Inspection on 17/01/06 for 220 Preston Road

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

220 Preston Road 14/06/07

220 Preston Road 07/09/05

220 Preston Road 03/03/05

220 Preston Road 20/09/04

220 Preston Road 26/02/04

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 18-65 220 Preston Road 220 Preston Road Hull East Yorkshire HU9 5HF Lead Inspector Simon Morley Unannounced Inspection 17th January 2006 09:30 220 Preston Road DS0000000922.V263666.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 220 Preston Road DS0000000922.V263666.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. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 220 Preston Road Address 220 Preston Road Hull East Yorkshire HU9 5HF 01482706988 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) mansfieldm@hullcc.gov.uk North British Housing Association Limited Mrs Majorie Mansfield Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That registration is approved with the condition that a clear CRB disclosure for the Manager is received by the CSCI. 7th September 2005 Date of last inspection Brief Description of the Service: New Leaf a subsidiary of North British Housing own 220 Preston Road. And it is managed in partnership with Hull City Council. The councils social services department are responsible for the care and providing the care staff. New Leaf is responsible for its upkeep and provides ancillary staff. The home is registered to provide care and accommodation for up to 9 adults between the ages of 18-65 who have a learning disability. The home is located to the east of Hull city centre and is purpose built. It is a 2 storey building divided into 2 main units with a central linked area that includes the reception area, office accommodation, the laundry room, relaxation room and kitchen. Each unit has a lounge and dining room with kitchenette area. One unit has 5 bedrooms and one has 4, and a sleep-in room for staff. All bedrooms are singles. There are a number of bathrooms and toilets on each floor. Two bedrooms are downstairs. There is no chair or passenger lift. There is a car park area to the front and a pleasant garden to the rear and sides. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for 6 hours and there had been no additional visits since the last inspection. The inspector spoke to two senior care staff, 3 care staff, 3 residents a visitor and spent time observing residents and staff interacting. Care records were also examined. What the service does well: The home has a good manager with high standards and good leadership. She has worked with the staff to develop a team who are hard working, enthusiastic and like their jobs. This was reflected in comments from residents’ relatives who were full of praise about the home. Standards of care are good and the manager is always looking for ways to improve the service. There was a good admissions process to make sure the home only took in people that would be looked after well. There is a friendly and homely atmosphere and visitors are made very welcome. Residents are well looked after, treated with respect and dignity and they are encouraged to keep their independence. They are supported to make their own decisions about how they lead their lives at 220 Preston Road according to their needs. Those spoken to said they were happy and it was clear from observing them interact with staff that they were relaxed and content with their care. There were good arrangements for the planning of meals to provide a healthy diet that was suited to residents’ tastes. Residents are supported to have their health promoted and there are good arrangements for ensuring they get the necessary medication at the right times. Efforts are made to make the place as homely as possible and there were good cleaning arrangements. Staff are well trained and proper checks are made on new staff before they start work to make sure they are suitable. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 6 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. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 2 and 4. There is a good admissions process to assure prospective residents their needs will be met once they have moved in. EVIDENCE: There was one new resident who had moved in since the last inspection. His and another resident’s case records were examined. Both contained good evidence of assessment of individual needs and wishes. It was also clear from these records and talking to staff that new admissions are well planned in advance. This process involves short visits, which are slowly built up over time. This helps new residents become familiar with the other residents and staff. And it gives the existing residents an opportunity to express their views about some one new coming to live in their home. During this gradual introduction the manager and staff carry out a good assessment of some one’s needs to ensure they will be well looked after once they move in. This good practice is supported by the home’s policies and procedures. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 6 and 9. There were very good arrangements to make sure that individuals needs are met and residents have opportunities to lead an independent lifestyle. EVIDENCE: Residents spoken to who had some limited verbal communication said ‘I’m fine…I’m OK…I’m happy.’ Other residents were seen to be able to choose how and where they spent their time in the home. Staff were knowledgeable about their non-verbal communications and responded appropriately. Residents were seen to be comfortable with the staff that were supporting them. Two sets of care records were looked at that were of good quality. Individual plans of care were quite clearly centred on each person’s lifestyle, what is important to them and what actions staff would need to take to support them. These were called ‘Essential Lifestyle Plans’ and it was quite clear that the planning and provision of care for each person was what mattered most. These were reviewed regularly with the people important to each resident and if any part of the plan was not working efforts were made to try and discover why or look at alternatives. