Random inspection report
Care homes for adults (18-65 years)
Name: Address: Anchor House Anchor House Anlaby Road Hull East Yorkshire HU3 2PB two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Janet Lamb Date: 2 1 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Anchor House Anchor House Anlaby Road Hull East Yorkshire HU3 2PB 01482326572 01482580671 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Anita Lovelock Type of registration: Number of places registered: Conditions of registration: Category(ies) : English Church Housing Group Limited care home 40 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 40 The home must only take admissions for service users over 65 years who are physically independent. Date of last inspection Brief description of the care home Anchor House is a care home providing personal care and accommodation for up to 40 younger adults and older people who have enduring mental health problems and past or present. The English Churches Housing Group owns the home. It is situated on Anlaby Road a short distance from the centre of Hull and its extensive facilities. Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The home was opened in January 1989 and consists of 40 single bedrooms, 34 of which have an en-suite facility. The home is a three-storey building with a connecting passenger lift. There are four toilets, one shower and two bathrooms that are for general use. There is a secured front entrance that is monitored by CCTV, two lounges one being a designated smoking area, and a separate dining room. Outside to the front of the building is a large car park and to the rear an enclosed courtyard, which has seating, and a patio which people access on a regular basis. Currently weekly fees for the home are £372.55 per person. Other information about the home can be obtained from the manager upon request, in the form of a Statement of Purpose and a Service User Guide. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The Random Inspection of Anchor House has taken place over a period of time and involved sending a request to complete an annual quality assurance assessment (AQAA) in February 2010, containing information about people who use the service and support workers and details of the homes policies, procedures and practices. The Commission received the requested information at the beginning of March 2010 and survey questionnaires were sent to ten people living in the home and to ten support workers working there. Of these surveys six were returned from the people in the home and seven from support workers. All of the information obtained from surveys, from notifications received and information already known from having had contact with the home since the last key inspection was used to suggest what it must be like living there. Then on 21st April 2010 Janet Lamb made a site visit to the home to test these suggestions and to interview people, support workers, visitors and the home manager if available. Some documents were viewed with permission from those people they concerned and some records were also looked at. The communal areas of the home were viewed along with four bedrooms. There were three people who use the service interviewed along with two support workers, the deputy manager and the manager to seek information. What was said was checked against the information obtained through questionnaires and details already known because of previous information gathering and contact with the home. Judgements were made using the information and some of the evidence used at the last inspection to say what it is like living in the home. This report shows those findings and judgements. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated it is likely that enforcement action will be taken. What the care home does well:
Personal support is provided to people according to their care plans and their wishes, and discussion with people reveals they are supported individually, according to their preference and to their particular individual and diverse needs. Health care is also monitored regularly and all needs are recorded and addressed as necessary. People request when they want to see health care professionals or staff make such requests if they have monitored changes in peoples wellbeing, thus alerting them to call in help as required. One person says people are assisted and treated with respect, staff know your name and such as requests for GP visits etc. are always upheld. He says staff accompany you on appointments if you ask them and that for such as conditions like diabetes there are the right foods and fruit and desserts available. Everyone is asked about their preferences
Care Homes for Adults (18-65 years) Page 4 of 10 and these are respected wherever possible. Medication is now supplied by a local chemist and is in monitored dosage manrex cards. Staff administering drugs are trained to do so by completing the Hull City Council Social Services administration awareness course. There are only four staff yet to do this training. Two staff are redoing the training due to making medication errors recently. Medication administration was observed at lunch time and practice appears to be good; the drug to be taken and the person to take it are identified, it is removed from the manrex card into a pot and then taken to the person with water. Staff stay with the person while it is taken. It was observed that on returning to the trolley at the end of the drug round the medication administration record (MAR) sheets appeared to then be signed. Information has subsequently been received that the staff concerned had signed MAR sheets after each administration and merely checked they had all been signed at