Inspection on 02/04/07 for Heathcotes Care (Kirby)

This inspection was carried out on 2nd April 2007.

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

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 09/07/2008.

CARE HOME ADULTS 18-65 6 Barry Drive Kirby Muxloe Leicester Leicestershire LE9 2HG Lead Inspector Helen Abel Unannounced Inspection 2nd April 2007 04:00 6 Barry Drive DS0000068977.V333712.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 6 Barry Drive DS0000068977.V333712.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. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Barry Drive Address Kirby Muxloe Leicester Leicestershire LE9 2HG 0116 224 5971 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) Heathcotes Care Ltd Miss Tracy Jayne Johnson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one falling within category LD may be admitted into Heathcotes Care Ltd (Kirby Muxloe) where there are 6 persons of category LD already accommodated within this home. No person to be admitted to Heathcotes Care Ltd (Kirby Muxloe) in categories LD or MD when 6 persons in total of these categories/combined categories are already accommodated in this home. No person falling within category MD may be admitted into Heathcotes Care Ltd (Kirby Muxloe) unless that person falls within category LD - ie dual disability. First key inspection 3. Date of last inspection Brief Description of the Service: 6 Barry Close is set in the residential heart of Kirby Muxloe, Leicestershire. The home provides residential care for six adults with varying degrees of learning disabilities, communication and sensory difficulties and behavioural challenges. The home is a refurbished detached property that offers six large single bedrooms (two rooms situated on the ground floor and four on the first) with en-suite toilet and sink two of which include an en-suite shower. Residents are encouraged to personalise their rooms by choosing their furniture and décor. Other rooms include spacious communal areas such as the lounge and dining room, kitchen, shared bath and shower room situated on the first floor, large wet room with disabled access to toilet and shower on the ground floor as well as a utility room. The garden includes a large patio and grassed area that is secure and private. The home is a short walk from local shops, village pubs, bus stops, leisure centres and supermarkets including Beaumont Leys shopping centre. The home is on the outskirts of Leicester, a five-minute drive from the M1, Fosse Park and Meridian Park, and a ten-minute drive from Leicester City town centre. Current fee levels at the home are £1,800 to £2,300 per week. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 4pm and 7.30pm. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, and care staff, and observation of care practices. The Inspector spoke with two staff and the registered manager. Assessments and support plans for two residents were examined and aspects of care and support discussed in detail. Verbal communication for the service users is difficult, so observations formed the basis of some inspection information. Documents relating to staff training and recruitment, health and safety, medication, and quality assurance were examined and a full tour of the home made. Prior to the inspection the inspector spent time reading the homes service history. Resident’s comments cards or questionnaires were not available. This information informed the planning of the areas to be inspected. What the service does well: This service offers good outcomes for residents in a number of key areas. Before residents move in there is a thorough assessment process to ensure that the service can meet their needs. This involves consultation with existing carers and the opportunity for new residents to spend time in the home before committing to the move. Written support plans contain detailed information as to how residents needs should be met residents families are actively involved in their writing and development. 6 Barry Drive is a new service with the whole home being recently refurbished to a high standard. The residents use the garden area frequently in the warmer weather. There are almost daily opportunities for residents to pursue appropriate leisure activities with a regular programme of activities in place. Residents are involved in the running of their home and can help to choose, prepare and cook their own meals. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 6 Barry Drive DS0000068977.V333712.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 6 Barry Drive DS0000068977.V333712.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): 2 Quality in this outcome area is good. Comprehensive assessment procedures ensure that resident’s needs and aspirations are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A comprehensive assessment process takes place before new residents move into the home. This includes the registered manager visiting the person in their current setting, collecting assessments from all professionals’ involved and arranging times for the person to visit 6 Barry Drive to see how they fit in with the existing resident group. A full assessment written by the registered manager was in place together with written reports from family members. Assessments covered all aspects of care; physical, mental and emotional health as well as social and cultural needs. From this information care plans were produced. Monthly review meetings have taken place around the new placements with family members, staff and care other professionals. The meetings confirmed how the residents had settling in and progress made. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 9 Staff regularly use Makaton to help communicate with residents. The registered manager confirmed this had been particularly useful to help communicate with residents around visiting and settling into their new home. Further training with Makaton was provided to the staff to develop they’re learning further and so improve resident’s personal development opportunities. 6 Barry Drive DS0000068977.V333712.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. Residents are involved in day-to-day decisions, are well supported to take reasonable risks and god care plans accurately reflect their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents care plans were examined. These were detailed covering all aspects of support in relation to mental, physical and social needs. Family members and the resident have been involved together in compiling the care plans. The registered manager confirmed she would be asking residents family members to confirm with signatures on the care plans and including photographs of each resident. Comprehensive risks assessments form part of each plan and address risk to the resident as well as those around them. Staff actively contribute to care plans and routinely refer to them to gain information as how to respond to individually residents needs. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 11 Residents are supported to make decisions about their lives in relation to such areas as décor, food, social and vocational activities. Residents have chosen their own bedrooms and items of furniture to go in them. 6 Barry Drive DS0000068977.V333712.