Inspection on 04/07/05 for Deyes Lane, 14

This inspection was carried out on 4th July 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 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

Deyes Lane, 14 18/04/07

Deyes Lane, 14 14/12/05

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 14 Deyes Lane 14 Deyes Lane Maghull Liverpool L31 6DJ Lead Inspector Lorraine Farrar Unannounced 4th July 2005 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. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 14 Deyes Lane Address 14 Deyes Lane Maghull Liverpool L31 6DJ 0151 531 1792 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) Parkhaven Trust Mrs Ann West Care Home 8 Category(ies) of LD - Learning Disability registration, with number of places 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 8 LD Date of last inspection 28th January 2005 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. 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. A school is located opposite the home which can lead to a lack of parking at times, this has been partly resolved as an access road has been built to new properties behind the house, although at peak times the road to the front of the house can be busy. 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. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information in this inspection report was gathered in a number of ways, this included talking with six of the people living in the home, briefly with one relative and with the manager, a partial tour of the premises, reading documents and records and observation. What the service does well: What has improved since the last inspection? Since the last inspection the home have improved on the quality rating they received from an external company and have been awarded a five star rating of “excellent” for care and accommodation. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 6 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. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 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 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 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) 1,2,3,4,5 Good information is provided to residents and their relatives regarding the home and organisation and staff take the time to discuss this with residents to assist their understanding. The home provides a high standard of support to people considering moving in, and ensures that they can meet the person’s assessed needs and that the person has had enough information and made sufficient visits to them home to make an informed decision. EVIDENCE: All of the people living in the home have a copy of a statement of purpose and service users guide in their care plan, which tells them about the home and about the organisation. An easy to understand copy of the complaints procedure is kept in each bedroom and residents have previously stated that staff have explained the contents of all of these documents to them. These provide the people living in the home and any who may move in, in the future with relevant information about the services offered. A new resident has recently moved into the home and through discussion with residents and the manager and reading records it was evident that excellent support had been provided to her in making the decision to move in and in settling in. The home talked to other residents to make sure they were happy with the move, obtained a copy of the social services assessment and carried out their own assessments, they arranged a series of visits for her and offer 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 9 the opportunity to stay overnight and for a weekend if the person chooses to do so. All residents have a copy of their contract with the home in their care plan which is signed by themselves and where possible their relative. A member of staff was observed explaining an up to date contract to a relative and residents have previously stated that staff explain this to them. This contract tells residents about the terms and conditions of their stay, fees and services offered. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 The home has good care plans in place for residents, which reflect their individual personalities, support needs and choices. Residents are encouraged and supported to view 14 Deyes Lane as their home and to make decisions regarding what happens there. Risk assessments are in place for residents however some areas relating to individuals personalities and lifestyles are not covered. EVIDENCE: Individual care plans are in place for all of the people living at the home, it was evident through discussion with residents that these plans reflect their choices, lifestyles and personalities. One resident spoken with advised that they regularly discuss their care plan with their keyworker, another sat with the Inspector and looked through their plan confirming the contents, plans read during the inspection had all been signed by the resident, stating that they agreed with the contents. It was evident that the information is the plan was accurate and provides detailed information about the person’s individuality and how the home supports them with their personal care needs and safety and also in leading as independent and enjoyable a lifestyle as possible. The care plans are based on Essential Lifestyle Planning and provide information about the person their goals, likes and dislikes, support needs and 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 11 choices. Some goals have been set for residents within the plan however it was evident that residents did not always fully enjoy learning from these goals, for example one resident had a goal of learning to tie their shoe laces, records showed that although they had made some progress they now seemed to have lost interest. In other areas of the plan and through discussion with a resident and the manager it was evident that the home are supporting people in learning new skills and in improving in their confidence. The home should look at the goals set within care plans and make sure they are achievable for the resident and based on their choices. Plans are reviewed every six months or when there is a change in the person’s lifestyle. Good practice was noted in that photographs are being used in some parts of the plan to aid the residents understanding. Information about local advocacy services is widely available within the home and a local advocacy service has been contacted in the past to visit residents. The home encourages and support residents to manage their own money and medication as much as possible. Residents spoken with were clearly proud of the skills they have in this area and the independence this gives them. Regular house meetings are held which are attended by all residents and staff and it was evident through talking with residents and observation that they have confidence in the staff team listening to them and respecting their point of view. Residents’ files contain risk assessments however some of these are quite general and not reflective of the person or any risks unique to them such as learning to deal with their behaviour. In discussion with residents and staff and through observation it was evident that staff have a good understanding of each individual and act appropriately in minimising any risks to them. However the lack of detailed written assessments could place the person or others at some risk if the staff team changed. The home must expand on their individual risk assessments in order to prevent this. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16,17 The home supports Residents to identify the ways in which they wish to spend their time and provides a variety of opportunities for them to get out and about in the local community and to go to Colleges, Resource Centres etc in accordance with their choices. Relatives are welcomed to the home and encouraged to visit regularly. The home recognises people’s individuality and staff support and encourage residents to view the house as their home and act accordingly. Resident’s` are fully involved in the choosing and preparation of meals and are encouraged to be as independent as possible in this area. EVIDENCE: Residents are encouraged to spend their time in activities of their choice. This includes attending Local Authority Resource Centre, Parkhaven Trust’s Resource Centre and Adult Education Colleges. Parkhaven Trust have a Resource Centre at their main site, this provides residents with the opportunity 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 13 to participate in classes run by as local college, arts and crafts and some work experience in the café. If they chose to do so residents can stay at home and participate in household tasks such as cleaning shopping and cooking. All of the people currently living at Deyes Lane enjoy socialising and through discussion with them and reading records it was evident that the home offers an excellent level of support in this area. Residents are supported to attend local clubs they have been members of for a number of years and regularly go out and about in the local community using shops and leisure facilities. A resident spoken with confirmed that if they wish to stay at home then staff will support them with this. During the inspection one resident was discussing plans for a birthday barbeque with staff and several residents advised that they had recently been abroad on holiday and had a wonderful time. All of the people living in the home enjoy going on holiday and the home regularly supports them to chose and arrange two-three holidays a year. A relative advised that they are always welcomed to the home and through discussion with residents it was evident that their families are encouraged to visit at any time. Throughout the inspection residents were observed to treat the house as their own home and to use facilities as they chose. Each person is provided with a key to the front door, their bedroom and somewhere to lock personal possessions. Throughout the inspection staff were observed to interact constantly with residents and to have a good understanding of their communication methods, whilst respecting peoples choice to spend time alone or to carry out activities independently. Food shopping is done in local shops and supermarkets and residents advised that they enjoy participating in this, meals are planned on a daily basis and the menu reflects that different choices are catered for. Residents were observed to use the kitchen to get drinks and snacks in accordance with their abilities and a residents spoken with advised that she helps staff prepare meals and everyone helps with washing up, preparing packed lunches etc. A new conservatory to the back of the home provides a small dining room in pleasant surroundings for people to eat main meals. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The home manages storage and recording of residents’ medication very well and have provided excellent support, where appropriate to residents in managing their own medication. EVIDENCE: All of the staff working in the home have completed a distance learning course in medication. The home have successfully supported four of the people living in the house to manage their own medication, this was carried out over a period of some time and was well documented. Records and storage of medication in the home was checked and was in order. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 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 standard(s) 22,23 The home has good policies in place for dealing with complaints and residents are aware of the action they can take if they are unhappy about anything. Staff have received training in adult protection issues and the manager has a good understanding of these. Residents monies are generally well managed however the home do not record all items held for safekeeping there is therefore no method in place for accurate auditing of these. EVIDENCE: The home does have a system in place for recording complaints although none have been received since they began operating. An easy to understand guide to making a complaint is provided to all residents and two of the people spoken with were clear as to who they would talk to if they were unhappy about something. The home has made links with a local advocacy service and contact details are freely available within the home. The organisation have a complaints procedure in place which states that complaints will be responded to within 28 days. All of the staff working in the home have attended a training course on dealing with abuse and adult protection issues. A copy of Sefton Local Authority’s adult protection procedure is available and the home manager had a good understanding of the processes to follow. It was identified at the last inspection that the organisations policy could conflict with that of the Local Authority, since then they have drafted a new policy to resolve this. Trough discussion with the manager and reading records in the home it was evident that the staff team have a good understanding of residents and the ability to support them in managing their behaviour. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 16 Records of resident’s monies are generally well maintained, accurate and clear. However where residents have euros left from a holiday these are stored securely but not recorded anywhere. These can therefore not be accurately audited. The home must devise a system for recording of monies not included in their current records, they must also record any documents such as passports, which they hold for safekeeping. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x Not assessed EVIDENCE: 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x Not assessed EVIDENCE: 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 19 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 The home has good systems in place for auditing the quality of their service. All required checks are carried out to a standard, which ensures residents safety. EVIDENCE: The home have recently had a quality audit carried out by an external company following which they received a five star rating for the service, this puts the home into the “excellent” category for care and accommodation and each month the home manager carries out a quality audit within the home. Through reading care plans and discussion with residents it was evident that the home consistently supports residents to gain and improve their knowledge, skills and confidence, residents advised that staff listen to them and ask, “what we think” During the inspection residents were given time and privacy by staff to talk with the Inspector. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 20 Polices and procedures within the home and organisation are changed and altered to make sure they are in line with current laws and with any requirements from past inspections. The home works well in meeting any requirements given to them as a result of inspections. The home has up to date and satisfactory records for health and safety issues, this includes regular fire checks, gas and electric certificates and water and fridge temperatures. The accident book within the home is now out of date and should be replaced by a new one, the current book records all accident sand could lead to a lack of confidentiality as if one persons records were examined others would be visible. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 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 3 3 3 4 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 4 4 4 3 4 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Deyes Lane Score x x 4 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x 3 F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 22 no 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 9 Regulation 13(4)(c) Requirement The home must expand individual resdients risk assessements Timescale for action 28/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 6 42 Good Practice Recommendations The home should discuss with resdients the current goals identifed in care plans to ensure they are in line with choices. The home sohuld replace accident book with one which ensures confidentiality can be maintained. 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Burlington House, South Wing 2nd Floor Crosby Road North Waterloo, Liverpool L22 0LG 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 14 Deyes Lane F53 F03 S5273 14 Deyes Lane V237089 Stage 4.doc Version 1.40 Page 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. 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