Inspection on 01/08/05 for 22 Abbey Drive

This inspection was carried out on 1st August 2005.

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

22 Abbey Drive 18/04/07

22 Abbey Drive 05/01/06

22 Abbey Drive 28/02/05

22 Abbey Drive 22/07/04

22 Abbey Drive 08/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 22 Abbey Drive 22 Abbey Drive Grimsby DN32 0HH Lead Inspector Tina Bettison Unannounced 1 August 2005 st 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 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 Stationary 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. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 22 Abbey Drive Address 22 Abbey Drive, Grimsby, DN32 0HH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01472 507311 01472 341086 Linkage Community Trust Jean Bristo CRH 6 Category(ies) of LD 6 registration, with number of places 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/2/05 Brief Description of the Service: 22, Abbey Drive West is a care home providing personal care and accommodation for up to five adults 18-65 years of age who have a learning disability. The home is situated in Grimsby and owned by Linkage Community Trust Care Services.The accommodation is provided in a large two-storey semi detached town house and is close to local transport links, a park and the town centre.All bedrooms are for single occupation. One bedroom has an en-suite and is on the ground floor.22, Abbey Drive West shares a registered manager with another small Linkage Home situated nearby. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Abbey Drive was unannounced and was carried over 3 hours. A tour of the premises took place and staff files and care records were examined. Rota, staff lists and training records were examined. Staff, managers and service users were spoken to. Care practices and interactions were observed during the inspection. What the service does well: Linkage is a good organisation that is well run and managed from the directors to the support workers. They have a lot of policies and procedures (rules) that are regularly reviewed and changed to make sure that service users needs are met and that the staff know how to do their jobs properly. Service users are at the heart of the organisation and their views/wishes are taken into account by the use of questionnaires, meetings and by managers and staff that make sure they are involved. The house is an ordinary house located in the local community and is on a bus route making all leisure facilities and shops easy to get to, some service users go to work experience placements and pursue hobbies. The staff do an excellent job of treating service users as individuals and make sure they that are listened to and that they have a say in how they live their lives. There are regular meetings in the house. Service users are given enough information about the service in order to make a choice about whether to live there or not, which is provided in ways that all service users can understand. Service users have an assessment completed before moving in and care plans are very detailed and clearly state what their goals and wants are, service users are involved in putting these together where they are able to and making changes when necessary. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 6 The staff team is provided in enough numbers to meet the needs of service users and they were observed to be kind and caring and promote their independence. 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. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 standard(s) 2,4 Students needs and individual aspirations are thoroughly assessed ensuring that staff are given enough background information in which to develop detailed care plans and therefore meet the students needs. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 9 The home had four service users living in the home, two that had lived in the home for a number of years, one that had moved in in February this year and the other was recently admitted. There is one vacancy in the home. Linkage have a well-developed corporate policy and procedure for admissions to the home. The homes’ admission policy stated that prospective service users would be offered visits and an overnight stay prior to admission. The home offers a three-month ‘settling in’ period and this was documented in the service user guide. One care files were examined as part of the inspection process and contained a copy of the care management assessment, care plan and statement of needs. The manager had completed a detailed in house assessment that they were updating as the service user settled in and new needs were identified. Linkage employs a professional support team made up of qualified social workers, psychiatrist, clinical psychologist, speech and language therapist, visual impairment specialist and a registered nurse, who can all be called upon to offer support and guidance if required. There were extensive records relating to trial visits, monitoring and observations, which all added to the ongoing assessment. There were also copies of initial reviews having taken place. Guidelines for staff support and risk assessments had been completed for service users. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 Service users have detailed individual plans that ensure their specific needs and goals are met and enables them make decisions as much as they can. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 11 One service users care file was examined as part of the inspection process and contained a copy of the care management assessment and care plan. The manager had also completed the in house assessment for the new service user, which covered all the areas identified in 2.3 of this standard and more. Comprehensive risk assessments had been completed and these identified when there was any restriction on choice, for example the kitchen door being locked at night, to ensure the safety of the service users. Care files contained a behavioural assessment and risk assessments and care plans had been completed for service users whose behaviour could cause harm to themselves or others. The manager confirmed that service users were involved, as far as they were able, in the development and review of their care plan. In the files examined the service users had been able to sign agreement to the care plans and risk assessments. Individual plans were reviewed regularly with service users, relatives, advocates and other professionals where involved. The individual plans were in written format only but records evidenced that these had been explained to the service user. A key worker was allocated to each service user and their name identified in their individual plan. Care plans, risk assessments and discussions with staff evidenced that service users were encouraged and enabled to make decisions about their own lives. Examination of individual files showed that service users had been given details of an independent advocacy groups. Financial risk assessments had been completed for each service user. Linkage had a policy and procedure for the use of restrictive physical interventions that was detailed and staff had all received training in non-violent crisis intervention. The manager informed that inspector that they did not have any service users currently where they might need to use physical intervention. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: None of these standards were assessed at this inspection. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 standard(s) 18,19 Service users physical and emotional needs are met, by the provision of a wide range of healthcare professionals and outside agencies. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 14 The care file for one service user was examined as part of the inspection process and evidenced that service users personal support and healthcare needs had been identified and were being met. Care files contained details of service users visits to hospital and health professionals. This evidenced that service users had regular health check ups with GP, dentist, chiropody, optician, and that they were supported to attend outpatient clinics at the hospital. Referrals to other professionals such as speech and language therapist, and psychologist had been made on behalf of the service users. Health Action plans were in the process of being developed. Staff monitored service users health on a daily basis and this was evidenced by daily records in individual files, which recorded any symptoms of ill health observed and the action taken. Visits from health care professionals could take place in private in the service user’s own bedroom. Care files contained a moving and handling risk assessment. At the time of the inspection all service users at the home were male. The home had a mixed gender staff group. Rotas showed that a male staff member was usually available if same gender personal care was requested. Consistency and continuity of support for service users was maintained through a key worker system and preferred routines were documented in the care files. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 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 standard(s) 22,23 Service users and/or their representatives are listened to and their views acted on by a wide range of methods. Linkage has a complaints procedure. The Protection of Vulnerable Adults policies and procedure ensures that service users are protected from abuse, neglect and harm. EVIDENCE: The home had a well-developed complaints procedure. This contained contact details for the CSCI and the ombudsman and gave an assurance that service users and their families would not be victimised for making a complaint. The timescale given for responding to complaints was 21 days. The complaints procedure was also available in Makaton symbols and on audiocassette. In addition to the above the home also had a service user specific complaints policy. Each service user had been given a copy of the complaints policies in written and Makaton format, and Social Services “Right to Complain” leaflet. These were kept in service users individual files. Records were kept of complaints made. There had been two complaints since the previous inspection from one of the service users and records examined evidenced that this had been dealt with appropriately. The manager checked the complaints log on a regular basis. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 16 The home had a copy of the “Multi agency Guidelines for the Protection of Vulnerable Adults” and an in house abuse policy and procedure and a separate whistle blowing procedure. Since the previous inspection The in house abuse policy and procedure had been updated and amended to ensure it links in with the “Multi agency Guidelines for the Protection of Vulnerable Adults” in respect of alerting, referral and investigation. A poster was displayed on the wall in the hallway regarding abuse and how to report suspected abuse. There was evidence from the home’s recruitment and selection processes, staff training records, complaints log and the use of risk assessments that the registered persons did try to ensure that service users were protected and safeguarded from abuse. Training records evidenced that staff had received training on the protection of vulnerable adults. The home had a policy for dealing with physical and verbal aggression by a service user. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 17 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 standard(s) 24,25,26,27,28,29,30 The house fits in well with the local community, is well decorated and well maintained and the gardens well looked after, ensuring that service users live in a comfortable, pleasant and safe home. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 18 22 Abbey Drive West is a five-bedroom semi detached house situated near to the centre of Grimsby and close to Peoples Park, local shops and public transport. The home continued to provide the same amount of living space as it did on 31st March 2002. Furnishings and fitting were of good quality. The home was well maintained, clean, tidy and free from offensive odours throughout. The accommodation was comfortable and homely with service user’s personal items on display. The service users bedrooms were large and comfortable and individually furnished. Service users were involved in choosing the decoration and furnishings for their bedrooms. The furniture and furnishings provided by the home was of good quality. Service users had personal items such as photographs, posters and ornaments on display in their bedrooms. Some service users had their own TV and music systems in their bedrooms. Where the bedrooms did not contain all the items required by 26.2 of this standard risk assessments in individual plans had been completed. These evidenced that it was the service users choice that determined the way their room was furnished. All bedrooms were lockable. Risk assessments indicated if service users did not have their own key. Policies and procedures were in place to support infection control. An external contract was in place for the disposal of soiled items. Since the previous inspection all staff have received training in infection control. The laundry was situated in an outbuilding sited away from food preparation or eating areas and accessed through the back door. COSHH sheets had been obtained for laundry products used. The laundry was kept locked when not in use. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The staff team at Abbey Drive is a well established, well trained team. There have been no new staff appointments since the previous inspection, thereby leading to stability and consistency in the provision of care and support to meet service users needs. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 20 Training records, interviews with staff and observation evidenced that staff had the skills and qualities required to meet service users needs. A training and development plan for the home was seen. Individual training and development plans had been completed for staff. 100 of care staff working in the home had achieved NVQ 2 or above. All staff were up-to-date with mandatory training and since the previous inspection this now included infection control. Training records and staff interviewed demonstrated that a range of training was provided to enable staff to meet the needs of the service users. This included medication, incontinence, autism, non crisis intervention, HIV awareness, DDA, epilepsy, protection of Vulnerable Adults, equal opportunities and race equality. New staff were enrolled on the home’s induction and foundation programme, which met the Learning Disability Award framework standards. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 22 Abbey drive is a well run home thereby ensuring that the Health, safety and welfare of service users is promoted and protected. EVIDENCE: 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 22 The home had a signed written statement of the policy, organisation and arrangements for maintaining safe working practices. Staff had completed mandatory training; and since the previous inspection this now includes infection control. The home had a policy and procedure for infection control. Training records showed that all staff had received first aid training to the level of ‘appointed person’. A first aid box was kept at the home. Moving and handling assessments had been completed for each service user. Evidence from policies and procedures, staff training records, risk assessments and discussions with staff demonstrated that the registered manager ensured as far as possible the health, safety and welfare of the service users. Individual risk assessments were completed for service users and environmental risk assessments were also in place. A record of accidents to staff and service users was kept and seen at inspection. 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 23 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 x 4 x 4 x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 22 Abbey Drive Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 24 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. 1. 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. 1. Refer to Standard Good Practice Recommendations 22 Abbey Drive J54 2820 22 Abbey Drive V243855 1 August 2005 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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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