Inspection on 04/01/08 for Halifax Drive Care Home

This inspection was carried out on 4th January 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

Halifax Drive Care Home 06/07/06

Halifax Drive Care Home 04/10/05

Halifax Drive Care Home 11/04/05

Halifax Drive Care Home 21/10/04

Halifax Drive Care Home 22/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Halifax Drive Care Home 72 Halifax Drive Leicester Leicestershire LE4 2DP Lead Inspector Thea Richards Unannounced Inspection 4th January 2008 10:00 Halifax Drive Care Home DS0000006418.V357237.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 Halifax Drive Care Home DS0000006418.V357237.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. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Halifax Drive Care Home Address 72 Halifax Drive Leicester Leicestershire LE4 2DP 0116 2340519 0116 2340525 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) Lansdowne Road Limited *** Vacant *** Care Home 34 Category(ies) of Learning disability (34) registration, with number of places Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 6th July 2006 Brief Description of the Service: Halifax Drive is a home providing personal care and accommodation for up to 34 people with a learning disability. It is a purpose built home divided into four areas; Ash Lodge, Beech Lodge, Cedar Lodge and a bungalow located within the grounds, which provides more independent living for up to three people. The Registered Providers; Lansdowne Road Limited are part of the Craegmoor group, who have many care homes catering for people with a learning disability. All of the different areas have with a lounge, dining room and kitchen for the use of the service users. Meals are provided from the main kitchen, except where the service users are living independently. There is a well- maintained garden, with tables and chairs, and a barbecue, which is easily accessible for the service users. The service users help with the Maintenance of the garden as part of their activities. The home is situated on the outskirts of Leicester city centre and is within reach of local shops and other facilities. It is easily accessible by car or public transport and there is limited parking available in the grounds. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The home can be contacted by telephone or fax. The level of fees is individually assessed and currently ranges from £399.00 p.w. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 2 Star. This means that the people who use this service experience good quality outcomes. This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection (CSCI)), we spent four hours reviewing information received by the CSCI since the homes’ last inspection on 6th July 2006. The visit took place on the 20th August 2007 and lasted six hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to three of the service users. To achieve this, the service users were spoken with. We spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the service users’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. We looked at how prospective service users and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, the deputy manager, staff and the service users. What the service does well: The service provides an excellent lifestyle for the service users, which gives them a wide range of choices for their daily activities and social life. They have a well - trained staff, who all have at least a level two National Vocational Award. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 6 The staff are committed to the well being of the service users and to their occupation. ‘ The staff look after me well and I can do what I want to’ The environment that the service users live reflects their lifestyle and personal interests. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 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 Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before moving into the home by a preadmission assessment, visits to the service user and by visits to the service. This makes sure that the service users and their families know that this will be the right home for them. EVIDENCE: The care plans looked at confirmed that the service users had been given a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the information about the services offered and the Terms and Conditions in the home. Providing a thorough Statement of Purpose and Service Users’ Guide gives good information for the service users, making sure that they can get the most suitable care. This information can be provided in different formats such as large print or symbols. Completed assessments were present in the files, identifying the service users’ care needs, before they were admitted to the home. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 9 There is a good process in place to make sure that the service users needs can be met and that the staff are aware of all of them. This includes visits to the home by the service user and their families and stays at the home until they are happy that the home is right for them. Care plans showed that they contained the needs of the resident which had been shown in the original assessment. The current registration certificate from the Commission for Social Care Inspection (CSCI), and up to date details of insurance cover were displayed in the reception area. This makes sure that prospective service users know that the home is registered to look after their needs. Halifax Drive Care Home DS0000006418.V357237.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): 6, 7, 9. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The staff make sure that the service users have choices and make their own decisions in activities both inside and outside the home. EVIDENCE: The care plans are written as person centred care plans, which means that the service users are fully involved in planning and agreeing their care. These showed the individual choices of the service users for personal care, health care and daily routines and occupation. There are risk assessments in place where there may be a risk to the service user, either in an activity or in the environment. This allows the staff and the service user to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 11 We looked at the daily records of the service users. These contained information, which confirmed that they were taking part in some activity within the home and on outings. The residents spoken with indicated that they were able to do what they wished to in their lives. The residents have regular meetings to discuss choices in the home such as activities and menus. Halifax Drive Care Home DS0000006418.V357237.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): 12, 13, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users enjoy a wide range of suitable activities and interests with a staff who are committed to providing occupation, which suits them. EVIDENCE: There was evidence of a wide range of occupation and leisure activity being provided for the service users. This includes attendance at educational colleges and some employment activity. On the day of the visit, which was in the week of New Year, most of the service users were in the home. A group of service users had asked if they could go out for lunch on the day of the visit and this was arranged for them. On their return they told us that they had really enjoyed it. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 13 The service users visit both local shops and those in the city, either on their own if they are able or with a member of staff. They are part of the community and regularly visit the local pub and ‘disco’. The home has a vehicle, which is well used to take the service users to their daily activities and for trips and holidays. The staff were taking part in individual and group activity in the home on the day of the visit. We witnessed the staff dealing with a disagreement between two of the service users as they should have done. There was evidence seen that residents were enabled to continue with personal relationships. The service users are involved in the choices of meals and go with the staff to buy the food. The different needs such as food likes and dislikes and are catered for and are documented in the careplans. The care plans are in a person centred form, which the service users are included in writing them, therefore their choices and agreement for them is clear. Halifax Drive Care Home DS0000006418.V357237.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): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have good knowledge and meet the care needs of the service users as identified in the care plans. They are able to identify the possible care needs of the service users. EVIDENCE: Key workers are members of staff who have particular responsibility and interest in an individual service user. They should make sure that they have all that they need and that they have the activities and work or education needs met. The home, with the service user has developed a profile of the service users life, their wishes and what they would like to do in life. We were not able to speak with any of the families as there were none visiting on the day of the visit. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 15 We spoke with two members of the psychology team who told us that the care for the service users was very good and that the home were able to meet their needs and were able to identify possible needs. Medication records for the case tracked residents were in order. Medicines are provided by Boots chemist in ‘blister’ packs which means that the staff can give all the medicines for a particular time of day out of one pack. The chemist should be asked to provide labels that are printed with the insructions for giving the medicines, as hand written instructions could lead to mistakes being made by the staff giving the medicines. The manager and staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. The above makes sure that the residents are protected with the correct medicine administration. There are no residents responsible for their own medicines. Halifax Drive Care Home DS0000006418.V357237.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): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. The complaints book was looked at and there is arecord of one complaint having been received by the home since the last inspection on 6th July 2006. This was dealt with correctly and had been resolved. The Commission for Social Care Inspection has received two anonymous complaints in that time, which were passed to the home to investigate. These were investigated through the Craegmoor complaints procedure and found not to be correct. The manager said that the complaints policy was available in an easy read format and in large print. Service users are given help to find an advocate to help them with any issues that they might have. The residents spoken with were happy that they would speak to the manager if they had a problem and that it would be dealt with. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 17 The staff have all received training in safeguarding adults from abuse, which tells them what their responsibilities are in making sure that the residents are kept safe. The manager, the staff spoken with and by the records held in the staff files, confirmed this. Personal allowances for the residents are held in the home for incidental expenses and transactions are recorded and signed for. The records seen confirmed this and were found to be in order. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 18 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): 24, 25, 26, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are generally protected by the policies and procedures in the home to provide a safe, clean and well maintained environment. EVIDENCE: The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the reception area. Halifax Drive is a well established home, which has recently had a refurbishment programme. The communal areas, bathrooms and the kitchen have been upgraded, which has made the home clean, homely and welcoming. The communal bathrooms are clean and free from inappropriate items, which could present a hazard for the residents. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 19 Some of the carpets were heavily stained and others showed a lot of wear, which could become a trip hazard. The manager told us that there was a programme to renew the flooring, but that he was not sure when this would be happening. Since the visit we have been told that this should be happening within a month. With their permission we looked at the case tracked resident’s bedrooms. They provided good accommodation which had been personalised with belongings showing what their interests were. The service users spoken with said that they could have their rooms as they liked and could choose how it was decorated. The dining rooms and kitchen were clean and well maintained. The environmental Health Officer has made a recent visit and there were no requirements made. The lounges were well decorated and were homely, with many of the service users relaxing in them. One is used as a games room and has a pool table and other games in it. There is a large garden outside, which is easily accessible for the service users from the home. It has seating and barbecue areas. Some of the service users enjoy working in the garden and have made a well planted flower bed. The staff have received training in how to use and to store chemicals and have data sheets with all this information on them. Chemicals are all stored in locked cupboards. Fire and health and safety records were in place and found to be up to date. It was noted that, since the refurbishment, several of the fire doors have failed their inspection by the maintenance staff. The manager is arranging for their repair and has his maintenance staff completing some of them, with the fire provider coming in to repairing the rest. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 20 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): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited with a thorough recruitment process and given the training to make sure that the residents receive safe care given by properly trained staff. EVIDENCE: The staff on duty on the day of the visit matched the duty rota, however, consideration is being be given to reviewing the staff levels to cope with the needs of the service users and the home is interviewing for new staff. Several male staff have been employed, which has helped the male service users with their care and their activities. The home has now employed an activities organiser to make sure that a wide range of activities can be enjoyed. Two staff files were looked at by the inspector and the required information was complete in both of them. This included evidence of identification, Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 21 adequately completed application forms, two written references and Criminal Records Bureau checks. There was evidence of staff training recorded in the files, which was confirmed by the manager and by the staff spoken with. There was a good range of training provided in areas such as first aid, food hygiene, moving and handling and includes training for the particular needs of the residents. 100 of the staff hold a National Vocational Qualification at level 2 or above. The manager holds the registered managers award. This is to be commended. The National Vocational Qualification is a qualification for care staff to make sure that they receive the right training for the needs of the resident group whom they are caring for. There was evidence of regular staff supervision taking place within the frequency required by the Care Standards regulations. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 22 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): 37, 38. 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gives personal and individual care, in a safe environment whilst making sure that all the residents have their views heard and put in place. EVIDENCE: The manager was available throughout the visit. The manager of the home has many years experience in residential services for learning disability and has been the manager for this service for the last eighteen months. He is not yet registered with the Commission for Social Care Inspection. This process will make sure that the manager is a fit person to Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 23 manage the service. He has completed the registered managers award and several courses for the specific needs of his service users. The service users have regular meetings with the manager when their views and areas such as meals and activities are discussed. The service users spoken with said that they could always talk to him if they had a problem and he would sort it out for them. The manager gives the service users and their families a quality questionnaire twice a year, which looks at all the areas of care and the general opinion of the home. The health and safety records that we looked at were complete and up to date. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 24 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 3 2 4 3 X 4 X 5 X 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 2 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 3 3 X X 3 X Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? None 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. 1 YA20 2 3 4 YA24 YA24 YA37 Refer to Standard Good Practice Recommendations That the manager should arrange for the chemist to provide printed labels for medication instructions on the record sheets. That the provider should arrange to have all the fire doors checked and repaired where needed. That the provider should arrange to have flooring replaced where it is stained or worn. That the provider should make sure that an application for a registered manager is made. Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Halifax Drive Care Home DS0000006418.V357237.R01.S.doc Version 5.2 Page 27 - 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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