Inspection on 14/07/05 for Alfrace

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Alfrace 03/07/07

Alfrace 26/04/06

Alfrace 19/12/05

Alfrace 09/02/05

Alfrace 29/07/04

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Hillside

Applegarth

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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 Alfrace Newton Lane Wigston Leicester LE18 3SH Lead Inspector Jo Vyas Unannounced 14 July 2005 at 3:15pm th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alfrace Address Newton Lane Wigston Leicester LE18 3SH 0116 2883352 none none Mr Richard Morgan 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) Mrs Rita Morgan Care Home 6 Category(ies) of LD - Learning disability (6) registration, with number of places Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 9th February 2005 Brief Description of the Service: Alfrace, is a home registered to provide care for six adults who have a learning disability. Alfrace is a small family run home situated on the outskirts of Wigston. It is staffed by the couple who own the home and their daughter. The couple who are the Registered Person and Manager, also live in the home. Accommodation consisting of individual bedrooms, five on the ground floor, large open plan kitchen and dining area, with a lounge attached, where an open fire burns. There is also a separate sitting room, for the benefit of service users, with a television and comfortable seating provided, all of which is provided on the ground floor of the property. The home is pleasantly furnished and decorated, to a high standard. It is located within spacious gardens, where fruit and vegetables are grown, which are then consumed on the premises. Service users support the Registered Manager, in maintaining the garden, gaining much enjoyment from this. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 3:15pm and 5:15pm and was carried out as part of the annual plan of inspection. Planning for this inspection included reviewing the previous inspection report, the pre-inspection questionnaire and the comment cards from residents and relatives. During the inspection, residents showed the inspector their bedrooms and care records were inspected. Four care files were viewed. The inspector spoke to and observed the practice of staff and spoke to most of the residents living in the home. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations have been made at this inspection. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 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. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 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 standard(s) none The home has a stable group of residents who have lived at Alfrace for many years. The home does have two vacancies as a result of expansion. EVIDENCE: Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 Good systems are in place to ensure residents are consulted in all aspects of their lives in order for them to achieve independent lifestyles. EVIDENCE: • • • • • The inspector spoke to the Registered Person/Manager who was knowledgeable about the care and support each resident required. Care plans were comprehensive using the Person Centred Planning approach. The Registered Person/Manager was observed offering choices to residents, discussing events of the day and planning activities. Residents had comprehensive risk assessments. The Registered Person/Manager is contacting an advocacy service to ensure a resident has a fair deal in their work place. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: • • • • • • • Residents attend day services and work placements. Residents attend various clubs and community facilities such as the library. The Registered Person/Manager was observed interacting with residents positively, with respect and upholding their dignity. A mealtime was observed. Residents were offered a wholesome meal using home grown vegetables. The mealtime was relaxed and informal. A resident told the inspector about the holidays they take part in. The Registered Person/Manager encourages and facilitates family/friends contact. Residents help grow the vegetables in the garden and with household tasks. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 18, 19, 20 There are good levels of personal and healthcare support to residents. EVIDENCE: • • All residents are registered with a GP and have access to the appropriate healthcare professionals as required. Currently, only one resident takes medication for which they are selfmedicating. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 22, 23 The inspector was satisfied that the home responds to complaints and concerns effectively and that residents are safe from abuse or neglect. EVIDENCE: • • The residents living at Alfrace are supported to make their views known and to raise issues as and when they happen. This was evident from discussions with residents. The Registered Person/Manager discussed how she ensures residents are protected. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 25, 26, 27, 28, 30 Alfrace is homely, clean, safe and comfortable. EVIDENCE: • • • • The home was clean and hygienic on the day of this unannounced inspection. Three residents showed the inspector their bedrooms, which were highly personalised. All rooms are single and two rooms have full en-suite facilities. There is a good patio area around the back of the house and a well maintained garden with a large lawned area overlooking fields. Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 The number and deployment of staff is sufficient to meet the needs of the residents. EVIDENCE: • Due to the size and the nature of the home, staffing consists only in the form of the Registered Proprietors/Managers. (A total of 3 people – two of which live at Alfrace). The home is staffed sufficiently when residents are at home. The member of staff plans to start the National Vocational Qualification level 4 in September this year. • Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 The Registered Person/Manager ensures residents receive consistent, quality care. Service users are protected by good health and safety procedures. EVIDENCE: • Alfrace having four service users and being supported by the Registered Person and Registered Person/Manager has day-to-day contact with residents, supporting them in all aspects of daily living, have the opportunity to gain their views and discuss any areas of concern. In addition to this, the Registered Person and Registered Person/Manager have contact with relatives, which provide them with an opportunity to discuss any aspect of their relatives care. Health and safety checks including fire are carried out appropriately. • Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Alfrace Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 17 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. 1. Standard Regulation none 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. Refer to Standard none Good Practice Recommendations Alfrace C51 C01 S1669 Alfrace V235263 140705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leicester, LE19 1SX 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. 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