Inspection on 18/01/06 for 15 Hubbard Close

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 14/03/07

15 Hubbard Close 26/08/05

15 Hubbard Close 25/01/05

15 Hubbard Close 08/06/04

15 Hubbard Close 22/12/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

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 Carol Mitchell Unannounced Inspection 18th January 2006 09:45 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 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.V275136.R01.S.doc Version 5.1 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.V275136.R01.S.doc Version 5.1 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 Ms Barbara Michel Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th August 2005 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. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during a short visit on the morning of 18th January 2006, and by means of phone calls to staff during the afternoon of the same day. The visit to the home was brief because the residents and staff member were on their way out as the inspector arrived, and the residents were anxious to get to places of work and activities. The people living at the home kindly agreed to delay leaving so that the inspector could briefly meet with them and the support worker. The inspector was shown around some parts of the building, and looked at two of the residents’ files. The inspector would like to thank everyone involved in this inspection. What the service does well: People like living at the home. They are settled, enthusiastic, and live as independently as possible. Residents said, “I am going to work now”, and “I’ve just been down to the bank.” People feel at home and are comfortable. A resident said “I love it here!” Another said, “I am fine here.” People at the home have busy and fulfilled lives. They attend places like college, and have friends to visit. Staff are good at making sure friendships can develop so that residents feel happy. The staff at the home are well trained and supported, and they know how to support each person living at the home in the right way. A staff member said, “I love it here! We can go to the manager with any problems at any time.” Staff know how to understand each person at the home, and they write all the important information down in individual plans for the residents. Staff have been trained in lots of subjects including how to administer medicines. Staff are keen to make things better all the time. A staff member said, “We are always trying to improve things for the benefit of people living here. For example we are always working on communication, and we are going to improve the space available for our married couple.” 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 6 The views of people living at the home are taken very seriously all the time, and everyone is involved in the running of the home. There is a rota for cleaning and other jobs. People are able to make choices when going about their daily lives. There are also weekly house meetings where decisions are made by the residents about such things as the following week’s meals and activities. People living at the home can keep to themselves when they feel like it. One resident said, “I like my room, and I keep it private.” What has improved since the last inspection? What they could do better: The home has already arranged for work to be done to make good and decorate the lounge ceiling. The home is working on improving the space and facilities available for the married couple living at the home. Please contact the provider for advice of actions taken in response to this 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 8 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.V275136.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The manager and staff make sure that the needs of people living at the home are carefully written down, so that residents can be sure their needs will be met. EVIDENCE: Residents’ needs and wants are carefully assessed and recorded in detail. Specific information is written down about each resident, residents are involved as much as possible, and staff are familiar with the documents. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 The manager and staff make sure that individual plans are written and reviewed, so that people living at the home can be sure that their changing needs will be met. EVIDENCE: Residents know about their “files” and gave the inspector permission to have a look at these. The plans are individual, detailed, and helpful. Guidelines for staff are written to cover important areas for the resident. For example, plans include details about how individual residents communicate and use language. Two support workers were questioned, and both are very familiar with the content of the “Person Centred Plans”. Residents are encouraged and supported to make decisions, take risks, and to take an active part in the running of the home. Weekly house meetings are held, and during these, residents decide on aspects of life such as meals and activities for the following week. Residents help with tasks around the house, and there are rotas for cooking and cleaning jobs, for which payment is received. Residents also keep their own rooms clean, and are supported to do their own washing. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 11 Risks are taken as part of independent living. For example, on the day of inspection a resident had visited the bank alone. Staff discussed that residents are informed about possible risks to them such as “stranger danger”, and other matters concerning personal safety. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 People living at the home can be sure that they will be able to personally develop, because the manager and staff make sure that the right opportunities are available, and the staff know how to support the residents. EVIDENCE: Residents attend college for three days every week. Day centres and work are also attended. All but one resident has a day off a week. (This resident chooses to work or attend college every day.) Residents are very involved in the local community, and visit the local shops, pubs, and cinema. Swimming, walking, going to the disco, and bowling are also enjoyed. Friends and family visit the home, and link workers at the home make sure that any friendships are allowed to flourish. A married couple living at the home are very happy with the arrangements made for them. They said, “It’s fine” and “I love it here!” Residents at the home realise their responsibilities. One resident talked about the rota and his part in it. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 13 Privacy is respected at the home. A resident said, “I like my room, and I keep it private.” The menu for the following week is discussed at house meetings, and residents choose what they would like to eat. Residents said that they enjoy the food, and they take turns to help with the cooking. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 Staff working at the home know the residents very well, and lots of information is carefully written down to help the staff. Therefore people living at the home can be sure that they will receive personal support in the right way for them. EVIDENCE: Individual plans detail any specific personal needs, and comprehensive information is recorded about residents’ needs. Residents were aware of the documents, and staff questioned were able to describe in detail how they support individual residents. For example a resident has help with bathing, and another two require supervision regarding oral hygiene. On the day of inspection a resident was to attend a chiropody appointment. The medicines were not looked at during this brief inspection. However, staff reported that they receive training in the administration of medicines. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The manager and staff are very keen to make sure that they find out about the views of people living at the home, staff have received the right training, and good guidelines are in place. Therefore residents can be sure they will be listened to. EVIDENCE: A resident was able to talk about weekly house meetings where any problems are raised. Residents feel able to speak out about anything which is worrying them. During the inspection it was clear that there is an easy relationship with staff, and that residents feel relaxed and confident in the presence of the people supporting them Within individual plans are guidelines for each resident explaining how he or she might complain. Staff are also given written advice about the ways in which residents communicate. Any issues raised or complaints are recorded and acted on. Staff receive training about the protection of vulnerable adults, and when questioned discussed what they would do if they are unhappy about anything they see in the course of their work. Staff files were not seen during this brief inspection, but staff were able to confirm that the proper checks are made prior to the employment of new staff. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 The manager and staff know that it is important for people living at the home to be comfortable and relaxed, and for the house is kept clean. Residents can be sure that every effort is made to help them feel at home. EVIDENCE: The home is kept clean, safe and comfortable, residents said that they enjoy living there, and they feel at home there. One resident showed the inspector his room, and was proud of it, and his role in keeping the bedroom tidy and comfortable. Decoration is done on a regular basis, and the lounge ceiling is awaiting attention following a leak from the shower on the first floor above. The leak has been repaired, and the work to make good, and redecorate the lounge ceiling has been arranged. All areas seen on the day of inspection were very clean. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35, 36 Staff are well trained and supported, know the residents well, and are clear about their roles at the home. Therefore people living at the home can be sure that they are supported by an effective staff team. EVIDENCE: Staff questioned on the day of inspection described receiving “loads” of training, and have either achieved or are studying for National Vocational Qualification courses. Training for staff is thought about carefully, and a year plan made of training needs. The support workers know the residents well, and are able to talk about how individuals communicate, and specific ways of supporting each of them. A support worker was asked about her role as link worker for one resident, and she described this in detail. Staff receive regular supervision sessions, and annual appraisals. Meetings are also held for staff. A support worker described being part of a “good little team”. Staff files were not checked during this inspection. However staff report that new staff are interviewed, and that the proper pre-employment checks are made. New staff receive induction training. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The staff at the home are trained in how to keep the residents safe. The staff are friendly and take what residents say very seriously. The home is well run, and people living there benefit from this. EVIDENCE: The home is well organised, and residents and staff like the way it is run. Residents say that they love living at the home, and staff that they love working there. Support workers report that they can approach their seniors with any problem or issue. They work as a team and are always trying to improve things for the residents. Residents are vocal, and freely express their views informally, and during arranged house meetings. Residents are confident that they are listened to and taken very seriously. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 19 In everyday situations, residents are frequently given the option to choose, so that the way things happen can often be led by them and their decisions. For example, “Are you going straight out, or would you like to have a cup of tea first?” A married couple said that they are very happy at the home. Their needs have been considered, and work is to be done to improve the bathroom arrangements for them. Staff undertake health and safety and other related training regularly, and safety checks are made at the home. 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 20 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 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x 3 x 3 x x 3 x 15 Hubbard Close DS0000014919.V275136.R01.S.doc Version 5.1 Page 21 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.V275136.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: 0845 015 0120 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. 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