Inspection on 14/12/05 for Deyes Lane, 14

This inspection was carried out on 14th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Deyes Lane, 14 18/04/07

Deyes Lane, 14 04/07/05

Deyes Lane, 14 28/01/05

Deyes Lane, 14 27/07/04

Deyes Lane, 14 08/03/04

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 Deyes Lane, 14 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ Lead Inspector Ms Lorraine Farrar Unannounced Inspection 14th December 2005 1.45 Deyes Lane, 14 DS0000005273.V273703.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 Deyes Lane, 14 DS0000005273.V273703.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. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Deyes Lane, 14 Address 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ 0151 531 1792 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) Parkhaven Trust Mrs Ann West Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 8 LD. Date of last inspection Brief Description of the Service: 14 Deyes Lane is owned and operated by Parkhaven Trust, a local organisation who are based in Maghull and provide services to people with varying support needs. The home is a semi- detached house, registered to provide accommodation and support for eight adults who have a learning disability. It provides singe bedrooms, two lounges, two kitchens, a conservatory used for dining and an enclosed back garden. One of the bedrooms has en-suite facilities, others do not, however, the home does have two bathrooms with baths and toilets, a walk in shower and additional toilet. There is a parking area available to the side of the house. Located in a residential area of Maghull it is within walking distance of local shops, transport and facilities. The house was two semi-detached properties and both externally and internally presents as a family type home, in keeping with the surrounding area. Staff are available throughout the day and night and provide support to residents in all areas of daily life, including household tasks and getting out and about in the local community. Residents can if they chose attend adult education classes at the Resource Centre based at the main Parkhaven Site in Maghull. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection time was spent observing daily life in the home, the Inspector talked with several of the residents and the manager, care files and other records were read and parts of the building were looked at. The last inspection of the home took place in July 05 and was also unannounced. Standards that are looked at as part of the inspection each year have been looked at over these two inspections. What the service does well: What has improved since the last inspection? Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 6 Since the last inspection the home have updated their accident book and residents risk assessments. 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. Deyes Lane, 14 DS0000005273.V273703.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 Deyes Lane, 14 DS0000005273.V273703.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): These standards were not looked at during this inspection, information on the key standards ca be found in the inspection report from July 2005. EVIDENCE: Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 The home works with residents to provide clear, in-depth care plans, which reflect the persons personality and choices along with their care needs. Residents are supported and encouraged to make decisions with the home and are confident to do so. EVIDENCE: Each resident has their own care plan file and one of the residents explained that their key worker does this and “I help her with it”. Four care plans were read during the inspection and one of these was discussed in detail with the resident, who confirmed that the contents were all correct. Plans are detailed and contain information that is individual to the person and the way that they like to be supported. The home use a format based on Person Centred Planning, which helps them to identify and make sure they can meet the person’s individual choices and needs. Areas covered included, “my routines”, personal care, healthcare, likes and dislikes and how to support the person. These are detailed and include the personal preferences people have such as support to put make up or moisturiser on their face as well as the persons safety needs such as support when out and about. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 10 All care plans read had been reviewed and updated regularly by the manager, key worker and resident. Information about local advocacy services is freely available in the home with leaflets stored in care files. Regular, formal and informal meetings are held in the home, which both staff and residents take part in and contribute to. Throughout the inspection staff were heard to discuss smaller decisions with residents and to respect their point of view and the manager was able to give good examples of the ways in which different residents are supported to make decisions based on their personalities. Care plans contain some information about decisions residents make, with one plan having very clear information about supporting a resident with access to healthcare and the decisions they have made about this. The home manages residents’ money and medication well with several of the residents confirming that they look after their own money and medication to varying degrees. Care plans showed that staff have worked hard to support residents with this and residents are clearly pleased with the support they have received and the skills they have learnt. