Inspection on 02/10/08 for 523 - 525 Marfleet Lane

This inspection was carried out on 2nd October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

523 - 525 Marfleet Lane 05/10/06

523 - 525 Marfleet Lane 13/12/05

523 - 525 Marfleet Lane 04/07/05

523 - 525 Marfleet Lane 17/03/05

523 - 525 Marfleet Lane 17/11/04

523 - 525 Marfleet Lane 04/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 523 - 525 Marfleet Lane 523 525 Marfleet Lane Hull East Yorkshire HU9 4EP     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: George Skinn     Date: 0 2 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 28 Information about the care home Name of care home: Address: 523 - 525 Marfleet Lane 523 525 Marfleet Lane Hull East Yorkshire HU9 4EP 01482796093 01482329337 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Avocet Trust Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home The service at 523-525 Marfleet Lane is managed by Avocet Trust who rent the premises from Sanctuary Housing. It is one of a small number of similar services that Avocet provides. Avocet Trust is a registered charity. 523-525 Marfleet Lane consists of two units registered to provide personal care and accommodation for up to 7 adults of either gender with a learning disability. The home is purpose built, designed to meet the needs of the people who live there and is situated to the east of the city centre. The accommodation consists of seven single rooms (four in one unit and three in the other) and each unit has its own kitchen, laundry, and bathing facilities. All accommodation is on the ground floor with wheelchair access. There are gardens to the rear of each unit and some parking space to the front of the home. The home is on a main bus route into the city centre and close by are shops, pubs, GP surgeries and leisure / recreational facilities. Information on the service is made available to people 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home who are thinking about moving into the home via the statement of purpose, service user guide and inspection report. Care Homes for Adults (18-65 years) Page 5 of 28 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. These sources include: Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment (AQAA) Care Homes for Adults (18-65 years) Page 6 of 28 Comment cards returned from people who live at the home, relatives and staff. A visit to the home carried out by one inspector. A site visit was carried out which lasted 4 hours. Records relating to the people who live at the home, staff and the management activities of the home were inspected. The current weekly charges range from 888.37 pounds per week to 1240.43 pounds per week. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The last inspection was completed on 05/10/06. What the care home does well: What has improved since the last inspection? The home have made sure that the records which are kept about the people who live there now include lots of information about their health needs. This will help the staff to better meet the needs of the people who live at the home and identify area of health which need particular monitoring. The home has made sure that all of the staff who work there have received training about how to protect people from harm. This will better help the staff identify and report instances of abuse. The home has made sure that all of the staff have received the proper training to keep Care Homes for Adults (18-65 years) Page 8 of 28 the people who live at the home safe and help them to meet their needs safely. The home has made sure that all new staff receive the proper induction training when they start working at the home. This will help the staff better understand the needs of the people who live at the home and help them meet their needs. What they could do better: 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 9 of 28 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 10 of 28 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. People who move into the home always have their needs assessed to make sure the home can effectively met these. Evidence: The home has a statement of purpose which is provided to anyone who is thinking about moving into the home. Two care files, which belonged to the people who live at the home, were examined as part of the inspection process. Both files contained a copy of the care management assessment and care plan. We saw that the assessments provided a planned transition period including teatime visits and overnight stays. We saw that the staff at the home had been enabled to quickly establish the people’s needs and provide a service that was appropriate to meet these. Care Homes for Adults (18-65 years) Page 11 of 28 Care Homes for Adults (18-65 years) Page 12 of 28 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. The home had comprehensive care plans for the staff to follow, this meant that the staff were able to meet peoples needs because of the detailed information they had. people are involved in the formulation of their care plans, this ensures that they receive care which is of their choosing and preference. Evidence: We looked at two files, which belonged to the people who live at the home. Both contained a copy of the care management assessment and care plan. We saw that the files contained an individual plan/IPP that clearly detailed what staff needed to do to meet people’s needs and to assist them to retain their independence. The manager confirmed that people who live at the home were involved, as far as they were able, in the development and review of their plan and if not relatives and/or advocates assist in this process. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Individual plans were reviewed monthly by the key worker and six monthly formal reviews were held with the people who live at the home, relatives, advocates and other professionals. The individual plans were in written format only but we saw that these had been explained to the people who live at the home. Comprehensive risk assessments had been completed. We saw that risk assessments were changed as the needs of the person changed. We saw that the staff team are very pro active in the protection of the people who live at the home from risk of exploitation and/or harm. We saw that the care files contained behaviour management strategies for those people who live at the home whose behaviour could cause harm to them-selves or others and these identified when there was any restriction on choice. We saw that there was very good monitoring of incidents of difficult behaviour between people and as time went on these incidents had reduced. We saw that for one person who lives at the home who is blind there was evidence on file that they like to wear nail varnish and for their hair to look nice. We saw that staff made sure that this happens and that they describe clothes so she can choose and which clothes she wishes to wear. Avocet Trust had a policy and procedure for the use of restrictive physical interventions that was detailed and staff continue to receive training in non-violent crisis intervention. Care Homes for Adults (18-65 years) Page 14 of 28 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. People are encouraged to remain as independent as possible, they are supported by the staff to access activities in the community and are supported to undertake personal hobbies and interest. The home supports people to maintain contact with their families and visitors are welcome to the home. The home provide the people who live there with nutritious meals in relaxed surroundings. Evidence: We have been told in the past that none of the people who live at the home would be able to have a job, however they all continue to participate in community activities. