Inspection on 14/03/07 for 15 Hubbard Close

This inspection was carried out on 14th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

15 Hubbard Close 18/01/06

15 Hubbard Close 26/08/05

15 Hubbard Close 25/01/05

15 Hubbard Close 08/06/04

15 Hubbard Close 22/12/03

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Coopers Mill Ltd

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Paradise Lodge

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Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 15 Hubbard Close Flitwick Bedfordshire MK45 1XL Lead Inspector Alan Buttery Key Unannounced Inspection 14th March 2007 10:00 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 15 Hubbard Close Address Flitwick Bedfordshire MK45 1XL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01525 717037 www.macintyrecharity.org MacIntyre Care Mrs Kirsty Peachey Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: 15 Hubbard close provides accommodation and care to five service users with learning disabilities. The home was purpose-built as a residential care home in a new development in the town of Flitwick. Aragon Housing owns the property and the registered provider is Macintyre Care. The first floor has four service users’ bedrooms, bathroom with toilet and a walk-in shower room with toilet. The office room has an en-suite shower/toilet, and is also located on this floor. The downstairs floor consists of a laundry, lounge, kitchen/dining room and conservatory. The fifth bedroom is located on this floor and has an en-suite shower facility. The home has a large, sloping garden at the back with an attractive patio. There is a range of facilities within walking distance of the house, including a supermarket, library, health centre, public houses and a railway station, which allows easy access to Bedford and Luton. The home has parking, and a vehicle, which is used for outings. The service is operated by McIntyre Care, a national provider of care and fees charged range between £32,896 and £39,893 per annum 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, and carried out by an inspector from the Cambridge area office. The inspection looked at all of the younger adult key standards, and during the inspection the manager, a staff member and two service users were available to discuss the service with. A tour of the home was undertaken and documentation was read. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure that information about people living in the home is obtained in detail, and kept up to date so that anyone either living in or moving to the home can be clear their needs will be met. EVIDENCE: There are five adults living in the home, and there have been no changes since the last inspection. The home has an admissions procedure which would be followed in the event of any changes, and which would include consultation with the remaining service users to ensure that they were happy with any planned change. This would be followed by a number of introductory visits and longer stays to ensure that the service was able to meet the identified needs, and that all involved were happy with the admission. Individual assessments were seen on the files of service users examined as part of the inspection, and the local authority does review these assessments to ensure any changing needs are identified. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individual plans guide staff in ensuring people who live in the home are able to lead a varied lifestyle, with choice and in safety. EVIDENCE: Comprehensive individual plans were seen for the people living in the home, and theses are kept under review. Theses plans demonstrated the involvement of the users of the service in their preparation, and a house meeting is held every Friday at which everyone has the opportunity to discuss individual choices. Since moving to the home two of the people living there have married, and evidence was seen of how their new situation was addressed, accommodation reviewed and support put in place. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 9 Daily routines are in place and each of the service users has time during the week to undertake domestic tasks such as washing and shopping. On the day of the inspection, two of the service users had been out shopping, and returned whilst the inspector was there. The service users were happy to sit with the inspector and talk about the home, and how happy and settled they were. The individual files also contained detailed risk assessments, both around risks in the home and more personal risks. The service clearly ensures that risks are properly assessed, to enable people living in the home to take part in events and activities safely, and not used to prevent them enjoying a wide variety of such activities. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A variety of activities are available, both leisure and educational giving the people living in the home the chance to lead a full and varied lifestyle. EVIDENCE: Each of the individual plans seen during this inspection include aims and objectives for personal development, and this achieved through a variety of leisure and educational activity, and some work based activity. People living in the home are taking a variety of college courses, including Computing, cooking and lifestyle training as well as leisure activities, and two of the people using the service have a small job. The people living the home are able to enjoy a variety of local facilities, including meals out, disco’s, line dancing, shopping, visits to the local pub and have a good relationship within their local community. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 11 The people living in this house are also involved in some of the day-to-day maintenance, for example testing fire alarms and regular maintenance checks. The service encourages the involvement of families, and evidence was seen of regular contact, both with families visiting the home and people using the service supported to visit their parents. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual health needs are identified and met in a way suited to people living in the home. EVIDENCE: Within the individual plans, evidence was seen that people using the service have been consulted about how they choose to receive the support they need. All five people living in the home are able to manage their own personal care needs, but need varying levels of supervision and prompting. The service ensures that people living there receive regular checks from community dentists, opticians and chiropodists and all are registered with a local Gp practice. Visits to the GP and other health professionals were recorded in the individual’s files. Staff administering medication all receive the necessary training, and one of the people living in the home continues to administer his own medication. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures ensure that people using the service are able to make concerns known and are protected from abuse. EVIDENCE: The service has the necessary complaints policy in place in accordance with the standards, and the complaints log was seen during the inspection. No complaints have been made since the last inspection, but there was clear evidence that service users are supported to make any concerns known at their weekly meeting. Two service users spoke to the inspector during the inspection, and as mentioned earlier were more than happy with the support they receive, and stated that they knew who to talk to if they had any concerns. A visitor’s comments book is also available, but no issues of concern were recorded. The service has the necessary Protection of vulnerable adults policy, and this is linked to their local authority procedures. The contact information to use the event of an incident was available in the office, and all staff have received POVA training. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides the people living there with a clean and hygienic home. EVIDENCE: There were no issues noted in the property, maintenance continues on a routine basis and on the day of the inspection, the home was clean and tidy and no unpleasant odours were noted. Since the last inspection, Kitchen worktops have been changed. It is planned to refurbish the upstairs bathroom this year as well as routine redecoration. Throughout the home there was evidence that people using the service are involved in planning decoration, for example pictures they have done were on the walls, and all rooms seen were decorated and furnished depending on the taste of the people living in them 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A well trained and competent staff team ensure people living in the home are supported appropriately. EVIDENCE: The service is currently fully staffed, and as well as the manager there are both full and part time staff to ensure that the needs of people living in the service are met with flexibility. There have been no major changes within the staff team recently, any shortfall due to annual leave or sickness is covered internally. The level of staffing varies depending on what activities or events are taking place, and an on call service operates overnight, with all staff close to the service if required. This is always discussed at the weekly meeting to ensure everyone living in the home knows what to do in the event of a problem during the night. The homes recruitment policy was discussed with the manager and clearly follows accepted guidelines, and evidence was seen on three files examined 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 16 that the required checks are in place, including verified references, CRB checks and training detail. During the past year all the required mandatory training has taken place, and again this was evidenced in the files examined, together with other more specific training including Person centred planning, dementia and nutrition. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, for the benefit of people living there and policies are in place to ensure the safety of all. EVIDENCE: The home is well managed, and service users interests are always placed at the heart of decisions made. This was clear from documentation seen during the inspection and from discussions with people using the service. The service has detailed health and safety procedures in place and a number of records were examined during the inspection, for example fire records, maintenance checks, gas servicing records. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 18 It was particularly encouraging to note that people living in the home are encouraged to take an active role in health and safety matters, for example carrying out fire alarm test and maintenance checks. Weekly meeting ensure that views are listened to, and fire and accident procedures discussed. All staff receive the necessary health and safety training and regular updates, and evidence of this was seen on the staff files examined during the inspection. 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 4 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 15 Hubbard Close DS0000014919.V335984.R01.S.doc Version 5.2 Page 22 - 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. 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