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14 The home works with residents to identify the ways in which they want to spend their time and provides support to them in doing this. Residents are encouraged and supported to develop their skills and confidence and it was clear that this works well. Getting out and about in the local community and accessing various leisure opportunities is important to the residents and staff provide support to resident regularly to do so. EVIDENCE: The home provides residents with different opportunities to learn and develop their skills. Throughout this inspection residents were seen to use the homes facilities as they chose with one resident making cups of tea and explaining that they make their own packed lunch and everyone helps with washing up etc. Another resident had been supported by staff to modernised their appearance and said that she was “very pleased “ about this. Residents were seen to be confident around the home and to make decisions about what they wanted to do without referring to staff and care plans contained information about the support staff had offered people to develop their skills and confidence in areas of their life. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 12 The people living at Deyes Lane spend their time in different ways throughout the week with some going to the organisations Resource Centre and working in the café there. At other times they go to a Local Education College and Local Authority Resource Centre. Others prefer to spend time at home with their hobbies and engage in household tasks such as shopping and making meals. All of the people living there enjoy having an active social life and it was evident in talking with residents and reading records that this is supported by the staff. Each week residents can attend clubs that they have been members of for many years and shopping trips, eating out and outings are a regular occurrence. Residents were looking forward to a planned day out to Liverpool with their keyworker, the manager explained that during the day they would split up before meeting later to go to the theatre. Regular holidays are arranged with residents stating they enjoy these, a recent holiday aboard had been a success with all residents and staff going. The home is well situated for public transport including buses and trains and at times can use a vehicle belonging to the organisation. The Manager explained that plans are in an advanced stage for getting a vehicle belonging to the home, this will be funded via resident’s mobility money and the manager was able to explain how this will be done fairly. Residents are familiar with the local area and explained that they use local health care, shops and leisure facilities. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Staff support residents to be as independent as possible with their personal care and provide support where needed in the way the person chooses. Residents are supported to monitor their health and to attend healthcare appointments. Generally medication is well managed with good practice noted in the support offered to residents to look after their own medication. Some staff have not received training in dealing with medication which could pose a risk to residents. EVIDENCE: Four care plans were read during the inspection and all had clear, good information about the type of personal support the person needs and chooses. This was discussed with two of the residents who confirmed that the information written down was right. One file contained a goal to support the person with gaining confidence with their personal care and this had been achieved. Residents explained that they chose when to get up or go to bed depending on their daily routines and that staff help them in the way they want, one resident explained, that “staff help but I do a lot of it myself”. Another resident had recently had her hairstyle altered and explained she was “very pleased” with it”, another explained she had been shopping for Christmas clothes and got “some nice things”. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 14 None of the people living at the home require many aids and adaptations however there is a walk in shower and grab rails available. A resident explained that she goes to a local doctor, chiropodist and optician and records confirmed that all residents are registered with local community GP practices. Records showed that residents regularly attend healthcare appointments such as dentist, optician and chiropodist and that either staff or their family go with them. Staff also monitor peoples health regularly including their weight and any issues which arise, seeking advice from the GP if needed and attending hospital appointments. Clear records are kept and the outcome monitored. One care plan contained detailed information about a residents long standing refusal to attend medical appointments and the manager was able to explain that if needed the GP would visit the home and staff have tried in a number of ways to alleviate the persons fears. Whilst these records are clear it is recommended that the home record each time a medical appointment is offered and the persons choices, this will ensure that the choice and possible consequences are regularly explained to the person. Medication in the home is stored in a locked cabinet with those residents who look after their own medication having a locked box. Clear guidelines are written down for the people who look after their own medication and risk assessments were completed. Records of medication given and received are clear and recorded correctly. Medication training is included in the organisations mandatory training plan and most but not all of the staff in the home have completed a distancelearning programme in medication. The home must arrange for all staff to complete this training to ensure that they are competent to deal with residents’ medications. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not looked at during this inspection. Information about key standards can be found in the inspection report for the unannounced inspection carried out in July 2005. EVIDENCE: Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,30 The home has sufficient shared, private and bathroom space available and is well decorated and maintained with residents choices are taken into account. Staff are trained in and manage the home, hygienically. EVIDENCE: Deyes Lane is a semi-detached house which has been altered inside to make one larger house. From the outside the home appears as an ordinary domestic dwelling, which fits in well with the surrounding area. Inside the adaptations have been very well carried out and retain the appearance of a comfortable family home. Centrally there is a large lounge leading to a conservatory used for dining, with a smaller lounge based to one side of the house. There are two kitchen areas one with seating and a utility room. Outside the home has a pleasant enclosed garden, which is well used in warmer months. There is sufficient space within the home to accommodate residents, staff and visitors. The home is decorated and maintained to a high standard with an emphasis on a comfortable environment. On the day of the inspection the home had been decorated for Christmas and was clean and safely maintained. The organisation has a maintenance plan for the home, which includes regular Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 17 safety checks, and the manager explained that plans are in place to decorate the hall areas next year. All bedrooms are single with one having an en-suite toilet and basin, these rooms provide sufficient space for residents personal possessions and are furnished and decorated in accordance with their choices. Residents spoken with confirmed that they have a key to their bedroom door and to a lockable drawer. There are two bathrooms available both having baths and separate walk in showers and in addition there is a downstairs toilet facility. These rooms are fitted with locks that can be overridden in an emergency. All staff have completed a distance learning course in infection control and the home was clean and hygienically maintained. There are two laundry areas within the home, one is based in the central kitchen and the other in the utility area accessed via the central kitchen. This is in keeping with the idea of providing ordinary lifestyles for people and where possible residents use these facilities. The home provides disposable gloves, aprons, water-soluble bags and bleach to deal with any potential outbreak of infection. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 18 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): The majority of staff in the home hold a care qualification and all staff are experienced and knowledgeable in supporting residents. The home has a satisfactory recruitment policy in place and ensure required checks are carried out before new staff are appointed. Not all staff have received up to date training in basic courses which help them to support residents safely. EVIDENCE: No new staff have been recruited to the home within the last 12 months, however the organisation have a good recruitment policy in place which meets national standards and the manager explained that there are plans to include residents in any new recruitment. Staff files read during the inspection contained the required checks and documents for staff including, references and Criminal Records Bureau (CRB) checks. Copies of staff job descriptions and terms and conditions are held on file. The organisation has a training department, which manages the training needs of all staff. They have recently issued a list of training courses and cards stating the courses they consider mandatory for staff. This includes courses relating to health and safety, adult protection and equal opportunities. Of the 13 staff nine hold a care qualification and another 2 are working towards this. Through taking with residents and observation during the inspection it was evident that the staff team are knowledgeable and skilled in working with Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 19 adults with learning disabilities and building effective relationships. Some of the mandatory training for staff was out of date. The manager was aware of this and explained that she intends to book it as soon as the courses become available, these includes food hygiene and manual handling. The organisation must provide a plan of when this training will be provided for staff to ensure staff are able to safely support residents. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 20 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 The home has an experienced, qualified manager who leads a staff team who are committed to providing a quality service for residents. EVIDENCE: Mrs Anne West is the registered manager for the home, she hold qualifications in care and management and has several years experience of management within a care home for adults with learning disabilities. A job description is available on file for the registered manager and in discussion with Mrs west it was evident that she undertakes regular development and training within her role. There are clear lines of accountability within the home and organisation. Through reading files, observation and discussion with residents it was evident that the ethos of the home is well understood by staff who respect residents and the fact that this is their home and have built trusting clear relationships which help residents to gain in confidence and lead lifestyles in accordance with their choices. Deyes Lane, 14 DS0000005273.V273703.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 4 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 X X 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Deyes Lane, 14 Score 4 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 4 X X X X x DS0000005273.V273703.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA20 YA35 Regulation 18(1)(c) 18(1)(c) Requirement Timescale for action 30/03/06 The home must ensure all staff undertake training in medication. The home must provide the CSCI 30/01/06 with a plan stating the dates all staff will undertake mandatory training. 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 YA19 Good Practice Recommendations The home should record all occasions when residents are offered the opportunity to attend healthcare appointments. 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