Inspection on 09/11/07 for Hudson Road

This inspection was carried out on 9th November 2007.

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

Hudson Road 24/05/07

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Whitewalls

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 Hudson Road 2 Hudson Road Maghull Liverpool Merseyside L31 5PA Lead Inspector Miss Diane Sharrock Key Unannounced Inspection 9th November 2007 4:00 Hudson Road DS0000069967.V351524.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 Hudson Road DS0000069967.V351524.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. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hudson Road Address 2 Hudson Road Maghull Liverpool Merseyside L31 5PA 0151 531 9595 0151 285 5433 jan.wilson@ndirections.co.uk 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) Sefton New Directions Limited Mrs Janet Anne Wilson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to people of either gender whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD The maximum number of people who can be accommodated is 5. Date of last inspection Brief Description of the Service: Hudson Road is registered to provide care and accommodation to five people with a learning disability. Sefton New Directions Limited manages the home. The home is located in a residential area in Maghull and is well established within the local community. The ground floor of the premises is fully adapted to meet the needs of people who are physically disabled and there are numerous aids and adaptations in place. The bedrooms upstairs are accessibly by stairs and are only accessible to some people. The Residents are supported by a small staff team, many of whom have worked at the home for a number of years. The Registered Manager is Jan Wilson who has worked at the home for many years. The fees for the home are £270.18 per month. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced site visit took place on the 9th November 2007. Information for this inspection was gathered in a number of different ways. This included reading records and looking at the building. Inspections involve measuring a number of standards considered as important by the Commission. ‘Case tracking’ was used as part of the visit to the home. This involves looking at the support a person gets from the home including their care plans, medication, money and bedroom, time is also spent meeting Residents and Staff. One of the people living in the home was case tracked as part of this inspection. We met the majority of residents and also the staff on duty. A selection of Comment cards were also left in the home to offer people further opportunity to give their opinions. In total no comment cards have yet been submitted to the Commission however we have seen comments recently submitted to the organisation in July 07 by relatives and staff. There has been no cause for any visits to the home since its last routine inspection. Any information the Commission for Social Care Inspection has received since the last inspection about the home is also taken into account. The company are requested to contribute information to the inspection by completing a preinspection questionnaire. An easy to understand summary of this report is available. If you would like to see a copy please ask the staff working at Hudson Road. What the service does well: The home is well managed by a long-standing manager and consistently meets and exceeds a lot of the standards and offers a very good standard of care. Hudson Road is a small home, which works on the principles of ordinary community living. The home offers a small and homely environment, which was very welcoming and friendly. This home continues to employ long-standing members of staff who offer great stability. Staff have a good knowledge of the people living there and were seen to take time to talk with people and support them to be as independent as possible as well as providing advice and support where needed. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 6 Support is provided to the people living at hudson road to make their own daily decisions and spend their time engaged in activities that they enjoy Residents receive a variety of meals and the support they require at mealtimes especially regarding choices and being supported in making those choices about their meals. What has improved since the last inspection? What they could do better: Full feedback was given to senior staff during this site visit. The company is meeting all of the national minimum standards, which shows how they provide a good quality of care and service for all of the residents. The manager continues to look at ways in which she can further develop the service including the development of the environment to benefit everyone. The company should continue plans to develop and invest into the environment including plans to install a fully adapted kitchen and develop and extend the Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 7 dining room, develop access to the first floor and look at the long-term developments to ensure they can always meet the residents changing needs. This will help provide facilities tailored to the resident’s needs, comfort and choices. 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. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 8 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 Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Policies are in place for the assessment of needs of a new resident which would help staff and residents make the right decisions and choices regarding their support at Hudson road. EVIDENCE: As identified at the homes previous inspections, standard 2 is a key standard to be assessed in the home, however there have been no new residents to the home for at least 2 years and it therefore could not be practically assessed. The company do have assessment policies and procedures and these show that an assessment of any new resident is carried out to the home before they move in. The manager has developed a resident’s guide, which is available to any prospective new resident. The guide includes a good level of information on the purpose of the home and facilities available. The guide is written in plain language and includes the use of pictures and reassures people that they can visit the home socially before they decide to stay at the home. