Inspection on 01/10/08 for Highbury

This inspection was carried out on 1st October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highbury 10/10/06

Highbury 03/01/06

Highbury 01/08/05

Highbury 20/09/04

Highbury 13/04/04

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 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Highbury 114 Irchester Road Rushden Northamptonshire NN10 9XQ The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins Date: 0 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 32 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Highbury 114 Irchester Road Rushden Northamptonshire NN10 9XQ 01933395511 01933395511 m.mather-franks@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Marie Jeanette Judith MatherFranks Name of registered manager (if applicable) Mrs Marie Jeanette Judith Mather-Franks Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 0 care home 8 learning disability Additional conditions: The total number of service users must not exceed 8 All service users have a Learning Disability Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Highbury is one of three homes in Rushden owned by Mrs Mather-Franks. It is a large house in Rushden. 8 people live their at the moment. It is close to shops and buses. Everybody who lives at the home has their own bedroom. Care Homes for Adults (18-65 years) Page 5 of 32 The current fees range from 334 pounds to 670 pounds per week. Care Homes for Adults (18-65 years) Page 6 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home The registered manager and owner of the home was present during the inspection. The inspector was accompanied on the visit by her Manager. We talked to some of the people who live at the home. Care Homes for Adults (18-65 years) Page 8 of 32 We spoke to staff who work at the home. We looked at care plans. These tell staff how people like and need to be supported. Care Homes for Adults (18-65 years) Page 9 of 32 What the care home does well Staff have good information to make sure that they are able to support people in the right way. People are supported to communicate using a variety of different methods. Care Homes for Adults (18-65 years) Page 10 of 32 People enjoy a good range of social activities and can also go to a number of local day centres. People have good relationships with their friends and families. People enjoy going on holiday. Care Homes for Adults (18-65 years) Page 11 of 32 Highbury is comfortable and homely. What has got better from the last inspection Staff have had training to help them support and care for people better. People’s medication is given to them in the right way. Care Homes for Adults (18-65 years) Page 12 of 32 What the care home could do better Information given to people who want to move to Highbury needs to be better. The manager should ask people if they are happy with everything at Highbury. Care Homes for Adults (18-65 years) Page 13 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact:Catherine Perrins Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE Tel: 01223 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 14 of 32 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who come to live in this home have their needs fully assessed so they can be confident their needs will be met. Evidence: The home have developed a statement of purpose and service user guide to give information to people who may want to come to live at Highbury to tell them what it will be like. The information provided is generally good but does need updating in a couple of places. The home should also review the format to ensure that it is accessible to people with learning disabilities. Evidence suggests that the admission process is well managed and includes an initial assessment, introductory visit and trial period. This enables people to make sure that their needs can be fully met at Highbury before they decide to move in. After moving in people are given a contract which out lines the terms and conditions of their stay. The manager needs to ensure that these are signed by the service user or a representative wherever possible. Care Homes for Adults (18-65 years) Page 16 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live in this home have their individual needs met are able to exercise choice in their daily lives. Evidence: Each person who lives in this home has an individual plan of care which contains details about their needs and how they would like staff to support and care for them. The individual plans of care contain detailed information about peoples likes, dislikes and preferences such as what time they like to get up in the morning, what time they like to go to bed and any foods they particularly like or dislike. These are checked by the persons key worker regularly to make sure they are up to date. The deputy manager explained people are always involved in reviewing their own care plans. This ensures that peoples needs and aspirations are met and that staff are supporting people in the right way. Individual plans of care contain risk assessments which cover the areas necessary to ensure that people are safe but still able to live active and fulfilling lives. Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: People are able to move freely around the home and to choose how to spend their time. Where there are any restrictions placed upon people the reasons why this is necessary are clearly recorded and appear to be in the best interests of the individual. For example someone not having a key to the front door if this could mean that they might go out on their own and not be safe. People are supported to communicate using a variety of different methods. A person showed the inspector his communication book which contains pictures and symbols to help him express himself. Other people were observed using sign language to communicate. People who live in the home can have the support of an advocate if they want someone to help them to speak up for themselves. Details of the local advocacy service are displayed on the notice board where service users and their relatives or friends could see them. Care Homes for Adults (18-65 years) Page 18 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live at Highbury enjoy a good lifestyle and lead fulfilling lifestyles both in and outside of the home. Evidence: People who live at Highbury attend a variety of day centres during the day. The registered manager has set up a day care facility in the basement room at Highbury for people who were unable to access day centres elsewhere. Some of the people who live at Highbury attend this along with people who live at the other two homes owned by the registered manager. The registered manager explained that staff have been specifically recruited to work in the day centre to help individuals differentiate between the day centre and the home. Records show that people who live at Highbury enjoyed a good range of leisure activities such as going to a youth club, swimming, visiting cafés, cinema, walks in the park, visiting friends and shopping. The home has use of a vehicle that can be used to Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: take people out if required. The manager explained how everybody living at Highbury has good relationships with their friends and families and keeps in touch through phone calls and regular visits. One person spoke with great enthusiasm about her holiday. There were a number of photographs on display in the lounge, many were of the last holiday that people had been on to Tunisia. Records show that weekly meetings are held for the people who live at Highbury to enable them to plan menus and activities and to have a say in the running of the home. The menu for the week was observed and looked to be varied and nutritious. On the day of inspection the main meal was pizza, chips and baked beans followed by apples and cream. One service user described how she enjoyed going shopping for food. Staff help people to manage their money if they need support. We did a check on how peoples money is managed in the home and found that there were proper systems in place to make sure money was safeguarded. Care Homes for Adults (18-65 years) Page 20 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Personal and health care is managed well and meets the individual needs of the of the people who use the service. Evidence: People who live in the home are encouraged and supported to take care of their health and wellbeing. Individual plans of care showed that staff pay attention to each individuals personal and health care needs. One service user told the inspector that she was going to the dentist the following week and there is evidence of involvement from a range of health and social care and professionals. These include general practitioners, consultant psychiatrists, opticians and podiatrists. People’s health is monitored and promoted through regular health checks and medication reviews, breast screening and access to flu vaccinations. Peoples weight is monitored monthly however a couple of files viewed showed that people had not been weighed for two months. The home needs to ensure that where a need for regular weight monitoring has been identified this is be done as required. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: There was evidence that the administration of medication is well managed. Medication Administration Records showed that medication is given as prescribed and records are well maintained. There are adequate arrangements in place for the storage of medication however this should be reviewed to ensure it complies with the latest guidelines from the Royal Pharmaceutical Society of Great Britain. Care Homes for Adults (18-65 years) Page 22 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is an effective system for the home to respond appropriately to complaints made and service users are protected from abuse with their views listened to. Evidence: A complaints policy and record is available and was viewed during the inspection. The policy requires some updating to ensure that it contains up to date contact details for the Commission for Social Care Inspection and details of the funding Local Authorities. The format of the policy should also be reviewed to ensure it is accessible to the people living at Highbury. Two complaints have been received by the home. These were reviewed and appeared to have been well managed. Documentation showed that the concerns raised had been fully investigated by the registered manager. The registered manager had also reported the concerns to the local authority and the Commission for Social Care Inspection as she is required to do. On conclusion of the investigation the registered manager had reviewed and updated individuals care plans as a result of her findings. All staff at Highbury have completed training on safeguarding adults and the review of the two complaints received show that the registered manager followed the local authority safeguarding adults procedures. These procedures tell organisations how they should keep people safe from abuse. Care Homes for Adults (18-65 years) Page 23 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The Standard of the environment is good, providing residents with a safe and comfortable place to live. Evidence: Highbury is an extended detached property with part of the property providing private accommodation for the registered owner and manager. It has a comfortable and homely feel throughout. The open plan lounge and dining room has two comfortable seating areas and two dining areas. There are numerous photographs and pictures on display a long with various ornaments and other personal effects. The people who live there appear relaxed and happy. Each person has their own bedroom that they were able to personalise with their own belongings and effects. There is only one bathroom available for people to use but staff said that this did not present any difficulties to the people living there. Each person has a sink in their bedroom and there were additional toilet facilities downstairs. Outside the property there is a secure garden area which people can access as they wish. The garden contains a vegetable bed and the people who live there are involved in growing a selection of herbs and vegetables. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: The home appeared spacious and generally well decorated and clean throughout. None of the radiators in the home have radiator covers. These are used to protect people from being burnt by the radiator should they fall against it. The manager explained that the home’s health and safety consultant were looking at this issue. Care Homes for Adults (18-65 years) Page 25 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff recruitment is well managed and staff are suitably trained and experienced to ensure resident needs can be met. Evidence: Staff records show that recruitment practice is well managed and includes all the necessary checks such as Criminal Records Bureau Checks and references. This ensures that staff who work at the home have the right skills and experience and that they are safe to work with people with the people who live there. New staff under go period of induction and this is followed up by a comprehensive programme of training which makes sure that they can do their job well. Training includes epilepsy, infection control, medication, moving and handling, challenging behaviour, first aid, health and safety, risk assessment, equal opportunities and communication. Staff also have access to National Vocational Qualifications. Staff who work at Highbury also work at the other two homes owned by the registered manager. This helps them to broaden their experience and also gives consistency when cover is required if another staff member is on leave. Most staff working at Highbury have been there for a long time, which gives good continuing care for people. Care Homes for Adults (18-65 years) Page 26 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Appropriate leadership, guidance and direction means that the home is managed in the best interests of residents. Evidence: The registered manager showed a very good knowledge of the needs and preferences of each of the people living at Highbury. She spoke about each person as an individual and demonstrated a very caring attitude. She was able to give a lot of information about peoples past having known some of the people for a considerable amount of time and had good relationships with their families and friends. The manager explained that she had not given the usual quality monitoring questionnaire to the people who live at the home and their relatives and friends as questionnaires had recently been sent out from the Local Authority and from the Commission for Social Care Inspection. It is recommended that the registered manager does use her own questionnaires in addition to others so that she can be sure that she receives feedback about the service. The manager said that she will send out questionnaires in January 2009. Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: It was not possible to look at current health and safety checks as these were being updated by health and safety consultant following a recent visit. Old records were viewed and showed that checks had been done previously. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 19 12 01/12/2008 The home needs to ensure that where a need for regular weight monitoring has been identified this is be done as required. To ensure that any potential health problems are identified and addressed. 2 20 13 The storage of medication 01/02/2009 should be reviewed to ensure that it complies with new guidance issued by the Royal Pharmaceutical Society of Great Britain. To ensure that all medication, including controlled drugs, can be stored safely. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Adults (18-65 years) Page 30 of 32 improving their service. No Refer to Standard Good Practice Recommendations 1 1 The home should review the content and format of the statement of purpose and service user guide to ensure that they are up to date and accessible. It is recommended that the home ensure service user contracts are signed by the service user, or their representative. The format of the complaints policy should also be reviewed to ensure it is accessible to people with learning disabilities. It is recommended that the manager reintroduce a system of self monitoring and audit to ensure that the home is responsive to the views of people who use the service and their representatives. The registered manager should consider installing radiator covers to reduce the risk of people being burnt. 2 5 3 22 4 39 5 42 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - 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!