Inspection on 01/10/08 for Aadams Residential Care Home

This inspection was carried out on 1st October 2008.

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

Aadams Residential Care Home 20/11/07

Aadams Residential Care Home 11/05/07

Aadams Residential Care Home 09/05/06

Extracts from inspection reports are licensed from CQC, this page was updated on 16/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Aadams Residential Care Home Peel Hall Street Deepdale Preston PR1 6QN     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: Susan Dale     Date: 0 1 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 Older People 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 Older People Page 2 of 22 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 Older People Page 3 of 22 Information about the care home Name of care home: Address: Aadams Residential Care Home Peel Hall Street Deepdale Preston PR1 6QN 01772258977 Telephone number: Fax number: Email address: Provider web address: aadamscarehome@gmail.com Name of registered provider(s): Name of registered manager (if applicable) Mr Salim Adam Type of registration: Number of places registered: Mr Salim Adam care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Aadams Residential Care Home was first registered in November 2005. Formally a Local Authority Residential Home, the building is purpose built on 2 levels and is located close to the city centre of Preston. The building has been considerably improved and adapted in order to meet the environmental standards necessary for registration. All the bedrooms have en-suite bathrooms and there are several lounges including a smoking room, dining room and bathrooms. The registered provider has ensured that the decor, furniture and fittings are of a high standard and is now registered as manager. 0 2 Over 65 31 0 Care Homes for Older People Page 4 of 22 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The site visit was unannounced and the report is compiled from evidence sent prior to the inspection, surveys and discussions with staff and the people who use the service. Various records were examined including medication, training, care plans and staff files. A partial tour of the home took place. All the findings were discussed with the registered provider/manager. Care Homes for Older People Page 5 of 22 What the care home does well: What has improved since the last inspection? There was evidence of security checks carried out with the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults Register (POVA) to ensure staff are recruited appropriately. The number of trained staff has risen with 12 out of the 18 staff obtaining a National Vocational Qualification at level 2 or above in Care. The registered owner has now been registered as manager also and has obtained the Registered Managers Award and has a National Vocational Qualification (NVQ) at level 4 in Management and Care. This has provided a stable base for the management of the home as well as staff; staff comments indicate they find the manager very supportive. A procedure has now been put in place for staff to report any Adult Care Homes for Older People Page 6 of 22 Abuse/Safeguarding issues and staff have been provided with training on the subject. At the initial assessment a record of weight is now recorded and maintained. Staff had been provided with one to one supervision by the manager. 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 Older People Page 7 of 22 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 22 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An assessment is carried out that ensures the needs of any new service user can be met by the services provided by the home. Evidence: The assessment process included the history and family background, physical, and psychological health, social networks, interests and hobbies, religious and cultural needs. The details also recorded the reasons for being admitted to the home and how the individual felt about having to be admitted. The assessment also took into account the preferred gender of any staff assigned to carry out personal care. Risk Assessments had also been carried out including the risk of falls and pressure sores. The home does not provide Intermediate Care Care Homes for Older People Page 9 of 22 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Residents are provided with an appropriate care plan that meets physical and health requirements. The medication policies and procedures in operation protect the health of individual residents. Evidence: The care plans seen were comprehensive, up to date and included a signature from the residents or their representative and a photograph. The care plans are reviewed each month. A recommendation was made that the review could be improved by whoever conducts the review obtaining a full and up to date picture of each resident from daily/weekly notes and any incidents such as falls. There were recording of GP visits and also Opticians and Chiropodists; a recording is also made when a GP has been contacted for advice or a visit. A record is being kept of weight and baths/showers. Staff have to observe and maintain a record for facial hair, clean nails, hair washing, ears, skin and teeth. A key worker system is in operation and it is the key workers responsibility to ensure the resident has adequate clean clothes and their personal care requirements are met. Staff were observed to to treat the residents with respect Care Homes for Older People Page 10 of 22 Evidence: and understood the importance of privacy and dignity. The medication procedures were examined and the recording of medication including controlled drugs was up to date. Medication requirements are recorded on separate sheets for breakfast, lunch, tea and evening. An audit of medication is carried out on a daily basis. Four senior staff are responsible for medication and have received appropriate training. There are no residents currently self medicating but a form has been devised to conduct a risk assessment should self medication seem appropriate. Care Homes for Older People Page 11 of 22 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Activities are provided that meet the expectations and capabilities of the residents. Visitors are made to feel welcome at all times. Nourishing meals are provided that offer a choice of menu. Evidence: A good range of activities is in place including, Bingo, Board Games, Shopping Trips. A Clothes Show took place on the 15th July 2008 and there was an Easter Fair. An Entertainer visited the home on two occasions to conduct a Sing-a-Long and the Friends of Bethal Church have visited the home. All the activities are recorded on the Notice Board in the hall and residents are told verbally by staff about future events. Relatives and friends can visit at any time and are made welcome. The procedures within the home are relaxed and residents can get up and go to bed assisted by staff