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Inspection on 07/05/09 for Hartington Road Care Home

Also see our care home review for Hartington Road Care Home for more information

This is the latest available inspection report for this service, carried out on 7th May 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The care planning process from assessment through to review is good, and ensures that service users needs and any risks are considered. This enables service users to maximise their potential and live as full a life as possible. Service users engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends. They tell us they receive good nutritious, cultural food. A Service user spoke of the home purchasing halal meat for him. Service users know who to complain to, if they need to. They told us: " The deputy manager is very helpful and supportive. I have no need to complain. If I saw someone being hurt I would ring the police or tell the owner." The Inspector found the home to be tidy and well presented. A new laminate floor was laid throughout the lounge, dinning area and kitchen. The environment was found to be fresh and clean. Service users told the Inspector, "The staff member is very good, she cleans the home very well." There is a good staff team that are knowledgeable and competent and who meet the needs of service users with an Asian Lifestyle. Staff have all the required recruitment checks and are safe to work with service users. There are regular events arranged by the registered provider that ensure services users achievements, and merits are recognised and rewarded. Good systems are in place to ensure that service users views inform the way the service is delivered, monitored and improved. There are robust heath and safety checks in the home with sound record keeping held. Service users benefit from good health and safety policies and practises.

What has improved since the last inspection?

Changes have been made to the environment with new furniture, fixtures and fittings to maintain the home to a good standard. This work is ongoing. No requirements to be met from our last visit.

What the care home could do better:

All written information about living at Hartington House, including the complaints procedure must be reviewed and updated, and provided to service user in an appropriate format. Training for key staff should be provided around Mental Health. This would meet service user needs and individual support plans. A tumble dryer to be obtained to ensure more efficient laundry systems.