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: All of the people who live at the home participate in a range of leisure activities in the community and within the home and some continue to attend Avocet’s Five Senses day service. We saw that both of the files, which belonged to the people who live at the home, contained an activity timetable that included leisure activities such as shopping, watching Hull City AFC, visits to the pub, bowling, swimming, visits to the park, days out, watching videos and TV and listening to music at home. All of the people who live at the home have a private bedroom where they can spend private time and they have unrestricted access to all areas of the house. The staff continue to promote a healthy eating menu but try to balance this with people’s like and dislikes and special treats on occasions. On the day that we were at the home the majority of the people who live at the home had gone on holiday to Jersey and those who were still at home were going to the pub for their lunch; then some were going shopping to Morrisons. Care Homes for Adults (18-65 years) Page 16 of 28 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. People are support by the staff in away which they prefer and are actively encouraged to be involved in the way this is delivered. the home have good procedures in place for the administration of medication and staff generally adhere to these. Evidence: We saw that the people who live at the home visit hospitals and health professionals when they needs to and attend regular appointments. We saw that the pole who live at the home 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 people who live at the home. We saw that people who live at the home have the ongoing support of the community team learning disability professionals. At the last inspection it was noted that the home had not completed health screening for all of the people who live at the home. We saw that this had been completed and Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: this now helps the planning and monitoring of people’s health needs. Care files continue to contain a moving and handling risk assessment if this was appropriate. We saw that the home continues to have policies and procedures for the administration of medication and all of the staff have completed the training. We saw that the recording of controlled drugs was not up to date and quantities did not tally with what was in the building or what had been administered. Care Homes for Adults (18-65 years) Page 18 of 28 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. The home have procedures in place to ensure people know how to complain. The home protect people from abuse and the staff are well trained in this area. Evidence: The CSCI had not received any formal complaints about the home since the previous inspection. The home has not been the subject of safeguarding adults referrals or investigations by the local authority. The home had received one complaint since the previous inspection from a relative, which was followed up promptly and appropriately and has now been resolved. The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, restrictive physical interventions and management of people’s money and financial affairs. Avocet Trust have developed a pack for The Protection Of Vulnerable Adults (POVA) training. We saw that the staff have now attended safeguarding adults training and this updated as required. Care Homes for Adults (18-65 years) Page 19 of 28 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. People live in a home which well maintained and clean. Evidence: We saw that both of the bungalows were clean and free from any offensive odours. The company have a routine maintenance programme and this is achieved with set time scales. The general routine maintenance of equipment is undertaken at the require intervals and we saw up to date certificates for all of the appliances used at the home. The people who live at the home are actively encouraged to personalise their rooms and we saw pictures of family members hung up rooms along with pictures of days out and holidays which the people had been on either with the home or with family. The rooms were warm and comfortable and had the required equipment installed for example ceiling tracks to help the staff care for the people safely. There were plenty of bathrooms and toilets in both of the bungalows; since the last inspection these had been refurbished and we saw that the bathrooms were much more comfortable and welcoming. Care Homes for Adults (18-65 years) Page 20 of 28 Care Homes for Adults (18-65 years) Page 21 of 28 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. People are cared for by staff who have been properly trained to meet their needs. The companies recruitment and selection procedures are robust and protect the people who live at the home from the risk of harm. Evidence: The recruitment is handled by the head office, previous inspections have established that companies recruitment practices are robust enough to ensure people’s safety. We saw that more than 50 of the staff group have achieved a qualification at NVQ level 2. Training is organised by the Avocet group and they are committed to ensuring all staff meet the training standards. The management of the home continue to undertake training audits and use the training provided by Avocet to up date staff’s skills and knowledge. This training includes mandatory training in health and safety, first aid, basic food hygiene, moving and handling and fire. The mandatory training now also includes infection control. All of the staff had fully completed the appropriate medication training. New staff complete Learning Disability Award Framework – accredited training to meet the Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Sector Skills Council targets for staff induction. A member of the management team is now coordinating this and this is being monitored across the company.We saw that staff now receive supervision on regular basis; this ensures that staff’s skills in caring for the people at the home is updated and they are supported in their work. Care Homes for Adults (18-65 years) Page 23 of 28 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 run in the peoples best interest as there is regular consultation and development plans made. The people who live at the home are safe as there are proper procedures in place to ensure this. Evidence: The organisation has a clear organisational and management structure in place. Dedicated human resource and administration teams, finance section, health and safety and training teams. There is a chief executive and a service manager. The organisation is a registered charity and as such is audited by the charity commission, there is a dedicated finance manager and the organisation is financially viable. All insurance cover is in place. Currently the home is without a manager; a manager from another of the companies services is over seeing the home on a temporary basis. The company are actively seeking to recruit another manager. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: We saw that the homes policies and procedures have all been reviewed and amended since the last inspection. The Quality Assurance (QA) procedure continues to be used at the home and people who live at the home, staff and stakeholders have been consulted on the running of the home. Areas for improvement have been identified and are being attended to. There were records available to support that gas safety were safe. Water temperatures were being taken and the home had a fire risk assessment and fire drills were being undertaken. We saw that other certificates had been issued following the routine maintenance of other equipment around the home including bath hoist and mobility aids. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R 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 26 of 28 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 Requirement 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 Requirement Timescale for action 1 20 1 the controlled drugs held on 16/04/2009 behalf of the people who live at the home must be kept in accordance with current legislation. records must be kept which are up to date and accurate this will keep the people safe from harm and ensure they have the right amount of medication to meet their needs 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 Care Homes for Adults (18-65 years) Page 27 of 28 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. 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