at any time they wish. The initial assessment covers all aspects of the preferred routines for daily living for each resident. At the initial assessment a recording is made of a residents choice of food or whether Care Homes for Older People Page 12 of 22 Evidence: they have any dietary requirements. The cook spoken with, was aware of each residents requirements with regard to their menu. There are two cooks employed over the seven days. New equipment has been purchased for the kitchen including a new cooker and the cook spoken with was very happy with the support she received from the registered owner/manager. The cook ensures that the residents have fresh vegetables each day as well as home baking. Residents spoken with expressed their appreciation for the meals received and generally were Very happy; one resident who wished to lose some weight to improve her mobility has done so and enjoyed the low fat meals provided. Care Homes for Older People Page 13 of 22 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. Policies and procedures are in place that ensure residents are protected from harm and that any concerns they have are taken seriously. Evidence: The home has a suitable complaints procedure and the details had been recorded with the investigation and individual outcome of each complaint; minor complaints had also been recorded. Each complaint is filed separately under the individual resident concerned. The surveys and residents spoken with indicated that they were aware of the complaints procedure and would know what to do in the event of any concerns. One resident made the following comment: I would go straight to the manager if I wanted to complain, he will always listen. Since the last inspection, all staff have received training on Safe Guarding/Adult Abuse and staff spoken with were aware of the procedures to follow in the event of any allegation of abuse. Care Homes for Older People Page 14 of 22 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, 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. 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. Residents live in a safe, comfortable, clean environment that meets all requirements and contains luxurious furnishings and fittings. Evidence: All areas of the home were clean and comfortable and with very good quality furnishings and fittings. Each resident has an en-suite bedroom with toilet and basin. Specialist equipment is provided including a portable hoist. There are plenty of communal rooms and quiet corners according to choice. The dining room is attractive with tables laid out with tablecloths and napkins. Domestic help is employed for three hours a day; staff also help keep all areas of the home clean. Daily routine sheets are completed by staff for Day, Evening and Night giving areas required to be completed for example, clearing crockery, arranging activities for the future, cleaning and emptying bins. The outside space has been improved with new railings around the home and plants in a courtyard garden with seating provided. A record of routine maintenance is kept and staff have received training in Health and Safety and Infection Control. Care Homes for Older People Page 15 of 22 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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 have been recruited and trained appropriately and provided in sufficient numbers to look after the needs of the current residents. Evidence: There were sufficient staff on duty according to the needs and number of the current residents. Staff are now on dedicated contracts and do not have to fulfill two roles such as domestic and care assistant. Staff recruitment was examined and there was evidence that appropriate checks have been carried out to ensure that staff are suitable. The checks included one with the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults Register (POVA) and two references one from the last employer. There was evidence of Induction Training. There are currently 18 care staff and 12 have a National Vocational Qualification in Care at level 2 or above and 6 are working towards the qualification. Training is now linked to the Skills for Care Programme and staff have also received training in the Mental Capacity Act. Comments from staff include: Care Homes for Older People Page 16 of 22 Evidence: I am happy with my job, I find it good that there are opportunities to progress. I have had very good training. Manager teaches staff about routine work and good care. Very good at listening to any problems personal as well as work. Care Homes for Older People Page 17 of 22 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 well managed and residents are protected by the policies and procedures operating in the home. Evidence: The owner of the home is now registered as manager and obtained the Registered Managers Award and a National Vocational Qualification in Care and Management at level 4. A great deal of effort goes into ensuring that the home is run in the best interests of the residents with their choice of routines of daily living being very important. Meetings take place on a regular basis with residents and their relatives and staff meetings have taken place every three months. Staff comments indicate that they feel confident about their role and enjoy working at the home. Comments include: Manager comes any time evening and night shift to check and discuss how everybody Care Homes for Older People Page 18 of 22 Evidence: is working. We all give a high level of care to the people we look after and all the management and staff get on very well. I have worked in many care homes and none match the given at Aadams. Questionnaires are provided to residents to determine the quality of the services provided by the home. The home has Investors in People Status. Financial records are kept and the home has secure facilities for the safekeeping of any valuables. All the records seen were up to date and kept under review. Risk assessments are carried out with regard to the health and safety of the residents and staff and a record is kept of all accidents and incidents. The Commission for Social Care Inspection (CSCI) has been kept informed of any incidents that have taken place within the home over the last 12 months. Care Homes for Older People Page 19 of 22 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 Older People Page 20 of 22 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 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 7 At a review of the care plan, all information that has been recorded on an individual resident should be taken into account in order to ensure that the care plan is to be effective and any new risks recorded. Care Homes for Older People Page 21 of 22 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 © (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. Care Homes for Older People Page 22 of 22 - 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!