Inspection on 31/10/05 for Asquith House

This inspection was carried out on 31st October 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 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

Asquith House 03/08/06

Asquith House 27/09/04

Asquith House 04/05/04

Asquith House 27/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Asquith House 8 Waterloo Road Chester Cheshire CH2 2AL Lead Inspector Mr Val Flannery Unannounced Inspection 03:00 31st October and 2 November 2005 nd Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Asquith House Address 8 Waterloo Road Chester Cheshire CH2 2AL 01244 381474 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.macintyrecharity.org MacIntyre Care Leander McFadden Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service is registered to provide care for 6 service users in the category LD (Learning Disability) The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 27th April 2005 Date of last inspection Brief Description of the Service: Asquith House cares for six adults with a learning disability. It is set in a residential area of Chester close to local amenities and the city centre. The home is on three floors; access between the floors is via the stairway. All the six bedrooms are single, five of which have en-suite shower and toilet facilities. There is one communal shower/bathroom/toilet on the first floor and a toilet on the ground floor. A separate lounge and dining room are located on the ground floor. The garden to the rear of the home provides a well-maintained and secure area for use by service users. Staff are on duty twenty-four hours a day to deliver care to service user. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five and a half hours on the 31st October and 3rd November 2005. One hour was spent reading the previous inspection report and reviewing the service history for the home. Feed back on the findings of the inspection was given to the manager and the senior support worker on the 3rd November 2005. Five of the six service users and the two staff on duty were spoken with during the inspection. A partial tour of the building was carried out. A number of the homes records and policies and procedures were seen during the inspection. Four relatives/visitors and one general practitioner’s comment cards were received following the inspection. The service user group currently living in the home have restricted communication capabilities. What the service does well: A copy of the contract that sets out the terms of residency for service users is kept on their individual files. The person centre plans showed that information on service user’s background, families and how they wished to be cared for is available. Service users are encouraged and supported by staff to use community facilities such as shops, bars and restaurants. MacIntyre have provided a range of statements that set out how they intend to ensure the privacy and dignity of service users will be respected. Service users said they are offered a varied menu and are able to help prepare meals. The healthcare needs of service users, both physical and emotional, are monitored and advice is sought from doctors/other healthcare professionals on meetings those needs. MacIntyre have provided a complaints procedure in a format that service users can read and understand. This includes pictures and how to contact the Commission for Social Care Inspection. Service users are accommodated in single bedrooms, a number of which have en-suite showers and toilets. Service users were keen to show their bedrooms Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 6 during the inspection. The home has a people carrier that is used to transport service users. Sickness and other staff absence tend to be covered by staff in the home. This helps ensure service users are cared for by people they know. 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. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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): 1/2/3/4/5/ An up to date copy of the statement of purpose was not available during the inspection. Service users are able to visit the home before making a decision about moving in. Individual contracts setting out the terms and conditions of service users stay are available. EVIDENCE: The copy of the statement of purpose seen during the inspection did not have the following: • The number, relevant qualifications and experience of the staff working in the home • The organisational structure of the care home • The age-range and sex of the service users for whom it is intended that accommodation should be provided • Whether nursing is to be provided • The arrangements for service users to engage in social activities, hobbies and leisure interests • The arrangements made for services users to attend religious services of their choices (See Requirement Number 1) A copy of the service user guide is available in the home. Information about the last service user to move into the home showed that staff from the home had carried out a pre-admission assessment. Records Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 9 seen showed that the service user was able to visit the home before making a decision about moving in, staff also confirmed this. The pre-admission arrangements also included an overnight stay, visiting for tea and spending a number of days in the home. Social Services provided background information, care plans and an assessment on the service users’ care needs. Records seen showed that the service users are supported by relatives/significant others during the pre-admission/admission period. A copy of the statement of the terms and conditions of their stay is included on the service users’ care files. Also available is a copy of Social Services Individual Specification Contract. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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 the following standard(s): 6/7/8/9/10 Person centred plans are available that show the assessed and changing care needs of service users. This information helps identify the assistance service users need to make decision about their daily lives. EVIDENCE: The person centred plans/essential lifestyle plans showed that service users’ care needs are monitored and any changes are recorded. MacIntyre are in the process of up-dating these plans. The completed person centred plans seen are well presented and contain detailed information on the service users. Service users commented that staff help them and that staff are ‘nice’. Observation during the inspection showed that staff were communicating with service users in a respectful manner. Staff were also seen to respect service user’s privacy and dignity. Service users were comfortable and relaxed in the company of staff. Copies of service user communal meetings were seen during the inspection. A copy of the organisations policy on ‘Confidentiality of Information’ is kept on individual service user files. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 11 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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 the following standard(s): 11/12/13/14/15/16/17 Service users are offered opportunities for personal development, both in the home and in the local community. Their right to live meaningful lives is recognised in their plans of care and daily activities. EVIDENCE: During the inspection service users were seen making decisions about where they spent their leisure time, whom they spoke with and what they would like to wear to a forthcoming party. A member of staff also supported two service users to use a local shop. A list was on display which showed a programme of service users’ daily activities. The acting manager and senior support worker said the day care provided by MacIntyre at their area office, which is located in Ellesmere Port, no longer operates. They said the organisation is reviewing their provision of day care activities. Service users are still able to access day care service users provided by the local authority. During the inspection service users were seen returning from these services. Two of the service users spoken with said they liked the food. A record of menus was seen that showed service users are offered a choice of meals. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 13 Service users’ plans of care showed that they are enabled to maintain contact with family and friends. One service user said he visits, and receives visits from, family members. The routines of the home as seen during the inspection showed that service users are given time, and support, to manage the tasks of daily living. For example, when service users return from their daily activities staff spend time with them and encourage them to talk about their day and to put their coats/bags in their bedrooms. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 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 the following standard(s): 18/19/20/21 Service users are well looked after with regard to their health and personal care needs. They receive full support from staff with personal and emotional needs. EVIDENCE: During the inspection staff were seen helping service users with the tasks of everyday living. For example, using the toilet, using local shops and ensuring their safety in the home. Included in the person centred plans ware details on how the assessed care needs were to be met. Person centred plans showed that service users’ health care needs are monitored and action taken to address any problems. Staff spoken with were aware of service users’ individual healthcare needs and how they wished to live their daily lives Service users require help from staff with their prescribed medication. The record of medication administered seen was satisfactory. MacIntyre have provided a policy on caring for service users who are ill or dying, a copy of which is kept in the home. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 15 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 16 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 There are arrangements in place for protecting service users. There is also a complaints procedure in place that responds to service user and others concerns. EVIDENCE: A brief outline of the complaints procedure is on display in the entrance area of the home. This ensures service users, relatives and other visitors to the home are aware of whom to speak to if they have concerns. A ‘Service user guide to making complaints’ has been provided in picture format, a copy of which is kept on service users files. The complaints record showed that no complaints have been received since the last inspection by the home or CSCI. MacIntyre Care have provided an Adults Protection Procedure which includes the government guidelines ‘No Secrets’. A copy of the procedure is kept in the home. Staff spoken with knew the complaints and adult protection procedures and what to do if a problem arose. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 17 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): 24/25/26/27/28/29.30 The home provides a comfortable and safe standard of accommodation for service users EVIDENCE: The home is well maintained and is suited to service users’ needs. It is decorated and furnished in a manner that creates a homely and comfortable environment. All the bedrooms are single and five have en-suite bathing and toilet facilities. The bedrooms seen were individually decorated and furnished. The layout of the bedrooms ensured service users were able to move freely about their rooms. Service users said that they are happy with their bedrooms A communal toilet is provided on the ground floor, a combined bathroom/shower/toilet is also provided on the first floor. The home provides one large communal lounge and a separate dining room which are located on the ground floor. The enclosed garden to the rear of the home is well-kept and easily accessible to service users. A mini bus is provided for use by service users. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 18 On the day of the inspection home was clean, tidy and free from unpleasant odours. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 19 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): 31/32/33/35/36 Staff are employed in sufficient numbers to ensure the safety and well being of service users. EVIDENCE: The staffing rota showed that there are normally two staff on duty during the day/evening and one waking night staff on duty. On occasions there may be additional staff on duty for part of the day. Staff were observed caring for service users in a respectful manner. They were aware of the care needs of service users and how these needs were to be met. This included delivery of personal care, meals and social activities. A record was seen of the training available to staff. Staff also confirmed that the organisation do arrange training on areas such as fire safety, moving/lifting, first aid and health/safety. A number of staff are doing NVQ in care which will improve their skills and knowledge and their ability to care for service users. The senior support worker spoken with during the inspection said that recent levels of staff sickness have been covered by staff in the home. This will help consistency in the delivery of care to service users. Staff also said that, in the temporary absence of the registered manager, they are receiving support from the registered manager of another MacIntyre home. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 20 On the day of the inspection staff personal details were not available in the home (See Requirement Number 2) Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 21 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): 37/38/39/40/41/42/43 Satisfactory arrangements are in place for the overall management of the home. Policies and procedures have been provided to safeguard the service users rights and best interests. EVIDENCE: The registered manager has been seconded to cover the area manager post for Chester/Ellesmere Port whilst the permanent post holder is carrying out other duties for MacIntyre Care. Currently a manager from another MacIntyre home in Chester manages the home, on a part-time basis. The staff spoken with said that the management arrangements in place are satisfactory and that they are able to get advice and guidance on any issues that may arise. They said the manager providing cover for the home visits at least twice weekly. The area manager also makes monthly visits to the home and reports of these visits are sent to CSCI. MacIntyre Care have provided a range of policies and procedures, copies of which are kept in the home. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 22 The following health and safety records were seen: • Accident records • Fire Safety (including Fire Risk Assessment) • Portable Appliance Tests • Gas Safety Certificate • COSSHH records • Health and Safety Manual These were satisfactory. Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 23 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 2 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Asquith House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000006528.V260749.R01.S.doc Version 5.0 Page 24 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 YA1 YA34 Regulation 4 17(2) Schedule 4(6) Requirement An up to date statement of purpose must be available in the home. A record of staff employed must be kept in the home Timescale for action 31/12/05 31/12/05 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 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Asquith House DS0000006528.V260749.R01.S.doc Version 5.0 Page 26 - 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!