Inspection on 12/01/06 for Hulme Hall Close

This inspection was carried out on 12th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hulme Hall Close 02/10/08

Hulme Hall Close 17/01/08

Hulme Hall Close 09/08/07

Hulme Hall Close 12/07/06

Hulme Hall Close 16/02/05

Hulme Hall Close 09/06/04

Hulme Hall Close 16/03/04

Similar services:

SignHealth

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

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

CARE HOME ADULTS 18-65 Hulme Hall Close Hulme Hall Road Cheadle Hulme Stockport Cheshire SK8 6JZ Lead Inspector Jackie Kelly Unannounced Inspection 12th January 2006 12:10 Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hulme Hall Close Address Hulme Hall Road Cheadle Hulme Stockport Cheshire SK8 6JZ 0161 486 9783 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) Stockport MBC Adult and Community Directorate Lance Tipper Care Home 15 Category(ies) of Learning disability (15), Physical disability (3), registration, with number Sensory impairment (1) of places Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A manager, working a minimum of 30 hours each week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered with the Commission for Social Care Inspection. No more than two places can be used as respite/emergency/short term placements. 26th September 2005 2. Date of last inspection Brief Description of the Service: The home is owned by Stockport Metropolitan Borough Council and is registered for 15 young people who have a learning difficulty. The home is divided into separate units, which are interconnecting on the ground floor only. To access the first floor, the young people must be able to climb the stairs apart from one unit that has had a stair lift fitted. None of the single rooms, (which are below the National Minimum Standard of 10sq.m or 12sq.m for those service users who use a wheelchair), had an en-suite facility. The home had a large garden to the rear of the building and hard standing to accommodate a reasonable number of cars, at the front of the building. The home is located in the Cheadle Hulme area of Stockport. Apart from the local pub; the shops and other amenities are not accessible other than by car. Public transport is also not readily available. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. Time was spent talking with the manager Mr Lance Tipper and the inspector was introduced to the administration assistant. The inspector discussed the requirements and recommendations that were made at the previous inspection of September 2005 and one of the recently completed review forms was looked at. No new service users were either admitted or discharged from the home since the previous inspection. Also no new staff had been appointed. Therefore the standards relating to these requirements and standards that were met at the last inspection have not been re-assessed this time. What the service does well: What has improved since the last inspection? A number of rooms have had new floor coverings. A third pedal cycle had been purchased to enable the two service users and a member of staff who accompanies them enjoy bike rides. The service users from ‘flat 5’ had purchased a vehicle through mobility allowance which will allow them greater access to the community. The number of staff on the rota for ‘flat 2’ has been increased from five to six. The statement of purpose has been produced in a draft form and is much improved from the previous one submitted to the Commission for Social Care Inspection. Staff meetings now take place on a monthly basis. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 the following standard(s): 1 Information was not available to the young people in a suitable format, to help them make choices or be aware of what the service offered. EVIDENCE: The draft copy of the statement of purpose was shown to the inspector. It was very much an improvement on the previous document submitted. The manager said that a service user guide that was suitable for the people who live at Hulme Hall Close would follow the same format as the statement of purpose. Both of the above requirements are within the timescale set for the 31 January 2006. There had been no new admissions to the home since the previous inspection therefore standards 2, 3 & 4 were not assessed during this inspection. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 the following standard(s): 6,7,8,9 The care plans for the most part reflected the young peoples needs and requirements to enable them to lead as independent life as their capabilities would allow. EVIDENCE: The new manager and senior staff team had started work with a nominated social worker from the Learning Disability Team in reviewing each of the young peoples assessed care needs. At the time of the inspection three service users had received their review. A copy of one of the completed review forms was seen by the inspector and was considered to be satisfactory and informative. From these assessments a person centred plan will be produced. The manager said that the current care plans had not changed and were still in the same format therefore the inspector did not look them. A discussion took place with the manager who recognises that the care plans and other associated documentation requires a complete revamp, which should be done as part of the person centred plan implementation. The inspector would like to Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 10 see some progress with the care plans and person centred planning by the next inspection. The policies and procedures relevant to the young people should be produced in a suitable format that is meaningful to them. This was a recommendation in the previous inspection reports of March 2004, June 2004 and February 2005. No work had been done on these however the inspector suggested that the most applicable policies should be looked at first. Again the inspector would like to see some progress made. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15,16,17 The young people accessed education, community/leisure facilities and maintained family contact. The support workers respected the young peoples rights. EVIDENCE: Much of the service provided was no different from that which was in place at the previous inspection in September 2005. All the young people required assistance to access community services and none were employed. A third pedal cycle had been purchased which enabled two of the service users who are keen cyclists to go out riding with a support worker. The young people from flat 5 had purchased a car under the mobility scheme which would help them access to community more often. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 12 The young people’s circle was still restricted to family, support workers and carers. A small number of the young people regularly attended a disco night or day service, which had extended their circle of acquaintances albeit with people with a similar disability. Superficial acquaintances were made in the community through visiting the cinema, pub, shopping etc. Each unit planned the menus and shopped accordingly. The senior staff said at the previous inspection that the support workers did prepare food and did not rely on ready cooked meals. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 the following standard(s): 18,19,20 The young people received support, which ensured that their health care needs were fully met. EVIDENCE: Feedback from the relatives at the previous inspection in September 2005 indicated that the support workers provided sensitive and flexible personal support, which respected the young peoples right to privacy, dignity, independence and control over their lives as far as their capabilities would allow. The inspector had received no information over the past three months since the inspection to contradict this. Visits to the consultant for learning disabilities for regular check ups were in place. The local health centre was being used for the young peoples’ day-today needs. The consultant was also involved in the current review process. Other services had been obtained, such as dentist and opticians as was necessary. