Inspection on 01/07/09 for Creative Support

This is the latest available inspection report for this service, carried out on 1st July 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

Creative Support 03/05/06

Creative Support 09/12/05

Creative Support 11/08/05

Creative Support 08/03/05

Creative Support 20/12/04

Creative Support 26/03/04

Similar services:

Sunny Bank (P.R.S.) Ltd

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Thornton Lodge

Alfred House Residential Care Home

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Fernhaven

Thames House

Creative Support

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Creative Support 7 Amherst Road Fallowfield Manchester M14 6UG     The quality rating for this care home is:   three star excellent 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: Val Bell     Date: 0 1 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 26 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 26 Information about the care home Name of care home: Address: Creative Support 7 Amherst Road Fallowfield Manchester M14 6UG 01612564366 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Creative Support Ltd Name of registered manager (if applicable) Miss Michelle Bradley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Service users must be female only under pensionable age The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home 7 Amherst Road is a care home, which provides care for up to eight women with mental ill health. The current charges for this service can be obtained by contacting to the manager of the home. The home is a large detached property, which is similar to other residential houses on the street. The home does not have a sign outside to identify it as a care home to make sure that people live as normal a life as possible in the community. People living in the home have a single room with en suite facilities. There are two Care Homes for Adults (18-65 years) Page 4 of 26 care home 8 Over 65 0 8 Brief description of the care home kitchens, each with a dining area, and staff support people to prepare and cook their own meals. The home has one attractive and comfortable lounge area. People tend to receive visitors in their own rooms. The home is situated approximately five minutes walk from Withington and Ladybarn shopping areas and is close to public transport links into both Manchester City Centre and Stockport Town Centre. A selection of shops, doctors surgeries and churches of various denominations are situated close by. Care Homes for Adults (18-65 years) Page 5 of 26 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: This was a key inspection, which included a site visit to the home. The visit was unannounced, which means the manager was not informed beforehand that we were coming to inspect. During the visit we spent time talking to people living in the home, the registered manager, support staff and the activity co-ordinator. An Annual Quality Assurance Assessment (AQAA), a self-assessment document, had been completed and returned to the Commission prior to our visit. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. Care Homes for Adults (18-65 years) Page 6 of 26 Care Homes for Adults (18-65 years) Page 7 of 26 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 8 of 26 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 26 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. There are effective systems in place to assess and monitor individual needs, ensuring that the service provided is based on personal needs and preferences. Evidence: We looked at how the needs of two people had been assessed before they moved into the home. Thorough assessments of their health and personal support needs had been undertaken by involving the person using the service, their representatives and from written information obtained from health and social care professionals that knew the individuals. The assessments identified risks involved in providing support and clear guidelines had been written down so that staff knew what they must do to keep people safe from harm. Assessments also identified the choices that people had made in relation to their social interests and cultural and religious needs. This robust system of assessment ensures that people can be confident the home will be the right place for them to live and that their needs will be met according to their personal preferences. Care Homes for Adults (18-65 years) Page 10 of 26 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. People using this service receive the right level of support to meet their needs according to their individual preferences. Evidence: Support plans had been drawn up from information in the assessments of need and had been signed by each individual to confirm that they agreed with the contents. People had been encouraged to decide the goals that they wanted to achieve and a system called The Recovery Star provided people with a visual aid in tracking the progress they were making towards their goals. The two plans we looked at provided extensive evidence of how people using the service were supported to make decisions that were important to them. Assessments under mental capacity legislation had been carefully undertaken to ensure that decisions were being taken in the best interests of people accommodated in the home. Support plans also provided evidence that the service had developed strong links with Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: advocacy services and self-help groups and this enabled the people accommodated to access opportunities for personal development, confidence building and independent lifestyles. Identified risks had been managed well and staff were good at balancing this with the right of individuals to be self-determining. A robust system was in place to ensure that support plans were regularly monitored, reviewed and updated. This was evidence of best practice in placing the individual needs of each person at the centre of the service being provided. Care Homes for Adults (18-65 years) Page 12 of 26 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. People are supported to maximise their independence by taking responsible risks and making decisions about their lives. Evidence: Support plans contained evidence of individuals goals and aspirations and how they wanted to achieve them. Each person using this service had the support of a primary worker who discussed their personal development needs on a weekly basis to make sure that the resources would be available to meet their expectations. People had access to a directory of resources and a notice board that listed the facilities, clubs and groups available within their local community. Two people living in the home told us about the things they liked to do and the trips and holidays that they had experienced. One person said that her primary worker was helping her plan a holiday in Ireland to visit her mother and another person said she had been to visit her family in India. Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: Creative Support provide the funds to enable each person to take an annual holiday. We spoke to the activity co-ordinator and who told us that people using the service always decide what activities they wanted to do. We saw minutes of tenants meetings containing evidence that people using this service were empowered to make choices concerning their preferred lifestyles. This provided evidence of best practice in personcentred support. The people living in this home shared responsibility for planning menus, food shopping and the preparation of meals, with staff support where necessary. One person told us that she was baking a cake for one of the tenants whose birthday it was that day. She said, Were having a buffet tea for her this afternoon. Suitable safe kitchen facilities were provided for use by people living in the home, although the kitchen would benefit from being refurbished as the units were showing significant wear and tear. The manager told us that an application had been made to the landlord for the kitchen to be updated. Support plans detailed the dietary needs of people accommodated in the home, using information gathered during the assessment process and people were regularly monitored for weight loss or gain. We recommend that this service adopts a system of nutritional risk assessment for all people admitted to the home. This will ensure that staff are alerted to potential concerns at an early stage. Care Homes for Adults (18-65 years) Page 14 of 26 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. This service meets peoples health and personal support needs in a way that suits their personal preferences. Evidence: Detailed health care records were held for people using this service and these had been audited each month to ensure that people were up to date with their health checks. People were encouraged to take responsibility for their health care by making and attending appointments as necessary. Staff provided support with this to varying degrees. When new diagnoses were made, staff provided written information to make sure the person understood what they needed to do to manage the condition. Support plans recorded individuals preferences for how they would like their medication to be administered. People were encouraged to self-medicate when their risk assessments showed this to be a safe option. Secure medicine cabinets were fitted in all bedrooms for this purpose. Staff had been trained and assessed as competent and confident to administer medication safely. All medication received and being disposed of had been recorded and regular checks of medication records had been Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: undertaken. Care Homes for Adults (18-65 years) Page 16 of 26 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. People using this service have their rights respected and promoted and their views influence the way the service is provided. Evidence: This service provides information in various formats on how to express concerns and complaints. There was also the facility for people to record suggestions in a book held in the lounge area and concerns and complaints had been a regular topic for discussion within tenants house meetings. Two people told us that they were confident that staff would listen to their concerns and that action would be taken promptly to address issues. The manager had issued monthly feedback forms to the people accommodated and at six-monthly intervals the information had been analysed and used to inform the homes business plan. This demonstrates that the views of people using the service are taken seriously and acted upon in order to continually make improvements in their best interests. Records provided evidence that staff had received training in safeguarding adults from harm. The staff we spoke to knew what they must do to keep people safe and who they must report to if they suspected a person was at risk of harm. It was pleasing to learn that people living in the home received regular education about what constitutes abuse and what they should do if they experienced abusive situations. Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: During the previous twelve months this service received six complaints and one safeguarding referral was made to the local authority. Appropriate action had been taken in each instance. Care Homes for Adults (18-65 years) Page 18 of 26 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 people using this service are provided with a safe and comfortable home that is well maintained and decorated, and furnished to a good standard. Evidence: During our visit we looked at some bedrooms and shared areas within the home. Decor and fixtures and fittings had been maintained to a good standard and furniture and furnishings were domestic in nature. The environment was clean and hygienic with no unpleasant odours present. Domestic staff were employed to keep the communal areas clean, while people living in the home were responsible for keeping their private space clean and tidy. Domestic type laundry facilities were provided for use by people accommodated in the home. These facilities had been suitably assessed to minimise the risk of injury. Two people showed us their bedrooms. They said that they had all the facilities they needed and that their rooms were comfortable. The bedrooms had been personalised to reflect the individuals personalities and interests. Care Homes for Adults (18-65 years) Page 19 of 26 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. Staffing arrangements, recruitment and training ensure that people using the service receive the right amount of support according to their assessed needs. Evidence: On the day of our visit there were sufficient staff on duty to meet the assessed needs of people living in the home. Robust recruitment procedures were in place to ensure that people selected to work in the home would have the necessary skills, knowledge and personal qualities to support people using the service. It was pleasing to learn that people using the service had the opportunity to contibute to the recruitment process during interviews of candidates. Two members of staff told us that they had developed positive relationships with people using the service, their managers and colleagues and both agreed that it was a good place to work. Both staff spoken to confirmed that they had regular opportunities to undertake relevant training and National Vocational Training programmes. Training in all aspects of health and safety had been renewed on a regular basis. Care Homes for Adults (18-65 years) Page 20 of 26 Care Homes for Adults (18-65 years) Page 21 of 26 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. This care home is managed to a high standard and is run in the best interests of the people who live there. Evidence: Since our last visit to the home the manager had been registered with the Care Quality Commission. The registered manager is a qualified psychiatric nurse with several years experience of working in the mental health sector. People living in the home have a range of options to express their views about the quality of the service provided. This includes monthly feedback forms, a suggestions book, monthly house meetings and one-to-one sessions with their primary support worker. It was evident that their views were taken seriously and responded to within the quality assurance framework in place. We looked at a sample of health and safety records and found these to be accurate and up to date. No health and safety issues were found during our visit. Care Homes for Adults (18-65 years) Page 22 of 26 Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 25 of 26 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. 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