Inspection on 19/05/10 for L`Arche Community (Preston)

This is the latest available inspection report for this service, carried out on 19th May 2010.

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

L`Arche Community (Preston) 03/02/06

L`Arche Community (Preston) 08/02/05

L`Arche Community (Preston) 26/10/04

L`Arche Community (Preston) 09/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 17/07/2010.

Random inspection report Care homes for adults (18-65 years) Name: Address: L`Arche Community (Preston) 3 Moor Park Avenue Preston Lancashire PR1 6AS three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anthony Cliffe Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: L`Arche Community (Preston) 3 Moor Park Avenue Preston Lancashire PR1 6AS 01772251113 01772251116 maggy.cooper@larche.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) L`Arche Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home LArche communities originated in France in 1964. Many other similar communities have developed since that time. LArche is a faith community in the Christian tradition that welcomes people of all faiths or none. LArche supports people to pursue their own faith both within and outside the home, if that is what they choose. Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The LArche home in Preston is situated on the outskirts of the city centre adjacent to a large park area and is in easy reach of community facilities and amenities. The home is also close to all main transport links. The house is a large detached property that is furnished and decorated in a domestic style. The aims of LArche as an organisation are to provide a community lifestyle where people who have a learning disability and staff can share their lives and work together. LArche has a clear admissions criteria and a comprehensive assessment process. The home does not provide a Monday to Friday daytime service so applications for admission can only be considered when arrangements for day or work placements are in place. Informationabout the L Arche community can be obtained by contacting the community directly. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This random visit took place on the 19th May 2010 and lasted over three hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last two years we have completed annual service reviews which which told us the home was still providing an excellent service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home and staff and they gave us their views about living and working there. At this visit we focused on the standards for health and personal care and complaints and protection. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care or support plans. We could see that the home used a person centred approach and person centred support plans demonstrated that people were included in their care or support plans so staff had information on which to provide individual care so their care is based around their needs and choices. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care or support plan we saw was individual to the person living at LArche and included information about their personal routines and choices about personal care or if they could help themselves. The support plans we saw said where the person needed care and support and told us how they wanted their care to be arranged and how staff would provide support or care to help them to care for them self or if care was arranged or planned around their daily routines. So care based on their personal preferences was provided. We saw information in care and support plans that guided staff about the health needs of people using the service. We saw positive outcomes when staff had Care Homes for Adults (18-65 years) Page 4 of 10 requested help and advice from medical professionals. We saw that a person who learning and sensory disabilities had help to make sure they could eat safely where it was identified they had a problem with swallowing food. We could see that the person was able to lead a full and enjoyable lifestyle supported by members from the community. We saw the person had regular reviews of their health when needed and that staff received training to support the health needs of the people living at LArche such as safer swallowing. We also saw that staff had training on medical conditions such as epilepsy so would know what to do if a person had a seizure and could prevented it getting worse and seek medical help. To support people living at LArche the home used a health action plan which is a plan which helps keep people involved and informed about decisions about their health care, the health professionals accountable and responsible for providing advice, guidance, information and treatment on health related matters and guides staff at the home on their roles in providing care and support on health and personal care to people that use services. So staff at the home know who is responsible for providing advice, guidance, information and treatment on health related matters so they know who to contact if people need help. The home provides care for people who have learning difficulties and physical and sensory disabilities. We saw that people living at LArche needed help and support when they were out in the community, working or having recreation and leisure time. In discussion with staff and looking at a persons support plan we could why people needed support and that risk assessments had been completed to support them taking risks or protecting them were possible from risk.We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We saw that care and support plans referred to how people made decisions about their daily routines and choices or how people that use services made decisions for themselves so were confident that people made decisions that were important to them. We did not see information that told us where people could make their own decisions, so staff would understand and know when people needed help with decision making and showed who helped people that live at the home in the decision making process so we could see who would be the best person to make decisions on the persons behalf if necessary and showed how people would continue to be involved in influencing decisions so would have choice and control over their lives. Surveys returned to us by people living at the home before the visits said they always received the health care support they needed. Reviews of care were very good and told us people living at the home received the care and support they needed and was planned around their changing needs. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage included controlled drugs storage. No controlled drugs were stored at the time of the visit. People that use services were unable to manage their own medicines and staff helped them administer their medicines so they could take them safely. Care Homes for Adults (18-65 years) Page 5 of 10 During the visit we saw the complaints policy was available to people living at LArch and was available in an easy to understand picture format and this was displayed for them to see so they had access to it. The records we saw also contained a copy of the complaints procedure. We had not received any complaints about the home since our last visit and the home told us they had received no complaints either. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We saw training records for the home and all staff had received safeguarding training in 2009. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with two community members about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people from further distress. Before the visit we sent surveys to people living at LArche and asked them what they thought about living there and what the home did well, Comments received were, Always things to do. People are friendly. I feel loved. I am happy at their fold and LArche provides a caring environment. Our daughter is very happy there. she is positive in her comments about LArche. She values residents and assistants and appreciates being part of the LArche community. There is a strong, kind and community atmosphere. We also received comments from staff in surveys returned to us before the visit. We asked staff what they thought the home did well. Staff said that recruitment was thorough and induction was very well done. Staff said the manager met with them regularly to provide them with support and they also received information and training to be able to meet the health care needs of people living at the home, which included training on medical conditions and medicine administration so they could provide help and personal care. Comments received were, Create a loving and homely atmosphere. goes out of its way to meet the unique and specific needs of community members. Helps carers feel wanted and important. Provides rituals and celebrations that reinforce community, Cater to individual needs and preferences. Creating a sense of community. friendly, pleasant and hospitable atmosphere. Mutual cooperation and team spirit among staff, Community, fun, love, food and celebrations. I am very happy that LArche is now part of my life, We are the home of a community and not a care home. I give support to six adults and have chosen to live in a community.I support them and their chosen lifestyle and do not care for them as carers do who look after my 90 year old aunt. We support theses six individuals very well and Carry on the people with learning disabilities, good relationships with connections, good organisation of the work, good atmosphere in the house. We can always count on each other. What the care home does well: People that use services live in a welcoming and comfortable homelike care home, which provides a sense of belonging and community with people living with and supporting the people who live there who are called core members. People at LArche share their lives, work, meals and fellowship together so people that use services are supported as members of a community. Care Homes for Adults (18-65 years) Page 6 of 10 The personal care and health needs of people that use services are met to an excellent standard so they are supported to maintain their personal appearance and hygiene. The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 18 The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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