Inspection on 17/09/08 for Conroy Close (1)

This inspection was carried out on 17th September 2008.

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

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

Conroy Close (1) 29/08/07

Conroy Close (1) 20/09/06

Conroy Close (1) 14/02/06

Conroy Close (1) 11/10/05

Conroy Close (1) 15/03/05

Conroy Close (1) 20/07/04

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Conroy Close (1) 1 Conroy Close Easingwold North Yorkshire YO61 3NS     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: Ray Burton     Date: 1 7 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Conroy Close (1) 1 Conroy Close Easingwold North Yorkshire YO61 3NS 01347821700 Telephone number: Fax number: Email address: Provider web address: h1m001jeffery@mencap.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Graham Howard Jefferys Type of registration: Number of places registered: Royal Mencap Society care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Registration is for 6 persons with a learning disability who may also have a physical disability, three of whom are over 65. Date of last inspection Brief description of the care home 1 Conroy Close is registered to provide residential, personal and social care, for six people with learning and physical disabilities, some of whom are over the age of 65 years. The home is dormer bungalow providing single bedroom accommodation, and suitable communal space. It is situated in a residential area close to local services and amenities. The premises are owned by New Era housing association and Mencap provides the care. The registered manager is Mr Graham Jeffreys. Information is available to people about the service in a Service User Guide to the home. This document is available in different formats. 3 Over 65 3 Care Homes for Adults (18-65 years) Page 4 of 24 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: This report gives the findings of an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults. The inspection was conducted on 17/09/08. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to several members of staff and the Operations Manager; in addition we looked at information received, or asked for, since the last inspection - including the Annual Quality Assurance Assessment (AQAA). Care Homes for Adults (18-65 years) Page 5 of 24 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 24 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 7 of 24 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. The homes assessment process ensured only those persons whose needs could be met would be admitted Evidence: Most of the people living in the home have been resident there for a number of years; however examination of the file belonging to someone admitted in August this year revealed that prior to admission the manager had visited the person in the residential home where he had been living, had spoken to members of staff and had conducted an assessment to ascertain if the persons needs could be met at Conroy Close. Following the initial assessment the prospective resident had made several visits to the home, followed by an overnight stay. Following his admission for a trial period a review had been held, attended by the persons relatives, during which the decision had been made for the placement to become permanent. All of the people living in the home have been issued with an individual contract stating the terms and conditions of residency. Where a person has been unable to sign Care Homes for Adults (18-65 years) Page 8 of 24 Evidence: the contract it has been signed on their behalf by an advocate or representative. Care Homes for Adults (18-65 years) Page 9 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People experience good quality outcomes in this area Evidence: Examination of care plans revealed each to be well organised and contain comprehensive and detailed information about the individual and his/her needs and wishes. Assessments had been conducted and action plans devised covering all areas of daily living and personal need. Risk assessments were in place and risk management strategies had been developed to eliminate or reduce identified risk. Regular reviews ensured that action was taken to respond to any change of need. Care plans show how service users, despite their limited understanding and poor verbal communication, are placed at the centre of the care planning process and are involved at an appropriate level in the development of their own plan. Most of the people living in the home have limited or no language skills; however members of staff are aware of the different methods used by individuals to make their needs known and Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: assist those people by employing a variety of alternative methods of communication. Members of staff have received training in Person Centred Planning. Care Homes for Adults (18-65 years) Page 11 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are treated with respect and presented with opportunities to lead fulfilling lives. Members of staff encourage and support them to take part in appropriate leisure activities. Evidence: Conversation with members of staff and examination of care plans showed people living in the home are encouraged and supported to develop their skills and to lead a normal and satisfying life. Each resident has a key worker who gets to know his/her likes and dislikes and is able to provide opportunities and support so that each person is able to do things that they enjoy. Records show people take part in a wide range of activities both inside and outside of the home: music; arts & crafts; attendance at church services; shopping trips; outings to places such as theatres, Eden Camp, race meetings at Ripon and Thirsk. Three of the people living in the home have motability Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: cars; others use taxis to take them to outside activities. Residents are encouraged and supported to keep in touch with family and friends; and relatives are kept informed of significant events and the welfare of their family member. Peoples preferences and dietary needs are taken into account when menus are prepared. The record of food served showed a balanced and varied diet is