Inspection on 02/06/05 for Adrian House

This inspection was carried out on 2nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Adrian House 15/10/09

Adrian House 09/08/07

Adrian House 19/09/06

Adrian House 01/11/05

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 LS7 4DQ Lead Inspector Sue Dunn Unannounced 2 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. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 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 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 J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/01/05 Brief Description of the Service: Adrian House was originally a board and lodging house. It was registered as a residential care home with Leeds Social Services prior to the introduction of the Residential Care Homes Act 1984 and accommodates men with a mild learning disability.The home is made up of two large terraced houses set back from the road at the end of long neatly kept gardens. It is located in the Chapeltown area of Leeds close to the city centre. A health centre, shops, café, church and mosque are within walking distance. Roundhay park and the city are a short bus ride away. The house is three stories high with bedrooms on the first and second floors and no lift access. The lounge and dining kitchen (shared by the whole family) are on the ground floor with a second, unused lounge on the first floor. There are sufficient rooms for each person to have a single bedroom if they choose to do so. The home would pose problems for anyone with mobility difficulties because of its layout. The property is owned by a private landlord and operates as a family business. The proprietor/manager has lived in the house for many years and shares the house with his family. The adult members of the family, with the assistance of a part time paid carer provide support. All the men have lived in the home for many years and are like members of an extended family. With one exception all are over 65.The home has recently started to accept people for respite care subject to a satisfactory assessment of need and compatibility with the men who already live in the house. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, carried out by one inspector was unannounced and spanned a mid day period of 3 hours. The purpose of the inspection was to ensure the home was operating and being managed in the best interests of the people living in the home and to meet the National Minimum Standards for a Care Home where the majority of people living there are Older People. There were 6 people in the home at the time of the inspection. Judgements made during the inspection were based on information from the manager/ proprietor and a social worker. The care records for the most recently admitted resident were examined and all the residents were seen and spoken with. What the service does well: What has improved since the last inspection? The landlord of the property has changed in recent months. This has eased any uncertainty for the future of the home and led to a more cooperative attitude to general maintenance and repair work on the building. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 6 The home now has one person staying for periodic respite visits and has recently admitted a new resident for what is currently a temporary stay. The proprietors are receiving more support from social workers and other health professionals. The Age Concern advocacy service has recently visited at the request of the manager to help to resolve one residents difficulties. New easy chairs and kitchen chairs have been purchased and beds are being replaced. The proprietor/manager continues to be enthusiastic about his training achievements and there is a marked improvement in the way he is developing care plans and keeping progress reports. Good progress is being made towards the NVQ award and the manager and staff feel that they are improving their care practices as a result of their learning and reading. 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 J52 S1407 Adrian House V230082 020605 stage 4.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) Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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) 3,4,5 Under difficult circumstances the home has used all available information to provide a place of safety and form an agreed plan of care with the person admitted. EVIDENCE: The homes policy states that they would not admit anyone without a good history and assessment of needs. Normally there would be a pre visit and discussion with the other residents before anyone was accepted. The circumstances of a recent referral changed before a visit could be made and led to an emergency admission for an initial two days based on a telephone conversation and a quick consultation with the residents. The home received a risk assessment from a CPN for guidance and completed a report on what they would do to meet the person’s needs. Back up support from other professionals was given. The placement has been extended and a well completed social work assessment of need received. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 9 Daily computer records show that the resident’s family members have visited the home. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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) 7,8,10, The home provides a stable environment for a group of people with undemanding expectations. Residents were all cheerful and happy with their quality of life and the care they were receiving. They have the benefit of an external advocacy service to offer independent advice if required. EVIDENCE: Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 11 Residents confirmed that their GP retired and they now have a new GP. All were very satisfied with the service and said the GP takes time to listen. Two people have seen the GP recently and been prescribed antibiotics. None of the men manages their own medication. The residents are consulted about matters affecting their lives such as having another person moving into the home. All have set routines formed over many years of living together. The proprietors support people to recognise their self worth and point out the consequences arising from certain action. Care plans and daily records are held on the computer and are backed up. The records seen showed a lot of thought and discussion had gone into providing a tailor made care plan for someone with complex needs. The social worker described the care provided as ‘excellent’ and said the work and effort put in by the home to help someone to settle was ‘unbelievable’. She stated the person had thrived under the home’s care. