Inspection on 21/01/06 for Adalena House

This inspection was carried out on 21st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Adalena House 15/11/08

Adalena House 26/05/07

Adalena House 23/08/05

Adalena House 03/01/05

Adalena House 08/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Adalena House 186 Reads Avenue Blackpool Lancashire FY1 4JD Lead Inspector Mr Kevan Royston Unannounced Inspection 21st January 2006 10:00 Adalena House DS0000009809.V251846.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 Adalena House DS0000009809.V251846.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. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Adalena House Address 186 Reads Avenue Blackpool Lancashire FY1 4JD 01253 31655 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) ADALENA.READS@TISCALLI CO UK Mrs Susan Lesley Clayton Mrs Susan Lesley Clayton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Adalena House is registered for six young adults over 18 with learning difficulties. The home is situated near the centre of Blackpool in a residential area close to local amenities and bus routes. The home is a large semidetached house with ramp access at the rear of the property and seating is provided. There are single and double rooms available with a shower provided in one of the single rooms. There are two lounges with a dining area and separate kitchen. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 20/01/06 over a period of approximately 6 hours and was unannounced. The Inspector spoke to the homeowner a member of staff, three residents individually and a group of four residents together. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. Records relating to these people are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. On this inspection the records of two residents were case tracked. Records of staff members were also examined. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection. What the service does well: The home has a settled staff team with no new members of staff employed for over 2 ½ years. This ensures stability and enables relationships between staff and the residents to develop to provide a better service. Observation of interaction between staff and residents confirmed a mutual understanding of the needs of individuals and good communication to ensure the persons feels listened to and are respected. A resident spoken to said, “Its wonderful here.” Another commented, “Sue and Bill are excellent carers.” The homeowner and staff encourage residents to pursue outside interests through education or employment opportunities well. This was confirmed through examination of daily programmes and discussion with residents. One resident said, “I enjoy working at the park.” The home has comprehensive and easy to follow recording systems of the residents care needs, general health and social welfare, ensuring daily events are accurately recorded and residents needs are continually monitored. Adalena House DS0000009809.V251846.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. Adalena House DS0000009809.V251846.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 Adalena House DS0000009809.V251846.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 Good professional assessments for this client group are carried out prior to admission, which ensures all care needs are met. EVIDENCE: Records examined confirmed residents have complete assessment profiles provide by both social services and the home. And this is completed with the resident involvement. One resident said “I go through my daily programme with Sue”. The care plans contain the information required for the monitoring of individuals health and social care ensuring the residents continue to develop and any concerns are identified. Adalena House DS0000009809.V251846.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, 7 and 9 A plan of care is developed and agreed with the residents, which ensure their wishes; goals and aspirations are well planned and constantly reviewed to support positive outcomes. EVIDENCE: Care plans examined clearly described residents health and social care needs. And care plans are reviewed regularly to reflect any changing needs, which are recorded. Risk assessments had been completed ensuring the protection and safety of the residents is maintained. Residents spoken to were able to discuss instances where they have been involved in decision making to enable them to make informed choices in all parts of there lives. One resident said, “I go to the Rock centre which I want to do in a taxi its good”. Observations of interaction with staff and residents also confirmed individuals are encouraged to make individual choices. A resident said “I am going to visit my nanna on the bus”. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 10 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): 12, 13, 15, 16 and 17. Education and employment opportunities are promoted to ensure residents have opportunities for personal development. Meals are well managed and provide daily variation for people living in the home. EVIDENCE: Examination of the daily routines of the residents confirmed each individual as a programme of education, appropriate jobs and specialised training to enable them to develop. And the staff supports the residents. One staff member said, “Any activity the residents wish to do we try and help them achieve it”. A resident said, “The staff are brilliant and have helped me find a job”. Discussion with the homeowner and observation of menus confirmed residents could choose the food they like to eat and have open access to the kitchen area. A member of staff said “We have our Sunday lunch together and a glass of wine if they want and have a good discussion”. Residents commented the food is excellent I enjoy our Sunday dinner”. Another said “Nice Sunday lunch”. Observation of the kitchen found they’re to be plenty of fresh food Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 11 available in the fridge and cupboards to ensure the dietary needs of the residents are met. The homeowner has a caravan in Scotland, which the residents use on a regular basis for trips away. The residents choose holidays and visits to the caravan. Residents spoken to comment, “We decide when to go to the caravan its great up there” Another resident said, “We went to Florida Disneyland Its fantastic”. Other comments from residents included “I think we might go to Spain this year we haven’t decided yet”. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 12 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): 18,19 and 20. Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: Residents records indicated staff are aware of the need of ensuring personal care support is provided in a sensitive manner if required. Staff spoken to were aware to always respect residents dignity and privacy. One staff member said, “Residents have there own keys for there privacy”. This is re-enforced through ongoing training and management supervision. Examination of residents records contained the information required in relation to health care. And provided evidence of regular health care visits including dentists and opticians checks being made. Comprehensive medication policies are in place and records showed good practices are observed ensuring the residents medicines are being administered accurately. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 13 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): . This section of standards was not assessed. EVIDENCE: Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 14 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): This section of standards was not assessed. EVIDENCE: Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 15 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 and 34 The policy and procedures for the recruitment of staff are robust. And training opportunities are good and provide safeguards for residents and skills to staff ensuring residents receive excellent care and feel supported. EVIDENCE: The home has a settled staff team with no change in personnel for over two years enabling relationships with staff and residents to develop. Observation of staff interaction with residents confirmed staff are aware of residents needs and wishes. The homeowner said, “Because of the understanding we have, we are aware of any problems the gang might be having individually and respond”. 50 of the staff team hold NVQ 2 (National Vocational Qualification) in care and have the competencies to support the residents. Staff files are up to date and contain the information required ensuring the residents feel protected. However the home has not recruited any new staff for over two years. The homeowner is aware of the documentation required for staff employed at the home and has a policy and guidelines to follow should any new staff be employed. Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 16 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): This section of standards was not assessed. EVIDENCE: Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 17 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 X 3 X 4 X 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X X X Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Adalena House DS0000009809.V251846.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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