Inspection on 14/06/05 for Anchor House

This inspection was carried out on 14th June 2005.

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

Anchor House 08/09/09

Anchor House 11/09/07

Anchor House 26/09/06

Anchor House 18/10/05

Anchor House 30/11/04

Anchor House 05/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Anchor House Anlaby Road Kingston upon Hull East Yorkshire HU3 2PB Lead Inspector John Gregory Unannounced 14 June 2005 8:00 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. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Anchor House Address Anlaby Road Kingston upon Hull East Yorkshire HU3 2PB 01482 326572 01482 580671 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) English Church Housing Group Limited Ms Anita Lovelock Care Home 40 Category(ies) of MD Mental Disorder (40) registration, with number A Alcohol dependent past/present (3) of places Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30/11/04 Brief Description of the Service: Anchor House is a care home providing personal care and accomodation for up to 40 younger adults and older persons who have an enduring mental health disorder and /or past or present alcohol dependence. The home is owned by the English Churches Housing Group. It is situated on Anlaby road a short distance from the centre of Hull and its extensive facilities. The home is a four storey building consisting 40 single rooms 34 of which have en-suite facilities.The floors are connected by a passenger lift. There are two lounges ,a separate dining room and an additional small kitchen for the use of service users. There is an internal courtyard and a small sitting area and car park to the front of the building Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of one day in June 2005.The inspection involved two hours preparatory work and 6 hours in fieldwork. The fieldwork involved an examination of policies procedures and records relevant to the standards inspected. The case files of four service users were selected for examination, two of which were followed through into all the processes in the home. Five service users were individually interviewed as were three of the staff on duty at the time of the inspection. Discussion took place with the homes manager and the service manager. A brief inspection of the physical environment was made. The inspector would like to thank the manager staff and service users of Anchor House for their help time and hospitality during the course of this inspection. What the service does well: What has improved since the last inspection? There have been minor improvements to the system of care and plans made to try and increase the staffing levels. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 6 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. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 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 Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 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) 1&2 The basic registration details need to be displayed and brought up to date in order to better inform interested persons of the service user group cared for in the home. The needs and aspirations of service users are assessed prior to admission in order to ensure that the home can meet their needs and to underpin the care to be offered. EVIDENCE: The service provider’s registration certificate was not on display in the home, which is an offence against the primary legislation. An examination of the ages of the service user group revealed that 17 of the service users were over the age of 65 and hence older than the service provider registration category. This issue needs to be the subject of an application for variation of registration by the service provider. In the light of the aging service user group the service provider should also reappraise the long-term purpose and function of the home. Examination of the files of the most recent admissions to the home showed evidence of a full assessment of the service users needs. This process was confirmed by the service users on interview, who also confirmed their familiarity with the home by visit prior to their admission. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 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&9 The service users care is maintained and developed through a structured care planning and review system in which they are involved. The service users live an independent lifestyle supported by a detailed risk assessment process. EVIDENCE: All case files examined showed evidence of a comprehensive care plan and an expanded review system taking place every six months. Service users and staff were able to confirm the inclusive nature of the process, which was further supported by the service users signature on the plan and review. The risk assessment process involves a routine examination of the degree of risk to which the service user may be exposed both with and without the management methods that have been put in place. The risk assessment is reviewed at the same time as the review of the care plan.. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 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) 13,15,17 With assistance from outside agencies and within the limits of their age and disability the service users are offered a wide range of activities for leisure and community based activities. This enables many of the service users to develop skills and remain stimulated. Many of the service users have become through their illness alienated from their families and consequently live insular lives. The service users have access to a healthy and varied diet EVIDENCE: Written evidence of activity, discussion with staff and service users and observations confirmed the range of activities including camping trips, visits to places of interest and shopping expeditions into the local city. Programmes of development, visits to day centres and activities within the home were confirmed by the same means and were supported by work with staff and students of Hull College and the homes own staff. None of the service users interviewed were able to describe other than minimal contact with their own families with whom they had become separated during the process of their illness. One service user described rejection and stigmatisation by members of the Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 11 wider community. The menu is rotated on a monthly cycle and consists of four meals during the day all of which offer the service user choice. The service users were in the main able to confirm their enjoyment of the food with minor service user concern at the loss of the availability of a cooked option at breakfast time. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 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 standard(s) 18,19,20 The service users receive a good basic personal care and medical service, which would be enhanced by better attention to the detail of recording health care and the availability of more care staff. An increase in the staffing level would improve the quality of the lives of service users through more individual contact. EVIDENCE: Clear evidence was seen on file and adduced in discussion with service users of their involvement with the multidisciplinary Psychiatric team. Service users were able to confirm that other medical conditions such as asthma and diabetes were under control and that they were registered with a local general practitioner. A system to indicate service users contact with medical services was seen although it is not yet completed for all service users. Written confirmation of medical contact was not therefore uniformly available. The service provider has a well established key worker system and the service users were aware of whom their key worker was, but one service user was concerned about the general lack of one to one contact with staff. The service provider has a good medication procedure, which would be enhanced by the inclusion of all the areas described in the Royal Pharmaceutical guidance, such as the procedure to follow in service users refusing medication. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 13 An audit of the medication revealed the need to record the carried forward figure of relevant medicines at the beginning of each new MAR sheet. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 14 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 service users are listened to, feel confident in, and are protected by the homes police procedures and practice EVIDENCE: The records examined indicated a good complaints system backed up by a recording system. 14 complaints were identified which were largely interservice user complaints. Most complaints were mostly partially substantiated and all effectively resolved. Service users expressed confidence in being able to have their concerns listened to and resolved by staff. Staff expressed their understanding of the procedure. The policies and procedures for the protection of vulnerable adults were in place, most staff interviewed had received training on the matter. All staff were confident in their abilities to act on the protection procedures if the need arises. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 15 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&30 The service providers live in good; safe and well maintained accommodation, which proves a good base within which to receive care. EVIDENCE: A brief tour of the accommodation revealed it to be clean tidy and well maintained and furnished in a domestic manner. It was noted that the floor in the service users’ laundry should be made safe. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 16 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) 33,34&35 Complete information is needed to confirm what may be a recruitment process that supports and protects service users. The staffing level must be improved in order to offer service users more individual attention. The homes staff are committed well trained and qualified and work hard to offer service users effective services. EVIDENCE: The staffing rota was examined and observation noted that the staffing level is some 200 hours per week short of the level necessary to deliver the quality of service required. One service user commented on the difficulty of the staff in generally providing more individual attention to their needs. The manager and service manager were able to describe some restructuring of staff posts to increase the level slightly, which had not yet come to fruition. The service provider had also been lobbied to provide the necessary finance to increase the staffing level. In the light of this action the time scale to achieve the statutory requirement is extended. If this timescale is not adhered to the CSCI may consider enforcement action. An examination of staffing files identified them to be deficient in not containing two references and of not containing a statement by the staff as to their mental and physical health. It was explained that this information was held at Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 17 the group headquarters. This information must be kept in the home. Examination of records and interview with staff indicated a high level of specific training and a level of qualification above the 50 recommended minimum. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 Service user’s views are sought as part of the quality assurance process but need better integration into the system to ensure that the service is more responsive to their needs. The home is a safe place to live and work although some attention in needed to the detail of health and safety. EVIDENCE: A comprehensive policy procedure exists for the quality assurance programme. Service users views are sought through questionnaires, which were seen. These questionnaires were not correlated to give overall results. The views should be correlated and published in order to make clear the overall view of service users to inform the planning process. Health and safety Fire COSSH and maintenance policies and procedures were in the main in order. The service provider needs to update the Work place risk assessment. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 19 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 1 3 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 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 1 1 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Anchor House Score 2 2 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 20 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 YA 1 YA 1 Regulation Care Standards Act 2000 Care Standards Act 2000 18(1) Requirement The Service Provider must display the registration certificate in the Home The Service provider must apply for a variation of registration for the 17 older persons living in the home The service provider must ensure that at all times suitabley qualified ,competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of service users. (previous timescale of 01/03/05 not met) The service provider must keep in the care home the following records in respect of staff employed in the home. - acopy of each reference obtained in respect of him The service provider must produce evidence that he has obtained from the staff member a statement by the person as to his mental and physical health Timescale for action 01/08/05 01/09/05 3. YA 33 01/09/05 4. YA 34 17 Schedule 4 01/08/05 5. YA 34 19 Schedule 2(8) 01/08/05 Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard YA 1 YA 19 YA 20 YA 20 YA 24 YA 39 YA 42 Good Practice Recommendations The service provider should review the long term purpose of the home in the light of the ageing service user group The service provider should extend the format for recording service user health contacts to all service users The medication procedures should contain details of all the areas mentioned in the Royal Pharmaceutical Society guidance for care homes. The amount of medication carried forward from one medication period to the next should be recorded on the MAR sheet. The service provider should make safe the floor in the service users laundry. The service users views obtained as part of the Quality Assurance programme should be correlated and published. The service provider should update the workplace risk assessment. Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Anchor House J54_s878_Anchor House_v230041_140605_Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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