CARE HOME ADULTS 18-65
Allanby House Wedgewood Drive Flimby Maryport Cumbria CA15 8QX Lead Inspector
Nancy Saich Unannounced Inspection 9th March 2006 12:30 Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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 Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Allanby House Address Wedgewood Drive Flimby Maryport Cumbria CA15 8QX 01900 819039 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) www.c-i-c.co.uk Community Integrated Care Mrs Carol Wignall Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Registered for 6 people over 18 years of age with a learning disability who may also be older people 15th October 2005 Date of last inspection Brief Description of the Service: Allanby House is a modern, purpose built home situated in a residential area of Flimby. It can take up to six residents with learning disability and they may all also be older people. Community Integrated Care, a company that operates services for people with learning disability throughout the country, owns the home. Carol Wignall manages the home on their behalf. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at around 12.30 and lasted until late afternoon. The inspector had sent out questionnaires to residents and relatives some weeks before the inspection and these are used in this report. The inspector met with the manager and the staff on duty. She spoke to all of the residents and spent time in the lounge and kitchen just observing how staff interacted with them. She saw all areas of the home and read some of the files and documents that backed up what she saw or what was said to her. What the service does well:
The home is good at taking residents out to meet friends, shop or just to have a coffee. They also go to local entertainments and classes that they are interested in. The home has their own transport and often they just go out for short trips when residents feel like an outing. The home is very good at providing the right levels of care and attention to all of the residents. The inspector saw staff working quietly and kindly with the residents. They were friendly but respectful, caring but treated the residents as individuals. They were good at allowing people to have their own privacy and were careful with anything that might prove a risk to residents. The inspector had questionnaires that said “we are very happy with the care given” and “we are so happy with the progress our relative has made…”. Relatives and residents said the staff were kind and caring. The staff in the home are good at helping residents see the doctor or nurse when they needed to. They look after the medicines for residents properly. This home is good at listening to residents’ complaints or concerns and taking the right steps to make them happy. They trusted the manager and her team to make sure they were safe all the time. This house provides the residents with a very nice home. It was clean, tidy, airy and modern. Every one had their own single, personalised room. The lounge and dining room were large and well furnished. The inspector thought that the manager and her team took a lot of pride in creating a real home for residents. The residents were proud of their rooms and relaxed in the shared areas. The home has well trained staff who are keen to learn all about their job so they can give the residents good care and attention. They made the inspector feel that they were really concerned that they did things right and were keen to improve through talking to each other and the manager and by going to training. The manager or her deputy spend time with each member of staff so that they can talk about their work, deal with any problems, look at their training needs and help them to be better workers. The manager makes sure that all new staff have had a proper interview and that she checks out that they are the good, decent people who have not had any trouble with the police or have been sacked from any other care job.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 6 The home has a good manager who has worked hard to get things running very smoothly. She is trusted and respected by relatives, their families and the staff. She has made sure she asks people whether they think the service gives good quality and she has a plan in place showing how things will keep getting better in the next year. She also makes sure that health and safety is important to her staff and that they can keep residents safe and well. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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 Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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): This section was checked at the last inspection. There had been no new admissions since the last visit. EVIDENCE: Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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 The home is good at writing down in plans the things that give people good care. EVIDENCE: The inspector looked at a number of written plans (‘the care plan’) that shows staff how residents have chosen to live their lives and be cared for in the home. These plans had been updated, used pictures and very clear language to show everybody how the resident wanted things to be in the home. Staff said they felt much more confident about the new way that the home had started to do these plans. This ‘person-centred planning’ was, they realised not so different from the way they had given people care and attention before and they felt they were doing well with it. Residents were aware of their care plans and said they had been involved and could look at them when they wanted. The manager and the inspector discussed how the staff were writing plans on behalf of people who found communication a problem. Several residents were able to say that they had been able to decide on things for themselves and every file seen had an assessment of risk and a plan to follow through on making the risk less. The inspector thought things had really improved in terms of both writing and delivering the care to all the residents.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 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 the following standard(s): 12,13,17 Residents in this home have the kind of lifestyle they want. EVIDENCE: Residents in the home go out in small groups or individually. The home has its own transport and residents do the things we all take for granted. They do food shopping and go out to buy things just for themselves. One resident told the inspector about going out for a coffee with a member of staff and seeing a number of people they knew. The inspector thought that this kind of outing was the kind of thing we all know is our right and is important for residents. They also said they go to social events, exercise classes and to some other classes. The residents also go out as a group for other kinds of leisure activity like going to the cinema. The staff said they try to think of things that might interest people and the residents were happy with what they had the chance to do. It was interesting to note that residents also had the chance to change the things they like to do and we all feel we want to do this when our likes and dislikes change. The home is well known in the community and residents take part in village activities and are seen as part of the life of the village.