Inspection on 26/02/09 for Cantley House

This inspection was carried out on 26th February 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cantley House 18/01/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cantley House 12 Woodcross Avenue Cantley Doncaster South Yorkshire DN4 6RU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Powell     Date: 2 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Cantley House 12 Woodcross Avenue Cantley Doncaster South Yorkshire DN4 6RU 01302537622 NOFAX brew.active@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Active Care Homes Ltd care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 The registered manager will manage two homes until 1 April 2007 while a new manager is being trained to manage Bennethorpe House. Date of last inspection Brief description of the care home Cantley House is a large four bedroom detached house set in a residential area of Cantley near Doncaster. It is registered for three people with a learning disability ages 18 - 65. The home has a large through lounge, a kitchen diner, three bedrooms for peoples two with en-suites and a communal bathroom. The fourth bedroom is used as an office and staff sleep room. The home has a rear garden and a paved front providing adequate parking. The fees at Cantley house at the time of the inspection were 1,850.00 pounds although this varies depending on the needs of the service users. These fee charges only applied Care Homes for Adults (18-65 years) Page 4 of 22 Brief description of the care home at the time of inspection, more up to date information may be obtained from the home. Care Homes for Adults (18-65 years) Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been revised or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced visit, which took place on the 26th February 2009. Commencing at 09:45 and finished at 14:30 hours. A new Manager had been appointed in July 2008 and he was currently being registered with the Commission. Care Homes for Adults (18-65 years) Page 6 of 22 This inspection visit included talking with people living at the home, the acting manager, the providers and two staff. During the visit we also walked round the building to gain an overview of the facilities. We also checked a number of records. The acting manager had completed an annual quality assurance assessment (AQAA) at the time of the visit. The AQAA focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. Full feedback was given during and at the end of the inspection to the acting manager and the providers. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good detailed assessments were carried out for all people to ensure their needs could be met. Evidence: People had been fully assessed prior to moving into Cantley House to determine that their needs could be met. Introductory visits had been carried out before making decisions, this was clearly seen in peoples plans of care. Introductory visits were taking place for perspective residents who were looking to move into the newly registered house next to Cantley, which is to be managed by the same manager. This ensured their needs could be met and that they were happy with the home and other people that lived there. Care Homes for Adults (18-65 years) Page 10 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual needs and choices of service users are met. Evidence: We looked at two peoples plans of care, these were comprehensive, had identified all peoples needs and how to meet them. Person centered plans and health action plans were in place for each person to ensure peoples choices and goal were reflected. It was evident from talking to staff that people were able to make decisions, were given choices and were able to take reasonable risk as part of an independent lifestyle, which meets their needs. Care Homes for Adults (18-65 years) Page 11 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People take part in appropriate activities, have opportunities for personal development and their rights are respected. Evidence: Staff support people to have relationships with family and friends, people had contact with family and friends. The people we spoke to told us they had regular contact with their family who visited them at Cantley and people also went to the homes of friends and family. People told us staff would take them. Staff spoken to were aware that relationships had to be appropriate to protect people, who due to their learning disabilities may not always be able to make an informed decision. People were offered a healthy diet, they did the shopping with a support worker and prepared their meals with assistance. The people also ate out, particularly if they were Care Homes for Adults (18-65 years) Page 12 of 22 Evidence: going out doing an activity. One person went out to lunch while we were in the home, which on his return he told us he really enjoyed. Appropriate leisure activities were provided daily for people and people told us they enjoyed the activities and were able to choose what activities they wanted to do. The daily routines within the home had been observed to be very flexible and people told us that they were able to do things when they wanted. Care Homes for Adults (18-65 years) Page 13 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care needs of people were met and personal support is provided in the way people prefer. Evidence: Health care needs of people were maintained, all people were registered with a GP. All access local dentists, chiropodists and opticians. They also receive an annual health check from their GPs. This was all documented in the care plan. Medication polices and procedures in the home were good all medication was documented on arrival, was documented when administered and disposed of. However there were a number of hand written entries which had not been signed by two staff, staff were also not recording the amount received on the medication administration charts, which made it difficult to determine if all medication signed for had been given. Medication was appropriately stored. All staff that administer medication had successfully completed accredited medication training to protect people. Care Homes for Adults (18-65 years) Page 14 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a good complaints procedure and robust procedures to protect people from abuse. Evidence: There was a clear and effective complaints procedure, which included set timescales. The complaints procedure also states that the Commission can be contacted at any time. The home had received no complaints in the last twelve months. The home had an adult safeguarding policy and also had the local authority policy. One safeguarding referral had been received, due to some confusion initially the correct procedure was not followed, this was followed as soon as the situation was clarified and people were protected. However since this the providers and manager have again attended safeguarding training and have updated all staff to ensure this does not occur again. The safeguarding policy clearly defined different types of abuse and staff were well aware of different types, they were also aware of the importance of whistle blowing. Care Homes for Adults (18-65 years) Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good environmental standards were maintained Evidence: The home is suitable for its stated purpose it is safe and comfortable. The standard of cleanliness throughout the home was excellent and all routine maintenance was carried out. Care Homes for Adults (18-65 years) Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people were supported by an effective team and protected by the homes recruitment practices. Evidence: We looked at a selection of staff training files. Not all training was not up to date some courses needed to be updated these included health and safety, infection control and fire. The acting manager told us these would be carried out to ensure staff were updated, to ensure peoples needs were met by appropriately trained staff. The home operated a thorough recruitment process. We looked at a selection of staff files most contained all the required information and checks to ensure people were protected. However one file had no evidence that an employment gap of 13 years had been explored. Another person had applied for a job a year prior to appointment, had worked somewhere different in that year however when appointed a year later the acting manager had not requested any new references or a new criminal record check, so had not followed procedures to protect people. Staff had either achieved NVQ training or were enrolled on NVQ training to ensure that Care Homes for Adults (18-65 years) Page 17 of 22 Evidence: all care staff had achieved NVQ level 2 or above. Care Homes for Adults (18-65 years) Page 18 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run with health and safety promoted and maintained. Evidence: There was a new acting manager in post who was in the process of being registered with the commission. The new manager was also due to start the registered managers award in September 2009. Quality monitoring systems were in place seeking the views of the people and measures in place to measure success in achieving the aims and objectives of people. All maintenance records were up to date to protect people. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 35 18 All staff must be appropriately trained to meet peoples needs. All mandatory training must be carried out. 01/07/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 Hand written entries on medication administration records should be signed for by two staff and the amount of medication received should be documented on the medication administration record. Gaps in employment histroy should be explored and all checks carried out must be at the time staff are employed. 2 34 Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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