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 10 These Lifestyle Plans are developed over time. One resident, who had recently moved in did not yet have a detailed plan. Staff were working on this and would take time to develop a detailed plan for him. It was clear from observation, discussion and the care records that residents are given plenty of information and opportunity to make choices. Sometimes, for example, when trying a new activity, it may not be obvious how a resident will respond. There was a good approach to helping people try out new things to promote their independence and decision making whilst considering how best to limit any potential risks. Staff also have ‘walky–talkies’ to use should they need to summon support as they can often be working in isolation. These were also necessary due to the layout of the building. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 16 and 17. There were good arrangements for respecting residents’ rights and providing a healthy diet. EVIDENCE: Staff were seen to treat residents with respect and promote their independence. Residents were free to wander round the home and garden. Those that wanted had keys to their rooms. The front door is kept locked and risk assessments recorded the dangers to residents going out alone. To keep them from significant harm residents go out accompanied by staff. The home has a central kitchen and a fulltime cook prepares the meals. Menus are planned based on residents’ likes and dislikes. The cook uses her knowledge of nutrition to provide a balanced and healthy diet. The kitchen is kept locked, as residents have been assessed as being at risk if they were to go in on their own. Staff do support residents to use the kitchenettes in each unit. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 12 Residents are given the necessary support to eat and drink, using special aids and/or help from staff. Records of food provided to each resident are kept and staff monitor residents appetites for any unusual changes. If there are any, then a resident’s weight is also monitored. Concerns about weight loss/gain are then referred to the community health services for support. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 19 and 20 There are good arrangements for ensuring residents get the health care and medication that they need. EVIDENCE: There is good advice for residents and staff, available from a wide range of community health services. Records examined contained good and detailed information from these services about the health care of each resident. The health of each resident is taken very seriously and if staff have any concerns the appropriate professionals are called upon to help out. This is reflected in the health care records that were kept on file. There were good and safe arrangements for the storage and administration of medication. This helps to ensure the good health of the residents. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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 key standards were included in the last inspection report. EVIDENCE: 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 24 and 30 The home is well kept, clean, comfortable and smells fresh. EVIDENCE: The home is clean and smells fresh; there are no malodours. There were good procedures for managing clinical waste to help promote a healthy environment. Some of the residents will pull down curtains, pull pictures off the wall and try to break ornaments. Despite this the home is made as comfortable and homely as possible. There is a large garden to the sides and rear which residents were seen to be enjoying. There is space for games and some residents also like to garden. The home is well maintained and some maintenance certificates were available for inspection. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 32, 34 and 35. Staffing arrangements in the home were good which meant that only suitable staff were employed. And they were well trained. EVIDENCE: The necessary checks are made about new staff before they work in the home to prevent anyone unsuitable from working there. Recruitment records were available for inspection these were well kept. From talking to staff it was clear they were knowledgeable about residents needs and how best to look after them. They had considerable experience of working with people with a learning disability. More than 50 of staff have achieved the required care qualification or have a qualification at a higher level. Staff undertake a range of training aimed at equipping them with the skills and knowledge to be good care staff. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 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): 42 The arrangements for promoting the health and safety of residents and staff needed improving. EVIDENCE: One of the senior staff gave a guided tour to the inspector. It was clear from talking to her and from observation that a safe and as homely an environment as possible is aimed for. A range of risk assessments had been completed and is regularly reviewed. These highlighted any to residents in relation to their lifestyle, challenging behaviour and any risks from the home’s premises and grounds. They also included steps to be taken by care staff to reduce these risks as far as possible. The home’s fire system is regularly serviced and maintained. There are regular fire drills and testing of the fire alarms. The majority of maintenance certificates but not all were available for inspection. 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 18 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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X X X X 2 X 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 19 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 YA42 Regulation 13 & 23 Requirement There must be an up to date certificate of periodic testing of the home’s electrical wiring installation. This must be completed every 5 years. As recommended by the Health and Safety Executive. There must be a yearly certificate of testing of the home’s fire alarm system. Timescale for action 31/03/06 2 YA42 13 & 23 31/03/06 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 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hessle Area Office First Floor, 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. Extracts may not be used or reproduced without the express permission of CSCI 220 Preston Road DS0000000922.V263666.R01.S.doc Version 5.1 Page 21 - 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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