Inspection on 18/06/07 for Freedom Care Ltd (70 Conway Drive)

This inspection was carried out on 18th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Freedom Care Ltd (70 Conway... 27/06/06

Freedom Care Ltd (70 Conway... 07/12/05

Freedom Care Ltd (70 Conway... 01/02/05

Freedom Care Ltd (70 Conway... 19/11/04

Freedom Care Ltd (70 Conway... 11/02/03

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

CARE HOME ADULTS 18-65 Freedom Care Ltd (70 Conway Drive) 70 Conway Drive Shepshed Loughborough Leicestershire LE12 9PP Lead Inspector Bhavna Keane-Rao Unannounced Inspection 18th June 2007 10:30 Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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 Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Freedom Care Ltd (70 Conway Drive) Address 70 Conway Drive Shepshed Loughborough Leicestershire LE12 9PP 01509 821185 01509 821185 joe@freedomcare.org 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) Freedom Care Ltd Mr Joseph Matthew Kinch Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 27th June 2006 Brief Description of the Service: Freedom Care Limited at 70 Conway Drive is in a quiet residential area in the village of Shepshed in Leicestershire. The home is registered for a maximum of two people with learning disabilities. The home is a converted detached bungalow, to the ground floor of the property there is a lounge, dining room, kitchen, main bath and shower room, and homes’ office. Resident’s bedrooms are situated on the first floor. There is a small garden at the rear of the home, which residents can use. At the back of the garden there is a snoozelum room for residents to relax in and enjoy. Also there is a converted garage which is used for meetings and storing documents. The manager provides, upon a request or enquiry, an information pack, which includes Service User Guide and statement of purpose. This means that people will have all the information about the service provided by this home and how much it will cost On 18th June 2007 The Registered Manager confirmed that the fees were between £1800 and £2500 per week per resident. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last Inspection Report, reviewing of the pre-inspection questionnaire, the service history of significant events since the last inspection and Comment Cards sent to residents from the Commission for Social Care Inspection. The unannounced site visit commenced on the 18th June 2007 and lasted four hours. The focus of the inspection is based upon the outcomes for the residents. Which means do the residents feel happy with the service they get, do they feel involved in decisions made about their lives for example. The method of inspection was ‘case tracking’. This method involves identifying individuals who currently live at the home and tracking the experiences of the care and support they received during the time they have lived there. Since there are two residents who live at this home, they were both selected and discussions were held with both of them. The method of case tracking included the review of residents’ individual care records, discussions with staff with various responsibilities within the home and reviewing the records, training records and the minutes of residents and team meetings. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was achieved by speaking with residents, manager and care staff who were on duty whilst observing day to day care practice. Commission for Social Care Inspection (CSCI) sent out two Comment Cards called “Have your Say about…” to residents and also to their relatives. This is a way of collecting views from people who use the services. The cards were sent to both the residents and their relatives. All four cards were returned to CSCI. All the responses were totally positive about the care provided at Freedom Care Ltd (70) Conway Drive) and the home environment. What the service does well: This is a very small home providing individually tailored care for residents. Both the staff and the residents have been at the home for a number of years and this has created a very relaxed stable environment, which is mutually beneficial for the residents and the staff. Residents who were spoke with and who also sent in their comment cards felt they were supported to live a full and fulfilled life. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 6 Residents’ relatives sent in some comments about what they feel the home does well. Please note ‘X’ is used instead of the resident’s name: “Give X a better quality of life.” One person stated that the home does “Everything” well. All the comments were shared with the staff and the manager who were very pleased with them. What has improved since the last inspection? What they could do better: Residents who were spoken with were positive about this home. Relatives were also asked this in the Comment Cards, they responded with: “ We think they’ve got it right” “The manager and his staff put the clients first” Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 8 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 Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a procedure in place to ensure that new residents needs and aspirations are assessed before admission to the home so that care needs are met. EVIDENCE: Residents have access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the services offered, the accommodation and information on policies and procedures. There have not been any new admissions to this home for a number of years. However there is s set admissions procedure which is followed and which staff are aware of. At the point of admission residents are given all relevant information. The statement of Purpose has recently been revised and the current residents have been given an up date version. One was viewed during the visit. This means that people have all the information about the service provided by this home and how much it will cost Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s independence is promoted, whilst they are supported to make decisions affecting all aspects of their lives. Residents receive a wide range of activities and recreational pursuit that have a direct impact on the quality of care they receive, and their lifestyle. EVIDENCE: Since the last key inspection the manager and his staff have developed ‘Well Being’ portfolios for both residents. These are in pictorial and in an easy to read format much like a daily diary so that residents are able to read and understand what their individual care plans state along with activities they have participated in. On the day of the visit residents showed the inspector their pictures and read extracts from these folders. There was obvious enjoyment and pleasure from Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 11 this activity. This has been very well thought out and introduced to involve residents in a positive manner. These are up to date and reviewed as and when changes occur. After this they were going out shopping, a regular Monday event, and then for lunch at MacDonald’s, both residents were extremely excited. Care plans were written from the perspective of the residents, detailing the level of support required and how the support was to be provided, care plans were written for all aspects of daily living and included personal care, food, activities, health care and detailed routines preferred. The care plans also included risk assessments which showed how residents can be positively supported to live a full and fulfilled life. A relative who completed a comment card about the home stated: “X states what he wants to do, the care home have always said that X does what he enjoys, and if he didn’t then they would find something else for him to do” Please note ‘X’ here is used to replace the name of the resident. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make choices about how they wish to lead their life and activities they participate in and what food they eat, which ensures they have control over their life. EVIDENCE: Weekly records and care plans detail the range of activities and recreational pursuit which residents engage in, these included swimming, horse riding, outdoor pursuit, cooking, drawing, eating out, trips to the theatre- Mary Popins last weekend, concerts- one person went to see Girls Aloud, walking in Bradgate park, yoga, going to Walkers Stadium to watch Leicester City play football, BBQ’s and visits to family and relatives. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 13 There is a large car for residents’ use and home business. This enables staff to respond to any requests from residents for an unplanned day out. Also to take residents to and from day care provisions. Support is given to enable residents to maintain contact with their families. One relative stated: “They let him contact us by phone anytime he wants. We can also visit him at anytime. One relative stated that they are always kept in contact even if just to inform them about “changes to medication.” A list was viewed which detailed important dates and address of people in residents lives. These enable the staff to support residents to maintain positive contact. Risk assessments care carried out to support residents accessing recreational pursuits of interest. These were viewed during the visit. As per their care plans residents are encouraged to undertake household chores such as washing up, vacuuming and bringing down the clothes for washing. On occasions residents will swap these amongst themselves. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, emotional and personal care needs are met in line with the care plan and as per resident’s wishes. There are policies and procedures in place which staff follow in order to support residents with their individual care needs. EVIDENCE: Care plans provide details regarding the health care needs of residents. During the visit a member of staff was observed giving medication to a residents at the time prescribed. This was then recorded on to the records. The records were viewed and found to be accurate and up to date. Residents have a choice as to who provides them with personal support. There are a number of female staff and the manager is male to ensure that the gender choice is available should a resident wish for this. Upon discussions Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 15 with staff and residents it was obvious that the manager was residents’ ‘favourite.’ Medication is kept locked and all the staff giving out medication have been provided with training to do so safely. Staff training records demonstrated this to be the case. Discussion was held with the manager who stated that at present residents were not able to manage their own medication. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: The manager has a complaints policy and procedure, which is detailed in the statement of purpose and made available to residents and their families. When asked residents knew who to go to if they had any problems. Relatives who wrote in with their views of the home stated: “We have the information in writing.” “ We can not answer this question, because we’ve never had any concerns.” Staff training records demonstrated that training is provided to all the staff employed on protecting and safeguarding adults. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 27, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and comfortable environment suitable for their care needs. EVIDENCE: The manager and staff pride themselves on the informal setting with emphasis on homeliness at this home. Communal areas are decorated to a high standard, bright and well ventilated. Communal areas including lounges/dining area, the hallway, the bathroom and the kitchen, newly fitted, were found to be clean and tidy. The bedrooms are located on the first floor and access using the stairs. Residents showed the inspector their individual bedrooms. These have recently been decorated and new carpets have also been fitted. The bedrooms were Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 18 highly personalised and showed individual tastes and interests. One resident very proudly showed off his music collection and his music system. Residents were observed moving around the home without restrictions. The new chromo therapy bath is has now been installed and is much appreciated by both the residents, especially the ‘purple lights.’ Resident’s clothes are washed in the kitchen where the washing machine is situated. The Pre Inspection Questionnaire detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, central heating systems and emergency call systems. These were found satisfactory on the day of the visit. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are currently sufficient numbers of care staff available at the home with appropriate training and skills to meet the needs of residents. EVIDENCE: At present both the residents required one to one input and so there are always two members of staff on duty between the hours of 8 am to 10 pm. There is then one member of staff who sleeps in during the night and is available if so needed. One resident’s relative, in their comments, stated, “All staff are highly trained.” Although there has not been any new recruitment recently the recruitment and selection procedure in place is robust. The files of three staff were viewed and all files contained thorough preemployment checks including safety check of criminal convictions, a completed application form and two written references. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 20 The Registered Manager submitted to the CSCI information as to the staff training before the visit, in addition training records were viewed on the day of the visit. The details demonstrated a good skill-mix of staff to meet the needs of the residents at the home. Four of the eight members of staff employed have successfully completed their National Vocational Qualification (NVQ) level 2 or above. Further two staff have been enrolled to start their NVQ level 2 in Care and one person is to start their NVQ level 4. All the staff employed by the manager have been provided with mandatory training, for example Basic Food and Hygiene and Safe Handling of Medication. Staff were aware of their roles and responsibilities, where to find the home’s procedures and who to report any concerns to. Staff said they felt very supported by the Registered Manager and that they enjoyed working at this home. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a competent and committed registered provider/manager who understands the needs of individual residents. Resident’s benefit from the support given to staff the manager in maintaining residents physical, emotional and social needs at the core of care provided. EVIDENCE: The manager has a ‘hands on approach’, which residents were observed to respond to positively. Staff stated that there was a clear line of responsibilities and that they always felt supported by the seniors and the manager. Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 22 The manager has recently undertaken a review of the quality of the service which is provided by the home. A questionnaire was sent out to residents and their relatives, to health care professionals involved, such as doctors. These have now been collected and will be analysed to see if there are any areas for improvement in the provision of care. A report will also be produced and given to the relatives and the residents. One comment received from a relative about the staff and manager was: “The manager and his staff put the clients first” Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © 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 Freedom Care Ltd (70 Conway Drive) DS0000035080.V338951.R01.S.doc Version 5.2 Page 26 - 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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