Inspection on 08/05/07 for House Martins Care Limited (Number One)

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 House Martins Care Limited (Number One) 1 Sumner Road Salford Gtr Manchester M6 7QH Lead Inspector Rukhsana Yates Unannounced Inspection 8th May 2007 10:00 House Martins Care Limited (Number One) DS0000069382.V336372.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 House Martins Care Limited (Number One) DS0000069382.V336372.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. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service House Martins Care Limited (Number One) Address 1 Sumner Road Salford Gtr Manchester M6 7QH 01706 602404 01706 219646 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) www.housemartinscare.co.uk House Martins Care Limited Mr Geoff Godwin Care Home 5 Category(ies) of Learning disability (0), Sensory impairment (0) registration, with number of places House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only:Care home only- Code PC, to service users of the following gender:Either. Whose primary care needs on admission to the home are within the following categories:Sensory Impairment - Code SI Learning disability - Code LD The maximum number of service users who can be accommodated is : 5 Date of last inspection Not applicable. Brief Description of the Service: Number One is home to five people requiring support to lead independent lives. The aim of House Martins Care Ltd is to meet the needs of people who are deaf, have learning disabilities, autism, epilepsy and minor mental health problems. The company has a commitment to providing an environment where staff are able to communicate in British Sign Language. Number One is a house with five bedrooms, situated in a residential area of Salford, within easy reach of shops, public transport and motorways. Further information and contact details are available on the company’s website. Fees at the home vary depending on the assessed needs of the individual. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. To find out about the experiences of people living at Number One, a visit was carried out, with a total of two hours spent at the home. No-one was told that the inspector would be visiting. The time was spent talking with staff, watching the ways in which staff provided support to people living there, and finding out what people liked about the home. The method of communication used by residents was British Sign Language. The findings of the inspection take account of written comments and responses in survey forms returned by all of the people living at Number One, and written information received from the manager as well as what was seen at the site visit. The service was inspected against key standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. The term preferred by people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home. What the service does well: What has improved since the last inspection? The manager is always looking at new ways to develop the skills of residents and staff, and is using computer resources to so this. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 6 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. House Martins Care Limited (Number One) DS0000069382.V336372.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 House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with information about the service, and supported through an admission process that values their needs and aspirations. EVIDENCE: There have been no admissions within the last 12 months. Records confirm that people living at the home were involved in a full assessment of their needs. The support staff and manager described gradual introductions for new residents, with the emphasis on person centred planning, compatibility with others at the home, and the move being a positive choice for the person concerned. The residents consulted are clearly satisfied with the ability of the service to meet their needs and respond to their individual preferences. Information about the service is available on the company’s website. Residents have information conveyed to them in British Sign Language, their preferred mode of communication. House Martins Care Limited (Number One) DS0000069382.V336372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals’ lives are enhanced by support practices that promote independence, self-esteem and informed choice. EVIDENCE: Care plans focus on the unique needs of each individual, and include health, social care, leisure, lifestyle, cultural, and religious needs. Each person is supported in developing and reviewing their plan. The person centred approach used ensures that positive, individualised support is provided and risks are managed in a way that promotes independence, decision-making and choice. Examples of this are evident in learning, leisure and employment opportunities, resulting in an increased sense of fulfilment and achievement for the individuals concerned. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 10 Support staff have a strong commitment to promoting the personal and emotional welfare of each person. This is reflected in their detailed knowledge of residents’ needs, and their attitudes and approach to support provision. Residents confirmed that they are well supported, very satisfied with the support they receive, and are fully involved in making decisions about their lives and the way in which their home is run. Examples of this include involvement in meal planning and general housekeeping. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17: Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The quality of residents’ lives is enhanced by the promotion of fulfilling activities, healthy diets, and support to maintain family contact. EVIDENCE: Residents are enabled to make choices about activities, and these are supported and respected by the staff team. A variety of aids are used to help residents make decisions about their lives, such as daily and weekly planners and photographs. Residents’ surveys and records confirm opportunities to access community facilities, including colleges, social clubs, sport and entertainment facilities and shops. It is evident that the service assists people to reach their potential by developing their confidence and skills and enhancing their self-esteem, through support in paid employment for example. