Random inspection report
Care homes for adults (18-65 years)
Name: Address: Montague Drive 20 Montague Drive Leeds West Yorkshire LS8 2PD two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carol Haj-Najafi Date: 1 0 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Montague Drive 20 Montague Drive Leeds West Yorkshire LS8 2PD 01132400062 01132400062 montagudrive@c-i-c.co.uk www.c-i-c.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Joanne Pamela Martin Towey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Community Integrated Care care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category 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 The care and services at Montague Drive are provided by Community Integrated Care, which is a registered charity caring for people with Learning Disabilities. The premises are owned and maintained by a Housing Association. Montague Drive is a detached bungalow located within 2 miles of Leeds City Centre
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home and is at the top of a quiet cul-de-sac. There are a wide range of shops and leisure facilities within easy reach of the property. The home has 4 bedrooms. All are single rooms and have a washbasin. Information about the service including their statement of purpose, latest inspection report and fees can be obtained directly from the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We looked at all the information that we have received, or asked for, since the last key inspection. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints or safeguarding incidents. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection which was carried out on 19 September 2007 and annual service reviews. - Relevant information from other organisations and what other people have told us about the service. Surveys were sent out to people who use the service. Four surveys were returned, a senior care helped everyone complete them. One inspector carried out an unannounced visit to the home on 10 June 2010. We spent one and three quarter hours at the home. People who live at the home have limited communication and the people who were at home could not tell us if they are being well cared for. We observed interaction between staff and people who live at the home. We spoke to three staff, looked around the home and looked at some records. The manager was not present during our visit although we spoke on the telephone. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. They provided good examples to show they do lots of things well and are also aware of improvements they need to make to the service over the next twelve months. In the AQAA, the registered manager provided us with examples of what the service does well. She said, We promote Valuing People and Valuing People now objectives and work in a person centred way. Some of the individuals we support have limited verbal communication and multiple disabilities. Although it would be hard to say that they direct our service literally, we can say that everything that our team delivers is centred on our people we support and is led by their preferences and choices. We use a keyworking system so that each person has one or two team members focused on their care plan and who can share developments in the persons life with the whole team. We offer people a healthy diet and the opportunity to enjoy meals at mealtimes. We do this by encouraging people to choose their own meals on a daily basis, with guidance on specific dietary requirements if necessary. Montague drive has an excellent, knowledgeable staff team with numerous years of experience. All new staff undergo extensive induction training and this training is then updated and refreshed throughout their employment.
Care Homes for Adults (18-65 years) Page 4 of 9 During our visit we observed interaction between people who live at the home and staff. Staff explained what they were doing and gave reassurance when they supported people, and were friendly and patient. They chatted to people and used humour when appropriate. One person was apprehensive about going out to an appointment. Staff explained where they were going and why and said staff would also be going. This clearly provided the person with reassurance because they smiled at the staff member. Surveys from people who live at the home told us they are satisfied with the care they receive. When we spoke to staff during our site visit they said people who live at the home are well cared for. Staff said they are familiar with peoples care plans and the care planning system works well. Staff said the home works very well with other professionals and is very good at meeting peoples healthcare needs. One staff said, People seem happy. Its a lovely home and people are definitely well looked after. Another staff said, We find out what people want and try to make sure people can make choices. In the AQAA the registered manager said, Each individual has their needs and choices documented in a personal care plan. Although all care plans are laid out in the same way, each is completely individual and reflects the personality and future goals of the owner. It is made clear that all members of our support staff need a comprehensive and clear understanding of the contents of each plan, in order to understand the people we are supporting fully. Staff talked about how they meet peoples individual needs. The care they described reflected what is recorded in the care plans. Staff said the care planning process works well and they have the right skills and knowledge to meet peoples needs. We looked at one persons care records. Information in the care plan and risk assessments was good and gave detailed information about potential risks and how individual needs should be met. The care plan outlined the persons wishes and aspirations. For example the plan said they like their hair set in rollers each morning, listening to music and wearing jewellery. When we arrived the person had their hair set and was wearing jewellery, and listened to music when they went through to the dining room. Staff record information about what people have been doing. The records are detailed and show how peoples needs are being met. Staff said they receive good training and support, and the team works well together. Everyone said the home is very well managed. Staff said the manager is accessible and approachable. One staff said, Management is very good. They have the right skills and the manager deals with situations very well. Another staff said, Weve got a very good manager. She makes sure people are happy. Staff said they are confident that the management team would deal with any concerns appropriately. At the last inspection we made four requirements. We said they must make sure information is recorded in peoples individual records, review arrangements for the homes vehicle, complete nutritional assessments and address some problems with the environment. All of the requirements have been met. We looked around the environment. It was very clean and tidy, and well decorated. Rooms were personalised and people looked comfortable in their surroundings. One bedroom had a new radiator fitted and the surrounding wall needed re-plastering. Staff
Care Homes for Adults (18-65 years) Page 5 of 9 confirmed the radiator had recently been fitted and plaster work was being started the day after our visit. What the care home does well: 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 6 of 9 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 7 of 9 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 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
