Inspection on 26/08/05 for 15 Hubbard Close

This inspection was carried out on 26th August 2005.

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 18/01/06

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

Grangewood

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 Ansuya Chudasama Announced Inspection 26th August 2005 09:30 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 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.V251529.R01.S.doc Version 5.0 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.V251529.R01.S.doc Version 5.0 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 MacIntyre Care Ms Barbara Michel Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 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 a vehicle, which is used for outings. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken at 9.30am. The manager Kirsty Peachey was present at the inspection. The inspection was comprised of a tour of the communal areas, one service users’ bedroom, talking to staff, and all the service users. Two service users’ case records and other documents were inspected in detail. What the service does well: What has improved since the last inspection? The home had met all the requirements from the last inspection. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 6 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. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 7 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.V251529.R01.S.doc Version 5.0 Page 8 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): The home had a statement of purpose and a service user’ guide which enables prospective service users and their families to make an informed choice about admission to the home. EVIDENCE: The home had a statement of purpose and a service users’ guide. The staff and service users were involved in producing the guide. The home had not admitted any new service users since the home was opened five years ago. All the service users had known each other prior to moving into the present home. Families spoken to stated that they were involved with the service users in the admission process. They had also visited the home prior to the service users move to the home. Each service user had a contract in their file. However there was some information in the contract that needed reviewing. The service users had signed the contracts. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 9 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): There was clear and consistent care planning systems in place to provide the staff with the information they needed to meet the needs of the service users to a high standard. EVIDENCE: Each service user had a care plan. The plans reflected the needs, aspirations and goals of the individual service user. This was also linked with Person Centred Planning meetings and covered a range of service users developmental areas. The service users spoken to stated that they had been involved with their care plans. The plans seen were signed by the service users and reviewed on a regular basis. Families of service users spoken to stated that they were aware of service users care plans and they got involved in the service users’ reviews. Service users spoken to were able to communicate verbally and appeared very assertive. They gave many examples of how they made decisions about their lives. It was also stated that the staff gave them advice and information to help them make decisions. This was also confirmed by talking to one service users’ family. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 10 Detailed risk assessments were undertaken on service users and these were discussed with them and reviewed by management. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 11 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): Service users have opportunities for personal development to enrich their social and educational opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: All service users attended day care, work experience and college. One service user was doing NVQ level one in farming as he enjoyed this so much. Service users spoken to stated that they worked on their independent skills on a one to one basis with staff. One service user stated that staff helped him with his cooking skills and he was now able to cook on his own and he had cooked a curry. It was stated that all the service users picked the menus for the week. They also did the shopping for the food and prepared and cooked the meals with support from staff. A rota for domestic chores was seen, and the jobs were rotated. This practice gave all service users the experience of learning different skills. One service user stated that he attended all the health and safety service users’ meetings. He also undertook the responsibility for carrying out fire checks, and fire alarm testing and recorded the information 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 12 well. Another service user carried out maintenance checks, and informed staff when things in the home required attention. The service users informed the inspector that they had chosen the plants for the garden, and some of them also helped plant them with support from staff. One service user worked for a few hours once a week for the organisation. Another service user also undertook domestic work for a private organisation on a weekly basis for an hour. Both service users got paid for their employment. Two service users attended religious services in the community. Service users accessed a number of activities that they enjoyed in the home and in the community. For example, some of these included going to the pictures, visiting friends, swimming, bowling, line dancing, bike rides, eating out, gardening, and attending drama classes. They choose the day trips, and the holidays in their weekly meetings. It was stated that they had recently been to the seaside at Huntstanton and they were all going on holiday to soon. All the service users in the home were able to go out on their own. They accessed the activities by walking and using public transport. One service user used his bike to get around. The home also had an estate car, and staff used this vehicle to take service users out on some of the activities. All the service users in the home had families. Families spoken to stated that the staff kept them informed of the service users progress and they were involved in their reviews. It was stated that they were very happy with the care provided by the staff. The service users were also very happy living at the home. Service users spoken to stated that they enjoyed visiting their families, and their families also visited them at the home. The staff also sometimes took service users to their families when they had social events. The home had routines and rules, which were discussed and agreed by service users. This empowered service users to make decisions about their daily lives. All service users had a key to the front door and to their bedrooms. They also opened their own mail and asked for assistance when required. Service users were observed accessing all parts of the communal areas in the home safely. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 13 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): The knowledge of staff, safe systems for administering medication and detailed care planning meant that the health needs of service users are met. EVIDENCE: All the service users in the home managed their own personal care needs. They were observed to be very independent and had individualised life styles. They choose their own clothes, activities and hobbies. The family of a service user spoken to stated that the staff had been very good at meeting the service users medical needs. The home ensured that the service user had his routine checks at the dentist, opticians, chiropodist, and GP. It was also stated that the service user had a swollen face and the staff immediately booked an appointment for the service user to visit the GP. This was confirmed by inspecting service users care records. The appointment records to health professionals were well recorded. The staff who gave out medication had received the accredited training in administering medication. One service user was able to self administer his medication. A risk assessment was undertaken for this. Information on burial arrangements was discussed with service users in a sensitive manner. Service users were able to stay in the home as long as their needs could be met by the home. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 14 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): The staff have good knowledge and understanding of adult protection issues, which protect service users from abuse EVIDENCE: The home had a policy on how to make a complaint. The policy needed reviewing to meet the standard. The inspector was informed that this was being reviewed by the organisation. The home had developed their own complaints procedure, which was good and displayed in the service users’ guide. The inspector was informed that the staff listened and encouraged service users to discuss concerns at their weekly meetings before they turned into problems. The service users spoken to stated that they knew how to complain if they were unhappy. Family members of a service user spoken to were aware of whom to speak to if they had any concerns about the home. It was stated that they were very happy with the home and they had no complaints. The staff spoken to stated that the service users were very assertive and would tell them if they were unhappy. It was also stated that they would also be able to tell when a service user was unhappy. This was by understanding the service users behaviours and body language. There was information recorded on what made service users vulnerable in their care plans. This had also been discussed with service users. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 15 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): The premises were well maintained so as to allow all those living at the home to enjoy a homely and comfortable environment that was safe, clean, and hygienic. EVIDENCE: The premises were clean, homely and pleasantly decorated. The home offered access to the local shops, and transport. The premises were accessible to all service users. The home had a planned maintenance and renewal programme for the fabric and decoration of the premises. Two service users in the home got married in July 2004. The home provided the couple with one-bedroom flat by converting one bedroom into a sitting room with tea making facilities. The bathroom was also being turned into an en-suite facility, which was to be linked to the married couples bedroom. This was to give the couple privacy, and the freedom to receive guests as they wished, and to have their own door key to their flat. One service users bedroom seen was individualised and it was stated that he had chosen the décor for his room and he liked his room. The service users stated that the garden was much improved and all of them had helped to maintain this. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 16 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): The home provided very good training so that the people living at the home had their needs met by competent and suitable staff. EVIDENCE: The home was fully staffed and one new member of staff was due to start in October 2005. The relief staff worked the vacancy hours. The staff recruitment files inspected were satisfactory and contained all the information required in the standard. The home ensured that all new staff completed the induction training in the Certificate of Working with People with Learning Disabilities. One staff had NVQ level 3 in care, one was completing the NVQ level 3 and one had applied to under take this training. The staff spoken to stated that they had supervision once a month, and this was good. Staff meetings were held once a week. The training received was very good and it was linked to meeting the needs of the service users. They also understood the needs of the service users well. It was stated that the home was more service user focused since the new manager started. The staff enjoyed working at the home and “worked well as a team. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has an experienced and committed manager who ensures strong leadership, and safe working practices so that service users health, welfare and safety are safeguarded. EVIDENCE: The manager had worked for the organisation for 12 years and had six years management experience. She was very experienced and ran the home to a high standard. She had applied to undertake the registered managers award in September 2005. Families and staff and service users spoken to stated that the manager had made many good changes since coming to the home. It was also stated that they found her very supportive, and they were able to talk to her about any problems. The home was described as having a very good family atmosphere. It was stated that the manager and staff involved service users in the running of the home. The home had good quality monitoring systems in place. This included the area manager undertaking the investors in care annual audit, regulation 26 visits, and health and safety audits. The home recently undertook a 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 Page 18 stakeholder’s questionnaire and those read were very positive about the staff and the care provided by them. One service user stated that he attended all the health and safety service users’ meetings. He also undertook the responsibility for carrying out fire checks, and fire alarm testing and recorded the information well. One service user checked the water temperatures with support from staff. Another service user carried out maintenance checks, and informed staff when things in the home required attention. All the staff and service users spoken to had got involved in fire drills and health and safety issues. The staff had also received training in fire awareness. 15 Hubbard Close DS0000014919.V251529.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 15 Hubbard Close Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 4 3 X X 3 X DS0000014919.V251529.R01.S.doc Version 5.0 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.V251529.R01.S.doc Version 5.0 Page 21 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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