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 good. Residents have opportunities to engage in vocational, leisure and community activities, are given support in maintaining links with family and friends and enjoy good, nutrious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are opportunities for residents to pursue appropriate vocational or educational activities such as college courses, and leisure pursuits. On the day of inspection residents had just retuned from a day out at Gorse Hill Farm. In the early evening residents wanted to go out for a trip to the local park. One resident’s interests are steam trains and goes regularly to the local steam train events. In the summer residents will be spending a week at Butlins in Skegness. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 13 Regular visits and trips to family members are arranged and supported and residents understand that 6 Barry Drive is their new home. Two residents were observed spending one to one time with staff in the kitchen and lounge. Nutritional screening assessment is completed for all residents and concerns with regards to their eating and weight are monitored. One resident had chosen the ingredients for dinner and was involved in cooking the evening meal on the day of inspection. Menu records showed that a good variety of food is served including plenty of fruit and vegetables. 6 Barry Drive DS0000068977.V333712.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 Residents receive appropriate personal support and their health and medication needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents personal support needs are clearly documented and they can choose whom they receive support from. Staff help people who live in the home to look after themselves; currently residents have one staff member to work along side them at all times. The Inspector observed supportive and encouraging interactions between staff and residents. All residents have access to primary care services such as GP, dentist and hearing care services. Good arrangements are in place for accessing additional support from the dietician and other professionals to meet the physical health needs that some residents have. Systems are in place for storing, recording and administering medication; only qualified staff members who have received appropriate training are involved in administration. The registered manager is in the process of setting up links 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 15 with a community pharmacist to provide ongoing advice and information to the home. 6 Barry Drive DS0000068977.V333712.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. Complaints systems are being developed and ensure residents concerns are listened to and acted upon with residents being protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a policy, which tells people how they can make a complaint if they want to. This is available as written information and illustrated with Widget, which includes easy read pictures and symbols. The service has been open for a short time and has not received any complaints. All staff receive training in adult protection, appropriate to the needs of the client group. At Induction all staff are made aware of all key policies relating to protection including whistle blowing. Good recruitment practices including obtaining Criminal Records Bureau checks before staff begin to work, also contribute to good outcomes for residents in terms of protection. 6 Barry Drive DS0000068977.V333712.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): 24,30 Quality in this outcome area is good. Residents live in a clean, comfortable and homely environment, which meets their needs well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has recently opened and all areas of the home have been refurbished to a high standard. The home is in keeping with the style of property in the local community and has a car parking to the front. All communal and personal rooms are spacious, light, and well decorated, furnished and maintained. All areas appeared clean and staff and a resident were observed tidying up. The garden has both paved and grassed areas and is secure and well maintained. A resident was observed dancing around in the back garden several times though out the inspection visit. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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. Residents are effectively supported and protected by well-trained staff and through recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff receive a comprehensive six-month induction. An ongoing training programme is in place, which includes training in speclist areas relating to learning disability and more general training fire safety and food hygiene. A National Vocational Qualifications in care programme is being made available to unqualified staff. During discussion two staff commented favourably on the wide range of training they had received. One staff member wanted more learning around Autism, as the last training session had been so useful and enjoyable. Two staff recruitment records were examined; both contained application forms, which included a full employment history, two written references, and evidence that enhanced criminal record bureau checks and checks against the protection of vulnerable adults register were made, before the employees 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 19 started work. All staff interviewed confirmed positive reasons for working for the organisation and the excitement of working in a new service. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is good. Good health and safety practices ensure residents’ welfare in these areas is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been registered with the Commission for Social care Inspection. As the home has recently opened the registered manager is developing the service as new residents continue to arrive. The registered manager regularly undertakes checks of all areas of the home to check things are running well and that residents are satisfied. She reported these checks had proved successful and will continue to do these to raise standards in the home. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 21 There are policies in the home, which tell staff about how to work safely; and training to make sure they work safely. For example all staff on duty had received first aid training. Staff are soon to receive moving and handling training. Staff do checks to make sure that equipment is safe. Fire equipment and systems are regularly maintained and serviced. 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 22 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 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 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 23 N/A 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 6 Barry Drive DS0000068977.V333712.R01.S.doc Version 5.2 Page 24 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. 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