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Inspection on 10/10/05 for Huntly Road (26)

Also see our care home review for Huntly Road (26) for more information

This inspection was carried out on 10th October 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The care provided at 26 Huntly Road is carefully tailored to meet the particular needs of its three longstanding service users in a family atmosphere. The service users take part in a range of activities in the community with the support of the staff. Care plans are detailed and are reviewed regularly. There is a good relationship between the Registered Person, staff and the service users.

What has improved since the last inspection?

There has been little change since the last inspection to the excellent standard of care provided by the home.

What the care home could do better:

The home again met all of those National Minimum Standards which were inspected.

CARE HOME ADULTS 18-65 Huntly Road (26) 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ Lead Inspector Peter Cresswell Unannounced Inspection 3:00 10 and 13 October 2005 th th Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 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.V258281.R01.S.doc Version 5.0 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.V258281.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Huntly Road (26) Address 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ 0151 260 9120 9999 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.V258281.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only Female service users may be accommodated. Date of last inspection 16th May 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. 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 supported accommodation which is also owned by Mrs Dunne. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection the inspector spoke to two of the service users on the first day – the third was at a day centre. He met the third service user briefly when he returned. He also spoke to staff and inspected some records. The Registered Person was not present when the inspector first called so he made a second visit during which he inspected recruitment and training records and spoke to the Registered Person. 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. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 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.V258281.R01.S.doc Version 5.0 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 the following standard(s): Not applicable. EVIDENCE: These standards were not assessed on this occasion. All of the residents have been at Huntly Road for some years so no new residents have been admitted and basic information such as the service user guide has not changed since the last inspection. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 and 8 Detailed care plans help to ensure that the service users receive the care they need. EVIDENCE: There are detailed care plans for all the service users and they are written in a distinctive, clearly understandable way. Detailed daily reports are completed, with a separate sheet for each day. The care plans and risk assessments are reviewed regularly and amendments are entered onto the plans as appropriate and are dated. All matters concerning the home are discussed with the service users to the best of their ability. The Registered Person is making arrangements to open an account in which to keep accumulated personal allowance, to help the service users to save for next year’s holiday, as she has found it difficult to find a bank that will open individual accounts. Individual savings will be identified and interest accrued will be divided proportionally. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 9 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): 11, 12, 14 and 15 The home provides individualised programmes of activities to meet the needs of each service user. 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 range from attending day centres to 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. One service user attends a local authority day centre and enjoys meeting her friends there. 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. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 10 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): 19 and 20. Staff understand service users’ personal needs and provide support accordingly. Medication procedures although rarely required, ensure the protection of the service users and staff are trained in those procedures... EVIDENCE: Service users receive all the community and, where necessary, specialist medical care which they need. None of the service users are taking long-term medication and if their GP prescribes short courses of medication such as antibiotics they are safely stored in the home and administered by the staff. Staff do, however, receive training in the administration of medicine. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 11 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 and 23. The home’s policies for complaints and adult abuse protect the interest of the service users. EVIDENCE: The home has an appropriate complaints procedure but rarely receives formal complaints and the Registered Person feels that most issues can be dealt with informally. The home has appropriate adult abuse policies in place. The procedures were not examined afresh at this inspection but have been seen on the last three inspections and remain in place. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 12 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 and 30. The home is clean, spacious and well-appointed, providing the service users with an attractive and homely place to live. EVIDENCE: The two downstairs lounges 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 kitchen/diner. Bedrooms are very individual and are decorated according to the choice of the service users though only one was inspected on this occasion. 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.V258281.R01.S.doc Version 5.0 Page 13 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): 32 and 34. The Registered Person leads a committed, well-organised and well-qualified staff team which meets the needs of the service users. Recruitment procedures protect the welfare of the service users. EVIDENCE: The staff team is very stable and carers are committed to the welfare of the service users. The Registered Person provides personal supervision and records are kept. The administrator (who is shared with the supported living scheme) is just about to start his NVQ4 in September. All but one of the care/support staff have NVQ2 or above (two have NVQ3 and one NVQ4) – the remaining member of care staff is newly appointed and is studying for her NVQ2. A range of other training is provided, much of it via PSS a major local voluntary organisation. Forthcoming training includes Epilepsy Awareness, First Aid, Food Hygiene and manual handling. In-house training will include confidentiality and the principles of supervision. One new member of staff had been recruited since the last inspection and all of the appropriate checks and references had been obtained before she was allowed to start work. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 14 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): 37, 38, 42. The manager provides clear leadership in the home and staff are aware of their responsibilities. EVIDENCE: The Registered Person also manages the home and is both qualified and highly experienced. She has cared for this group of service users for a number of years and has known one of the service users 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. Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 15 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huntly Road (26) Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000025283.V258281.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations Huntly Road (26) DS0000025283.V258281.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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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