Inspection on 16/06/05 for Aden Mount

This inspection was carried out on 16th June 2005.

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

Aden Mount 15/04/08

Aden Mount 20/04/07

Aden Mount 15/11/05

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE ADEN MOUNT Perseverance Street Primrose Hill Huddersfield HD4 6AP Lead Inspector Stephen French Unannounced Inspection 16 June 2005 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 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 Older People and 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. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aden Mount Address Perseverance Street Primrose Hill Huddersfield HD4 6AP 01484 515019 01484 515919 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Aden House Ltd Mrs Wendy Lawson CRH N - Care Home with nursing 45 Category(ies) of PD Physical Disability - OP Old Age registration, with number of places ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 21 July 2005 Site Inspection Brief Description of the Service: Aden Mount is a purpos built spacious home situated in Primrose Hill a residential area of Huddersfield.It is situated on the same site as its sister home Aden View. It offers care and accomodation for upto 27 older people and has an eighteen bed unit for the care of younger physically disabled people. All rooms are single en-suite the first floor is accessed via a lift. There is access to the home for people in wheel chairs and there is a car park to the front of the home. There is a small garden area to the side of the home were service users can sit out weather permitting. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since it was first registered in August 2004. The inspection was announced and took place on the 16th June 2005, a selection of standards for older people and younger physically disabled people were assessed. The inspection took six hours .The following inspection methods were used: Four service users and four staff were spoken to during the inspection. A tour of the building, inspection of records including preadmission assessments, care plans and risk assessments, service user’s guide, complaints procedure and complaints file, staffing rota, staff recruitment and training records, and health and safety documentation. What the service does well: The home offers a friendly safe environment in which service users can live. There is a competent and committed staff team who are aware of the needs of the service users and are employed in sufficient numbers to be able to attend to their needs. The service users spoken to on the day of the inspection said they enjoyed living at the home and that the staff were friendly and helpful. They also said that the meals, provided were very nice and there was always plenty of choice. The service users felt that they were in control of what they did during the day, this included what time they got up and went to bed. A service user from the younger physically disabled unit said that she had made friends since moving into the home, and that the staff took her out on social evenings and assisted her to maintain family contacts. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 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. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,5(OP) 2 (YPD) Service users are made aware of the terms and conditions of admission to the home. Their needs are assessed to ensure the home can meet their needs prior to them being admitted to the home. Service users are encouraged to look around , or stay for a meal to help them decide if Aden Mount is the home in which they want to live. EVIDENCE: Evidence was seen in four service users files that service users are given a copy of a terms and conditions of admission to the home which is signed by themselves and the manager of the home. Within this document there is information on the fees payable and what is and is not included in the fees. As well as a Community Care Assessment, which has been completed by their social worker, the home manager visits prospective service users and completes a pre-admission assessment. This enables the home to decide if it is ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 9 able to meet the needs of the service user. Completed pre-admission assessments were seen for four recently admitted service users. Service users who are admitted to the Younger Physically Disabled unit also have a Benecs assessment completed. This assessment calculates the total care minutes that are required in order for the staff to look after the service user. The service users who were spoken to said that they or a relative had looked around the home prior to making a decision as to whether to move in. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) are: 7. 8. 9. 10. 11. • • • • • • The service user’s health, personal and social care needs are set out in an individual plan of care. Including their physical and emotional health needs. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 (OP) and 6,7,9,18 (Y.P.D ) The health care needs of the service users are identified and met. EVIDENCE: Four care files for older people and three care files for younger adults were examined. These contained information on the service users ability to carry out tasks such as attending to their hygiene and mobilising. Areas in which service ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 11 users required assistance or intervention from staff were highlighted in a care plan. Risk assessments were in place for moving and handling and skin integrity. The nutritional assessment in place for service users living in the Thompson Unit was simplistic and did not give a true refection of the service users nutritional needs. There was evidence within the documentation seen that the home seeks advise from members of the multidisciplinary team such as district nurses and community mental health staff. Opticians, dentists and chiropodists visit the home at regular intervals. Three of the care plans had not been reviewed on a monthly basis and there was no evidence in the other files inspected to suggest that service users have been involved in these reviews. Service users within the Thompson unit are encouraged to air their views on how the unit is run. There are no set routines within the home service users said that they can exercise choice in most things they do such as rising and retiring times. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The home needs to improve on the amount of recreational activities that it offers to service users. Staff assist service users in maintaining contact with family and friends. They also ensure that service users have choice in most things they do this includes routines within the home. The home offers a varied nutritious diet. EVIDENCE: At the moment social activities are organised by the care staff. The manager said that she was currently trying to recruit an activities co-ordinator as she was aware that this was an area, which needed to be improved. She also said that she had recently employed a physiotherapist for six hours per week who would start music to movement classes and also work within the Thompson ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 13 unit The service users spoken to said that they were often bored on an afternoon as there was nothing to do. Visitors are welcome to visit the home at any time and staff assist service users in the Thompson unit and the residential unit to maintain family links and friendships. One service user is taken out by staff on an evening and another visits their family for overnight stays. Service users families are invited to the homes activities. The manager has been in contact with Huddersfield college to access courses for younger service users and one of the tutors is due to visit the home to discuss the courses on offer. The manager hopes that this will lead to some of the younger service users gaining part time employment. The home operates a three- week menu, which service users have helped to devise. On the day of the inspection the lunch consisted of pork steak or lasagna with mixed vegetables and potatoes. There wERE also other choices available for service users who just wanted a light lunch. The kitchens appeared well stocked with food and fresh fruit and vegetables. Temperatures of fridges freezers and cooked food are recorded. It was noted that the cold store within the kitchen required some maintainance as the chiller unit was leaking and water was dripping on the food stored there. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18 (OP) 22,23 (Y.P.D) Service users feel safe living in the home and are confident that any problems they encounter will be dealt with appropriately by the manager and staff. EVIDENCE: The home has a complaints policy, a copy of which is displayed in each service users bedroom. Complaints are logged and the complainant is made aware of the outcome of any investigation the manager completes. Evidence was seen that a complaint made on the 21/1/05 had been dealt with appropriately. Some staff have received training in the protection of vulnerable adults. Staff questioned on this subject gave good responses to questions asked but stated that they had not received any formal training in this. The manager stated that dates have been arranged for the manager to update the staff on this subject. Service users spoken to said that they felt safe living in the home and were aware of the complaints policy and were confident that the manager would address any concerns they may have. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24,26 (OP) 24,30 (Y.P.D) Aden Mount is a well maintained home. Service users’ accommodation is spacious, safe clean and comfortable. EVIDENCE: The home is purpose built and the interior is well maintained. The home employs a handyperson who is responsible for ensuring that minor repairs are addressed. There is a small well maintained garden to the side of the home. A tour of the home was conducted which included a selection of service users bedrooms. Bedrooms are spacious and the sizes are above the National Minimum Standards recommendations . Service users are able to lock their bedroom doors and hold the key if they wish. Married couples living in the home are able to share a bedroom and have their own private lounge. Many of ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 16 the bedrooms seen had been personalised with the service users own possessions such as ornaments and pictures. The Younger Physically Disabled unit is also spacious and has its own dining room and lounge areas, as well as a kitchen and laundry for the use of service users. One of the bathrooms is fitted with track hoisting which enables service users to be safely transferred in to the bath. Four bedrooms are having track hoists fitted and this will enable staff to transfer service users who are immobile, from their bed into the en suite. The unit should ensure that it has sufficient specialist equipment such as mechanical beds and appropriate lounge chairs and hoists to meet the service users individual needs. The standard of cleanliness throughout the home was good and there were no unpleasant odours detected in any part of the home. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 (OP) 34,35 (YPD) The home is staffed with sufficient competent staff to meet the service users needs. There is a robust recruitment procedure in place, which protects the service users. EVIDENCE: The staff duty rota was checked for the month of May and June, and this confirmed that the home is working within the staffing guidelines suggested by the Commission for Social care Inspection. Currently there are only five of the care staff who have an N.V.Q qualification, the manager said the remaining staff were due to commence the award. Six staff details were checked and these contained the relevant checks to ensure the safety of the service users. Staff receive formal supervision from the manager which is recorded and training needs which are identified during the supervision are actioned. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home and from competent and accountable management of the service. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,38 (OP) 39,42 (YPD) Aden Mount is a well managed home. Service users views of the home and the care that they receive are taken into account and any shortfalls are addressed. The health and safety of service users is taken seriously and systems are in place to ensure this. EVIDENCE: The manager is a first level nurse with many years of experience of caring for older people. She is aware of the aims and objectives of the home and shows a great empathy towards the service users. Staff and service users spoken to said that the manager was very approachable and that they felt confident that ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 19 any concerns they had would be dealt with. The home has produced a questionnaire, which aims to seek the views of the service users in the care that they receive. Once the information has been collected the manager stated that she would act on anything that concerned the service users. The home holds small amounts of money for service users to enable them to purchase items such as sweets and pay for hairdressing. Four service users personal monies were checked and the balances tallied with the comprehensive records kept by the home. Checks on all equipment and services such as gas, electricity and water are carried out at regular intervals. It was noted that, although the fire alarm system is checked weekly, sometimes it was left for ten days between testing. The manager should ensure the fire alarm is tested at least every seven days. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 2 4 x 5 3 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 4 x x x x 4 x 3 Score Standard No 7 8 9 10 11 Score 2 3 3 3 x Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 3 34 x 35 3 36 x 37 x 38 3 ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 14(d) Requirement A letter confirming that the home can meet the needs of the service user and which room they are to occupy Care plans must be reviewed monthy with the assistance of the service user if they wish.A regonised nutritional assessment tool should be used for service users living in the younger physically disabled unit. Adequate social activities for service users must be provided. Staff must receive training in adult protection as part of their induction. Timescale for action 31/8/05 2. 7 15 (1)c 31/8/05 3. 4. 12 18 16(2)m 13 (6) 31/8/05 31/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 3 24 Good Practice Recommendations Completed pre-admission assessments should be dated and signed. The manager should audit the equipment within the Younger Physically Disabled unit to ensure that it meets their needs J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 22 ADEN MOUNT 3. 4. 28 38 The manager should produce an action plan on how she will ensure that 50 of care staff are trained to N.V.Q level 2. The fire alarm system should be checked every seven days. ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 23 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI ADEN MOUNT J51J01_s61700 Aden Mount_v223794_160605.doc Version 1.30 Page 24 - 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. 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