Inspection on 12/02/09 for 3 Storer Close

This inspection was carried out on 12th February 2009.

CSCI found this care home to be providing an Good service.

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

3 Storer Close 28/02/07

3 Storer Close 05/07/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 3 Storer Close 3 Storer Close Sileby Loughborough LE12 7UD The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Keith Williamson Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: 3 Storer Close 3 Storer Close Sileby Loughborough LE12 7UD 01509815285 01509815285 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Heritage Care care home 5 Number of places (if applicable): Under 65 Over 65 5 5 learning disability Additional conditions: Service User Categories No person to be admitted to the home in categories LD or LD(E) when 5 persons in total of these categories/combined categories are already accommodated in the home Date of last inspection 2 8 0 2 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home 3 Storer Close is situated in a residential area of Sileby, adjacent to the doctors surgery. The home is owned and operated by Heritage Care, and provides residential accommodation for up to four people with learning disabilities. The home is close to the local train station and bus service between Leicester and Loughborough. Sileby offers a good range of facilities including a library, public houses and a variety of shops. Care Homes for Adults (18-65 years) Page 5 of 31 The purpose built bungalow has a large lounge/dining area, four bedrooms (one being a double) kitchen and separate utility room. Toilet and bathing facilities, suitable for people with additional physical needs are also provided. There is a large enclosed garden and patio area, fully accessible to all Service Users being on one level. All current Service Users are funded through contract with Leicester City and Leicestershire County Councils; there are no privately funded Service Users. Care Homes for Adults (18-65 years) Page 6 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 31 How we did our inspection: This is what the inspector did when they were at the care home The focus of inspections is on outcomes for Service Users and their views of the services provided. The main method of inspection used was case tracking which involves selecting a sample number of clients and tracking their care they received through talking with them, where possible and looking at their records and accommodation, in this case one Service User was chosen. All four service Users were seen, but no verbal comments were made by any of the Service User group. This visit took place over two days, commencing at 9.30pm and took six hours to complete. An opportunity was taken to talk with the Manager and staff, look around the home, view records, policies and care plans. Information was also obtained from the Annual Quality Assurance Assessment, which gives information on the Service Users, home and the staff group. Care Homes for Adults (18-65 years) Page 8 of 31 Comment cards were received from three Service Users and four staff, those from the Service Users had been completed with the assistance of a member of staff. Two staff were spoken with, and all Service Users were seen, and their interactions with the staff group observed. The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. Care Homes for Adults (18-65 years) Page 9 of 31 What the care home does well 3 Storer Close continues to be well managed and provides care that is tailored to individual people. People are supported to live a fulfilling life, where their needs are assessed and care plans drawn up, with the emphasis on supporting the peoples abilities, in a safe and nurturing environment. The paperwork completed prior to people moving in includes that of Social Services, and also relies Heritage Cares own assessment details, which provide a greater depth of knowledge and detail for this Service User group. People are offered a range of social and leisure activities that are arranged both within the home and in the community. Care Homes for Adults (18-65 years) Page 10 of 31 The safety of activities and daily life are backed up by risk assesments. The home is safe and well maintained. There is a homely and relaxed atmosphere, which is backed up with specialised equipment to aid personal care. Staff are recruited safely with a number of security checks being in place before starting work at the home. Care staff demonstrated a very good awareness of the people they care for, being able to give a good account of peoples individual needs. Care Homes for Adults (18-65 years) Page 11 of 31 Staff continue to be well trained with a number of routine courses being encouraged by the senior management. Medication is administered properly and stored securely. Visits to the Doctor and specialist health staff being arranged on a regular basis. The staff continue to provide an excellent personalised service to the people in the home, and continue to develop the ongoing care and environment for the benefit of Service Users. Care Homes for Adults (18-65 years) Page 12 of 31 What has got better from the last inspection There has been an increase in Service User involvement in staff recruitment; this shows a move toward the inclusion of people living in the home being able to give direct comment on those providing their intimate care. The service user guide has been made more accessible by the addition of pictures. Health action plans are now being completed as part of the person centred initiative; this forms part of the Person Centred Plans being developed by the staff. Care Homes for Adults (18-65 years) Page 13 of 31 What the care home could do better The photographs of Service Users in the home could be updated periodically to enable an accurate and upto date representation. An at a glance document giving staff an overall picture of what training they had to undertake would be a useful addition to the training information held in the home. Information on Quality Assurance could be circulated to people in the home, and other interested individuals and groups connected with the home. Care Homes for Adults (18-65 years) Page 14 of 31 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Keith Williamson CPCI Capital Park Fulbourn Cambridge 01223 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The individual needs and choices of people are documented and provide staff with the necessary information to support people who live there. Evidence: The Statement of Purpose and Service User Guide have not yet been updated to reflect the changes that have taken place recently. These documents give vital information to people, and need to be kept up to date to them the correct information. People living in the home have their needs assessed prior to moving into the home, and have a copy of the terms and conditions under which their stay is conducted. This shows the Service User that their needs can be met by the staff at the home, so reducing the possibility of moving after a short period of time. Care Homes for Adults (18-65 years) Page 17 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users are looked after well in respect of their personal care needs and choices. Areas of risk are assessed appropriately, so ensuring the safety of Service Users and staff in the home. Evidence: The care plan that informs how a persons needs are supported is well written and easy to understand. Service Users are offered a copy, along with their timetable. These documents are produced in a way that can be understood by the people in the home. There are detailed risk assesments in place, these help guide the staff to keep Service Users safe both in and out of the home. Service Users have a variety of activities based around their individual needs, and practical life skills, promoting their independence, choice and decision-making. People living in the home are offered a number of areas to participate in, in the normal day to day running of the home. They decide what