Inspection on 22/06/06 for Albert Promenade Care Home

This inspection was carried out on 22nd June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Albert Promenade Care Home 19/07/07

Albert Promenade Care Home 22/11/05

Albert Promenade Care Home 17/08/05

Albert Promenade Care Home 07/03/05

Albert Promenade Care Home 23/11/04

Albert Promenade Care Home 30/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Albert Promenade Care Home 97 Albert Promenade Loughborough Leicestershire LE11 1RD Lead Inspector Ruth Wood Unannounced Inspection 22nd June 2006 01:00 Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 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 Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albert Promenade Care Home Address 97 Albert Promenade Loughborough Leicestershire LE11 1RD 01509 235426 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) Mr Anthony Cliffe Mrs Hilary Cliffe Mr Anthony Cliffe Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 22nd November 2005 Brief Description of the Service: 97 Albert Promenade, (also called Cliffe House) is in Loughborough. Three people who have learning disabilities live at Cliffe House as do the owners, Mr and Mrs Cliffe. . It is close to local shops, pubs and bus stops. There are three bedrooms, but two residents choose to share a bedroom. The third bedroom is used as a lounge and there are two other lounges and a dining room for residents. There is a patio garden behind the house. People who live at the home currently pay between £1328 and £4173.36 per month. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday morning between 9:30am and 1pm. The Inspector talked to Mr and Mrs Cliffe (the people who own and manage the home) examined care plans, medication records and other documents and looked around the house and garden. Between 1:30pm and 2:10pm on the same day, the Inspector spoke with two of the people who live in the home (individually and in private) at the day centre they attend. Before the inspection visit the Inspector had spoken with two social workers and looked at three questionnaires returned by GPs, which were sent out by CSCI and asked for comments on the home. What the service does well: What has improved since the last inspection? What they could do better: The way information about service users’ money and their care needs is written down and organised could be improved so that it was easier and quicker for people to find the information they needed. Tablets must always be kept in the box they came in so that everyone knows who they are for and how much they should take and when. It may also be a good idea to highlight on the medication record those tablets not taken regularly but taken ‘as required’ so that carers do not sign the wrong box on the record by mistake. Mr and Mrs Cliffe also need to look at ways of making sure that the care and support that people receive remains at a good level by asking service users, people who visit the home (such as nurses and social workers) and staff what they think about the home and if they think things could be improved. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 6 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. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. Service users’ needs are competently assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three service users have lived at the home for over 10 years. Their care files contain assessments of their physical, social and emotional needs and there is evidence that these have been periodically updated. Discussion with Mr and Mrs Cliffe and two of the service users indicated that what is recorded is an accurate assessment. An assessment pro-forma is in place, should any new service users come to live at the home. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. Service users’ needs are accurately reflected in their plans and they are given opportunities to make choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a care plan and these are currently being updated to become person centred plans. A great deal of detailed written information is available for all three service users covering all aspects of care including individuals’ likes and dislikes and risk assessments dealing with visits to other carers and social events. It is strongly recommended that this information be organised to ensure that the most recent documentation is clearly distinguishable from previous care plans. Discussion with Mr and Mrs Cliffe, two of the service users and (prior to the site visit) with placing social workers indicated that what is written is generally an accurate reflection of the service users’ care. Mr and Mrs Cliffe said they had tried to access independent advocates for the service users but had been unable to do so. Service users can make choices about the kind of clothes they wear and about what food they eat. One service user is currently being supported to limit their smoking with the support of a Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 10 special programme designed by their community nurse; this is supported by Mr and Mrs Cliffe. Signed documentation is in place indicating that the service user has agreed to certain restrictions. Mr Cliffe said that he is the appointee for all three service users. One service user has their own bank account but monies for the other two service users are held in a joint account in the name of Mr and Mrs Cliffe. Detailed records are kept of transactions relating to the accounts together with receipts relating to service users’ expenditure. Although the documentation was in place it is difficult to understand and it is therefore recommended that transactions be recorded in a dedicated cashbook and receipts numbered to ensure clarity. Balances of monies held were checked with recorded amounts and were accurate for all three service users. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. Service users have access to a range of social and educational opportunities and good food is served in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three service users attend a local day centre as well as a local college of further education. The Inspector talked to two of the service users at the day centre about some of the things they do such as computer and cookery courses and going out for trips. One service user said that when they were at home they enjoyed taking the dog for a walk, going out for meals and going shopping. Service users’ care plans clearly identify their likes and dislikes in this area including what they like to eat and in some cases their favourite restaurants. Service users regularly visit members of the Mr and Mrs Cliffe’s family and they are included in all family visits and activities. All three service users regularly attend meetings at the Kingdom Hall but Mrs. Cliffe said that if someone didn’t want to go then alternative provision is made. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 12 Mr Cliffe is a trained chef and cooks all meals; one service user said that the food is very nice and that Mr Cliffe is a good cook. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. Service users receive appropriate support with personal and health care. Some improvement is needed in aspects of medication administration and management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr and Mrs Cliffe have recently attended training on implementing Health Action Plans and this process is now in place for all three service users. Three comment cards were received from service users’ general practitioners and these indicated that service users receive support when visiting the doctor and doctors feel that staff display a good understanding of service users’ needs. Some concern was expressed by one placing social worker about access to chiropody for one service user but this has now been addressed. There is documentary evidence that all service users have access to an optician and dentist. Medication is stored appropriately and Mr and Mrs Cliffe and another member of staff administer this and have undertaken appropriate training. Signatures had been entered in some areas of the Medication Record by mistake (for example when as required medication had not been given) these had subsequently been crossed out. Mr Cliffe was reminded of the importance of accuracy in documentation and it was suggested that the area of the record detailing ‘as required’ medication be highlighted so that it was clearly distinguishable from other medication. If a service user is given this kind of Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 14 medication it is clearly recorded in their daily notes (in addition to the medication record) together with the reasons why it was given. A packet of one service user’s medication was loose in the medication cabinet. Mr Cliffe was reminded of the importance of keeping medication in the original packaging, which states the name of the service user and the amount to be given. Discussion with two of the service users indicated that they received help with personal care such as hair washing and this information is recorded in care plans. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. Service users are able to complain if they want to and they are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff recruitment includes obtaining criminal records bureau checks prior to staff being employed; volunteers are also checked. To fully clarify their responsibilities in this area it is recommended that Mr and Mrs Cliffe read the relevant Department of Health Guidance. Mr and Mrs Cliffe are aware of the No Secrets guidance and have covered areas of adult protection during National Vocational Qualifications training. One service user said that they would tell the owners if they were unhappy about anything and that they would “sort it out”. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome group is good. Service users live in a clean, comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is plenty of communal space and the home is well decorated and comfortably furnished. New fire doors have recently been fitted to the dining room and kitchen and the rear garden has been landscaped to include patio areas and is fully accessible to all service users. During the inspection one of the staff members was engaged in a ‘big clean’ and the home was clean and tidy throughout. Two of the service users choose to share a room but could have separate bedrooms if they wished. One service user when talking to the Inspector was clearly very proud of their room and said that they liked the colour of the walls. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. Good training and recruitment practices are in place. This judgement has been made using available evidence including a visit to this service EVIDENCE: Mr and Mrs Cliffe are the key carers in the home supported by three other staff members some of who work with the service users when they visit members of the Cliffe’s wider family. Staff have good access to training and certificates of successfully completed courses are displayed in the hallway. These include person centred planning, medication administration and effective communication with people with learning disabilities. Mrs Cliffe is undertaking an NVQ course at level 4 and another staff member would like to undertake NVQ training but is unable to do so at present due to a lack of assessors. Recruitment records were examined; Criminal records bureau checks, evidence of identity, application forms and two written records are in place for all staff members. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. The health and safety of residents is promoted but a systematic quality monitoring system should be developed to ensure standards in all areas are continually monitored and improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Cliffe is currently undertaking a National Vocational Qualification in management at level 4 and has obtained level 2 in care. Both she and Mr Cliffe (the Registered Manager) regularly attend training in all aspects of care the most recent being a course on implementing health action plans. Service users’ care plans are currently being updated in line with personcentred planning and improvements have been made to the physical environment of the home. A systematic way of monitoring the quality of the service provided still needs to be developed to ensure that standards are maintained or improved. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 19 Documentary evidence is available to show that fire alarms have been serviced and that regular tests of the system are held. Records relating to the Control of Substances Hazardous to Health are in place and three people including Mr and Mrs Cliffe have received training in food hygiene. Mr Cliffe’s first aid certificate has recently expired and he is making arrangements to renew his training in this area. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard YA6 YA7 YA20 YA20 YA39 Good Practice Recommendations Information about service users should be consolidated to ensure that the most recent documentation is clearly distinguishable from previous care plans. Transactions relating to service users’ monies may be better recorded in a dedicated cashbook and receipts numbered to ensure clarity. The area of the medication record detailing ‘as required’ medication should be highlighted so that it is clearly distinguishable from other medication. Medication should always be kept in the container which contains the prescribing information as to who it is for, how much should be taken and when. The Providers should examine ways of making sure that the care and support that people receive remains at a good level by asking service users, people who visit the home (such as nurses and social workers) and staff what they think about the home and if things could be improved. This should be part of a formal quality DS0000001664.V300602.R01.S.doc Version 5.2 Page 22 Albert Promenade Care Home assurance system. Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Albert Promenade Care Home DS0000001664.V300602.R01.S.doc Version 5.2 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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