the end of the round. The drug trolley stays in the office during a round at midday, but is taken around the home in the morning and at night, thus reducing the risk of abuse of medicines in any way. There is a company complaint policy and procedure to follow and this is reproduced in the statement of purpose. There is a leaflet called Have Your Say available for anyone to complete if they feel they have a complaint to make. People say in the questionnaires they returned to us that they are well aware of the procedure and know how to make a complaint. The philosophy of the home is that all complaints should be treated like gold, as they are the best way to improve a service. The manager and some senior staff have undertaken a specialist complaint handling training course on which this philosophy was based. She and the staff believe it is a very liberating and effective way of dealing with peoples dissatisfactions. According to the AQAA there have been two complaints made and resolved in the last twelve months. Monthly meetings are also used to obtain peoples views and there is a tenant representative who speaks up for people at meetings if people wish them to and this person is also involved in local, corporate and Anchor House business. Other people also assist with the recruitment of new staff. Protection of people is based on sound policies and procedures and following good practice guidelines on referrals and handling of information. All staff complete the Skills for Care common induction standards run by Hull City Council as well as their safeguarding adults awareness course. The manager has completed the train the trainer course on safeguarding as well, so everyone is equipped to handle issues well and effectively. According to the AQAA there have been eight referrals made to the local authority of which one became a proper investigation, in the last twelve months. Systems are well used and effective for dealing with complaints and safeguarding issues and all staff have a healthy attitude to receiving representations. The home has a registered manager in post, with many years experience and qualified with the Cornerstone Managers Award Level 3. Care officers have completed NVQ level 3
Care Homes for Adults (18-65 years) Page 5 of 10 In care and also done the Leadership and Management course. The management team is qualified and experienced. There is a Quality Assurance system in place but this was not fully assessed. We discussed quality assurance briefly and discovered the home sends out questionnaires, uses audits and resident meetings etc. to obtain views. The effectiveness of systems was not checked. The home works closely with company technical services in Liverpool and with Humberside Fire & Rescue Service. Health, safety & welfare of people and staff was checked by sampling a few health and safety and maintenance areas. Fire safety systems are in place to show the home is responsible in maintaining good fire safety procedures and practices. There is a fire safety book in place which holds the local policy on evacuation procedures, information on the use of oxygen in the home, details of monthly fire drills held and the names of staff attending drill are listed but there are no signatures. A recommendation is made to ensure all staff attending drills sign to say they have done so. There is also a list of people in the home that smoke, 31 in total, and the name of 1 person that uses oxygen, a list of people that evacuate in an emergency and of those who stay in their rooms etc. There is guidance on fire safety risk assessing and an up to date copy of the actual fire risk assessment document is in place, along with a building plan, annual fire drill records for those living in the home, and a fire alarm incident log that is used to show when and why a false alarm occurred. There are also risk assessment documents in place for use of fire extinguishers and fire safety practices and procedures. There are letters from Humberside Fire & Rescue Service regarding unwanted false alarms, a procedure in event of fire, fire regulations information, and details of a fire visit due on 17/06/10. The home holds weekly equipment checks and break glass checks. There is a landlords gas safety certificate dated 03/09/09 and boilers were last checked 21/08/09. There are weekly hot water temperature checks on outlets and these are recorded, weekly syringe checks in the grounds, and weekly window and nurse call checks. There are also weekly health and safety checks on bedrooms. A legionella certificate dated 01/10/09 is available and there are accident/incident forms used as necessary. Copies are always sent to company headquarters for them to decide if reporting to Health & Safety is necessary under RIDDOR. The home has recently been assessed by the Sloppy Slipper project, and recently had cause to report an outbreak of scabies. Generally all measures for ensuring health, safety and welfare of people and staff are well maintained, recorded and certificated. What they could do better:
The record showing staff attendance at fire safety training drills could be signed by staff themselves to show evidence they were in attendance, so mistakes cannot be made about who has or has not attended a drill.
Care Homes for Adults (18-65 years) Page 6 of 10 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 42 The registered provider should make sure all staff attending a fire safety training drill sign the record of attendance themselves as evidence of their attendance, so mistakes cannot be made about who has or has not attended and so people are confident they are protected from the risk of harm from fire. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