menus are offered, and assist in the Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: periodic shopping for food and other personal items. Service Users are also asked to take part in the recruitment of new staff. This demonstrates that the people living in the home have a direct influence in the running of the home. Care Homes for Adults (18-65 years) Page 19 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service Users experience a positive lifestyle, where their rights, choice and access to the local community are recognised. Evidence: Service Users have individual activity timetables arranged around their individual abilities. The timetables cover all seven days of the week, and include activities in day and evening times. This enables the people in the home to lead satisfying and stimulating lives. The menu book reflects the Service Users individual cultural and dietary needs. This is backed up by a likes and dislikes list covering a wide range of life choices. Care Homes for Adults (18-65 years) Page 20 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service Users receive the appropriate personal support and their health and medication needs are well met. Evidence: Personal support continues to be offered to Service Users on a flexible and individual basis. This is reflected in the care plans, and confirmed by staff entries in the daily records. This shows that Service Users continue to be well cared for. Service Users healthcare is good with evidence of recent health checks with local a General Practitioner. Evidence is also apparent that specialist health care staff are involved with people at the home. This shows that staff try their best to keep Service Users as healthy as possible. The medication system in the home works well and staff deliver the appropriate medicines at the correct time. There are some medicines that are carried over from month to month, and the records of these accurately reflect what medicines are in stock. The policy and procedure for self-medication is in place, and is sufficient enough to ensure staff would safely observe people keeping their own medicines. Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: The medication storage is under review, and the manager stated individual cabinets are being considered. This would greatly increase the safety of medicines held in the home, and promote the possibility of Service Users administering some of their own medicines. Care Homes for Adults (18-65 years) Page 22 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff continue to understand and respond appropriately to how people living in the home express their views and effective systems are in place to protect them. Evidence: The complaint information that is also included in the Service User Guide has yet to be updated with the current contact details of the Local Authority complaints. People do not have accurate information to enable a complaint to be made at this time. There have been no complaints received by the Commission for Social Care Inspection since the last inspection, and none recorded by the home. Those that were, have been dealt with in a timely manner. This demonstrates the staff are keen to deal with complaints effectively and take the outcomes seriously. Care staff have been trained in complaints and safeguarding procedures; and showed a good awareness of the whistleblowing process, and the protection that offered. These are areas that are vital to the protection of people in the home. There have been no safeguarding issues forwarded to the Commission for Social Care Inspection. The Service Users finances are held securely and the records completed accurately resulting in the correct monetary balances being in place. Receipts are in place for any purchases made. This ensures that Service Users in the home can be assured their money and interests are protected by the staff. Care Homes for Adults (18-65 years) Page 23 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service Users live in a comfortable and homely environment. Evidence: The home is warm, comfortable and homely. People living at the home can expect a single bedroom. These are well decorated and personalised with pictures and other personal items. Bedroom and toilet doors are fitted with appropriate locks, and this promotes people having the choice of privacy and dignity in the home. The plan for renewal and refurbishment of items in the home was available, and a number of improvements are planned. Fridge temperature charts were available, making it clear that food is being stored at an appropriate temperature. The washing machine is appropriately sited in the utility area of the home. There is guidance in place, to enable staff to guard against cross infection and cross contamination in the home. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The recruitment process, staffing numbers, and training ensure people are safe in the home. Evidence: The staffing rota showed that staff are employed to assist Service Users depending on their individual needs. The hours worked by staff are flexible to enable Service Users to engage in recreation and leisure activities. This demonstrates a commitment by the staff to promote people working toward independence. The staff employed at the home have the appropriate pre-employment checks before starting work with Service Users. This process is overseen and operated by the central administration office, which is not based at the same address as home, and gives added security to the process. Staff training has continued and the courses that staff have undertaken recently, consist of those that by law must be run annually. Staff when spoken with confirmed they had attended a number of courses since commencing employment, one stating we have been here for some time, there isnt a course we havent done. Staff supervision, which is one to one meetings between staff and the manager, continue to form a part of staff development and annual appraisals. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: Staff meetings take place on a regular basis; these are minuted and share vital information between staff. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is manager safely and in the best interests of the service User group. Evidence: The registered manager is qualified and has many years care experience with the current resident group, and was present for a part of the inspection. The registered person continues to visit and oversee safety and development of the home. Reports of these visits were seen on the day, and form part of the quality assurance and monitoring in the home. Quality Assurance is further helped by regular questionnaires circulated to Service Users and other people with an interest in the wellbeing of people living there. Service users assist in the recruitment process for new staff. This shows the staff have the long-term welfare of people living at the home as their primary interest. Areas within health and safety continue to be well monitored, with staff doing a number of tests on a regular basis. Tests on the fire alarm system are performed regularly. The fire risk assessment has yet to be reviewed and the information updated. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: The Service Users money balance was checked and found to be correct. Receipts are in place for monies spent and this increases security around money spent on behalf of Service Users. The public liability insurance certificate was noted to be in date. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The photographs of Service Users in the home, could be updated periodically to enable an accurate representation of people living in the home A document giving staff an overall picture of what training they had to undertake would be a useful addition to the training information held in the home. Information on Quality Assurance could be circulated to people in the home, and other interested individuals and groups connected with the home. 2 35 3 39 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!