Inspection on 03/07/09 for Adalena House

This is the latest available inspection report for this service, carried out on 3rd July 2009.

CQC found this care home to be providing an Good 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

Adalena House 26/05/07

Adalena House 21/01/06

Adalena House 23/08/05

Adalena House 03/01/05

Adalena House 08/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Adalena House 186 Reads Avenue Blackpool Lancashire FY1 4JD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 0 3 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 25 Information about the care home Name of care home: Address: Adalena House 186 Reads Avenue Blackpool Lancashire FY1 4JD 01253391655 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : ADALENA.READS@TISCALLI.CO.UK Mrs Susan Lesley Clayton care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The registered person may provide the following category 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: Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home Adalena House is registered for six young adults over 18 with learning disabilities. The home is situated near the centre of Blackpool in a residential area close to local amenities and bus routes. The home is a large semi-detached house with ramp access at the rear of the property and seating is provided. There are single and double rooms available with a shower provided in one of the single rooms. There are two lounges with a dining area and separate kitchen. There is a statement of Purpose/Service user Guide, which is given to all prospective residents/relatives. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees at the home range from £311.30 to £367.50 per week. There are no additional costs. 1 5 1 1 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 25 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: two star good 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: This unannounced visit was part of the key inspection process and took place on the 03/07/09. We spoke to people who live at the home, and a member of staff in charge. Care, maintenance, previous inspection reports and other records were looked at as well as a walk around the building. As part of the inspection process we talked to people using the service and asked staff about those people needs. We also looked at their rooms, care plans and daily notes, this is called case tracking. Other people who live at the home were invited to pass their opinions to us if they wish. We received little response from surveys/ questionnaires sent to people who live and Care Homes for Adults (18-65 years) Page 5 of 25 work at Adalena House, for their views on how the home is run. However this is a small run home with few staff and only six residents. Comments we did receive were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. 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 set out 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 7 of 25 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 8 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures are clear to ensure the care and support needs of residents can be met. Evidence: Although there has been no new admissions for eight years, assessment information looked at for people who live at the home had good information before the person moved in. There was evidence of trial visits, staff and resident involvement in the assessment process to ensure people liked the home and felt comfortable. One staff member spoken to said, If we admit anyone we have a process. We spoke to a member of staff who explained the admission procedure which included trial visits, discussion with the people who live in the home and a thorough assessment process to ensure they could meet the needs of the individual. Care Homes for Adults (18-65 years) Page 9 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are supported to make decisions,which help them in daily life whilst taking risk into account. Evidence: Following the assessment of the individual, staff work closely with the person and any family to develop a plan of daily life which promotes independence and allows risks to be taken with support and guidance. The manager tells us in the AQAA how care planning recording has improved by developing easy detailed care plans for staff to follow. One staff member spoken to said, We have changed the care plans which are easier to follow. Records show how residents have made choices in there lifestyle which promotes independence and when needed staff support is provided. One person who lives at the home when asked about daily routines said, I go to the centre which I like. Records looked at show risk assessments are completed for each person and reviewed Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: on a regular basis and where needed are updated, to ensure risk taking is part of the plan to improve confidence and independence. We spoke to people who live at the home and staff and confirmed as part of daily life residents are encouraged to make decisions for themselves whilst taking risk into account. One staff member wrote in a survey, We encourage residents to make their own choices. Care Homes for Adults (18-65 years) Page 11 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities for development are provided through each individuals individual daily plan. Meals are managed well and provide a wholesome nutritious diet. Evidence: We looked at what people who live at the home do during the day, activities, education, employment and spoke to staff and residents who confirmed opportunities to take part in the local community is available according to each persons daily programme. Comments included, We have one person working at the park part time. Each individual has a daily plan which includes attending day centres and working locally part time ensuring residents have community contact and develop confidence and independence. One staff member wrote in a survey We support all the residents to have contact within the local areas. Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: This is a small home and the kitchen area is of a domestic character. We had a look in the kitchen and evidence of fresh produce, fruit in a basket on the table and fresh vegetables in the kitchen. Comments about the food included, Love the food.And, We get together for Sunday lunch. People who live at the home are encouraged to keep in touch with family and friends and they are welcome to come and stay at the home whilst visiting. One staff member said, We get on well with families and they can stay. One person we spoke to about contact with friends and family said, My family come and stay. Care Homes for Adults (18-65 years) Page 13 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously and they have good systems to monitor residents health needs. Evidence: The manager informs us in the AQAA how people who live at the home are helped with personal care needs according to to their wishes. One staff member said, We support by prompting. We watched during the day staff helping people who live at the home sensitively promoting independence. One staff member said, We have all been here a while and the residents are very independent. Looking at records of people who live at the home and talking to staff confirm health checks including, dental, opticians and other health professionals are involved in the welfare of residents to ensure they remain healthy and any issues are addressed. One staff member wrote, We meet the needs both physically and mentally. We went through the medication procedure with the person in charge and looked at residents medication we case tracked. We found good procedures to follow to ensure Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: medication is handled and given out correctly to ensure people who live at the home are safe. However the small staff team have not all received formal medication training, at times they have to give out medicines if no seniors are around. All staff who administer medication should have formal training. One staff member spoken to said, Staff have received instruction but not formally. Care Homes for Adults (18-65 years) Page 15 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures for complaints are in place to ensure people feel listened to. Training for staff in Safeguarding adults would help people be aware of any issues that may arise. Evidence: There is a complaints policy and procedure available and all residents and families have been given copies. No new persons have been admitted to the home for over eight years however the policy has been updated by the manager, copies of the procedure was available. One staff member spoken to said, I dont think we have ever had a complaint. The manager tells us in the AQAA of how staff are instructed to be aware of any signs of people being upset or angry. One staff member spoken to said, We have covered complaints informally. There have no complaints since the previous inspection. We found from training records and talking to staff safeguarding adults training should be completed to ensure people are aware of any signs of abuse and able to act to prevent any harm to people living at the home. One staff member spoken to said, I have done my training a few years ago but am aware we need to do it and update mine. Care Homes for Adults (18-65 years) Page 16 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is kept clean and tidy and maintained well. Evidence: We had a walk around the home and found it to be clean and tidy and looked after to a very high standard. The building is a large family home and the furnishings and decoration are homely and ensure people live in comfortable, pleasant surroundings. New wooden flooring has been completed since the last random inspection in November 2008. Further plans to improve the home were discussed with the person in charge who said, The dining room is next to be done. The premises are well maintained and any repairs are attended to quickly, a record of repairs is kept and was seen. One staff member said, We have to have good domestic staff to keep all the ornaments clean. There is a laundry facility which is situated away from the kitchen and food preparation area. Policies and procedures are in place for the control of infection to protect and safeguard people. Care Homes for Adults (18-65 years) Page 17 of 25 Care Homes for Adults (18-65 years) Page 18 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are trained and have the skills to support people who live at the home. Thorough recruitment procedures are in place to make sure suitable staff are employed. Evidence: There have been no new staff employed since the previous inspection. The small number of staff have the competencies, experience and have worked together for a number of years to provide the care and support the residents need. One staff member spoken to said, We know each resident so well has they have been here for over eight years. One person who lives at the home when spoken to about the staff said, They are all lovely. With there being only a few staff and mainly part time, training is provided when courses are available and relate to the care of residents. One staff member wrote, Training is provided. There have been no new staff employed since the last inspection and speaking to people confirm staff are settled and work well ensuring people who live at the home receive good care and support. Recruitment procedures are in place should any new personnel be employed to ensure only suitable people work at the home. 50 of care staff have completed the National Vocational Qualification (NVQ) to level Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: 2 training, which is a recognized qualification in care. This was confirmed through records looked at and speaking to a staff member who said, I have completed my Registered Managers Award. Care Homes for Adults (18-65 years) Page 20 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well with good systems in place for the protection of people who work and live at the home. Evidence: The owner has the necessary skills, wealth of experience and is highly qualified to support staff and people who live at the home and ensure Adalena House meets it aims and objectives. The senior carer also has a management and care qualification ensuring residents receive support from competent staff. One person who lives at the home said about the owner, Like a mum. One member of staff said, We all have good support thats why we have been here for a while. There are good systems in place to get together staff, relatives and residents views on how the home is developing and how they feel the home is run. Informal meetings take place on a Sunday when they all get together for lunch, One staff member said, Its a good way to get to know any views from people. There is evidence of good contact with families and friends of the residents so they can give there opinions on Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: how the home is run. One staff member spoken to said, We are developing an updated business plan for Social Services to see. Records looked at for people who live at the home we case tracked were found to be comprehensive,well written, easy to follow and up to date, ensuring the information contained was correct and health and social care needs are continuously monitored. We looked at health and safety records and found a procedure in place for recording any accidents, regular checks on fire safety procedures and all equipment checked, ensuring the people who live and work at Adalena House are kept safe. The owner confirmed in the AQAA checks on aids and equipment have been done. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 1 20 Although staff have received instruction from staff in relation to medication procedures, formal training should be provided. This ensures staff have an understanding of administration, storage and handling of medication. Staff should complete training around safeguarding adults issues so that they are aware of any signs of abuse taking place and are able to act accordingly. 2 23 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!