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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 meets the needs and expectations of the residents and allows people to follow their preferred routines. Support and advice is given in matters of relationships, personal hygiene and clothing to ensure that people maintain their dignity. EVIDENCE: Residents were in the lounge watching TV, their main occupation. They had been out earlier for their usual morning walk, which they said had to be cancelled the previous day due to bad weather. One person was in his room where he said he liked to listen to his CD’s. The proprietors update the TV and DVD player periodically and ensure that there is a regular supply of new material as watching films is the main interest of the group. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 13 The majority of people lost contact with any family many years ago but where possible the proprietors encourage links with the local community. One person confirmed he has contact with his family. The proprietors take account of each person’s likes and dislikes when preparing food and there is an overall satisfaction with the meals. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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) 18 The home takes appropriate action to ensure residents are safe and has involved an external advocate. However the home must be mindful of the need to discuss any incidents with the Adult Protection team. EVIDENCE: The manager described two incidents involving one of the service users. One involved a misunderstanding and one concerned an allegation made about the manager to a neighbour. This was refuted by another resident. An external advocate from Age Concern was involved in resolving the difficulties. The manager was advised that the residents must be informed that the CSCI and Adult protection have to be informed in such circumstances. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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) 19,20,24,25 The home provides a clean, safe home in which the men receive the support they need to follow their preferred lifestyles. EVIDENCE: The proprietors have an ongoing programme of repairs and renewals to keep the premises safe. The new landlord was said to be prepared to work cooperatively with the home. This has eased some of the financial burden faced by the proprietors. The proprietors, in consultation with the residents, have purchased some new pine kitchen chairs and wing chairs for the lounge. This has improved the ‘domestic’ appearance of the home and provided more comfortable seating for the residents. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 16 The home was clean and hygienic. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.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) 27,28,30 Staffing arrangements in the home are satisfactory for the number and needs of the residents. The staff are showing a commitment to training which updates their knowledge and skills in order to be able to work more effectively with the people who move in the home. EVIDENCE: The staff team is made up of a husband and wife team, who live with their family on the premises, and a part time care worker who fills in as required. Five of the six people living in the home have lived for many years as part of the extended family. Care levels are limited to prompting with personal care and practical support with finances and decision making. The manager has developed an enthusiasm for training, having completed the NVQ 4 Managers’ award and is working through the NVQ assessors award. He is putting what he has learnt into practice and feels he manages situations more effectively. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 18 His wife is making good progress working towards the NVQ 3 award. Both share their learning with the care worker. They are considering attendance on a course for ‘Supporting People with Learning Disabilities through Bereavement’ Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 19 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) 31,32,37,38 The home provides a service for people who have come from institutionalised backgrounds and enjoy a structured undemanding routine. The home operates in a way which suits the present group of residents. The manager is introducing changes to meet the needs of new people admitted to the home. The manager has gained knowledge from training and being able to network with other people in the care profession and feels this has improved the way he deals with situations. He must remember to consult with other professionals on matters of Health and Safety EVIDENCE: Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 20 The home is also the home of the manager and his wife and their teenage family. All but one of the residents has seen the family grow up and have been cared for as members of an extended family. The staff adopt a firm common sense approach encouraging people to make decisions but explaining the consequences. Any changes are introduced following extensive discussions, as the staff have found that any changes raise anxiety levels. The manager keeps extensive records on computer of all events which affect residents lives. His wife confirmed that she is able to access the information with ease. The manager explained that one of the main doors had to be padlocked for several nights as the new resident was using this to vacate the home in the early hours of the morning, leaving the door unlocked and everyone in the house at risk. Should any similar situation arise the manager is aware he must find an alternative means of alerting him that the front door has been opened. Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 21 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 x 3 3 4 3 5 3 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 3 x x x 3 3 x Score Standard No 7 8 9 10 11 Score 3 3 x 3 x Standard No 27 28 29 30 3 3 x 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 x 34 x 35 x 36 x 37 x 38 2 Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 22 yes 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. 2. Standard OP25 OP38 Regulation 23 23 Requirement THE PROGRAMME TO FIT RADIATOR GUARDS MUST BE COMPLETED External doors doors must allow freedom to exit at all times Timescale for action By 31st March 2006 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 OP18 Good Practice Recommendations The manager should always notify the CSCI and adult protection if any allegations are made Adrian House J52 S1407 Adrian House V230082 020605 stage 4.doc Version 1.30 Page 23 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 J52 S1407 Adrian House V230082 020605 stage 4.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. 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!