private transport. There is parking space at the front of the bungalow for two cars and the gardens are private and well maintained. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. The weekly fees are arranged individually dependent on the Care Homes for Adults (18-65 years) Page 4 of 28 1 1 Over 65 0 0 Brief description of the care home needs of the resident. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We would usually produce an easy read summary for this service, however after discussion with the resident and the manager it was decided that this was not appropriate on this occasion. This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of we indicates the Care Quality Commission), spent four hours reviewing information received by the Care Quality Commission (CQC) since the last Annual Service Review on the 1st August 2008. The visit took place on the 10th of September 2009 and lasted four hours. During the visit we checked all the key standards as identified in the National Minimum Standards. Care Homes for Adults (18-65 years) Page 6 of 28 This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to the resident. To achieve this we spoke with the staff supporting his care and looked at the records relating to his health and welfare. We spoke with the resident and got his permission to look at his bedroom. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We saw how the home was handling a variety of issues together with some numerical information about the home from the annual quality assurance assessment that they sent to us. This also told us about plans that they have to improve their service. During the visit we spoke with the manager, the staff and the resident. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have a very thorough admission process and have the information to make sure that the home is suitable for them. Evidence: The resident who was case tracked had been given a Statement of Purpose and terms and conditions. The Statement of Purpose and Service Users Guide could be made available in other formats such as large print and an easy read style if it was needed. Providing a comprehensive Statement of Purpose & Service Users Guide results in good information for the residents, making sure that they they can find the most suitable care. The manager always visits prospective residents before they are admitted to the home and there is a thorough pre admission assessment form in place. This was seen in the care plan looked at and confirmed by the manager. The admission process included Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: visits to the prospective resident with phased visits to the home. Members of the staff spoken with said that they knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) and an up to date certificate of insurance was displayed in the entrance hall. The inspection report from CSCI was also available. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident is supported in maintaining independence and in making decisions in their daily living, giving them a good quality of life. Evidence: The staff, with the resident have developed person centred care plans that describe the needs, choices and wants of the individual. This helps the resident to understand what they have planned with their key worker. Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work and/or education needs met. The staff were seen to be talking and spending time with the resident with patience and understanding of his needs. We spoke with the resident on the day of the visit who told us that he was very happy that the staff understood his needs and met them. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident the freedom to continue with the activity. The resident has regular discussions to make choices in the home such as activities and menus but the resident and the staff make choices and changes on a daily basis. There are also regular meetings with the resident, family and social workers to make sure that everyone is aware of the choices and decisions that have been made. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff support the resident in maintaining their interest in different activities and occupations and make sure that their nutritional and spiritual needs are met. Evidence: There was evidence of daily occupation and leisure activity being provided for the resident. He is going to continue working on a computer course, shops with the staff and goes to the local shop on his own. On day of visit they were returning from badminton and he told us that he was involved in other physical activity such as the gym and table tennis. They were going out a meal that evening. The resident is part of the local community, visiting local pubs, restaurants and parks. The garden has been developed and the resident has been involved in growing vegetables, which he seemed very proud of. He also has pigeons in the garden that we saw him watching and he told us that they hadnt all returned home. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Despite living in a single resident home, he is involved with residents from another home in the group, going to visit and spending time with them. The staff were seen to be treating the resident as an individual and recognised his personality and behavioural needs. The activities are recorded in a well documented care plan which is regularly reviewed as the residents needs change. The choice of food is good and the resident chooses what he wants to eat, goes with the staff to buy the food and helps with the preparation. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff meet the care needs of the resident safely, with a complete knowledge of their needs and how they wish to receive them. Evidence: The case tracked care plan was found to have good descriptions of the care needs of the resident. This includes a regular assessment of the residents weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the resident. Person centred care plans have been developed so that it was clear how the resident wanted to be treated. The staff and the records confirmed that the resident received good medical care if he needed it. The daily record of care is up to date and comprehensive, which makes sure that the resident receives the right care and the staff know what has happened to him during the day or night. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Medication records for the resident were in order. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. There is a regular audit of the medicines and record sheets completed by the manager. The above makes sure that the resident is protected with the correct medicine administration. Controlled (dangerous) drugs were stored as they should be with the correct documentation in place. All of the personal care needs and medication are included in the care plan and are easily available if needed for a doctor or a hospital visit. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to support and protect the residents and staff are aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to if the resident or his family needed to. This can be produced other formats such as large print and an easy read style if needed. There has been one complaint received by the home, since the last annual service review on the 1st August 2008. This has been resolved satisfactorily. The Care Quality Commission have received no complaints since this date. The staff spoken with were aware of how to handle a complaint if they received one. The resident spoken with was able to tell us how he would complain and that he thought that it would be acted on. The staff receive training in safeguarding adults from abuse and are given a copy of the General Social Care Council (GSCC) code of practice, which tells them what their responsibilities are in making sure that the resident is kept safe. The staff receive training during their induction period, which the manager, the records seen and the staff spoken with confirmed. This was regularly updated and the staff had also received training in the Mental Capacity Act and the Deprivation of Liberty requirements. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The staff were able to explain to us what forms of abuse there were and how they would deal with them. The staff help the resident with his money and always obtain two signatures whenever they handle his money. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident is protected by the policies and procedures in the home to provide a safe, clean, well furnished and well equipped environment to live in. Evidence: 362 Park Road is a bungalow in a residential part of Loughborough, Leicestershire. The home was clean and welcoming with a feeling of light and space. It was well decorated and comfortably furnished to suit the resident who lives there. Everywhere in the home was found to be clean and free from hazards. With his permission we looked at the residents bedroom. It provided good accommodation, which had been decorated to the residents choice. It was personalised with the residents belongings and he told us that they could have his bedroom how he wanted it. I like my room There is a large lounge that was bright, well decorated and furnished and personalised with the residents items. There is a well equipped kitchen that has recently had an inspection by the environmental health officer who gave them a three star good rating. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. They had also completed basic food hygiene certificates. The fire records for testing and drills was up to date. The hot water temperatures had been tested and were found to be within the recommended limits. There were no outstanding safety or maintenance issues noted on the tour of the premises. There was a pleasant, well -maintained garden with a patio and sitting area outside. Large beds for vegetables have been developed and there was a pigeon coop in the garden so that the resident can develop his interest in them. The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the entrance hall. The inspection reports from the CSCI were available. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment and excellent training of staff make sure that the resident is protected from harm and that their needs are met. Evidence: We looked at three staff files and all the required information was complete in them. This included evidence of identification, adequately completed application forms, two written references, Criminal Records Bureau and protection of vulnerable adults (POVA first) checks. Staff spoken with confirmed that they had not started work until all the paperwork was complete. The home has a thorough induction programme in place for new members of staff that includes the specialist needs of this client group. This is based on the common induction programme from Skills for Care This gives new staff good knowledge for caring for the residents. All of the staff that are employed at the home have a National Vocational Award at level two or above. The National Vocational Qualification is a qualification for care staff to make sure that they receive appropriate training in the needs of the resident group whom they are caring for. Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: were given by the home. This included mandatory training such as POVA, infection control, moving and handling, first aid, food hygiene, control of substances hazardous to health (COSHH) and fire. Training relevant to the client group that they are caring for is also given such as challenging behaviour, mental capacity and Deprivation of Liberty, Aspergers, autism and ADHD training. We were told that the company is very supportive of any training that the staff want to complete. There was evidence in the records that was confirmed by manager and the staff that regular staff supervision was taking place. This process gives the staff and their line manager the opportunity to have individual discussions about work and training needs. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident lives his life as he would wish to, with individual care being given in a safe environment. Evidence: The registered manager of the home has managed the home since it opened, has completed the registered managers award and is currently undertaking further relevant studies. Both the manager and the provider are committed to the training of the staff to make sure that they are fully aware of the residents needs and are able to meet them. The owner of the home has many years experience in the care for this client group. The resident, the social workers and his parents have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. The manager sees the resident every day when he is on duty. The manager gives the resident, the local doctor and his family a quality questionnaire every six months, which look at all the areas of care and the general opinion of the home. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: These have shown that the home is caring for the resident in a satisfactory way. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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