Inspection on 10/04/07 for Huntly Road (26)

This inspection was carried out on 10th April 2007.

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

Huntly Road (26) 10/10/05

Huntly Road (26) 24/11/04

Huntly Road (26) 20/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Huntly Road (26) 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ Lead Inspector Peter Cresswell Unannounced Inspection 10 April 2007 09:00 Huntly Road (26) DS0000025283.V329347.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 Huntly Road (26) DS0000025283.V329347.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. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntly Road (26) Address 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ 0151 260 9120 0151 291 5467 cymrujune@yahoo.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) Mrs June Dunne Mrs June Dunne Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only Female service users may be accommodated. Date of last inspection 10th October 2005 Brief Description of the Service: 26 Huntly Road provides care for three adults with a learning disability. The home is situated in the Fairfield/Newsham Park area of Liverpool, close to local amenities and bus routes on Sheil Road and Prescot Road. It is a large, three storey house which is also the owner’s family home. The service users share the two large ground floor lounges and kitchen with the owner, June Dunne, and her family. Mrs Dunne also manages the home. There is a large bath/shower room on the ground floor and service users’ bedrooms are on the first floor. The accommodation is particularly spacious, well furnished and well maintained. There is a garden to the front of the house and a rear paved garden. Car parking is on Huntly Road, which is a relatively quiet side street. The home’s office is in the neighbouring property which is also owned by Mrs Dunne, who is referred to as the ‘owner’ throughout the rest of this report. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced site visit during which the inspector met two of the service users – the third had just left to go to a nearby day centre. He also spoke to the owner and staff. He examined records, including care plans, recruitment files, personal finance and fire safety records. The owner completed a pre inspection questionnaire before the site visit but it was lost in the post. The visit lasted for five hours. 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. The summary of this inspection report can be made available in other formats on request. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good. Service users have all of the information they need concerning how the home will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner and her staff are currently reviewing the Statement of Purpose and the service user guide which met all of the standards and regulations when they were last examined. There have been no new admissions to the home for many years and the owner is well aware of how sensitive any new admission would be, should such a situation arise. She and her staff would ensure that any new admission would be subject to careful assessment procedures. Fees are negotiated individually with funding authorities and start at £400 a week. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Quality in this outcome area is good. Detailed care planning helps to ensure that the service users receive the care they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are detailed care plans for all the service users and they are written in a distinctive, clearly understandable way e.g. one resident ‘enjoys a good natter’. There are separate plans for areas such as meals, behaviour, communication and personal hygiene. Staff complete detailed daily reports, with a separate sheet for each day. The care plans and risk assessments are reviewed regularly, with amendments entered onto the plans as appropriate. The care plan that was examined in most detail during the site visit was awaiting review when a new social worker was allocated by the funding authority. There is a message book so that staff can pass on information to each other. The book is used appropriately and staff should continue to ensure that no confidential matters are recorded in it (there was one message about the state of a service user’s ears. The owner also leaves messages for staff in her own highly individual style. A recent message urging staff to take care about a matter concerning medication was headed ‘BE WARNED’. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 9 All matters concerning the home are discussed with the service users to the best of their ability and understanding. None of the residents have independent advocates but in most cases families are involved and they all have social workers from their local authority. The residents now have individual accounts with a High Street bank. Financial records for one person were examined and were found to be in order. If a resident spends money or money is spent on their behalf – for instance on clothing - receipts are kept and a running record kept on the computer. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is excellent. The home provides individualised programmes of activities to meet the needs and likes of each service user. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Huntly Road is a small, family based home and the service users take part in normal family life as well as receiving care from other staff. Each care plan includes a detailed plan of activities for the week. These include attending day centres, joint activities with staff – such as outings or making greetings cards and individual activities with staff. The service users enjoy taking part in social activities consistent with their age and go, with staff support, to local and city centre facilities such as swimming pools, clubs, restaurants, pubs and shops. Two service users attends local authority day centres. One of them said that she enjoys meeting her friends there, though she did not describe any particular activities. One was walking to a nearby centre with a member of staff as the inspector arrived. The other was waiting for Council transport which failed to arrive so the owner arranged for a taxi to take her. Those service users who have contact with their families are encouraged to maintain that contact and friends and relatives are always welcomed into the home. All Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 11 of the service users went on holiday overseas last year, with the owner and several staff. One of the service users told the inspector how much she had enjoyed the holiday and she was looking forward to going again. The service users pay for such holidays themselves. The service users help with some of the shopping, though most of the supplies are bought over the internet. Everyone is able to have the choice of food they want, though staff give guidance in ensuring they all have a healthy diet. Sometimes meals are prepared for all three service users, on other occasions they choose individual meals, as in everyday family life. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. Staff understand service users’ personal needs and provide support accordingly. Medication procedures ensure the protection of the service users, though one minor amendment is needed, and staff are trained in those procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care staff provide personal care as needed and in private. Male staff do not provide intimate personal care and are never on the rota alone. They do not normally do overnight ‘sleep ins’ though the manager said that on a few occasions this had been done, but only when she was on duty herself as well. Service users receive all the community and, where necessary, specialist medical care which they need. This is recorded on the personal files and care plans. Only one of the service users takes prescribed medication. It is kept in a secure cabinet and its administration is recorded an a Medication Administration Record sheet on the computer. Medication should be recorded at the point of administration and in a form that can only be altered transparently. So, for instance, if an amendment is made it should be signed and dated. Therefore, the MAR sheets need to be on paper. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. The home has policies for complaints and adult abuse that protect the interest of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate complaints procedure but rarely receives formal complaints and the owner feels that most issues can be dealt with informally. The Commission for Social Care Inspection was notified of some areas of concern by a former member of staff and all of these issues were addressed during this inspection. They are referred to in the appropriate sections of the report. No breaches of the Care Homes Regulations 2001 were found during the inspection. The home has appropriate adult abuse policies in place. The procedures were not examined afresh at this inspection but have been seen on several previous inspections and remain in place. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30. Quality in this outcome area is excellent. The home is clean, spacious and well-appointed, providing the service users with an attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are two downstairs lounges which are extremely spacious, well furnished and decorated. The main lounge has a very large television and the other lounge also serves as an occasional dining room. The service users normally take their meals in the bright kitchen/diner adjoining the main lounge. Bedrooms are very individual and are decorated according to the choice of the service users though only one was inspected on this occasion. Since the last visit two of the service users have switched rooms and both are pleased with their new rooms. The house is very clean and well maintained. None of the service users need special equipment at this point apart from some handrails which have been fitted to the stairs. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36. Quality in this outcome area is good. The owner leads a committed, wellorganised and well-trained staff team which meets the needs of the service users. Recruitment procedures protect the welfare of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been few changes in the staff team and carers are committed to the welfare of the service users. The Registered Person provides personal supervision to all staff and records are kept. The full time administrator has left the home and these duties are now shared between the owner and other staff. Nine of the 14 staff have NVQ2 or above and four are studying for NVQ3. A range of other training is provided, much of it via PSS, a major local voluntary organisation. Recent training has included Communication, Health and Safety, Medication, Mental Health Awareness, Diversity and Physical Intervention. Three new members of staff have been recruited since the last inspection and all of the appropriate checks and references had been obtained before they were allowed to start work. The owner said that when she recruits staff she does make them aware that on occasion physical interventions may be necessary. A member of staff chose to leave the home following some occurrences on the holiday. These issues were investigated in some detail and a full record has been kept of the investigation. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42. Quality in this outcome area is excellent. The owner/manager provides clear leadership in the home and staff are aware of their responsibilities, ensuring that the service users benefit from a safe, well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner is also the Registered Manager for the home. She is qualified, highly experienced and has cared for this group of service users for a number of years, in one case for over 20 years. This, and the family based nature of the home, provides a particular atmosphere to which staff respond, helping to create effective teamwork. The home is, nevertheless, run in a highly professional manner. Documentation is mainly kept in the large office in 24 Huntly Road and many records are kept on computer. Fire safety records and safety certificates were up to date. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 x LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 3 3 3 3 x Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 18 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 YA20 Good Practice Recommendations Medication Administration Record sheets should be kept in hard copy to ensure that a transparent, accurate record can be kept. Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Huntly Road (26) DS0000025283.V329347.R01.S.doc Version 5.2 Page 20 - 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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