Inspection on 07/07/05 for Headonhey

This inspection was carried out on 7th July 2005.

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

Headonhey 21/07/06

Headonhey 18/10/05

Headonhey 29/10/04

Headonhey 27/07/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Headonhey 34 Harboro Road Sale Manchester M33 5AH Lead Inspector Michelle Moss Unannounced 7 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. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Headonhey Address 34 Harboro Road Sale Manchester M33 5AH 0161 973 2296 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) Stockdales of Sale, Altrincham & District Ltd Responsible Individual - Mr Peter Wall Mr Simon Andrew Shaw CRH Care home PC Care home only 7 7 Category(ies) of LD Learning disability registration, with number of places Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: All service users have a learning disability and may have an associated physical disability. Date of last inspection 29 October 2005 Brief Description of the Service: Headonhey is a care home providing personal care and accommodation for 7 young adults with complex needs (registered for learning disabilities and associated physical disabilities). It is managed by Stockdale’s of Sale, Altrincham and District limited, which is a charitable organisation. The home is located in an established residential area in Sale, close to shops, bus and train routes and other amenities. The home was opened in 1992 and consists of a two-story building. The communal areas are located on the ground floor, including a lounge, kitchen and dining area. All bedrooms are single and situated on the first floor with a passenger lift provided for access. Bathroom and shower facilities are provided on both the ground and first floor. The home has a drive and patio area to the front of the property and a paved patio area to the rear. All outdoor areas were accessible for wheelchair users. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s first annual unannounced visit for the year, which took place over 2 1/2 hours during mid day on a weekday in July. Five residents were met of which two were consulted over their experiences of life at the home. Three staff were on duty of which two were spoken to in length about the care of residents, care planning and management systems operated within the home. The users of the service and the staff were consulted over the term of address preferred in writing this report regarding the users of the service. It was indicated that the preferred address was “residents”. The inspection only looked at a limited number of standards, so this report should be read together with the earlier report to get a full picture of how the home is meeting the needs of the residents living there. What the service does well: The home is an experienced service that meets the needs of young adults with complex needs in a non-clinical setting with a strong emphasis on community integration and meaningful life experiences. A relative described the staff as very caring and was 100 satisfied with the service. They stated staff were very competent and well trained and were very good at meeting the needs of the residents. Care plans for all residents were in place and were written in a manner which respected the residents’ rights, choice and throughout the document carried a strong theme of promoting dignity, privacy and independence. The organisation had a strong commitment to staff development throughout an extensive training programme. The home had a flexible social therapy service in which all residents were supported to participate in a wide range of meaningful activities. All residents were supported to have access to a range of community clubs and have at least one holiday every year. The residents are openly consulted over their lives at the home with one resident being a member of the Personal Central Planning Committee. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 6 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. Headonhey F55 F05 s5612 headonhey v235530 200705 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 Headonhey F55 F05 s5612 headonhey v235530 200705 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) 2 & 3 All residents’ individual aspirations and needs are reflected accurately in assessments and annual reviews. EVIDENCE: All residents had in place a needs assessment, which was integrated into an active care plan. These were written in a manner which reflected the residents’ aspirations and preferences. All plans were regularly reviewed to ensure they continue to reflect the needs of the resident. The home had not had any new admissions for over 12 months. Procedures including consultation with residents were in place for any future possible admissions. The staffing levels were meeting the needs of residents. A relative spoken with confirmed that there was always appropriate numbers of staff when they visited and were all familiar with the needs of the family member. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 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 standard(s) 6, 7 & 9 Residents were benefiting from having detailed care plans, that staff could access to gain a good understanding of their care and health needs. EVIDENCE: 6 care plans (100 ) were viewed. In all cases they had been reviewed on a regular basis. They were written in a manner, which informed about aspects of care. Strong emphasis was placed on prompting lifestyle and healthcare support. Supporting risk assessments/short-term goal care plans were supporting the main care assessment which provided detailed strategies of care to minimise risk and promote independence and quality of life. All assessments were seen to have been regularly reviewed by the manager. Every day events were shared with residents through projects undertaken in social therapy covering topics such as Olympics’ bid and LIVE8. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 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 standard(s) 13, 15, 16, 17 The residents benefited from good links to the community and a staff team who encouraged and supported them to access an extensive range of meaningful activities, education and social inclusion. EVIDENCE: Through talking with the residents it was confirmed that they were being supported by the home to engage in an extensive range of activities both through the home’s social therapy and also as part of the wider community. The range was extensive with examples covering swimming, youth groups, pathways, disability living centre, resource centres, attending football matches and all other events happening locally and nationally. The care plans also confirmed that activities were happening on a regular basis. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 11 A relative said they were always made very welcome by the home and that they were always kept up to date with health and welfare of their relative. Where concerns over the relatives health had arise the home were very good at making arrangements for the family to remain close to their relative. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 The health, medication and personal care needs of residents were well met by a competent staff team with excellent links to multi disciplinary working with professionals. EVIDENCE: Medication records of all residents were seen. These were accurate and provided a detailed audit trail. The home supported residents with complex health needs of which these were strongly emphasised in the care planning system. The staff were supported by the organisation to obtain all necessary courses and training that helped them to meet the care and health needs of the residents. A relative spoken with described their experience of the staff as being well trained and competent in meeting their relative’s complex needs. All residents received annual health checks by their GP and evidence was seen in the care plan of the home referring residents to consultants where concerns over health conditions arose. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 13 Of the staff spoken with, they were found to be well conversant with the health needs of residents and confirmed being supported by the organisation to attend training relating to health conditions which residents were affected by. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 14 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 and 23 Staff had a good awareness of adult protection. The views of residents were listened to and acted on. EVIDENCE: The home had not received a single complaint in over 3 years. A relative spoken with stated they had never found it necessary to raise any concerns over the home or the care given to the family member. The residents were all found to be at ease with staff with a clear openness to feel able to say things in front of staff. The staff were found to be aware of the vulnerability of residents and the importance of securing their protection. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 15 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) 24 & 30 Residents lived in a homely environment that had good quality furnishings and fittings. EVIDENCE: The home was found to be clean and tidy with a range of equipment and furniture that was specialised to meet the needs of the residents. These were found to blend in well with standardised furniture that offered a domestic style environment. A monthly auditing of the health and safety of equipment was completed by the manager. Water temperatures were checked weekly and a record maintained which showed water was supplied in the safe range. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 16 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) 31, 32, 35 and 36 Staff morale was high and training well provided which resulted in an enthusiastic workforce that worked positively with residents to improve their whole quality of life. EVIDENCE: The staff spoke about a range of training events they had been given in the past 12 months. They confirmed that this had increased further in recent months with the organisation’s decision to employ a training manager. The staff confirmed their roles and responsibilities and spoke of training courses that they had attended that enabled them to be competent in supporting the residents. These included first aid, epilepsy, hydro care, medication, suction care, basic food hygiene, behaviour that challenges for learning disability services, bereavement and loss, health action plans. Aspects of staff consultation were confirmed. The staff understood the lines of accountability and confirmed receiving regular supervision from their line manager. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 17 There was a strong focus from staff to provide meaningful involvement work with residents that provided holistic care with outcomes that improved quality of life. For example, the range of holidays, activities, communication and delivery of care. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 18 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 Residents benefited from a well run home with good ethos, leadership and management structures in place to support staff. EVIDENCE: A resident was a member of the organisation trust committee. Channels of communication between residents and staff were found to be excellent with all comments made by residents responded to staff appropriately and sensitively. The health & safety recording log provided a detailed audit that demonstrated the home were monitoring all safety issues including Fire safety on a regular basis. Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 4 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Headonhey Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 20 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 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. Refer to Standard Good Practice Recommendations Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Headonhey F55 F05 s5612 headonhey v235530 200705 stage 4.doc Version 1.40 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!