Inspection on 01/10/09 for Ivymead

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

Ivymead 16/03/06

Ivymead 27/07/05

Ivymead 25/01/05

Ivymead 24/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Key inspection report Care homes for adults (18-65 years) Name: Address: Ivymead Littleworth Lane Lundwood Barnsley S Yorks S71 5RG     The quality rating for this care home is:   three star excellent 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: Stephanie Kenning     Date: 0 1 1 0 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 27 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 27 Information about the care home Name of care home: Address: Ivymead Littleworth Lane Lundwood Barnsley S Yorks S71 5RG 01226288277 01226321658 ameliahallas@tiscalli.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ivy Cottage (Ackton) Limited care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Minimum staffing levels must be maintained at least the levels required by the publication `Residential Forum = Care Staffing in Care Homes for Younger Adults published april 2002 Younger Adults`, published April 2002. Date of last inspection Brief description of the care home Ivy mead is a care home for younger adults with learning disabilities; it provides personal care and accommodation for 19 service users. Ivy Cottage (Ackton) limited provides the care and accommodation. Ivy Mead consists of two houses situated close together in shared grounds; the houses are named house one and house two. House one accommodates ten service users and has disabled facilities on the ground floor; and house two accommodates nine service users. Access to the upper level of both houses is by stairs only. Ivy Mead is set in its own grounds with gardens and parking space. The home is situated within easy reach of Barnsley town centre, a bus route provides access to the town and the home has its own transport. Medical and community centres, and shops are situated within walking distance from the home. The fees for the care offered at the home at 1/10/09 vary from £2034 to £2657 per Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 19 Brief description of the care home week. The homes statement of purpose, service user guide and complaints procedure is available in appropriate formats. Care Homes for Adults (18-65 years) Page 5 of 27 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 an unannounced key inspection carried out by Stephanie Kenning, Regulation Inspector. The site visit took place on October 1st 2009 between the hours of 10:00 and 15:30. The Registered manager Amelia Halas was present throughout the visit and the Responsible Individual Christine Bradnock, was present for part of the time. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which stated what the home was doing well, and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Surveys were not sent out to people, though the service provided a copy of their Quality Assurance document which gave details of their own survey carried out this year, with the findings and action to be taken. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the Care Homes for Adults (18-65 years) Page 6 of 27 home, and check some of the policies and procedures. Time was spent observing and interacting with people, and feedback from people present during the visit is also included in the report. The inspector checked the key standards and some additional standards. We have recently reviewed our practice when making requirements, to ensure national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this reports recommendations, but only when it is considered that people who use services are not being put at considerable risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 7 of 27 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. 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 27 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 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had sufficient information on which to base their decision and were assessed well by the service in regard to whether their needs could be met. Evidence: We wanted to understand peoples experiences when they decide whether to choose this care home, and what it is like for people if they did decide to move there. People said that they had opportunities to visit the home before being admitted and that helped them decide if it was the right place for them. Service user contracts were user friendly and informative, helping people at the home to understand what was expected of them and the home. One person said, it is alright here, I felt that when I came to visit. Another person said, I didnt really want to come here because I was in another home, but after I visited I could tell that it was a nice place. There was a Statement of Purpose and a Service User Guide available to people who Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: were considering moving there. They were being redeveloped, and including photographs, along with many other documents, so that people at the home can understand them more easily. Prior to living at the home people were assessed using a tool that also let them state their aspirations for the future, and be clear about what type of home they would like to live in. They were encouraged to visit the home including overnight stays when possible, in order to meet everyone and decide if it was the right place for them. Care Homes for Adults (18-65 years) Page 11 of 27 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 at the service are supported to make choices and to work towards personal goals. Evidence: We wanted to find out if peoples individual needs and choices were being met. People said that they were. One person said, I like it here better than where I was before. I get to decide what I want to do. Another person said, What I really want to do is live more independently and the staff here are helping me learn things so that one day I can live on my own. The service has introduced person centred planning for individuals and has found that by listening to people and actively involving them they are making great achievements, for example, with self medication, unescorted leave and managing their Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: own finances