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 14 As Hulme Hall Close is a home for younger adults it would be very rare that the support workers would have to deal with the death of a young person. None of the young people was capable of managing their own medication. All the support workers had received training on administering medication. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 22, 23 The young people were protected through the complaints procedure, training and daily monitoring of support workers. EVIDENCE: There had been no official formal complaints made to the customer services department of Stockport MBC’s Adults and Communities Directorate. There was a policy and procedure in place and a ‘rolling programme’ for training the staff on the protection of vulnerable adults. All relatives were being invited to the reviews, which were currently taking place (four had been completed at the time of this inspection) where people were able to express their views and opinions. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 16 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 the following standard(s): 24, 30 The home was satisfactory. All furnishings, fittings and equipment were in a reasonable condition and suitable for the needs of the young people. EVIDENCE: The home did not meet the national minimum standard of 10sq.m with regard to bedroom sizes. However those care homes that did not provide this amount of space before the 1st April 2002 were able to continue using these rooms but the room sizes must be clearly defined in the statement of purpose and service user guide. (See standard 1 – statement of purpose and service user guide). The inspector did not look round the home at this inspection. The manager said that a small number of bedrooms had new floor coverings other than this there had been no changes. The manager said that the training for support workers on the control of infection was in the process of being arranged; this had been a recommendation at previous inspections and had therefore been made a requirement at the inspection, which took place in September 2005. The requirement was within the timescale of 31 March 2006. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 The recruitment and selection methods used ensured that suitable care workers were employed. Experienced and trained support workers looked after the young people. EVIDENCE: No knew staff had been employed at the home since the last inspection with the majority of the support workers having been employed at Hulme Hall close for many years. The application form that was used by Stockport Adult and Community Services Directorate required amending to include a statement asking for full employment history from leaving school or full time education. This was a recommendation at the previous inspection in September and was being looked at by the Human Resources section of Stockport MBC. A number of the support workers were registered for the Learning Disability Award Framework (LDAF) training. It was a recommendation at the inspection of September 2005 that provision should be made for those support workers who have a Level 2 to take Level 3 or Level 4 and not have to wait for all workforce to achieve Level 2. This was ongoing. An annual appraisal for each member of staff, which takes account of their development needs will be introduced as part of Stockport MBC’s procedures. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 18 The home had recently acquired administrative support, which will improve the system for keeping records such as staff supervision and training. The home was within the timescale set at the 31 March 2006. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home was for the most part run for the young people by a staff team who were experienced and were aware of the development, health, and safety needs of the young people. EVIDENCE: The manager who was employed at Hulme Hall Close had applied to the Commission for Social Care Inspection to register however at the time of the inspection the registration process had not been completed. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 20 It had been recommended during previous inspections that an administration assistant be employed to assist the senior staff with record keeping and other administrative tasks. This had been accomplished. The home must produce an annual development plan specific to Hulme Hall Close, which is available to the Commission for Social Care Inspection. This plan would be central to the Quality Assurance Report, which should include feedback and analysis from other relevant stakeholders. This report must be sent to the Commission for Social Care Inspection with copies made available to the young people and their relatives. This requirement was ongoing and within the timescale set at 1 May 2006. Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 21 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 2 2 x 3 x 4 x 5 x 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 2 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 2 X X X x Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 22 YES 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. Standard YA1 Regulation 4&5 Requirement The registered person must amend the statement of purpose to include all the information as required by the schedule 1 of the Care Homes Regulations 2001. The registered person must produce a copy of the service user guide in a format, which is suitable for the young people. This was a recommendation in the previous inspection reports of March 2004, June 2004 and February 2005. The registered person must introduce training for staff on the control of infection. This was a recommendation in the previous inspection report of June 2004 and February 2005. The registered person must ensure that all staff receive an annual appraisal and that an improved system for keeping a training record on each individuals file is kept at Hulme Hall Close. The registered person must ensure that a person registered with the Commission for Social Care Inspection manages the DS0000034392.V286784.R01.S.doc Timescale for action 31/01/06 2. YA1 5 31/01/06 3. YA30 13 31/03/06 4. YA36 18 31/03/06 5. YA37 8 31/03/06 Hulme Hall Close Version 5.1 Page 23 home. 6. YA39 24 The registered person must produce an annual development plan which is specific to Hulme Hall Close which is part of the Quality Assurance report which must be sent to the Commission for Social Care Inspection and made available to the young people or their relatives/advocates. 01/05/06 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 YA8 Good Practice Recommendations The registered person should produce the policies and procedures, which are meaningful to the young people in a suitable format. This was a recommendation in the previous inspection reports of March 2004, June 2004 and February 2005. The registered person should ensure that the application form asks for full employment history from leaving school or full time education and explain any gaps. The registered person should offer training for NVQ Level 3 or 4 to run alongside those who are taking a Level 2. 2. 3. YA34 YA35 Hulme Hall Close DS0000034392.V286784.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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. 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