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 12 Residents are fully involved in choosing and planning their holidays. The service has three cars enabling greater participation in activities outside of the home. Staff appreciate the importance of family contact for residents and are sensitive in facilitating this in line with residents’ wishes. Daily routines in the home are decided by the residents, and for some, routines are very important for their wellbeing. This is recognised by staff, and reflected in care plans so that instructions for staff about residents’ preferred routines are clear and followed. All of the residents share responsibility for housekeeping tasks. Shopping for food and meal planning is carried out with the full involvement of residents. Those able to assist with preparation are encouraged to do so. Menus are not fixed as they are based on residents’ choices each day, with healthy options promoted by staff. Surveys confirm that residents enjoy the quality and variety of meals. Regular residents’ meetings provide another opportunity to ensure that people are involved in decisions. Minutes of recent meetings show a range of topics being discussed and addressed, including holidays and food likes and dislikes. The respect for residents’ rights and lifestyle choices underpins the stated aims of the service and the training provided to staff. This was observed in practice and also confirmed in highly positive survey responses from residents. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. The support provided is effective in improving the physical and mental health and wellbeing of residents. EVIDENCE: The health and personal care that people receive is based on their individual needs and the principles of respect, privacy and dignity are put into practice. This is evident in person centred care and health action plans that clearly record personal and healthcare needs and detail how they are to be met. These include emotional health, cultural needs and communication. Feedback from residents conveys a high level of satisfaction with the ability and attitudes of the staff supporting them. Staff are knowledgeable about the particular needs, preferences and personality of each person. This means that they are alert to changes in mood or behaviour and are able to respond appropriately. Care records and reviews confirmed that the resulting consistency in approach had been effective in lessening anxiety for residents. It is evident that residents are enabled to access community healthcare services as required. Medication is safely managed and residents may control their own medication if considered, following risk assessment, able to do so. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 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. 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 confident that any issue they raise will be dealt with promptly, and they are safeguarded by staff knowledge of adult protection policies. EVIDENCE: Residents indicate in survey responses that staff listen to them and act on what they say. Information about making a complaint is made available to them. No complaints have been received by the home or the Commission for Social Care Inspection. A senior member of staff stated that advocacy services are available to residents if needed. Records and consultation with staff confirmed the provision of adult protection training and an understanding of the procedure to be followed. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 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. 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. Residents enjoy living in, and helping to maintain, a comfortable, clean and safe home that they see as their own. EVIDENCE: Number One is a semi-detached house in a residential area and is not readily identifiable as a care home, which helps residents to feel a part of the community in which they live. Staff see the home as belonging to the residents, and provide support to enable independent living skills to be developed. Each person has their own bedroom, personalised with their own belongings, and the environment is homely and domestic in character. A survey of all residents confirmed their satisfaction with the home in terms of cleanliness and comfort. Information provided by the manager indicates that all health and safety requirements are met, ensuring a safe environment for residents and staff. Individual risk assessments consider personal safety inside and outside the home. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 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 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 excellent. This judgement has been made using available evidence including a visit to this service. The arrangements for employing and training staff are highly effective in ensuring that residents’ individual needs are met. EVIDENCE: Staff recruitment procedures include all of the necessary background checks. Prior to interview, residents meet applicants and their views influence the decision as to which applicant will be appointed to support them. Staff turnover is low, so there is good continuity of support for residents. Staff consulted demonstrated a high level of knowledge of individuals’ needs, and enthusiasm in their roles. One said “We get loads of training”, and another said “it’s a good feeling making a difference and helping people to achieve”. There was evidence of comprehensive induction and training arrangements, including Total Communication and in-house B.S.L teaching for staff and residents. The introduction of e-learning, using the computer at the home, is further enhancing the skills and knowledge of staff so that they can improve their practice for the benefit of those they support. These developments ensure that the staff group is skilled and motivated. As a result, residents are able to communicate their needs and preferences, and are confident in the ability of staff to provide them with the type of support they need and want. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. Effective and innovative management ensures that current practice and future plans focus on promoting residents’ rights and best interests. EVIDENCE: The registered manager has the qualifications, experience, competence and vision to manage and develop the service in line with its stated aims and objectives. One way in which this has been recognised is the Community and Social Care Award presented by Salford City Council for ‘achievement in focussing on improving the quality of service for users’. The views of residents are regularly obtained, through the use of surveys and residents’ meetings, and their needs determine how the service is run. For example, there is a clear commitment to developing the communication skills of staff, especially in British Sign Language, so residents can make their needs and wishes known. Health and safety checks promote residents’ welfare. House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 3 X House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 19 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 House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI House Martins Care Limited (Number One) DS0000069382.V336372.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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