by budget and menu planning. The manager stated in the AQAA that staff were focused on their roles and that the management had recognised the achievements of the staff and service users. The company are now looking to appoint someone to lead the further development of person centred planning within the organisation. The care records showed that people had input into personal goals and one person showed us their plan and was able to discuss what was happening with different areas. The manager also spoke of a mediation day for the managers of the company, where they looked at areas that may need mediation, and planned to do that including using outside help where necessary. This shows that they are trying to anticipate potential conflict and deal with it before it gets to be a problem. Care Homes for Adults (18-65 years) Page 13 of 27 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 living at the home have opportunities to take part in a range of activities both within the home and in the community. People enjoyed the meals and had good choices, and were developing skills in being more independent. Evidence: We wanted to understand peoples daily experiences and opportunities for personal development and leisure. People said that they did have good lifestyles, that they got to go to places they wanted and to do things that they wanted to do. One person said, I am going to Wakefield today shopping and then for something to eat. Another person said, I go to the cinema every week, which is my favourite, and do lots of other things. Someone else said, I do like to cook meals but the staff help me. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: The home has an activities organiser who works closely with people at the home to meet their individual goals and aspirations within their plans. A staff member said, we work well as a team, and we listen to the people we support in order that we understand what their individual goals are. There was evidence of appropriate age and culturally appropriate activities, for example, someone younger liked shopping for fashionable clothes and music, and doing physical activities like bowling. Someone who was Muslim had a halal diet and was part of a community in Wakefield. There were examples of links with the local community, such as to bingo and coffee mornings, and it was stated that they felt supported by the local community, for example with fund raising. One person said that they had a friend who lived in the local community, and the AQAA stated that there were Befrienders who visited people in the home. Some people attended colleges or other educational placements, whilst some people did voluntary work. The manager stated that they had supported people to attend job fairs and employment venues in an attempt to find people appropriate work. There has been some in house training for people living in the home on visual communication in order to help people develop these skills. People living in the home were confident and were easily able to communicate with us and to show us around the home, and show us their personal records. They felt that they were respected by the staff and they in turn respected the staff. The manager explained that the role of the cook has been removed in order to help people develop skills and have a much more active role in meal preparation. Some people really enjoyed doing this and some people had their own catering budget, so they would plan, and shop, as well as prepare meals. Staff supported people in choosing meals so that they had a balanced diet, and people were very complimentary about the food. Care Homes for Adults (18-65 years) Page 15 of 27 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. People have their health and personal care needs met and receive medication safely. Evidence: We wanted to understand how people had their health and personal care needs met. People said that they were met and that staff were available for support. One person said, staff are always there to help with whatever we need. Another person said, the staff are nice to me and help me in whatever way I need. Someone else said, if staff are busy when I want something, they always get back to me. They are very caring and supportive. Throughout the visit we observed the way people were supported in the communal areas. People were able to ask staff for help confidently and were treated respectfully by the staff. people living at the home were able to tell us what their main health issues were and what was happening about them. This corresponded to written information in the files, where everyone had a health action plan and a person centred Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: plan. People had also been given choices regarding who provides different aspects of health care such as GPs or opticians, and who they wanted to accompany them to appointments or attend meetings with them. All staff receive medication training and have to complete a competency tool annually to ensure that they are up to date. Medication procedures were observed to be safe. Some individuals are supported to self medicate with risk assessments in place. Care Homes for Adults (18-65 years) Page 17 of 27 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. People living at the home were protected by the procedures, ethos and training in place. Evidence: We wanted to understand how people were protected from abuse or neglect and how the service responds to complaints. People said that they felt safe at the home and that they were listened to. One person said, If I need to talk, or if I am worried, the staff always listen. Another said, all of the staff are good to us and I really like the manager too as she listens to me. There have been no safeguarding alerts since the previous inspection and nine complaints dealt with by the provider, of which none were upheld. Information including complaints, is being produced in a more easily read format. Individual records show incidences of restraint recorded, plus any allegations made, incidences of self harm and financial accounting, showing that the service is aware of highlighting these potentially vulnerable areas. People said that they have meetings when they can discuss things of concern and that action is taken to sort them out. Staff