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 11 Residents were happy with the food on offer and several people had seen the dietician and had new plans that would help them gain or lose weight. The staff said they had started to think of new ways to help people who have weight problems and were pleased that they had made a difference to their residents. One person in particular looked very much better for having a change in diet and had put on weight and another person was slimmer and fitter – and said he was happy with the diet and exercise he was following. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 12 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 This home is very good at giving people the right kind of health and personal care. EVIDENCE: The inspector saw staff with residents. She saw them help people to move around the home and give support to residents who needed help with personal care. This was done quietly and with respect and sensitivity. Residents said that the staff were “nice people” and were good at helping them. The inspector had questionnaires that said “we are very happy with the care given” and “we are so happy with the progress our relative has made…”. Relatives and residents said the staff were kind and caring. There were plenty of details in the files to show that staff were giving emotional support as well as physical care. The inspector checked the medicines that are kept on behalf of residents. These were in order. Residents said that they got their medicines regularly. There were returned questionnaires from health service professionals who were happy with the way the staff managed the drugs in the home. Residents in the home looked well cared for and were relaxed and friendly with the staff. They were very aware that Allanby House is their home and that they have rights and needs that the staff are there to meet. The inspector thinks the staff do this very well.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 13 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 The home is good at listening to people and making sure that they are safe. EVIDENCE: At the last visit some residents had had some concerns but the inspector felt that these things had been dealt with very well. Residents said they were listened to and that staff did their best to do the right thing for them. The staff were aware of the things that might make residents at risk of harm and knew how to deal with these. Residents said that everyone was nice to them and they had no worries. One person was very sure about what they would do if anyone either in or out of the home were being unpleasant to them. Lots of people said they trusted the manager to make sure they were safe. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 14 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 Allanby House is a very nice home where residents feel relaxed and ‘at home.’ EVIDENCE: Allanby House is a modern bungalow that was built with the needs of the residents in mind. Everyone has his or her own room with toilet and wash hand basin. There is a pleasant dining room and a good-sized lounge. Residents also like to spend time in the modern, well-equipped kitchen. There is a modern bathroom with a bath that is easy to get in and out of even for people who have problems managing this. The home is very nicely decorated in an up to date style. There are lots of nice pictures, mirrors and other little things that make the house look homely. The residents said their rooms were really nice and everyone was very proud of their own space and had things just as they wanted. The home was very clean and tidy and staff know how to stop any germs or infection. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 15 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): 32,33,34,36 Staff are properly managed in the home and residents feel safe in their care. EVIDENCE: This house is staffed with a minimum of two staff on each shift. As well as this there is another member of staff available to help one resident. The inspector looked at the rosters and found that this was the way the home was normally staffed. At the last inspection there had been times when there hadn’t been enough staff but this now seems to have improved. The staff and residents think that things are now much better. The manager agreed to make sure the numbers of staff didn’t fall too low as she wants to give the residents the best care and services she can. This will be looked at again at the next inspection. Staff have had some training and feel they can give the residents the best of care. A lot of the staff have qualifications in caring for the residents. The manager sent the inspector a copy of her plans for training for the next year. This covers care planning, helping people as they get older, protecting residents and some health care training. The inspector thinks the plan looks very good and will meet the needs of residents as they get older. The inspector checked on the way the home took on new staff. She found that the manager made sure she only took on the right kind of people who could care for residents properly. She did this by interviewing them and checking that they had good references and had no criminal convictions.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 16 The inspector saw the records that show that ever person working in the home gets the chance to talk about their work with their supervisors. These were very good and showed that the staff talk about resident care and think about how to improve the way they support them. Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 17 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 Things were running smoothly in the home and this gave the residents a settled and happy life. EVIDENCE: The manager has made a number of improvements and developments that had already been planned but hadn’t quite been finalised. The inspector judged that there had been a marked change for the better to all the systems that are used to manage the home. The manager is well respected by staff and residents alike. She felt that C-I-C give her lots of support and have residents’ best interests at heart. She had completed a check of whether these systems were working well and had plans for further improvement. This had been done by checking things in the home and by asking residents and their relatives. She had already sent this ‘quality audit’ report to the inspector along with a plan for the following year. Health and safety things like food and fire safety were being done all the time and staff were aware of how to keep people safe. There were new arrangements in place so that the building plot next door is always secure.
Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 18 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 X 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Allanby House DS0000022533.V284251.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
