Inspection on 19/07/05 for House Of Light

This inspection was carried out on 19th July 2005.

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

House Of Light 08/11/06

House Of Light 10/01/06

House Of Light 13/10/04

House Of Light 25/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 House Of Light 13 Allerton Park Leeds West Yorkshire LS7 4ND Lead Inspector Linda Trenouth Unannounced 19 July 2005, 10:00am 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. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service House Of Light Address 13 Allerton Park, Leeds, West Yorkshire, LS7 4ND 0113 268 1480 0113 2667457 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) Catholic Care (Diocese of Leeds) Mrs Aileen Donnelly Care Home 6 Category(ies) of Learning disability (6) registration, with number of places House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th October 2004 Brief Description of the Service: The House Of Light provides accommodation for 6 male and female service users with learning disabilities aged over 35. The home does not provide nursing care.The home is based in a large detached private house situated in the residential area of Allerton Park. The house is adjacent to other private dwellings and blends into the suburban area. The accommodation is on four floors with 6 single bedrooms based on the lower ground, 1st and 2nd floors. There are three reception rooms based on the ground floor providing alternative communal seating and activity areas. The home has extensive gardens and lawn, which complement the overall appearance of the home. The local shops and community facilities are a short walk away in the Chapel Allerton area. The home also has its own minibus. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. The last inspection was announced and took place on the 13th October 2004. There have been no further inspections until this unannounced inspection. The people who live in the home prefer the term residents, and this is the term that will be used throughout this report. The purpose of this inspection was to monitor the home’s progress since the last inspection and to assess whether the care given to residents meets minimum standards. During the inspection records were looked at, some areas of the home were seen such as the lounge, dining room and some bedrooms. Care staff were seen carrying out their work, and discussions were held with members of staff, the manager and residents. This inspection started at 10.00 and ended at 3:00pm. What the service does well: The home has a friendly and welcoming atmosphere. Care is provided in a clean, tidy and well maintained building. Residents said that staff are kind and caring and make them feel looked after and safe. Staff said that they enjoy working at the home because they are well supported by the manager. Staff receive regular training to meet the needs of the residents and to provide a good standard of care. Residents are provided with an extensive and diverse range of day care, leisure activities and holidays. They have good opportunities for personal development and integration into community life. The residents are supported in every aspect to develop and maintain personal and family relationships. The management and staff make sure that residents make meaningful decisions about their lives and participate in the daily day-to-day running of the home. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 6 The home is well run and managed. Health and safety is taken seriously and recommendations are always promptly implemented. Some repairs were discussed with the manager, however from previous experience the inspector was confident that the work would be addressed. 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. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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 House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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) 1, 2 , 3 and 5. People are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. Residents and their relatives are clear about their rights whilst living at the home, from the contract they are given. EVIDENCE: Copies of the Service User Guide and contract are given to prospective residents and their relatives. These are in a suitable format to meet the communication needs of the service users. A copy of the most recent inspection report is kept in the office and people can ask to see it at any time. Residents meetings are held monthly and discussions cover a wide variety of topics including food, activities, outings and holidays. General issues in the home are also discussed and service users are encouraged to express their feelings and opinions. Service users are also invited to staff meetings so that they can be involved in the wider decision making within the home. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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, 8, 9 and 10. Staff treat residents with dignity, helping them to make decisions in all aspects of their lives. Residents participate and are involved with their personal goals and individual care plans. EVIDENCE: Staff were able to give examples and details of the individual care needs of the residents and discuss how these related to the individual plan of daily living. The records reviewed included specialist assessments, life plan and detailed daily living records. The care plans are reviewed by the resident and the staff in the six monthly planning meetings. In addition to this the home encourages residents to participate in general house meetings. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 10 The residents confirmed that they were involved with day-to-day decisionmaking and choices about their daily lives. One resident described how he helped with the shopping and planning of the menus for the week. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Residents are encouraged to participate in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. EVIDENCE: House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 12 Residents continue to be fully involved with the daily domestic routines in the home with staff constantly discussing and fully engaging each individual. Staff also give choice and flexibility to individuals to decide which tasks they wish to undertake. Residents are supported to clean the communal areas and their own bedrooms; they help with laundry, preparing food and participate in the gardening. The staff are positive and progressive in furthering the residents skills within the home. The staff provide a varied and fulfilling programme of activities both within the home and wider community. One resident said he particularly enjoyed listening to music and had gone with staff to the Opera in the Park. He also likes to listen to music in the local clubs and enjoys annual Chapel Allerton festival. Staff also talked about one resident regularly going swimming with a member of staff. This resident particularly enjoys physical activity and had enjoyed, along with two other residents, a recent walking holiday in Anglesey. Other residents had been on holiday to Tunisia and Spain. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. The residents physical and emotional needs are met, and are supported in a way they prefer. Medication procedures make sure that residents are protected when taking medicines. EVIDENCE: The care plan reflects the daily needs and strengths of the individual. The daily skills are assessed and put into a personal development programme. Other agencies such as health care staff are involved and contribute to the review. One resident said that the staff always ask him what he would like to do and assist him where he needs help. He added that he liked to do a lot for himself, which wasnt a problem for the staff. From looking at the records it was clear that staff managed complex and at times demanding needs. Staff that they felt well trained and supported by the management. The staff have received recent training in medication and have a good understanding of the policies and procedures. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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. The home has complaints and adult protection procedures in place, which protects the residents. EVIDENCE: One resident said that he was able to talk to staff about any concern he had. If he were upset or concerned about anything staff would help him. Staff said that they had recently had training in challenging behaviour and adult protection training. The review of induction training and supervision for staff also confirmed that appropriate support networks were in place for staff to discuss their concerns. One residents said that they had meetings together to talk about if they were happy at the home and they also talked about the food and their holidays. Staff also have regular monthly meetings. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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, 25, 26 and 30. The residents live in a comfortable and clean environment. The bedrooms suit the residents needs and lifestyles. EVIDENCE: The areas of the home seen were very clean and well maintained. Communal and individual space presently meets the agreed standard with the provision of three communal rooms on the ground floor. The decoration and furniture is homely with comfortable furniture and good decor throughout. Three of the residents bedrooms were seen. All were homely and comfortable. Each room clearly reflected the personality of the individual and were unique. One resident said that he really liked his room and spent a lot of time listening to his music. He felt that he had everything that he needed. From the bedrooms seen it was clear that residents are encouraged to buy furniture and items to individualise their rooms. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 16 The outside of the home has been recently redecorated and the home continues to have well maintained gardens, which are utilised and enjoyed by all. It was discussed with the manager that the carpet must be replaced in one bedroom and safety rails/handles must be fitted on the stairway to the lower ground floor. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 17 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) 35 and 36 The residents are supported by trained and supervised staff. The manager makes sure that there are enough staff are on duty in order to meet the needs of residents. EVIDENCE: Staff receive thorough induction training and permanent staff progress to NVQs. A training programme was in place, which includes moving and handling, health and safety, food hygiene, first aid and fire safety. Specialist training has also been undertaken in communication skills, care activities, sensory impairment, autism and sexuality and learning disabilities. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.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) 37, 38, 39, 42 and 43. The home is well managed. The interests of the residents are seen as very important to the manager and staff and are safeguarded at all times. The residents are included in the decision-making and their views and opinions are sought. The home has a responsible approach to the Health and Safety of the residents by undertaking regular checks and training staff in health and safety awareness. The home has a good quality assurance system, which is appropriate to the size and needs of the home. EVIDENCE: House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 19 The manager has worked at the home for many years as a senior carer and then deputy manager. She has successfully completed the registration process with the CSCI and is to register in September on the Registered Managers Award. The manager and the Catholic Care work together to make sure that the home is well run and the needs of the residents are met. Residents said that they are included in daily decision-making and their views and opinions are sought. Regular house meetings are held and documented. The home has a responsible approach to the Health and Safety of the residents, staff and visitors. The disposal of clinical waste and medicines was reviewed and was managed properly. Staff had a good awareness of general safety. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 20 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 4 4 4 x 4 Standard No 22 23 ENVIRONMENT Score 4 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x x Standard No 11 12 13 14 15 16 17 x 4 4 4 4 3 4 Standard No 31 32 33 34 35 36 Score x x x x 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 House Of Light Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 4 3 x x 4 4 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 21 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. 2. Standard 24 37 Regulation 23 9 Requirement The bedroom carpet must be replaced and grab rails must be fitted to the areas discussed. The manager must complete level 4 NVQ in management by 2005. Timescale for action 20.09.05 31.12.05 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 No recommendations. House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley, Leeds LS13 1HP 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 House Of Light 20050719 House of Light UN Stage 4 S1469 V217188 J52.doc Version 1.40 Page 23 - 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. 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