Inspection on 13/06/05 for Allan House

This inspection was carried out on 13th June 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

Allan House 09/11/09

Allan House 21/07/09

Allan House 13/06/08

Allan House 02/10/06

Allan House 12/11/05

Allan House 01/11/04

Allan House 18/05/04

Allan House 29/07/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Allan House 53 Uttoxeter Blythe Bridge Stoke on Trent Staffordshire ST12 9JG Lead Inspector Jane Capron Announced 13 June 2005 09:30 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. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Allan House Address 53 Uttoxeter Road Blythe Bridge Stoke on Trent Staffordshire ST11 9JG 01782 397018 01782 399244 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 Grace Jeffries Care Home 8 8 Category(ies) of LD registration, with number of places Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1 November 2004 Brief Description of the Service: Allan House is an eight-bedded care home for service users that have a learning disability. The home is one of two homes owned by Mrs Jeffries and her son. The home is located on the main road in Blythe Bridge and blends in with the surrounding properties. The home is a two-storey large family type house although all bedroms and lounges are on the ground floor. The home provides six single bedrooms and one double bedroom. The environment internally is of a high standard and outside at the front is a car park and at the rear a large garden. The service users access local health resources and seven of the service users attend college, day centres or day services. The service users generally have low needs although the home is able to respond to some challenging behaviour. Service users assist around the home. Service users take care of their own personal care needs with the support of staff. Staff support service users to undertake food and clothes shopping. The aim of the home is to promote and develop the independence skills of the service users and if appropriate to move them to a more independent living environment. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a three-hour period. A pre inspection survey was undertaken that provided four responses from residents and four from relatives and visitors. Relatives and visitors felt welcomed at the home and were satisfied with the care provided. Additional comments were sought from the college who felt that the home supported the residents to take part in educational activities and worked closely with the college. During the inspection discussions took place with the Care Manager and deputy as well as the two staff members on duty. Both residents that were present were seen and a discussion was held with one resident. The communal rooms were seen as well as the bedroom of one resident. A sample of resident documentation was examined including records of those residents’ finances. What the service does well: The home provides the residents with a good service and meets nearly all of standards that were inspected. The following are things that the home does well. The home is homely. It is well decorated and has a high standard of furniture and fittings. The home has two well-furnished lounges where residents can spend their time. It has a large garden and a good-sized patio. The home develops care plans that show what support residents need. Staff are well trained and all except the new staff have formal qualifications. The home ensures that staff provide two references and have a satisfactory police check. The managers support staff and there are individual supervision sessions and staff meetings. Staff know the residents well and support them to meet their needs. Staff support residents to make choices about their lives. The staff support residents to make sure they receive the health care treatment they need. Staff like their jobs and get on well with the residents. Residents like the staff and feel they are well cared for. Residents have full lives. They attend a range of educational, occupational and leisure activities and go out most days. Residents are offered a holiday. The residents take part in tasks such as making their bed, cleaning, shopping and Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 6 helping to prepare meals. They are encouraged to choose the social activities they want to do. What has improved since the last inspection? What they could do better: This was a positive inspection however the home needs to do the following things. The home needs to always provide appropriate soap and towels in all bathrooms, which will help to reduce the possibility of infection. There was scope for the home to develop the system to monitor and review the standard of the service and to look for areas where the service to the residents could be developed. In addition the service would be further improved if the following recommendations were undertaken. The complaints procedure whilst satisfactory would be easier for some residents to understand if it was written in a simpler manner or in picture form. Whilst staff know about adult protection issues, it would be of benefit if the home was sure that they knew what actions they were expected to take if they had concerns. The staff received fire training but it would be better if one of the training sessions was done by someone that had specialist training. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 7 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. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 Residents were only admitted after a full assessment ensuring that the home was as far as possible aware of residents needs and the home therefore only admitted people whose needs they could meet. Staff’s training and knowledge, and the homes’ links with external agencies ensured that the residents’ holistic needs could be met. EVIDENCE: Files and discussions showed that assessments were undertaken prior to a decision being made over admission. This was completed both by the local authority and by the home itself. Assessments covered the areas of health and personal care, social and educational issues, family involvement and occupational needs. Copies of risk assessments were on file. Care plans had been developed from the assessment. Staff confirmed, and records seen, identified that staff had undertaken relevant training and had the knowledge and skills to meet the needs of the residents. Staff spoken to were fully aware of the residents individual needs and this corresponded with the care plans. Records confirmed that the home arranged for the health care needs of the residents to be met. This included specialist services such as psychology, behavioural services and psychiatry. All the residents were supported to access educational, occupational and leisure activities and the home had developed positive links with the local colleges. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 10 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 The home had clear care plans in place that ensured that staff had the relevant information to meet the needs of the residents. The home encouraged decision-making and participation in household activities providing residents with choice, some control over their lives and the opportunity to influence aspects of the running the home. The risk assessments in place provided residents with the support to take reasonable risks as part of their lifestyle. EVIDENCE: The sample of resident documentation examined confirmed that care plans covering the required areas were in place. Plans covered the areas were residents needed support including health and personal care and social and educational activities. No service users had specific cultural needs. Care plans were also in place to support residents with financial management. Reviews of plans included the resident. Residents that could be aggressive had procedures in place that focussed on positive behaviours. Residents were encouraged to take decisions over their lives and over issues relating to the running of the home. A resident confirmed that they had choice Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 11 over what to do and how and where to spend their time. They were able to choose whether to go out or to spend time in the home. Residents were supported to go shopping including buying their own clothes. Residents had chosen where to go on holiday. Advocates were involved when required to support residents in the decision making process. Those that were able were involved in budgeting and managing their own money. Residents went to the bank to get their own money. Whilst there were no formal resident meetings discussions take place regularly on an ad hoc basis both as a group and individually. Staff were observed asking residents what they wanted to do. Staff spoken to were aware of individual residents abilities to make decisions and different strategies that they could use to encourage choice. Residents were involved in a range of independent living and household tasks such as food preparation, household tidying and cleaning, gardening and shopping. Residents individual differences and wishes were respected. A range of individual relevant risk assessments were on file including in respect of hot surfaces and hot water. These showed evidence of being reviewed. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 12 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) 12,13,14,15 The regular access to the community and the opportunities for educational, social and leisure activities provided residents with a full and varied lifestyle. The meals provided the residents with variety and catered for special dietary needs. EVIDENCE: Seven of the eight residents attended external organised educational and occupational activities. They attended day services, college and one resident worked two days a week. Activities included performing arts, literacy, pottery and independent living skills. The one resident currently not attending college undertook a range of activities within the home and in the community supported by staff. The progress this resident has made had led to the home applying for an arts course next September. All residents regularly accessed the community on a daily basis being involved in a range of activities including shopping, using health care services and a range of social activities. Residents were involved in a range of leisure activities including attending a club twice a week, playing basketball, being involved in a drama group, attending a gym and going out for meals, the pub and for trips out. Within the home the Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 13 residents engaged in a range of board games, jigsaws and arts and crafts. The residents had access to the home’s transport although they regularly used public transport or walked to local venues. The residents had the opportunity to go on a holiday and one resident stated that the residents had chosen to go to the Isle of Wight this year. The home provided a varied menu that considered the likes and dislikes of the residents. The main meal was held at lunchtime and an alternative meal was available of the meal was not wanted by a resident. A smaller meal was held at teatime such as soup and sandwiches or pizza. Residents with staff support got their own breakfast. Supper and snacks were provided. The home monitored residents weight and diet. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 14 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. The home supported the residents to maintain their personal care needs in a manner that considered their dignity and preferences. The health care needs of the residents were being met through the home supporting residents to access a range of relevant health care services. EVIDENCE: The personal and health care needs of the residents were identified in the care plans and discussions with staff showed them to be fully aware of residents’ needs. The majority of residents needed little physical support to maintain their personal care but required differing levels of support and encouragement. A full record of each resident’s 24-hour care needs and their preferences was in the plans. A resident confirmed that staff provided any help and support needed and that staff were always there to help. Observation showed that residents’ personal care needs were being met and an external professional confirmed that this was her view from her contact with residents. Although the home does not have a key worker system it is small enough for all staff to be fully involved with all residents and the close working relationships between staff ensured that the tasks associated with a key worker were not overlooked. The health care needs of the residents were being met. Residents accessed the GP, the chiropodist, the dentist and the optician as well as specialist health care staff such as psychiatrists, and behaviours staff. Residents had regular health checks attending well person clinics. Records showed that residents had conditions such as epilepsy and diabetes reviewed. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 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 standard(s) 22,23 The home had a satisfactory complaints system in place that was able to respond to residents concerns but would be improved by being presented in a more user-friendly format. The home’s procedures and the staff’s knowledge provide residents with an environment whereby residents’ finances are safeguarded and issues of adult protection would be responded to. EVIDENCE: The home had a complaints procedure in place that was displayed in the entrance foyer. The residents would benefit from the procedure being in a user-friendly format. A resident spoken was able to explain how they would make a complaint and was confident staff would respond to any concerns. One complaint had been received by the CSCI but this related to December 2003 and did not relate to care practices at the home. The home had an adult protection procedure and the established staff had received training in this area as part of their NVQ course. Discussions with staff showed that they were aware of the issues and would respond immediately to any concerns they may have. Staff would benefit from reading the home’s procedures. Sampling showed that residents’ money was being handled appropriately and robust procedures were in place. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 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 standard(s) 24,28,30 The residents benefited from a well maintained home that was suitably located to access the community and was furnished and decorated in a domestic style to a high standard. The home provided communal areas that provided residents with a range of comfortable and accessible spaces both in and out of the home. Whilst the residents generally benefited from a clean and hygienic home the home needed to ensure that liquid soap and paper towels were always provided. EVIDENCE: The home was suitable for the residents and was in keeping with the local neighbourhood. The home was within walking distance of shops and on a bus route. The home’s decoration and furnishings were all of a domestic type and were of a high standard. The home was well maintained. All the accommodation was on the ground floor except the main kitchen where the main meals were cooked. Downstairs there were six single bedrooms and one double bedroom, all with ensuite facilities, a kitchen/ diner and one large and one smaller lounge. There was a patio area and a very large rear garden. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 17 The home appeared clean and tidy throughout. The staff and the residents, supported by staff undertook cleaning tasks. Cleaning schedules were in place. Aprons and gloves were readily available. It was the procedure for the home to have liquid soap and paper towels in the communal bathroom and toilet but in the bathroom this was not present. Staff were in the process of undertaking training in infection control. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 18 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) 31,32,33,34,35,36 The home’s staff are well trained, well supported, motivated and are fully aware of the aims of the home and work positively with residents to provide them with a fulfilling lifestyle where choice is encouraged and residents are respected. The residents are supported and protected by the home’s recruitment procedures that are robust and ensure that the necessary pre - employment checks are completed. The home provides sufficient staff to support to meet the personal, health and social care needs of the residents. EVIDENCE: The sampling of staff files showed that staff were provided with a job description and a statement of terms and conditions. All pre employment checks had been completed. Staff spoken to were fully aware of their role in supporting residents to develop their skills and to be as independent as possible. Observation showed staff related positively with residents and that they were aware of their needs and how to meet these. The home put a strong emphasis on staff training and maintained records of all training and identified the training needs of the staff. The home had a high level of staff Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 19 qualified to at least NVQ level 2 or above with only the two recently employed staff not having the qualification. Staff confirmed and records showed that they felt supported by the managers and that they received individual supervision and staff meetings. An annual appraisal system was in place. The newly appointed staff member confirmed that he had received induction training. The home’s staffing levels were at a level to meet the needs of the residents. There were at least two staff on duty at all times, although at times this may be a manager. This level of staffing was adequate as most residents are out of the home during the day. The home always had two care staff on duty when all the residents were in the home providing sufficient staff to support the residents to access the community and to undertake activities within the home. In addition to this the proprietor was often at the home. The home has two staff sleeping in, one of which was one of the proprietors who had accommodation on the premises. The home had a member of staff undertaking administrative duties. Maintenance tasks and gardening were undertaken by specialist staff that regularly visited the home. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 20 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 Whilst the home had some Quality Assurance systems in place the residents would benefit from this being developed to provide them with a home that undertakes continuous review and ongoing development. The Health and Safety policies and practices promote and protect the welfare of residents. EVIDENCE: The home had some informal Quality Assurance systems in place that included surveys of residents and the auditing of some practices. This needed further development and the Deputy confirmed that plans to be put in place. The home had Health and Safety procedures in place. Regular servicing took place including the fire alarm, fire equipment and nurse call system. Regular checking of water temperatures and food storage took place. Individual risk assessments were in place for hot surfaces and hot water. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 21 Staff had received the necessary mandatory training including food hygiene, fire, lifting and handling and first aid. A number of staff were in the process of undertaking training in infection control. Procedures were in place for the maintenance of a safe environment. Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 22 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 3 3 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 4 x x x 3 x 2 Standard No 11 12 13 14 15 16 17 x 4 4 4 x x 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Allan House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 23 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. 2. Standard 30 39 Regulation 13(3) Requirement The home to ensure that bathrooms have suitable soap and twels in place at all times. To further develop the system for the review of quality and development. Timescale for action 14 June 2005 13 October 2005 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. Refer to Standard 22 23 42 Good Practice Recommendations To develop the complaints prcoedure in a user friedly format and to re issue copy to all residnts and relatives. T o make sure that all staff are conversant with the adult protection policy. To provide one fire training session per year by a fire specialsit Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Allan House E09 E51 S4906 Allan House V227716 130605 Stage 4.doc Version 1.30 Page 25 - 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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