Key inspection report Care homes for adults (18-65 years) Name: Address: Hartington Road Care Home 75 Hartington Road Leicester LE2 0GQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Helen Abel     Date: 0 7 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Hartington Road Care Home 75 Hartington Road Leicester LE2 0GQ 01162425779 01162516112 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: None Mr Mohammed Anwar care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: No additional conditions of registration apply. Date of last inspection Brief description of the care home Hartington House (or Heart House) is registered to provide care for three residents with mental health problems. The home is a terraced house set in a residential area and is approximately a 10 minute bus journey from the city centre. The home was set up specifically to meet the cultural needs of people from the Asian communities. It is situated on Hartington Road, opposite a community centre and close to a range of shops and local amenities. There is one single and one shared bedroom, both of which are located on the first floor. On entering the home, there is an open plan dining room and lounge. The kitchen leads off the dining room, and the toilet and shower room are at the rear, on the ground floor. The staff at the home encourage service users to maintain their independence and have daily routines. The home has a mixed skilled staff team and some members of staff are able to converse in the service users first languages. Fees are charged at £350 per week with additional charges made for any assessed additional needs. Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 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 inspection was a Key Inspection that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for Younger Adults. The Inspectors spent time planning the areas to focus on before the visit took place. This was based upon information gained from reviewing the homes service history, the last inspection report, Annual Service Review (ASR) and the homes Annual Quality Assurance Assessment (AQAA). The people living at Hartington House prefer to be called service users. The primary method of inspection used was case tracking that involved selecting all three people living in the home and reviewing the care that they received through inspection of the written information available on their support plans. Discussions took place with two service users, staff, and the deputy manager. Care Homes for Adults (18-65 years) Page 5 of 26 Our visit was unannounced and took place early morning on the 7th of May 2009 and lasted around three hours. In addition policies and procedures, care and support records, staff recruitment, quality assurance, and upkeep of the homes records were viewed. Care Homes for Adults (18-65 years) Page 6 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 on page 4. Care Homes for Adults (18-65 years) Page 7 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides adequate written information and a full assessment prior to people being admitted to the home. Evidence: The deputy manager confirmed he is in the process of updating the statement of purpose and service users guide. It was noted the home serves people with an Asian Lifestyle but this was not reflected in the written information about the home. For examples details should be given to service users around the close working with neighbouring homes run by the same registered provider. For examples some meals and activities are taken at other homes. This information must be included. The written information states the home is called Heart House The premises are registered as Hartington House. This should be clearly stated to avoid any confusion to service users and their visitors. The roles of the registered manager and the deputy manager in the home are unclear. Service users need to know and understand the day to day staffing structure in the home. Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: The service users guide and statement of purpose should be available in community languages. Currently the three service users first language is Gujarati. Consideration should be given to providing all written information in community languages. This will give service users the information in formats suitable for the people for whom the home is intended. They can then make informed choice about where to live. Service users are only admitted after a full assessment to ensure that the home is able to meet their needs. The homes manager completes all pre-admission assessments. Care Homes for Adults (18-65 years) Page 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are involved in day to day decisions and are well supported to take reasonable risks and good support plans accurately reflect their needs. Evidence: The support plan is presented as a easy- to- read working document and reviewed regularly involving the person. Each support plan includes a comprehensive risk assessment which is reviewed regularly The management of risk is positive in addressing safety issues while aiming for improved outcomes for the services user. Service users told us: I generally do what I want. I have my own key and can come and go as I please. I see the home manager and owner and can ring them anytime. I keep my own money and have a cupboard in my room with key to keep it. One service user told the Inspector he does not look at his support plan but knows where they are held and can look at them at anytime. All service users support plans had been signed were involved in drawing up their plans and signed in agreement. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends and enjoy good nutritious food. Evidence: Service users were seen to be busy pursuing their varied lifestyles when the Inspector arrived in the morning. They told us, I go independently to pray. There are no restrictions on the times I can come and go. I can have visitors anytime. I am off to work today. They purchase halal meat for me. They can cook any dish I want. I join in religious festivities with my community. We have good Diwali parties here. One service user told the Inspector he would be going to Newton House (a neighbouring care home) for therapeutic work. He confirmed he had been to college and obtained educational achievements. The deputy manager spoke of looking for other suitable training to develop employment skills for the individual. Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: The Inspector observed two services users taking breakfast of cereals and fresh fruit in the lounge, whilst the staff member was seen to be cleaning and freshening up the home. One service user told us he prepared his own meals and laundered his own clothes. Service users told the Inspector they would like to view Asian television channels. The deputy manager confirmed this was in the process of being arranged. There were photographs in the home of events where service users had received achievement awards. These parties are hosted by the registered providers and ensure services users achievements, merits and contributions are recognised and rewarded. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users tells us they receive good health and medication support support and have access to remedial services. Evidence: Service users receive personal and health care support using a person centered approach. Service users receive support based on the rights of respect and dignity, independence, and with regard to their race and cultural backgrounds. Physical, social and psychological needs are given equal importance. The statement of purpose details what the home can deliver. Service users told the Inspector they had regular dentist and opticians appointments. When one service users was unwell the deputy manager attended the hospital with him for treatment. He later reviewed the service users therapeutic work placement in the community to ensure the individuals health and welfare was being met. One service user showed the Inspector safe keeping cupboard for his medicine in his room. A risk assessment for his medicines is currently being updated. Medication records viewed were in order. The deputy manager is trained in medication Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: management and supports service users around their medication needs. Following on our visit the deputy manager confirmed a controlled drugs cupboard will be obtained.This will ensure the safe keeping of any controlled drugs. The home does not hold any controlled drugs. One service user told the Inspector he meets with his mental health nurse regularly outside the home.The service users group are fairly independent take responsibility for their personal care needs. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are listened to and acted upon and good systems are in place to protect them. Evidence: Service users know who to complain to if they need to. They told us: The deputy manager is very helpful and supportive. I have no need to complain. If I saw someone being hurt I would ring the police or tell the owner. If there are any difficulties I can complain to the owner or the deputy manager. We can ring them at anytime. I see the owner once a week at least. The statement of purpose needs updating to include the arrangements for dealing with complaints. There is a well presented pictorial complaints procedure displayed on the wall in the communal area but is old and needs updating. The deputy manager is in the process of updating this. Staff records confirmed training around adult protection. This had been delivered to key staff in their community language. Service users will be supported and protected by competent staff. Care Homes for Adults (18-65 years) Page 17 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. Service users live in a safe, clean, comfortable and homely environment, which meets their needs. Evidence: The Inspector found the home to be tidy and well presented. A new laminate floor was found throughout the lounge, dinning area and kitchen. The environment was found to be fresh and clean. Service users told the Inspector, The staff member is very good, she cleans the home very well. The staff member is helpful and kind and cleans well. New furniture was in place with leather sofas, a large plasma television, and kitchen utensils. A cooker was being ordered and new carpets for bedrooms. Two service users expressed things had improved. They had not been consulted about choice of flooring in the communal areas but had chosen paint colours for their bedrooms, bedroom carpets and for orthopaedic mattresses. Maintenance checks take place weekly. This ensures the home is kept safe and well maintained. Washing of laundry is carried out within the kitchen area which does not meet the Care Homes for Younger Adults National Minimum Standards. Good hygiene routines ensure this does not impact on the food preparation duties. The Inspector suggested a Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: tumble drier is considered as there was limited places to dry washing during the winter months. This would ensure the premises are kept clean and hygienic and reduce the spread of infection. One service users undertakes all his on laundry. Staff at the home have received training around infection control and basic food hygiene. Standards of hygiene were good. Care had been taken to ensure kitchen knifes and cleaning materials are locked away in a cupboard. This ensures service users live in a safe environment. One service user shared a room and recorded in the homes quality review that his bedroom was small. However the service user repeatedly expressed the other benefits of living at Hartington House such as making lots of friends, and links in the community. 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. Service users are effectively supported by well trained staff. Evidence: The primary live in staff member recently won an award for the best carer. She has been supporting the three service user for over 2 years. The service users were very happy with her and felt she understood their needs and speaks in their community language. The staff member has received a range of training around health and safety, and adult protection. It is recommend training is also provided around mental health. This would meet service users needs and individual support plans. All recruitment checks had been undertaken for the live in staff member. Further Criminal Record Bureau checks (CRBs) are to be carried by managers in line with good practice every three years. This will ensure service users are supported and protected by the homes recruitment policy and practise. The live in staff member has regular supervision and communicates well to service users in their community language. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: The Inspector and deputy manager discussed a period when all the service users moved out of their home to another care home over a four week period. This was when the live in staff member was on holiday. It was agreed this was poor practise and would not happen again. Service users must always be supported by an effective staff team in their own home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good systems are in place to ensure that service users views inform the way the service is delivered, monitored and improved. Service users benefit from good health and safety policies and practises. Evidence: The registered manager does not undertake daily duties in the home to support the service users. This work is undertaken by the deputy manager who leads this service together with the live in staff member. Details about both the registered manager and deputy manager roles are held in the statement of purpose and service users guide; but need reviewing as they do not reflect the current staffing structure in the home. Service users told us they are happy with their lifestyle and have made friends in neighbouring care homes, with staff and people in the community. A quality assurance check takes place every six months and service users comments have recently being obtained and improvements will be made. The views of family members are also sought and a letter of commendation from a service users relatives was seen by the Inspector. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Monthly service users meeting take place and changes in the home discussed and service users idea and views sought. The deputy manager has asked for the Inspection report to be produced in Gujarati to allow for service users family members in particular to read them. There are robust heath and safety checks in the home with sound record keeping to support it. Services users and staffs health and safety is promoted and protected. 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 1 1 6 The written information (statement of purpose and service user guide) should be reviewed and updated. This would provide service users with the most current information about the home. 07/07/2009 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 1 The service users guide and statement of purpose should be accessible to service users in their community languages. In addition consideration should also be given to presenting this information in a pictorial format. The home should consider obtaining a tumble dryer to maintain clean and hygienic systems for the laundry. This would befit service users with a more efficient laundry system. A training and development plan should be drawn up for the live-in worker and include mental health training. This would meet service user needs and individual support plans. 2 29 3 35 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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