also have meetings where they can raise things Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: of concern including how to deal with a situation and can give suggestions for improvements. some people had access to an advocacy service to help them have independent support. Staff training records show that all staff have had safeguarding training and the manager is a safeguarding trainer for the local authority, so that they were familiar with the correct procedures if they suspected abuse. Care Homes for Adults (18-65 years) Page 19 of 27 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. People live in a home that is safe, comfortable and meets their needs. Evidence: We wanted to understand what it was like to live in the premises and whether they were appropriate for the lifestyles of those individuals living there. we were shown around the premises including some of the individuals rooms where they invited us. People said that they liked their rooms and the premises generally. One person said, I like my bedroom, and have a lot of things of my own. Another person said, I can decorate my room how I want to. The home was clean and bright, well maintained and comfortable. There were areas ready for redecoration that the manager pointed out were already identified in the redecorating plans. People living at the home were also getting involved in choosing and helping in the redecoration of some communal areas, so that they could change things to their own styles. People were observed to use the rooms appropriately, such as eating in the dining room, and had additional kitchen facilities in which to make drinks and meals. Care Homes for Adults (18-65 years) Page 20 of 27 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 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 by staff that are recruited and trained well in order to protect and develop individuals. Evidence: We wanted to understand how staff were recruited and trained to ensure that they could carry out their jobs well. People living at the home liked the staff and felt well supported by them. One said, Everyone is good to me and help me with what I need. Another person said, I think the staff are great. Someone said, the staff are kind to us and listen to what we say. There were no negative comments made about any aspects of the service , but it was particularly noted that many comments were about the good support and help given to people by the staff. It was observed that people living in the home had good relationships with the staff and that they had pleasant and sometimes humorous conversations, that always remained respectful. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: People working at the home were recruited to the home using safe procedures where they had checks with The Criminal Records Bureau and written references. One fairly new member of staff explained the process of recruitment and that they had attended three training sessions before starting work in order to safeguard the people at the home. Staff records also showed an extensive record of training relevant to the service including values, communication, person centred planning, and applied physical techniques. Well over 50 of staff have achieved at least NVQ level 2 as required by the national minimum standards, and the service encourages staff to develop by getting them to set their own personal goals. Staff achievements are recognised within the staff newsletter published on the website, showing that the service are proud of the achievements of the staff. The company have been accredited with the Investors in People Award showing a committment to training and developing staff. One staff member said, I feel that we are trained to a high standard and kept up to date, and this helps us to give the best possible care for people living here. Staff are given regular supervision and annual appraisals, by senior staff trained in supervisory skills. Care Homes for Adults (18-65 years) Page 22 of 27 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. People using this service benefit from a well run service where their best interests are promoted. Evidence: We wanted to understand how the home was managed and ensuring the quality of service for people living there. People said that the home was managed well and welcomed ideas for improvements. One person said, I think the manager does a very good job. Another person said, I feel comfortable here, it is run very well. Ivy Mead is part of a small group of four homes privately owned in South and West Yorkshire. They are supported by a senior management team and by each of the other homes in the group. There are regular meetings for managers and assistant managers to share information and plan changes. Managers are also encouraged to attend employer forums in the local area and other local events so that they are up to date Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: with local changes. The service manager is Amelia Hallas who has been at the home since 2005. She has relevant experience and qualifications including NVQ4 in care and the Registered Managers Award. The company is accredited with Investors In People, which shows that they are committed to training and developing staff. People felt that they had opportunities to voice their views about the home either individually or in meetings, and there was a quality assurance document from February 2009 describing a survey of people, staff and visitors with the results and comments. It also identified action points, such as improve the quality and quantity of information within the service user guide. This was already being worked on by the time of the visit, showing that they were listening to feedback from relevant people. Another initiative is to offer training to people using the service, for example in safe working practices and how to check their own home for risks, which helps to develop their independence skills. The AQAA stated that equipment was maintained and serviced appropriately, and the premises did not present with any obvious hazards. Staff members have had relevant training in safe working practices. Records were kept clearly and were up to date. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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