Inspection on 02/12/08 for Albany House

This inspection was carried out on 2nd December 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Albany House 30/11/06

Similar services:

Credence House

Radfords

Trevaylor Manor

Honeybourne House

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Albany House 129 Albany Road Redruth Cornwall TR15 2JB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Pitts     Date: 0 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Albany House 129 Albany Road Redruth Cornwall TR15 2JB 01209210526 Telephone number: Fax number: Email address: Provider web address: kpeter@supernet.com Name of registered provider(s): Type of registration: Number of places registered: Mr Michael Peter Kennaugh,Susan Patricia Kennaugh care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Albany House is a small registered home providing accommodation and personal care for up to three adults. Three may have a learning disability and one may have mental illness excluding a learning disability or dementia. The registered providers live on site and provide all the care and support necessary to the service users who live there. No staff are employed. The home is located in the town of Redruth and is conveniently situated for all the amenities of a small town, including shops and public transport. The home is a domestic-style building, with service users? accommodation on the ground and first floor. On the ground floor service users are able to make use of a large, modern kitchen with separate utility room, a comfortable shared lounge with satellite TV and DVD player, a dining room and shared bathroom with shower. Outside there is a large, paved garden. All of the service users have their own bedrooms. One is located on the ground floor and the other three are upstairs. There is an additional shared bathroom on the first floor. None of the bedrooms have en suite facilities. The Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 0 3 1 Brief description of the care home home is not specifically designed for people with physical or sensory disabilities but adaptations could be made if necessary to facilitate access. Fees are set at 350 pounds per week, per service user, which are all inclusive. The registered provider submitted this information at this inspection. The home has a statement of purpose, which was submitted as part of the home?s application for registration. In addition service users each have a service users? guide, which sets out the services and facilities that the home provides. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 2nd December 2008, over a period of approximately 4 hours. The inspection included: discussion with staff, a tour of the premises, examination of relevant documentation, and the inspector met with the people that live there. The registered provider was present throughout the inspection and showed a good understanding of the care needs of the people that live at Albany House. Overall, the service provides an intimate, safe, and comfortable home that the people that live there have confidence in. Care Homes for Adults (18-65 years) Page 6 of 26 Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 8 of 26 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does have a current statement of purpose and service users guide that provides information about the home in an appropriate format. There have been no new admissions since the last inspection. Evidence: The Statement of Purpose is given to all new admissions and is regularly reviewed. Residents are provided with information packs that clearly set out their rights and responsibilities. They are also given information on how to access local advocacy services and a variety of local community groups and organisations that they can go to for assistance if they wish. The registered providers assist the people that live at Albany House to maintain good links with families and people important to them. There have been no new admissions since the last inspection. The home currently provides care and accommodation for 4 people. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of residents, who are involved to the best of their capabilities in decision-making and self-determination. Evidence: The registered provider demonstrated a detailed understanding of the complex range of needs that are presented by residents and the records inspected detailed how the relevant support is provided. They each have an individual care plan, which sets out the goals of their placements in the home so that they maintain and develop their independence and are able to enjoy a good quality of life in a homely, community setting. They are encouraged to make decisions for themselves about things that are important to them, such as how to spend their money and what to wear. They all have keys and can come and go from the home freely, whenever they wish and two of them were observed doing this at the time of the inspection. They are supported to take managed risks so that they develop their confidence and skills. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: The plans of care involved health care issues, and residents aims and aspirations in educational or social interactions. The plans of care are developed with input from other agencies, such health or the Department for Adult Social Care (DASC). The care plans were seen to be informative and provided direction to staff how to meet the care needs of the resident. The home does liaise with other professionals to ensure the rights of the residents are safeguarded, and their right to self-determination is not compromised. Residents were seen to be assisted discreetly and sensitively. Risk assessments are completed for various aspects of residents needs, capabilities, and activities, and include instruction how the identified risk is to be managed. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of social and recreational opportunity is available in keeping with known preferences and capabilities. Residents engage with the local community, and all have appropriate contact with people important to them. Residents rights and capacity as adults is recognised. A balanced diet is provided. Evidence: The residents, the registered provider, and care records confirm that residents are involved in a range of appropriate leisure/work activities and maintain contact with people important to them. All of the residents are able to access the local community independently and this was observed during the inspection. The home is conveniently located and people are able to make use of public transport on their own. The registered provider said that residents go to local social clubs and visit pubs and local shops. Residents are able to choose when to be alone or in company, and when not to Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: join an activity. Residents are provided with information packs, which contains a copy of the Service User Guide that set out their rights and responsibilities as residents of the care home. These also contain information on access to independent advocacy and a variety of local community groups and organisations that they can turn to for support, if necessary. The registered provider does hold small amounts of money for some residents, but this is at their request and people can have access to their own money at any time. This was observed at the time of the inspection. Residents were observed accessing the kitchen independently to prepare breakfasts. Menu plans and the record of food provided indicate that they are provided with healthy, home cooked meals every day and the residents and the registered provider confirmed that they are able to choose alternatives if they wish. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of residents are met with evidence of promoting privacy, dignity and good multi-disciplinary working taking place. Evidence: The care records, observation, and discussion with the registered provider and residents show that the residents waking day is flexible. The residents confirmed that they are free to determine their own lifestyle. The registered providers ensure that the residents receive health care services as required, and in accordance with the residents known preferences. All residents are registered with local GPs. Daily records and correspondence document the monitoring and addressing of residents healthcare needs and referral to appropriate healthcare professionals and specialist workers. Some of the residents manage part of their medication for themselves and there are written policies to support this. Both the registered providers have undertaken training in the safe handling of medicines and there are satisfactory facilities for the safe Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: storage of medicines. Medicine Administration Records (MAR) are provided by the supplying pharmacy and were seen to be in order. The MAR also include a photo and important contact details and other information. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents were seen to interact with staff in a relaxed manner. The registered provider has a clear understanding of Adult Protection issues and procedures that will protect residents from abuse. Evidence: The people that live at Albany House are enabled to maintain contact with relatives and friends, and external agencies through visits and telephone calls. The homes complaints procedure is available to residents and is also displayed. The home has an appropriate policy and procedure regarding complaints and concerns. Neither the home nor Commission for Social Care Inspection have received any complaints since the last inspection. The registered provider and residents confirmed that they feel safe in the home and because they regularly access a wide range of facilities outside of the home they are not isolated there and would be able to talk to someone else if they wanted to. The registered providers have attended multi-agency training on protecting vulnerable adults from abuse. The home has copies of the local authority procedures for safeguarding vulnerable adults in addition to its own internal procedures and service users have been given easy read versions of the local authority procedures. Service users who were interviewed and their representatives said that they are well protected from abuse in the home. All of them have good access to a variety of local resources Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: outside of the home so they are not isolated there. Care Homes for Adults (18-65 years) Page 19 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality of furnishings and fittings is good and residents live in a safe, clean, and homely environment. Evidence: The people that live at Albany House said that they are satisfied with the accommodation provided to them. The home is a domestic-style building, conveniently located to access local community facilities. It appeared well decorated and tastefully furnished throughout at the time of the unannounced inspection. Everywhere was tidy, pleasantly decorated and furnished in a homely way. The bedrooms seen were personalised, reflecting individuals interests and preferences. Rooms are well furnished and comfortable and have been personalised by the occupants. There are two lockable communal bathrooms. The home looked well maintained, and there was documentary evidence of maintenance and safety checks. The home was clean throughout. The registered provider is trained in basic food hygiene and is aware of the risks of cross-infection. Care Homes for Adults (18-65 years) Page 20 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does not employ staff, as the registered providers are able to run the home themselves. Evidence: The registered providers live on the premises, and the home operates as a family home. There are no staff employed. The care needs of the residents are met by the care and support provided by the registered providers. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run for the benefit of the residents so that they can enjoy safe and fulfilling lives in a local community setting. There are formal and informal systems in place so that residents can influence the day-to-day running, planning and development of the home. There are satisfactory systems to maintain health and safety in the home so that residents can feel safe there. Evidence: The Commission has registered both the providers as fit and competent to run a care home. The registered provider described training they have undertaken or are booked to undertake so that they keep their knowledge and skills up-to-date. As discussed, the registered providers should review the training that may be of use to them and the home and that reflects the care needs of residents or the roles they carry out (e.g. 1st Aid, Mental Capacity Act). The registered provider said that she regularly talks to residents about their needs, views and wishes. Residents confirmed this and it was observed throughout the Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: inspection. There are copies of questionnaires on sent out annually to residents and their relatives. This is a formal consultation exercise during which people are asked about the quality of the services the home provides to them. The home operates under appropriate policies and procedures, which are regularly reviewed. The registered providers have undertaken training to ensure they are able to maintain a safe home for the residents and copies of their certificates are available as evidence of this, as are copies of annual safety checks (e.g. gas safety certificate). There are copies of written risk assessments in respect of the homes general environment and fire safety and records of fire safety equipment checks and alarm tests were up-todate. The home has appropriate and sufficient insurance cover. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!