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 10 Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 11 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. Staff in the home are aware of Residents choices and support them in daily decision making. EVIDENCE: Each of the residents have an essential lifestyle plan (ELP) which includes detailed information on what is essential to them. The resident’s care, support plan is clear, informative and easy to follow. The plan includes information on the person’s needs, daily routines, likes and dislikes, health, activities, and communication skills. The team leaders and link workers have 3 monthly essential lifestyle plan reviews with residents which helps keep the support up to date in line with what the residents want. The opportunity for some residents to make decisions and their needs known relies to some extent on the staff team understanding and responding to their non-verbal communications. This was observed during this visit and care plans Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 12 reflected the staffs understanding and knowledge and rapport with the residents. Residents were seen to be supported in their own individual routine for the day by each of the Staff. The company manages each person’s money within their own separate bank accounts. These records are accurately maintained with good policies in place to safely manage resident’s monies on their behalf. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff support residents to access the local community and leisure facilities in accordance with their choices EVIDENCE: Staff were observed to have a good rapport with residents and were observed to assist residents in various choices, especially with meals and various choices were offered for tea. Residents choose their own food and meals and staff were seen supporting residents in choosing what they wanted and in when they wanted their meal. Staff felt that they now encouraged people to eat healthier meals and the manager had identified this as a way forward to improve the choice of meals on offer. Staff also helped support one person in their choice of clothes so they were ready for going to the show that evening. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 14 The residents have a care plan / support plan and this includes a good level of information on how to support the person. Residents and staff have regular monthly ‘house meetings’ to discuss the running of the home. Minutes of these meetings showed good discussions on everything at the home keeping everyone informed and included in the developments especially with activities carried out the previous weeks. This helped the staff to develop and support people with activities the residents enjoyed and chose to continue with. The home has a domestic dining room, which is comfortable and homely in design. Following the last visit the manager had arranged for the purchase for another dining table, which is now in the conservatory and offers further choices for people to choose were they would like their meal. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18/19/20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People’s health and personal care needs and choices are recognised and support is provided by staff to meet these. EVIDENCE: Care plans contain clear information about the support the person needs with their health and personal care and staff were able to explain the diverse support they provide to residents. Records showed and the people living there confirmed that they are supported to see health professionals such as the GP, Dentist and Optician and that staff will accompany them to appointments if needed. Records are kept of any on going health issues people have and any daily support they may need with this. This helps to ensure that the person is receiving the support they need to stay healthy and any changes can be quickly noted and acted upon. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 16 Medication is stored in a locked cabinet which was seen to be well organised with clear systems in place and records kept of stock checks and medication given. This helps to reduce the risk of mistakes occurring and provides a clear audit trail to check people are supported in receiving their medication correctly and safely. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and protect residents against abuse or neglect. This helps to ensure the people living there are safe. EVIDENCE: Information about how to raise concerns or complaints is readily available in the service user guide, which has been adapted in an easier reading format so people can understand it better than in just small print. There is a book in the home for recording complaints received about the service, although none had been recently received. The staff continue to distributes a fresh copy of the complaints procedure to the families each year and keeps contact with families via the 3 monthly review meetings which helps to keep everyone informed and up to date. Staff know the residents communication well and will react to any feedback from the residents which might indicate that the resident is not happy or something needs to be changed. Staff say they had received abuse awareness training and are trained and experienced to support and protect residents. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 18 One staff file seen showed good evidence that the home carries out suitable checks prior to appointing members of staff and at regular intervals. These checks help to protect people at the home. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 19 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. The environment is well managed and provides a comfortable environment for residents to live in. EVIDENCE: Hudson Road is well placed for accessing local amenities. The home is based in a residential area of Maghull. Accommodation is in a 5-bedroom house, which fits in well with other domestic homes in the area. The staff help to keep the home warm, clean and nicely decorated with a homely atmosphere. The manager explained that she is hoping for the heating system to be maintained to help improve the heating throughout the home especially upstairs and along the corridor. Shared space within the home consists of a lounge, conservatory, dining room and kitchen, office’s on the first floor, laundry and enclosed back garden. These rooms are comfortably furnished and decorated. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 20 Following our visit the manager has developed some proposals to develop, extend and improve the current living facilities. Proposals have been put forward to develop the kitchen area, the current laundry and to hopefully remove the unused lift so that the lounge can be made bigger and more comfortable. They are also hoping to develop a bedroom downstairs for one resident so that access in the future would be easier to have a ground floor bedroom. Each of the residents living at the home have their own room and those seen were personalised with the person’s own belongings. The home has health and safety practices and procedures, which are aimed at ensuring the home is safe and clean and free from hazards to the health and safety of residents and staff. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 21 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 Residents are supported by a well-established Staff team EVIDENCE: During the site visit staff spoken with had a good understanding of the support needs of the people living there and were seen to take time to talk with people and treat them with respect. The staff know the needs of the residents and know their likes and dislikes and can help support them with these choices. The Staff rota showed that the home provides appropriate numbers of staff during the day and at night. Many of the staff working in the home have been there for several years or more and provide a stable team for residents. The staff felt that since they had an increase in 24-hour support they had been able to provide more support for residents to access the community on an individual basis. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 22 Staff were helping one resident to pack for there trip out and support another 2 people in getting ready for the evening show that they were going out to. The manager has supplied various information regarding previous and current training for Staff in obtaining Care qualifications, which helps the home exceed the basic guideline for at least 50 of Staff to have a care qualification. Staff have attended a variety of training including “equality and Diversity” and the manager has included this development in making sure the culture and workplace is respectful to everyone’s individual needs. A sample of files were looked at for staff. These showed that before any one commences work in the home a series of checks are carried out, such as obtaining references and a CRB (Criminal Records Bureau) check. These checks help to ensure that staff are safe and suitable to work with the people living there. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 23 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. The home is well organised and the health, welfare and safety of residents and staff is promoted and protected. EVIDENCE: The Manager has been at the home for many years offering a great stability and rapport to all the residents. The management structure in the home is very good. The registered manager and senior members of the staff team have clear responsibilities. The home continues to be managed very well and any service development is in the best interests of the resident in ensuring a good quality of service is provided. The manager continues to meet with representatives of the residents on a regular basis and also sends out quality surveys. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 24 The feedback from these is used to inform the home’s annual development plan. A sample of these surveys seen for July 2007 were noted to be very positive and the minutes of meetings showed good communication keeping everyone up to date with the developments at the home. Some returned responses included, We are very pleased with ……..…..care at Hudson road. The staff are very good communication is very good.” “ It is a family environment” “The care …………. receives is second to none.” “ Jan is the manager and is very approachable and will deal with any concerns personally.” 8 staff returned surveys and they were all mainly positive response with some suggestions for developments and improvements to the home. The homes development plan was very detailed and covered lots of areas including person centred plans, promoting diversity, and developing the environment. There are a number of systems in place at Hudson Road to check on the quality of the service offered and plan improvements. This includes regular visits and audits from the organisation at least once per month and a report is produced with the findings of the visit. These checks and systems help to ensure that a good service is provided to the people living at Hudson road and that any issues can be quickly noted and addressed. The Company have various procedures in place to show how the home is being managed. Records and certificates evidenced that the building and equipment used are checked regularly to ensure they are safe. This includes contractor’s checks of the fire system and hoists. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 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 4 33 X 34 3 35 4 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 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 X 4 X X 3 x Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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. 1. Refer to Standard YA24 Good Practice Recommendations Environmental Developments in the home identified by staff that are necessary for the residents changing needs must be considered and action taken to eventually meet their needs. Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Hudson Road DS0000069967.V351524.R01.S.doc Version 5.2 Page 28 - 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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