Inspection on 16/08/05 for Huddersfield Mencap 4

This inspection was carried out on 16th August 2005.

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

Huddersfield Mencap 4 16/11/06

Huddersfield Mencap 4 12/01/06

Huddersfield Mencap 4 23/02/05

Huddersfield Mencap 4 23/08/04

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 Huddersfield Mencap 4 1 Victoria Road Lockwood Huddersfield HD1 3TF Lead Inspector Bronwynn Bennett Unannounced 16 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Huddersfield Mencap 4 Address 1 Victoria Road Lockwood Huddersfield HD1 3TF 01484 340833 01484 340833 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) Huddersfield Mencap Mrs Theresa Kelly Care Home 6 Category(ies) of Adults with a Learning Disability - 6 places registration, with number of places Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 23 February 2005 Brief Description of the Service: 1 Victoria Road, Lockwood, is a care home providing personal care and accommodation for six people with learning disabilities. It is owned by Huddersfield Mencap, a charity providing a range of services locally for people with learning disabilities. The home is situated on the outskirts of an industrial/residential community close to the centre of Huddersfield. It was purpose built as part of a complex containing warden supervised accomodation for older people. The home is built on two floors with single rooms on both floors and adequate communal facilities. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a three and a half hour period. The staff and a resident were spoken to and written records kept by the home were looked at. What the service does well: 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. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 6 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 Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 7 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) EVIDENCE: Not assessed during this inspection. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9. The staff are working well in meeting the needs of the residents. The residents are supported to make decisions about their daily lives. EVIDENCE: One resident said that the staff offer the appropriate care and support. Good relationships were seen between a resident and the staff. The care records were looked at for two residents. The detail in these records was good and gave clear information about what is important to the individual. The care records were well organised and easy to follow. Some of the daily records kept were good and gave clear information, some were vague and this was discussed with the manager. It was evident that the residents have been involved in the development and review of their plan of care. The residents are supported to make decisions about their own lives and there was good information in one care record of the support required in personal relationships. One resident regularly attends a self advocacy group. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 9 There were risk assessments kept in the residents care records with the required actions required to minimise any identified risks. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,17. The residents are supported to access training and paid employment. There is support for the residents to be part of the local community and to develop and maintain personal relationships. The residents are supported to eat a healthy diet. EVIDENCE: The residents are supported to take part in appropriate activities. There was evidence in the individual care records that the residents are supported to find suitable educational training and paid employment. The staff support the residents to be part of the local community. The residents frequently go out to the local shops, cinemas, pubs, clubs and places of worship. One of the residents enjoys voluntary work at a local church. A resident said that their relatives are made welcome when visiting the home. There was evidence held in the individuals care records of the support required to maintain family links, friendships and personal relationships. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 11 The staff support the residents to eat a well- balanced, healthy diet. The residents are consulted on a daily basis as to their choice of foods and all meals are recorded. The inspector saw one resident being appropriately supported by staff during a meal. One resident advised the inspector that she is regularly consulted as to her choice of food. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20. Some of the resident’s health care needs are met, but some residents are at risk of their nutritional health care needs not been met. The home’s policy and procedure for medication must be followed and greater care needs to be taken with the safe handling of medication. EVIDENCE: There are assessments in place for all the residents’ health care needs. The nutritional assessments for two residents were in need of updating. One weight record was not accurate and another recorded a significant weight loss with no action taken. This was discussed with the manager. The home has a procedure in place for medication. The medication records were looked at for two residents. One resident had been given the wrong dose for pain relief, two medication items were not labelled with the residents name and one medication was not dated. This is not acceptable and was discussed with the manager. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 13 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) 22,23. The residents are able to raise any concerns or make a complaint. The staff have a good understanding of adult protection. EVIDENCE: The home has a complaints procedure displayed that is in need of updating to give the information of how to contact the Commission for Social Care Inspection. There are meetings held regularly to provide the residents with the opportunity to express their views or raise concerns. One resident spoken with said that they would feel comfortable to raise a concern or make a complaint. There are two staff who are awaiting the training for the protection of vulnerable adults. All the staff spoken to had a good understanding of the appropriate action to take should there be any allegation of abuse. The whistle blowing policy currently in place is in need of updating to include the details of how to contact the Commission for Social Care Inspection. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30. The home is generally clean and tidy but consideration should be given the services of a handyperson and a programme of maintenance. EVIDENCE: The residents live in a homely environment that is clean and tidy. The communal areas in the home are in need of redecoration and this was discussed during the last inspection. The home does not have a planned maintenance programme or the input of a regular handyperson and this was discussed with the manager. The laundry facilities were clean and well organised. The home has a washing machine with a sluicing facility and the ability to meet disinfection standards. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 15 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) EVIDENCE: Not assessed during this inspection. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 16 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) 42. The home must take steps to ensure the health and safety of the residents is protected. EVIDENCE: The fire procedure is clearly displayed in the home. Fire testing and emergency lighting checks that should be completed weekly were not up to date. This needs to be addressed urgently in order to protect the residents. Water testing has recently been undertaken and the home has experienced difficulties with the hot water temperatures. Hot water should be delivered at a temperature of close to 43 degrees centigrade. Some staff have not completed movement and handling training. This needs to be addressed in order to protect the residents and the staff. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huddersfield Mencap 4 Score x 2 1 x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 18 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 20 42 Regulation 13.2 13(4) Requirement Timescale for action 16.8.05 The policy and procedure for medication must be followed to protect the residents. The registered person shall make 16.8.05 arrangements for the regular testing of fire safety equipment 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. 2. 3. 4. 5. Refer to Standard 6 19 22 23 24 Good Practice Recommendations The daily records should reflect the delivery of the individual residents plan of care. Nutritional risk assessments should be kept updated. The residents should be weighed monthly to monitor any significant weight loss. The complaints procedure should be updated to include the information of how to contact the Commission for Social Care Inspection. The whistle blowing policy should include the information of how to contact the Commission for Social Care Inspection. The idenified communal areas should be redecorated. The home should consider appointing a handyperson to carry out repairs in the home. The home should develop a plan for routine maintenance. J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 19 Huddersfield Mencap 4 6. 42 The hot water for bathing should be maintained at a suitable temperature of close to 43 degrees centrigrade. Staff should complete movement and handling training annually. Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 Page 20 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse, HD6 4AB 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 Huddersfield Mencap 4 J51J01_s26344_Hudds Mencap 4_v244513_160805.doc Version 1.40 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. 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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