Inspection on 30/06/08 for Albert Promenade Care Home

This is the latest available inspection report for this service, carried out on 30th June 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Albert Promenade Care Home 22/06/06

Albert Promenade Care Home 22/11/05

Albert Promenade Care Home 17/08/05

Albert Promenade Care Home 07/03/05

Albert Promenade Care Home 23/11/04

Albert Promenade Care Home 30/03/04

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Beech Lodge

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Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Albert Promenade Care Home 97 Albert Promenade Loughborough Leicestershire LE11 1RD Lead Inspector Martin Hefferman Unannounced Inspection 30th June 2008 11:10 Albert Promenade Care Home DS0000001664.V367475.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 Albert Promenade Care Home DS0000001664.V367475.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. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albert Promenade Care Home Address 97 Albert Promenade Loughborough Leicestershire LE11 1RD 01509 550799 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) tonyjcliffe@hotmail.com Mr Anthony Cliffe Mrs Hilary Cliffe Mr Anthony Cliffe Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 19th July 2007 Brief Description of the Service: 97 Albert Promenade (also known as Cliffe House) is registered to provide care for three people who have learning disabilities. The owners, Mr and Mrs Cliffe, also live at the property. The home is close to local shops, pubs and bus stops. Whilst three bedrooms are available, two people currently share a room by choice. There are two lounges and a dining room, which are shared by people who use the service and the owners. There is an attractive patio garden to the rear of the property. At the time of the inspection, fees ranged from £367 to £1,003 per week. Copies of the home’s Statement of Purpose and Guide are available from the owners on request as is a copy of our last inspection report. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A visit to the home took place on 30th June 2008, lasting approximately five and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who use the service and tracking the care they receive through review of their records, discussion with them & the owners and observation of care practices. All three of the people who use the service were spoken to during the course of the visit. The inspection also took account of all information received since the date of the last visit. Comment cards were received from one person who lives at Albert Promenade and one member of staff. The owners’ annual quality assurance assessment was not available at the time of writing this report. What the service does well: What has improved since the last inspection? Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 6 Improvements have been made to the way in which people’s finances are managed to ensure their best interests in this area are protected. Bank accounts have been opened for two people who were identified at the time of the last inspection. The owners have produced written guidance on what people should fund from their personal allowances and what is to be funded by the home. Improvements have been made to the way in which medication is stored & administered. Medication was stored in its original packaging at the time of the visit. Records of administered medicines met relevant requirements. Portable electrical appliances have been tested since the date of the last inspection. Mrs Cliffe has completed the Registered Managers Award. What they could do better: 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. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 7 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 Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is adequate. Information about the home is only available in a standard written format and is therefore not accessible to all of the people who live at Albert Promenade. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about Albert Promenade was available at the time of the visit. The person who completed a comment card indicated that they had received enough information about the home before they moved in. Mrs Cliffe (one of the registered providers) stated that she had made arrangements for the documents to be produced in a more accessible format (a recommendation from the last inspection) but that she had yet to receive the results. She agreed to amend several documents identified at the time of the visit to reflect our change of address. The outcome for Standard 2 (Needs Assessment) could not be assessed on this occasion. The people who were chosen for the purposes of case tracking have lived at Albert Promenade for fourteen & twenty-two years respectively. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. Staff members have the information they require to meet individual needs. Improvements have been made to the way in which people’s finances are managed to ensure that their best interests in this area are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. The plans contained detailed biographical information and set out individual likes & dislikes. They emphasised people’s strengths as well as documenting their needs. Person centred plans were also available for each person, setting out the relationships which are important to them. Risk assessments have been completed and the reasons documented for any restrictions placed on behaviour. Improvements have been made to the way in which people’s finances are managed since the date of the last inspection. Bank accounts have been opened for two people who were identified at the time of that visit. The registered providers have produced written guidance on what people should fund from their personal allowances and what is to be funded by the home. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 10 Individual account books set out expenditure and document a running balance. Receipts are available for all transactions. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. The wellbeing of the people who live at Albert Promenade is promoted through their involvement in meaningful daytime activities. They enjoy good food in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at Albert Promenade attend college, work at a recycling project and undertake one-to-one activities with staff members on different days of the week. They stated that they could decide how to spend their free time, reporting that they like to go to the shops, cafes and the park. Two of them stated that they attend religious meetings with Mr & Mrs Cliffe (the registered providers), which they enjoy. The people who live at Albert Promenade indicated that they benefit from positive relationships with each other and staff members. None of them have any contact with family members. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 12 The people who live at Albert Promenade stated that they enjoy the meals that are provided, one describing the food as ‘fantastic’. Mr Cliffe is a trained chef and cooks the meals. Records indicate that people at the home enjoy a varied diet. Mr & Mrs Cliffe agreed to keep a record of all the meals that are provided, including any alternatives to the main menu. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. People’s personal support & healthcare needs are met in a manner which promotes their dignity & privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at Albert Promenade stated that they are happy with the care they receive from staff members. They reported that either Mr or Mrs Cliffe provides support with their personal care depending on their gender. The records that were inspected detailed the personal care each person requires. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records of the healthcare appointments attended by each person indicate that they have access to community nurses, doctors, dentists, opticians & podiatrists as required. Improvements have been made to the way in which medication is stored & administered since the date of the last inspection. Medication was stored in its original packaging at the time of the visit. Records of administered medicines met relevant requirements. The medication cabinet is situated in a toilet / shower room, thus potentially exposing tablets to high temperatures & humidity. A recommendation has been made that the advice of a pharmacist should be sought regarding the location of the cabinet. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. The people who live at Albert Promenade are able to express their views and are protected by current practice in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at Albert Promenade stated that they enjoy a good relationship with all staff members, particularly Mr & Mrs Cliffe. This was evident on the day of the visit. A comment card indicated that staff members listen and act on what people say and that the person who completed it knows how to make a complaint. A complaints procedure was available at the time of the visit. Mrs Cliffe stated that she hoped to produce this in a more accessible format (as recommended at the time of the last inspection). She agreed to amend the procedure to reflect our change of address and to include contact details for Social Services. She reported that no complaints had been received since the date of the last visit. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. Mrs Cliffe agreed to amend the policy on abuse to reflect the role of Social Services. She stated that she still hoped to access training provided by the local authority on safeguarding adults (as recommended at the time of the last inspection). Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. The wellbeing of people who use the service is enhanced by living in a clean and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People stated that they are happy with the environment in which they live. The person who completed a comment card indicated that the home is always fresh & clean. The property is decorated and furnished to a very good standard. Two people currently share a bedroom. A third bedroom was being decorated and furnished at the time of the visit to enable both to have single rooms if they wish. There is an attractive garden to the rear of the property, which is accessible to all. People stated that they enjoy having their tea outside in the summer. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. The people who live at Albert Promenade are protected by the home’s arrangements for recruiting and training its staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Albert Promenade receive support from a small and stable team of staff. Mrs Cliffe stated that no new members of staff have been employed since the date of the last inspection. The records that were inspected indicated that appropriate pre-employment checks had been carried out for two existing members of staff. Mrs Cliffe has completed National Vocational Qualifications at levels 2 and 4. She stated that three of the four members of care staff have completed National Vocational Qualification level 2. Records indicate that staff members have received training on issues such as first aid, food hygiene, medication & record keeping. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. Improvements have been made to the overall running of the home ensuring that the needs of the people who live there are met and their best interests protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Improvements have been made to the overall running of the home, particularly in relation to the management of people’s finances and the storage & administration of medication. Mrs Cliffe has completed the Registered Managers Award. Mr & Mrs Cliffe and their staff continue to attend relevant training courses to update their skills. Records indicate that the people who live at Albert Promenade completed a satisfaction survey during July 2007. Mrs Cliffe stated that she intends to produce a more accessible survey form (as recommended at the time of the last inspection). She reported that she had sent surveys to other stakeholders but had not received a response. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 18 A fire officer visited the home during August 2007 and reported that a number of actions required from a previous visit had yet to be completed. At the time of this visit, Mr Cliffe stated that he had still not completed some of the tasks, including reviewing the fire risk assessment and replacing all fire doors. A requirement was made at the time of the last inspection that the registered person must ensure that requirements made by the fire authority are met. This issue has been referred back to Leicestershire Fire Service. Records indicate that the fire alarm system is tested regularly and that portable electrical appliances have been inspected since the date of the last visit. Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 19 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 2 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 23(4) Requirement The registered person must ensure that requirements made by the fire authority are met. The previous timescale of 30/09/07 has not been met. Timescale for action 30/09/08 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 YA1 Good Practice Recommendations The service user guide (including the complaints procedure) should be produced in alternative formats suitable for and accessible to people with learning disabilities. The advice of a pharmacist should be sought regarding the location of the medication cabinet. 2. YA20 Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Albert Promenade Care Home DS0000001664.V367475.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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