Inspection on 16/08/05 for Carleton House

This inspection was carried out on 16th August 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 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

Carleton House 23/11/06

Carleton House 03/02/06

Carleton House 01/03/05

Carleton House 01/05/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 Carleton House 29/31 Carleton Street Morecambe Lancashire LA4 4NX Lead Inspector Jenny Dunkeld Announced 16 August 2005 10:00am th 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. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Carleton House Address 29/31 Carleton Street Morecambe Lancashire LA4 4NX 01524 831496 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) Mrs Barbara Davidson CRH Care Home 3 Category(ies) of MD Mental Disorder 3 registration, with number of places Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st March 2005 Brief Description of the Service: Carleton house has been developed combining two semi-detached houses together to function as one care home. The three residents have a single bedroom each. The shared facilities are a lounge/dining room, a smoke room and a kitchen/diner where they prepare drinks for themselves and each other. This accommodation also offers bed & breakfast to two other people. The people who reside at Carleton house are prompted to do as much for themselves as possible and thereby enhance their independence. There is a beautiful garden to the rear with garden furniture, where service users enjoy relaxing and when weather permits and having a Bar-be-que Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This year, all registered Care Homes are to be inspected at least twice and both visits can be unannounced. However the inspector chose to carry out an announced inspection on this occasion. This inspection took place on 16/8/05 and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector. This inspection included discussion with the 3 residents and the home owner, in addition to viewing the home’s required written information such as policies and procedures. Two of the residents written plans of care were also viewed. The Care Plan is a document outlining the needs of the individual resident and how these are to be met. They cover all aspects of the individual’s life including health, personal care and social activities. Thereby ensuring people are content in the care they receive. The residents the inspector spoke with were happy with life at Carleton House. The homeowner is a caring person who is committed to ensuring that the residents have a quality of life of their choosing. Comment cards were received from the 3 residents revealing that they are happy with the care they receive. What the service does well: The homeowner has developed a very homely environment where people care about each other. Indeed the comment cards received from the residents stated ‘I like living at Carleton House because it is like a family environment and it has made me feel more confident and happy because I feel loved and supported, in what I choose to do’. Another resident stated ‘It’s very nice where I live and everyone here helps me very much.’ The home is maintained to a high standard The residents state that Barbara (the home owner) is a kind person who looks after them well. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 6 The home is run around the needs of the people who live in the home and their activities. The homeowner ensures that people have a healthy, balanced diet. The people who live here are encouraged and enabled to have holidays abroad. 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. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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) 2 There is a system for assessing the needs and abilities of all prospective residents. This means services are tailor made to suit the individual. EVIDENCE: Each person admitted to the home would in future have a pre admission assessment this is when the prospective resident and their relative/representative will be asked a number of questions about the needs of the individual to ensure their choices, needs, preferences and aspirations can be met at the home. However two of the current residents have lived there for a number of years and there was no requirement at that time for an assessment prior to admission, however according to them their needs are fully met. The comment cards received from them reflect that they like living at the Carleton House and that they feel well cared for. The other resident talked about how much better he is since living at this care home. There is no doubt that his needs were accurately assessed as being able to be met at this home. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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) 7 & 9 The people who live at Carleton House have a lifestyle of their choosing and are supported to take calculated risks as part of increasing their independence EVIDENCE: The residents were aware of their rights and said that they are upheld. Their freedom of movement is not restricted; residents have a key to the front door. They stated that they can come and go as they choose and merely need to explain what time they will be back. They seemed almost amazed at the inspector asking them about who makes decisions about their life as they take this right for granted as it is the custom and practice at Carleton House. The resident comment cards included the following comments “ We are always involved in the decision making’ ‘I am fully involved in the decision making” Risk assessments have been developed covering such topics as are relevant to the individual resident. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 10 It is evident that the homeowner does enable residents to take calculated risks from the discussion with the residents who outlined how they are enabled to increase their independence. The three residents have been assessed as being capable of being on their own in the home for short periods of time. Each resident knows how to contact the Emergency Services and the homeowner should the need arise. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 standard(s) 12, 13 & 17 The residents are enabled to have fulfilling lifestyles of their choosing and benefit from being part of the local community. Arrangements and planning to provide nutritional food are good. The residents enjoy a healthy diet. EVIDENCE: The inspector spoke with the residents who stated that they have a fulfilling lifestyle and enjoy various activities are enabled to continue their training. At the time of this visit one resident showed the inspector the course work he had completed and he was really proud of this. Swimming is also enjoyed. The residents told the inspector about the holidays they have had in the last 12 months and of the planned holidays for next year. Turkey has been enjoyed and Cyprus is also one of the destinations for next year. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 12 The residents spoke of their enjoyment in their lifestyle. They access local college, sports centre, clubs etc and as such are very much part of the community. The residents spoke enthusiastically about the meals they have at Carleton House. They help choose and prepare meals. The residents generally choose to dine in the dining room this is a congenial setting. The homeowner explained how she aims to provide a balanced diet. One resident has managed to reduce her weight after following a healthier diet and she is rightly pleased with her new look. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 standard(s) 18 The personal support offered is in a way that suits the resident’s needs and preferences meaning that, residents remain satisfied and contented in their care. EVIDENCE: The people who currently live at Carleton House are able to attend to their own personal care needs such as bathing and toileting. The residents choose when to go to bed/rise and what clothes etc to wear. Prompting is given when necessary. As the homeowner, her friend and her daughter are the main providers of care the consistency is good ensuring continuity of care for the residents. The residents spoke of their enjoyment in life as they are enabled to be as independent as possible. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 The residents are able to talk freely about any concerns they may have. The homeowner acts on all expressions and views made by the residents ensuring that residents are confident that their concerns are important in the home. EVIDENCE: The residents explained that if they had any concerns they would tell Barbara the homeowner, and that she would resolve it. The home’s complaint’s procedure is included in the residents guide and includes the address and phone number of the Commission for Social Care Inspection. The residents are aware of how to complain but state they are very happy in the care they receive. The comment cards received reflected that the relatives of the residents were also aware of how to complain but had never had a need to do so. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 Carleton House is a clean and safe environment, which is maintained to a good standard. The residents feel safe and their accommodation meets their needs. EVIDENCE: Carleton House is well maintained and is cheerful, bright, clean and free from offensive odours. The premises are safe and accessible to all the residents. The furnishings are of good quality and add to the homely atmosphere. Since the last inspection the home has a new dining room suite, 42inch TV; fire and surrounds. These have further enhanced the quality of the appearance of the home. The residents spoke highly about their lovely home. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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) 35 The residents are well cared for by the homeowner and her family. EVIDENCE: The homeowner and her family provide the total care hours. The 3 comment cards received from the residents reflect that they feel they are very well cared for. The homeowner does not have a formal qualification in care however she has a wealth of experience in the care of this client group and from discussion with the resident their needs are well catered for. There was a relaxed, open atmosphere during this visit where the residents were encouraged to speak freely. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 Carleton House is effectively managed by Mrs Davidson who is competent and experienced to do so. The residents live in a safe environment where their health and welfare is promoted. The residents live in a well managed home. EVIDENCE: Mrs Davidson consults the residents on a daily basis about the quality of the care they receive. A more formal form of quality monitoring has been developed ie a Residents questionnaire. The comment cards received from the residents as part of this inspection process reflected the residents contentment in the care they receive. The residents were aware of the date and time of this inspection and were able to see the inspector in private. Mrs Davidson is aware of the need to protect vulnerable residents from hazardous situations and has had thermostatically controlled valves installed to Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 18 all hot water outlets to protect the residents from accidentally scalding themselves. The home is well maintained. Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Carleton House Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 20 N/A 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court, Port Way Preston PR2 2YQ 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 Carleton House F57 F09 S9919 Carleton House V218878 160805 Stage 4.doc Version 1.40 Page 22 - 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!