Inspection on 06/07/06 for Halifax Drive Care Home

This inspection was carried out on 6th July 2006.

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

Halifax Drive Care Home 04/01/08

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 Mr Steve Hunnybun Key Unannounced Inspection 6th July 2006 09:30 Halifax Drive Care Home DS0000006418.V302837.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.V302837.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.V302837.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 234 0519 0116 234 0525 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.V302837.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 4th October 2006 Brief Description of the Service: Halifax Drive Care Home is registered to provide care for thirty-four people with learning disabilities. The home provides group living and is divided into four units: Ash Lodge, Beech Lodge, Cedar Lodge and a bungalow located within the grounds, which provides more independent living for up to three people. There are 32 bedrooms in total of which 31 are single and one is double. One of the single rooms has an ensuite bathroom. The home is situated close to local amenities and within easy access of public transport links. The range of fees is £1034-£2868 every four weeks. Extras such as hairdressing and chiropody are charged directly. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Residents made the following comments: • • • • • • ‘Residents’ meetings are good’ ‘The food is good’ ‘The staff are lovely’ ‘I can go out to discos and outings’ ‘I like the home but it can be noisy’ ‘I’m going to Skegness next week’ A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. What the service does well: 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 Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Halifax Drive Care Home DS0000006418.V302837.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.V302837.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 in order to inform the care planning process. EVIDENCE: All three residents’ files tracked contained assessment documents. These were useful documents that contained references to care plans. One resident had written his own life history in his file and had signed assessment documents to indicate that he had contributed to them. This is commendable. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 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): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: All files tracked contained very useful care plans. One file also contained a person centred plan. These will be completed for all residents in due course. Residents who spoke with the inspector stated that they are enabled to make decisions and choices regarding their daily lives. Meetings are held for residents in each house during which they can discuss there preferences for outings, menus and other activities. Risk assessments were present in files and were comprehensive and current. Daily records are recorded using observations about residents rather that assumptions. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 10 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents who spoke with the inspector stated that they are offered a range of activities within the home. One resident goes swimming each week at a local college. Many residents have day care or college placements and in some cases employment. The manager is setting up day care activities for those residents who choose to remain at the home during the day. Leisure activities are offered within the home and in the local community as well as further afield. One resident spoke of a planned trip to Skegness and is clearly excited about this. Residents are enabled to maintain contact with friends and families. Details of contacts are recorded in their files. Residents that spoke with the inspector stated that they are treated as they would wish to be by staff. This was observed throughout the inspection. The home has a new cook and residents were all complementary about the food. Two residents stated that they do not like salad but that they are offered an alternative. Menus are Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 11 designed three weeks in advanced and residents are consulted. Menu sheets indicated a healthy, nutritious diet. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Files contained useful information regarding residents’ health and personal care needs. All appointments are recorded along with and advice or outcomes. Residents who spoke with the inspector stated that they feel that their needs are met. One said that if she feels unwell she is supported to visit the doctor or is given a painkiller for more minor complaints such as a headache. Medication is stored in locked trolleys, which are secured to the wall. All medication was stored appropriately and within its use-by date. Medication records were examined and were appropriately recorded in most cases. In one file errors in recording had been made and scribbled out rather than crossed out legibly. The manager was unaware of these errors in recording and undertook to speak to staff about them. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 13 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has robust complaints and protection procedures copies of which are available for residents. Records of complaints are kept and indicated that they are dealt with appropriately. Staff receive training regarding adult protection. All records regarding residents’ finances were up to date and accurate. Residents who spoke with the inspector stated that they are enabled to complain and feel happy to do so. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 14 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: A tour of the building was undertaken. Several areas identified at the last inspection were looked at. All the identified areas of concern have either been attended to or are part of an ongoing maintenance programme. The three residents tracked all showed the inspector their bedrooms and they were all pleasantly decorated, homely and personalised. Residents were clearly happy with their rooms. Communal areas are also pleasantly decorated and in good repair. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 15 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files contained the relevant pre-employment checks. A comprehensive induction pack is completed with new employees. The new manager stated that he is in the process of instigating formal supervision with staff. Staff have received training regarding first aid, health and safety, manual handling, protection of vulnerable adults, fire safety, infection control and the control of substances hazardous to health. Staff are also engaged in appropriate NVQ courses. Residents who spoke with the inspector commented positively regarding staff describing them as ‘nice’ and ‘lovely’. The home is generally well staffed although the manager reported some difficulties due to annual leave and vacancies. The manager has a range of strategies to deal with staff shortage including overtime and using staff from other homes in the group. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 16 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The manager has recently been appointed to the home and appears to be competent. Areas of development discussed with the inspector aim to impact positively on residents’ lives. The manager is aware of the process to register with the commission and stated that he intends to do so now he has been appointed. Residents’ and stakeholders views are sought as part of a very comprehensive and useful quality assurance process. The inspector examined health and safety records including fire logs and risk assessments and all were up to date and accurate. Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 17 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 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 3 25 X 26 X 27 X 28 X 29 X 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 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 18 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 Halifax Drive Care Home DS0000006418.V302837.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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