Inspection on 26/09/06 for Anchor House

This inspection was carried out on 26th September 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Anchor House 08/09/09

Anchor House 11/09/07

Anchor House 18/10/05

Anchor House 14/06/05

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 Anchor House Anlaby Road Hull East Yorkshire HU3 2PB Lead Inspector George Skinn Key Unannounced Inspection 26th September 2006 09:30 Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anchor House Address Anchor House Anlaby Road Hull East Yorkshire HU3 2PB 01482 326572 01482 580671 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) English Church Housing Group Limited Ms Anita Lovelock Care Home 40 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (40) of places Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must only take admissions for service users over 65 years who are physically independent. 18th October 2005 Date of last inspection Brief Description of the Service: Anchor House is a care home providing personal care and accommodation for up to 40 younger adults and older persons who have enduring mental health problems and past or present. The English Churches Housing Group owns the home. It is situated on Anlaby Road a short distance from the centre of Hull and its extensive facilities. The home was opened in January 1989 and consists of 40 single bedrooms, 34 of which have an en-suite facility. The home is a three-storey building with a connecting passenger lift. There are four toilets, one shower and two bathrooms that are for general use. There is a secured front entrance that is monitored by CCTV, two lounges one being a designated smoking area, a separate dining room. Outside to the front of the building is a large car park and to the rear an enclosed courtyard, which has seating, and a patio which service users access on a regular basis. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit undertaken at the home over 8 hours. during the site visit the service users were interviewed, the environment was looked at as were some of the records. Prior to the site visit surveys were sent to service users, staff and health care professionals; their opinions were used to form judgement. What the service does well: What has improved since the last inspection? What they could do better: Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 6 The home need to look at and review the procedure for handling and administering medication so staff practise does not put the service users at risk. 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 DS0000000878.V313575.R01.S.doc Version 5.2 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 Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 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): 2 Service users needs are assessed. EVIDENCE: The home undertake an assessment in addition to the Local Authorities community care assessment. A care plan is formulated from the information gathered these are very good with clear direction to the care staff; risk assessments give clear direction to staff. From speaking to individuals it was confirmed that new service users have the opportunity to visit the home. The home now provides written confirmation to the service user that they will be offered a place or the reasons why if a place is declined. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 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, 7 & 9 Service users are aware that records are kept and these are regularly assessed Service users are assisted to make decisions about their lives. Service users are supported to take risk and lead an independent life style. EVIDENCE: Service users spoken with during the site visit confirmed that they are involved with and have an input into their care plans. They were aware that records are kept concerning their welfare and that these are regularly reviewed and updated. Some of the service users took an interest in their network of support and were keen to share the names of consultants, and other health care workers; they were aware of diagnoses which had been made and what programs were in place to help them. The home conduct service user meetings which give the service users a forum in which to air views and opinions which have a direct impact on what happens within the home. The service users have an input into the recruitment of staff Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 10 and undertaken pre-interviews with prospective employees. This is then taken into consideration when the home offers permanent employment. The service use are encouraged to lead a life style of their choosing with support from staff; they were actively encouraged to be independent and during the course of the site visit service users were seen to be undertaking activities of their own choosing. Restriction on movement is only imposed after consultation with other health care professionals and if it deemed to be in the best interest of the service user. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 11 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, 15, 16 & 17 Service users take part in age appropriate activities with peers Service users are part of the local community 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 well balanced diet EVIDENCE: The service users are encouraged to join in activities within the home and facilities are provided for this; they are also encouraged to undertaken activities outside of the home, this is as far as possible monitored by the home so the service users do not put them selves at risk. One service user spoke of relationship difficulties and how he was supported by the staff during this. The serviced users spoke of having friends within the home. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 12 Some of the service users maintain contact with their family and friends, others have little contact due to their illness. Relationships are supported and many of the service users said they had a partner or were in a relationship. The home offers training to staff with regard to sexuality and relationships. Several service users described rejection and stigmatisation by members of the 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. A cooked breakfast is offered three days a week. The kitchen staff have received training in relation to food hygiene and some of them have attained an NVQ qualification. Service users confirmed that they enjoyed the food and were happy with the choices available. The home had received many written choices from the service users which is part of a revamp of the menus. These choices are incorporated within the menu. Service users commented that thy food was very good and there was plenty of it. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 13 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 Service users receive personal care in the way they prefer Service users physical and emotional health needs are met Service users could retain and administer their own medication where appropriate; they are not protected by the homes policy and procedure for dealing with medicines. EVIDENCE: The general personal care needs of service users are met; from speaking to several individuals they stated that any personal care support is offered in a sensitive manner and in the way that they prefer. The service users all knew who their key-worker was and they commented on being able to rely on them for support. The home has good links with the local community psychiatric teams and GP’s in the area. A form is now in use that details all medical appointments including GP, Community Psychiatric Nurse, Dentists and Opticians. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 14 There is too much reliance on information regarding any anomalies in individual medication being passed to staff verbally, this could put the service users at risk of receiving medication inappropriately. Currently the practise at the home is to dispense service users medication into a pot by a senior carer and this to be given to a care assistant to give to the service users. This is poor practise and potentially put the service users at risk of receiving incorrect medication, this practise also allows too much potential for error. The home must review this practise and take steps to eliminate all potential for risk. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 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 the following standard(s): 22 & 23 Service users feel their views are listened to and acted upon. Service users are protected from abuse, neglect and self harm. EVIDENCE: The home holds service user meetings and they are encouraged to air their views. The service user guide is given to all service users and information is given within this on how to complain. Service users spoken with knew who to complain to. The service users were confident that any complaint or suggestions made are taken seriously. Staff understood the procedure for making a vulnerable adults referral; they understood that they had a responsibility to protect the service users and referrals could be made to outside agencies if required. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 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 the following standard(s): 24 & 30 Service users live in a homely, comfortable and safe environment. The home is clean and hygienic EVIDENCE: During a tour of the premises the home was found to be clean, tidy with no offensive odour. The home has a domestic team who work very hard in maintaining a clean environment. Several of the rooms have a piece of wood secured to the wall for a headboard; these are being replaced and this remains an ongoing. All rooms are lockable and a key is issued to all service users. New bedroom furniture is being purchased this is ongoing and it is intended that all the furniture is replaced. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 17 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): 33, 34 & 35 Service users are supported by competent and qualified staff. Service users are supported and protected by the homes recruitment policies. Service users’ individual and joint needs are met by appropriately trained staff. EVIDENCE: The organisation is actively increasing staffing levels and there has been a considerable increase in staffing hours since the last inspection. The needs of the service users must be taken into consideration when any future plans for the home are formulated, and staffing levels must reflect this. The organisation has a robust recruitment and selection procedure ensuring the health and safety of the service users. CRB and POVA 1st checks are undertaken prior to a person commencing employment. A health declaration is signed confirming that the individual is mentally and physically fit. It was explained that this information was held at the group headquarters. 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 DS0000000878.V313575.R01.S.doc Version 5.2 Page 18 Supervision is offered every six weeks to all staff, this is recorded and kept within the staffs file. Care staff confirmed that they received support both formally and informally on a daily basis. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 19 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 Service users benefit from a well run home. Service users are confident their views underpin all self-monitoring review and development by the home. The health safety and welfare of the service users are promoted and protected. EVIDENCE: The registered manager has obtained an NVQ level 4 in both Care and Management, she has many years experience of working with people who have mental health problems and shows a good understanding of service users needs. Service users stated that the manager is approachable and listens well; this was observed to be the case during the site visit and there was a good rapport between the staff and service users. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 20 The home’s quality assurance system is well developed, service users, family and other professionals are consulted, and a report is published whioch is available to all interested stake-holders The home has a range of policies and procedures covering all areas detailed in Appendix 2, these are regularly updated and reviewed. The home has the relevant maintenance certificates in place. Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 21 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 22 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 YA20 Regulation 13, 17 Requirement The registered person must ensure that the medication procedures do not put the service users at risk. The registered person to ensure that all bedrooms have a comfortable headboard. Previous time scale extended (18/12/05) Timescale for action 30/11/06 2. YA26 16, 23 30/03/07 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 YA33 Good Practice Recommendations Any future plans for the home must take into consideration the needs of the service users when formulating staffing levels Anchor House DS0000000878.V313575.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor 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 DS0000000878.V313575.R01.S.doc Version 5.2 Page 24 - 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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