Inspection on 01/11/05 for Adrian House

This inspection was carried out on 1st November 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

Adrian House 15/10/09

Adrian House 09/08/07

Adrian House 19/09/06

Adrian House 02/06/05

Adrian House 26/01/05

Adrian House 14/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Adrian House 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ Lead Inspector Sue Dunn Announced Inspection 1st November 2005 09:30 X10029.doc Version 1.40 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 Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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 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. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Adrian House Address 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ 0113 249 0341 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) Adrian Maguire Adrian Maguire Care Home 11 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (11) of places Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 02 June 2005 Brief Description of the Service: Adrian House is a family run home which was registered before the introduction of the Residential Care Homes Act as a care home for men with a mild learning disability. The accommodation is in two joined terrace houses with large garden in the Chapeltown area of Leeds, close to bus routes and local amenities. The home is three storeys high with bedrooms on the first and second floors and no lift. All bedrooms, which can offer single occupancy, are in excess of the minimum size requirements. None have en suite facilities. Communal areas are on the ground floor. The proprietor/manager has lived in the house with his family for many years. The adult members of the family, with the assistance of a paid care provide support. Most of the residents are over 65 and have lived like members of the proprietor’s extended family. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was announced was carried out by one inspector between 10am and 3.30pm. Some information was obtained from a questionnaire completed by the manager before the inspection and comment cards returned from a resident and other people who have contact with the home. What the service does well: What has improved since the last inspection? The admission of two new people into the home, one for respite care and the other for a longer period has increased the opportunity for social contact and interests for the other residents. Residents appeared relaxed and cheerful. There has been some redecoration and replacement of furniture since the last inspection making the communal areas of the home more ‘domestic’ in appearance. The heating was on in the bedrooms of the residents who like to spend time in their rooms. There is a positive attitude towards training and the manager feels he approaches situations in a more effective way as a result of his training. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 6 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. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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 Outcomes 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, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) 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. (YA NMS 4) 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 the following standard(s): 1,3,4,5 People are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. EVIDENCE: Standards 1,3,4,5 were inspected. The manager continues to review the Statement of Purpose to improve the quality of the document. The present document gives a good overview of the care and facilities which the home can provide. It could be improved further by the use of pictorial images and should include more specific information about the age range and category of people being cared for. The home has worked well with other professionals to obtain the information needed to assess the needs of recently referred residents. This has included Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 9 meetings, visits and consultation with the existing residents. The home offers flexibility during the admission period but will not admit anyone whose needs they feel they will not be able to meet or who they feel will not be compatible with people already living in the home. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 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 the following standard(s): 7,8,9,10,11 The home is able to meet the health and personal care needs of service users. Health care needs are identified and monitored. Staff are aware of the residents’ needs and there is good communication amongst the staff group. Residents are treated with dignity and their right to privacy and choice is respected. EVIDENCE: Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 11 The manager regularly reviews the care plan format and has produced care files which work for the home. The care plans inspected gave detailed information about individual preferences. It was clear from the records that residents are consulted about all matters which affect their lives. The home has worked well with other professionals to seek guidance on the most appropriate way to work with new residents. Where a plan of care has been developed by other professionals this should also be dated and show evidence that it has been agreed with the person concerned. The manager and staff have close day to day contact with residents and take immediate action to contact health professionals if they observe any changes in health or behaviour. A health care worker spoke highly of the skills and care which had gone into improving the quality of life for his patient. There is very little medication used in the home and staff manage medication for all the residents, at their request. The introduction of pre printed medication recording sheets from the pharmacist has reduced the time spent on this task. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 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. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 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 the following standard(s): 12,13,14,15 Residents are encouraged to be part of the decision making process and make choices about their lifestyle. They are supported to maintain contact with family and friends and visitors are welcomed at the home. A good, varied and nutritious diet taking into account individual choices is provided at the home. EVIDENCE: A visiting community nurse stated that the home has provided a place of safety and support which has helped develop social skills and interaction with others. The home encourages people to maintain contact with family/friends and has arranged for an advocate from Age Concern to make periodic visits to the home for those people without families. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 13 One resident gave the inspector a tour of the house and confirmed that in addition to watching films on TV some people play snooker and dominoes. Another person has a part time job at an urban farm. Residents assist with light domestic tasks on a voluntary basis. People have been reluctant to go on trips but the manager is hoping to plan some outings for next year and give plenty of time for residents to become accustomed to the idea. The food provided is flexible and according to the tastes of the group members. The manager tries to encourage people to try new products and monitors the diet and weight of those people who will only eat a limited range of food. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) 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 the following standard(s): 16,17,18 Residents have their views listened to, taken seriously and action is taken to resolve issues. Residents can be sure that their rights are protected and that they are safe from abuse. EVIDENCE: The manager gives people the opportunity to discuss any complaints and grumbles and will try to resolve matters satisfactorily. The way a complaint is handled and resolved is recorded in the individual files. The staff are committed to making sure residents rights are respected in the wider community and offer practical support and advice. All residents have polling rights and support was given for one person who was unable to attend jury duty. The home has a copy of the adult protection procedures. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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 live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) 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 the following standard(s): 19,20,2123,24,25,26 The home provides a safe warm environment which suits the expectations of the people who live in the home EVIDENCE: Residents can move freely around the house. Single bedrooms are available but some residents choose to continue to share rooms. The bedrooms are spacious with sufficient space for personal possessions. One contains a snooker table. The proprietors are gradually replacing furniture and residents were pleased with the new lounge chairs. Toilet and bathrooms are basic but clean. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 16 The ratio of toilets to residents is satisfactory if the ground floor toilet is taken into consideration. A seat has been placed in the bathroom for the comfort of residents and some areas had been redecorated. Any changes have to be introduced gradually as residents prefer the familiar. The staff continue to maintain a high standard of cleanliness and hygiene. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 Staffing numbers, experience and skills ensure that staff are able to respond to residents’ changing needs. Residents benefit from the knowledge and ideas staff have gained through training EVIDENCE: There have been no changes in the staffing since the last inspection. Though the staff still work closely together the manager keeps notes of any matters discussed regarding the management of the home. The staff team have had many years of practical experience working in the home and dealing with challenging behaviours. Mrs Maguire is half way through the NVQ award and there is a very positive attitude towards training. A visiting health professional said the staff are never afraid to ask for help or advice from other professionals, will listen and follow the guidance given. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 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. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 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 the following standard(s): 31,32,33,34,35,36,37,38 EVIDENCE: The manager has achieved the NVQ4 managers award, the assessors award and continues to enjoy and put into practice training related to his role. A Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 19 regular professional visitor to the home stated the manager and staff consult residents about all events which affect their lives and take their views and opinions into consideration when making decisions. The financial records were up to date and residents are helped to manage their money so that they have enough for clothing and other requirements. One person is supported by a relative. Because of the staffing arrangements staff supervision is informal and part of day to day communication. There were no concerns about Health and Safety noted during this inspection. A recent report by the fire safety officer had found everything satisfactory and the Landlord’s Gas Safety check was up to date. The manager has made arrangements for the 5 yearly electrical check to be carried out. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 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 3 2 x 3 3 4 3 5 3 6 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 x 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 4 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 4 33 4 34 3 35 3 36 3 37 3 38 3 Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 21 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 30 Regulation 18 Requirement 50 of staff must have the NVQ award Timescale for action 31/03/06 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 Refer to Standard 1 Good Practice Recommendations The Statement of Purpose should be in a format suitable for the service user group and show clearly the age range and category of people cared for by the home. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. Adrian House DS0000001407.V249125.R01.S.doc Version 5.0 Page 23 - 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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