Inspection on 22/11/06 for Alderwood LLA Limited (Irchester)

This inspection was carried out on 22nd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Alderwood LLA Limited (Irchester) 22/12/05

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 Alderwood LLA Limited (Irchester) 170 Station Road Irchester Northamptonshire NN29 7EW Lead Inspector Irene Miller Unannounced Inspection 22nd November 2006 14:30 Alderwood LLA Limited (Irchester) DS0000065111.V318564.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 Alderwood LLA Limited (Irchester) DS0000065111.V318564.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. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alderwood LLA Limited (Irchester) Address 170 Station Road Irchester Northamptonshire NN29 7EW 01604 811838 01604 811878 alderwoodlla@aol.com 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) Alderwood LLA Limited Mr Harold Martin Kelvin Noel Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age range of service users admitted to this home shall be between 18 and 35 years The number of service users must not exceed five in number The home may only admit residents who fall within the Autism spectrum 22nd December 2005 Date of last inspection Brief Description of the Service: The home is located on the edge of the village of Irchester, Northamptonshire, with good access to local bus services and major road networks. The home is a large five bedroom detached property with ample parking space to the front and a large well-established garden to the rear. There are five good-sized individual bedrooms complete with ensuite facilities and an additional shower room. A double garage to the front of the property provides an office and educational/activity resources. Weekly fees range from £3,889 to £5,673 dependent upon the individual level of support required. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for adults aged 18-65 years. Prior to the inspection taking place the Commission for Social Care Inspection sent out to the home a pre-inspection questionnaire and comment cards for completion by service users, visitors/relatives and health and social care professionals who have contact with the home. Some service users and visitors feedback cards were returned back to the Commission for Social Care Inspection prior to the inspection taking place and gave an indication of the general satisfaction of the service provided for people living at the home and for those who are involved with the health and social care needs. The pre inspection questionnaire provided information on the administration and management systems within the home. The primary method of inspection used was ‘case tracking’ that involved viewing the service users care plans (a care plan sets out how the home aims to meet the personal, healthcare, social and spiritual needs of the service user), and tracking the care that they receive through discussion with residents, staff and observation of care practices. Policies, procedures and records in relation to staffing, complaints, medication, general maintenance and upkeep of the home were viewed. Discussion took place with staff, and management and general observations of care practices were made. The inspector spent two and a half hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history, the last two inspection reports and information from the pre inspection data collection systems. The inspection took place over a period of approximately four and a half hours. What the service does well: Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 6 The management style was open and supportive and this was reflected in the comments received from staff and observation of staff and service user interaction. The home specialises in meeting the needs of the Autistic service users, there was excellent systems in place to demonstrate that the home was run with the best interests of the service users in mind, the care plans and risk assessments were very individualised and person centred. Educational, social and therapeutic activities were promoted to enable service users to live as independent a lifestyle as possible. There was a high staff to service user ration in operation and the staff were observed to be very skilled in responding to non verbal communication and in recognising the emotional needs of the service users. There were effective strategies in place for staff to identify and respond appropriately to anti social behaviour. There was a commitment to ongoing staff training and development, and robust recruitment and selection procedures were followed. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 8 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 Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is excellent. Prospective service users, and their representatives, can be assured that the homes admission processes will enable them to make a decision as to whether the home could meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The admission process involved service users going through a carefully planned transition programme, which was individually tailored to each service user. There were records of pre admission assessments of needs having taken place and ongoing assessments of service users needs following admission into the home; there was evidence of involvement and support from the multi disciplinary team such as health, social and educational professionals. The placement plans had been signed by the service users or their representatives, and placing social worker. Through discussion with the homes service manager, care staff and documentation viewed it was established that the home works in full accordance to its Statement of Purpose. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 10 Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7& 9 Quality in this outcome area is good. Service Users are provided with opportunities to make everyday choices and are supported in living as independent a lifestyle as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans were individualised and contained detailed information for staff to follow, to support service users in meeting their personal aims and objectives. Through discussion with the service manager, staff and observation of practice, it was demonstrated that meaningful activities were encouraged. In all areas within the house there were cue cards in written and pictorial formats to remind and reinforce the service users of their individual personal goals, and the sequence on how to achieve them, following the TEACH Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 12 approach (Treatment and Education of Autistic and related Communication Handicapped Children) There were comprehensive risk assessments in place that demonstrated that identifiable risks surrounding the safety of individual service users, staff and visitors, had been addressed and how the risks were to be managed. In addition there was staff signatory sheets to indicate that staff had read and understood how the service users care was to be delivered, and had been made aware of the individual risks for service users, and the risk management plans. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 & 17 Quality in this outcome area is excellent. There are opportunities for service users to lead fulfilling lifestyles both in and outside of the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the service users had access to a wide range of community resources were they could take part in peer and cultural activities, such as local Country Parks, library, cafes, shops, leisure centre, pubs and cinema. The philosophy and culture within the home was of supporting lifelong learning and developing individual coping skills, for example shopping, laundry food preparation and self care activities. The parent company also operates two children’s homes and is registered as a school. Service users continue to benefit from the organisation of a school environment and the specific input of teachers from the school when developing individual schedules. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 14 The manager and staff continually provide support, advice, understanding and tolerance of service users unique lifestyles. There was records available of weekly contact with parents and relatives and service users, had opportunities for private time as appropriate to their individual needs. Each service user had an individual activity plan, that included a range of pursuits specific to their individual abilities and tolerances, such as walks around country parks, visits to the library, local shop, educational and leisure outings Service users were observed carrying out their chosen activities interests such as listening to music and cookery, on the evening of the inspection one service users was supported by staff in making a Lemon Meringue Pie, other service users were observed during the inspection undertaking educational activities. The company has three static caravans one caravan is based on a site at a local leisure attraction and this provides the opportunity for service users to enjoy weekend breaks and meet with relatives away from the home. To enable service users who would not be able to tolerate public swimming sessions the home had made arrangements with a local leisure centre, where the swimming pool was hired for the sole use of the service users. The service users right to experience appropriate, personal relationships is recognised and treated with sensitivity and respect. Records were available of service users food likes and dislikes, nutritional needs, and the staff support required at meal times, the service users weights were monitored and action taken should there be a significant weight gain or loss. Staff were observed providing support to service users, in a respectful manner that recognised their individual skills to be as independent as possible. There was a homely atmosphere within the home; the service users were relaxed and friendly with each other and the staff. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 & 20 Quality in this outcome area is excellent. The home encourages and supports service users to lead a healthy lifestyle. This judgement has been made using available evidence including a visit to this service. The service users care plans were very individualised, identifying what health and personal care support service users required. Within the service users personal bedrooms and within bathrooms there were cue cards to facilitate service users in following the sequence of their individual personal care routines, enabling some independence to be achieved. The staff were very skilled in responding appropriately to non-verbal communication and recognising the physical and emotional needs of the service users. There was effective monitoring systems in place and staff said that analysing behavioural events to promote well being of he is able The manager as a trainer is able to impart skills and knowledge to new staff and encourage them to develop their own critical analysis skills when working with and responding to service users and other staff. There was information available within the care plans on the input from other healthcare professionals such as a neuropsychiatrist, psychologist, general practitioners, optical, dental and chiropody services. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 16 The current service users were unable to retain or administer their own medication, the medication storage and administration records viewed demonstrated that medication was managed in line with the homes policies and procedures and only carried out by staff who have been trained to do so. EVIDENCE: Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 Quality in this outcome area is good. Service users and their representatives can be assured that any concerns or complaints they may have will be listened to and acted upon and that service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were effective systems in place to communicate with the service users families such as weekly telephone calls with parents, and regular care reviews taking place involving service users where possible and their families. The management and staff act as advocates for the service users and when speaking with staff they were fully aware of how to raising any concerns they may have in relation to the care and welfare of the service users. On viewing the homes policies and procedures, there were procedures in place to respond to concerns/complaints and protection of vulnerable adults issues, no complaints or protection issues had been raised with the Commission for Social Care Inspection during the period from the last inspection visit taking place and this inspection visit. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 & 30 Quality in this outcome area is good. Service users live in a home that is homely and adapted to meet their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The layout of the home was spacious and had been adapted to meet the needs of people living with Autism, there were educational and recreational facilities available for service users to access and space for privacy. The bedrooms viewed were clean and tidy and had been decorated to meet the needs of the individual service users levels of tolerance to objects and colour schemes. The home was well maintained both internally and externally and the furnishings were of a good standard. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 & 35 Quality in this outcome area is excellent .The service users are protected and supported by a staff team that are appropriately trained, competent and qualified to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was high staffing ratios and good staff support systems in place, with formal 1-1 staff supervision records available, staff said that informal supervision and debriefing sessions also took place. There was a supportive culture within the home, based upon valuing the individuality and uniqueness of service users and staff. Through discussion with staff and observation of the care practice it was demonstrated that the staff had a sound understanding of the needs of people living with Autism, and could transfer them to the individual needs of the service users living at the home. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 20 All staff that work at the home undergo a full induction-training programme that includes three days classroom instruction to equip the staff with the knowledge and skills required to support people living with Autism, following the induction training the new member of staffs care practice is monitored by the manager, senior staff and colleagues. There were records available of all training that had taken place, within the staff files and there was an annual training planned. Training was extended to include agency staff working at the home to ensure that they had the knowledge and skills to care for the service users living at the home. Staff said that all agency staff were made fully aware of the complex individual needs of the service users prior to any face to face contact with the service users. Staff files viewed contained all of the necessary documentation to evidence that the home operates a robust staff recruitment and selection process. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 & 42 Quality in this outcome area is excellent. The service users live in a home that is well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The management style was open and supportive this was reflected in the feedback received from the service user and visitors questionnaires and from observations made during the inspection visit of staff and service user involvement. The service users were observed to interact well with staff the staff expressed their satisfaction with working at the home and the level of support available from the management and peers. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 22 The service users care plans were individual to each service users and contained the relevant information for staff to follow to ensure that their needs could continue to be met. Risk assessments were in place for general home safety and individual risk assessments specific to service users and staff. The management recording systems provided a clear audit trail in line with the policies and procedures in place. All care records were kept secure and confidential records were stored in a locked file. Staff meetings take place regularly and the service users care and support needs were regularly reviewed. Service users finances were handled appropriately, and money held on behalf of the service users was stored securely. There was an effective quality assurance system in place, and the input from the parents, placement officers and other professionals that visit the home provides opportunities for external scrutiny of care practice. Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 23 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 4 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 4 X Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 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 © 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 Alderwood LLA Limited (Irchester) DS0000065111.V318564.R01.S.doc Version 5.2 Page 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. 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