provided and alternatives are always available should someone not want the dish of the day. Care Homes for Adults (18-65 years) Page 13 of 24 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. Personal and healthcare needs are met by the homes staff and appropriate healthcare professionals. Evidence: Care plans contained information about general health, dietary requirements and details of any specific ailment or medical condition. Constant monitoring of health was undertaken and healthcare needs addressed by service users own doctor and other community based professionals e.g. dentist, community nurse etc. Since the last inspection members of staff have received diabetes awareness training to support a resident who is insulin dependent. None of the people living in the home is able to control his/her own medication. Since the last inspection there has been an improvement in the way that the home administers medicines held on behalf of people. All medicines are stored appropriately and securely and administered according to the homes policy and procedures by members of staff who have undergone suitable training.Medication records are Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: accurately maintained. Care Homes for Adults (18-65 years) Page 15 of 24 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. People living in the home are able to raise a complaint about the service and are safeguarded from abuse by the awareness of staff. Evidence: The home has an appropriate complaints procedure stating how complaints can be made, who will deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter has been handled. The procedure is contained in the service users guide and is available in different format. All members of staff have received training in the protection of vulnerable adults and are aware of the whistle blowing policy and know the procedure to be followed should an incident of suspected abuse be brought to their attention. There have been no recorded complaints since the last inspection. Care Homes for Adults (18-65 years) Page 16 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Conroy Close provides a comfortable and well maintained environment for the people who live there. Evidence: Number 1 Conroy Close is a dormer bungalow offering the people who live there a warm, comfortable and homely environment. There is a garden providing a safe and pleasant outside area for people to enjoy. The house is pleasantly decorated and furniture is comfortable and domestic in design. A walk around the home revealed it to be clean, hygienic and free from offensive odours. Bedrooms are comfortably furnished and have been individualised by being decorated to the occupants choice and by the inclusion of personal effects such as pictures, posters, photographs etc. Since the last inspection the house has been decorated and new furniture purchased for the communal lounge. The current needs of the people living in the home are being met by the provision of adaptations and specialist equipment; monitoring and re-assessments ensure changing needs are recognised and suitable action taken to meet changed circumstances. Care Homes for Adults (18-65 years) Page 17 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported by a competent and well trained staff team. There are always sufficient members of staff on duty to meet needs. There is a supervision programme ensuring all members of staff receive a minimum of six formal supervision sessions a year. Evidence: On the day of the inspection there were sufficient numbers of staff on duty to meet the needs of the people living in the home. Examination of duty rosters showed the home is always suitably staffed to meet assessed needs. Examination of personnel files evidenced that prior to a new member of staff commencing employment, two suitable references were obtained and all necessary checks, including Criminal Records Bureau (CRB), were conducted. Training records and conversation with members of staff showed the staff team had the necessary skills and experience to meet the assessed needs of the people living in the home. Newly appoited personnel undertook appropriate induction training and all members of staff were encouraged to undertake training that would aid their professional development and help them meet the needs of the people living in the Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: home. All mandatory training is up-to-date and five of the ten permanent members of staff have gained NVQ level2 in Care; two are qualified to NVQ level 3 and another is currently working toward achieving the award. Care Homes for Adults (18-65 years) Page 19 of 24 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. A well manage home with a registered manager and staff team with appropriate qualifications and experience. Evidence: The registered manager has the necessary experience and the required qualifications in both care and management. The manager and staff are aware of their responsibilities under health & Safety legislation. Regular checks of the building and equipment are conducted and maintenance and servicing undertaken to maintain a safe environment. Records are maintained in a satisfactory manner and are stored appropriately. Policies and procedures are in place covering all aspects of the management of the home and the health, safety and welfare of staff and the people living in the home. There are systems, both formal and informal to measure success in meeting the Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: homes aims and objectives and statement of purpose; and to ensure the rights and best interests of the people living in the home are safeguarded: staff meetings, a continuous improvement plan and regular visits and service reviews conducted by MENCAPs Area Manager. Care Homes for Adults (18-65 years) Page 21 of 24 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 22 of 24 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 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 Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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. Care Homes for Adults (18-65 years) Page 24 of 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. 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!