Inspection on 04/07/05 for Huntsmans Wood (8)

This inspection was carried out on 4th July 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.

Other inspections for this house

Huntsmans Wood (8) 02/05/06

Huntsmans Wood (8) 07/12/05

Huntsmans Wood (8) 09/12/04

Huntsmans Wood (8) 05/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 28/10/2008.

CARE HOME ADULTS 18-65 Huntsmans Wood (8) 8 Huntsmans Wood Croxteth Park Liverpool L12 0HY Lead Inspector Peter Cresswell Announced 4 July 2005 9:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Huntsmans Wood (8) Address 8 Huntsmans Wood Croxteth Park Liverpool L12 0HY 0151 259 3152 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community Integrated Care Ltd Lesley-Anne Boulton Care Home (CRH) 3 Category(ies) of (LD) Learning Disability - (3) registration, with number of places Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 9 December 2004 Brief Description of the Service: 8 Huntsmans Wood is home to two adults with learning disabilities. The home is registered for three people but only two live there at the moment. Both also have physical disabilities. The home is owned by Community Integrated Care (CIC), a large not-for-profit organisation. The home is a large bungalow in a residential area of Croxteth Park. It is spacious, with three bedrooms, a large lounge and a large, well maintained back garden. The home is not far from bus routes and local shops and the service users have the use of a suitably adapted vehicle which is owned by the company. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was given advance notice of this inspection by telephone. The inspector spoke to the Registered Manager, service users and staff during this inspection. He examined documents, especially care plans and staff records, and toured the home. 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. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4, 6 The owners’ assessment procedures ensure that new service users are appropriately admitted to the home and the interests of the existing service users are fully considered and protected. EVIDENCE: The two service users have lived at Huntsman’s Wood since 1990. The third service user, who had been receiving weekend respite care, has left since the last inspection. The Registered Manager said that another service user is being assessed for the third bed and again this would be respite care for a person from another facility operated by CIC. She said that the needs of the existing service users were of the highest priority in this process and unless they were happy with the placement it would not go ahead. The ‘matching’ process will take place over as long a period as is needed to ensure the success of the placement. The service users are tenants of Maritime Housing, which owns the property, and copies of the tenancy agreements were on file. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Care planning is good and provides staff with the information they need to care for the service users. Service users are fully involved, as far as possible, in every aspect of the home’s life. EVIDENCE: There are detailed care plans and Essential Life Style plans in place for both service users. The plans provided a wealth of relevant information on the needs, interests and personalities of the service users. The Registered Manager reviews the plans every three months and a major review is held annually. The annual review is not recorded, though any changes are entered into the care plans. The service users and other significant people such as relatives are invited to attend the reviews. It would be good practice to record the annual reviews as evidence of what was decided and who took part. The manager said that the home is soon to be equipped with a computer and if the care plans can be entered on to this it would enable them to be amended more easily. Staff talk to the service users about all decisions which affect them – they attend house meetings and reviews, for instance. They also attend CIC management meetings at the Greenbank Centre and are involved as far as Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 9 possible in staff selection. The service users are able to make their views known in different ways. Documentation is stored securely in the office. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16, 17 Staff support and provide appropriate activities that meet the needs and likes of the service users. Meals are individualised to meet the tastes of the service users. EVIDENCE: The care plans set out in some detail the kind of activities which the service users enjoy. These are everyday activities in the community and include shopping, trips out (Otterspool and Pennington Flash being particular favourites), tenpin bowling, pub quizzes, eating out and visiting the cinema. The home has a vehicle which can accommodate all of the service users and their wheelchairs. The service users have friends in the area – mainly in other CIC properties – and visit them as they wish. Family and friends are welcome to come to the home whenever they and the service users choose, and one of the service users spends most weekends at home with her family. The service users – accompanied by staff - recently went on holiday abroad, which the Registered Manager said they greatly enjoyed. The home has ‘freeview’ digital television but no cable or satellite which the owners say is not feasible. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 11 The service users go shopping with the staff and indicate the kind of food that they prefer. A record is kept of what they eat. They also eat out in local pubs and restaurants. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, 21 Staff have a clear understanding of the service users’ needs and provide care and support accordingly. Medication is properly administered, ensuring the service users’ safety. EVIDENCE: Staff treat the service users with respect, dignity and friendship. The service users have access to all necessary community and specialist health care services. Medication is provided in monitored dosage blister packs by the pharmacist and one of the service users goes with staff to the shop to collect his prescription. The pharmacist does not provide Medication Administration Record sheets so the home creates its own, using a CIC template. No homely remedies are used – Paracetamol is provided on prescription to be used as required. The records were checked during the inspection and were found to be accurate. In the past when a service user died the manager made all of the arrangements needed and said that the service users were supported through the experience. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Huntsman’s Wood has satisfactory complaints and adult abuse procedures to protect the interests of the service users. EVIDENCE: CIC has an appropriate complaints policy though no complaints have been received since the last inspection. Staff are trained in adult protection issues and the home has a copy of the Liverpool multi-agency adult protection protocol. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30 The home provides a comfortable and homely environment for the people who live there. EVIDENCE: The home is a bungalow in a quiet residential area and the Registered Manager said that they have a good relationship with the neighbours. The home was clean and odour free, and at the time of the inspection it was being almost completely redecorated. The service users had helped to choose the décor, in particular for their own rooms. The service users’ bathroom has specialist equipment to enable the service users to bathe with dignity. There is a separate toilet for staff. The home also has lifting equipment to meet the needs of the service users. Each service user has their own room and they all have suitable locks to ensure privacy if so desired. The bedrooms and the large lounge are big enough to enable the service users to move around freely in their wheelchairs. The lounge has patio doors which lead on to the large and well maintained garden. The service users enjoy going out in warmer weather, especially to watch the squirrels. The only part of the home not included in the redecoration programme is the kitchen, which, whilst it is adequately decorated and clean, now looks rather old fashioned, with its dark tiling and vinyl floor. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 15 Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36. Staff recruitment and training procedures help to ensure that well trained staff are available to meet the needs of the service users. EVIDENCE: There are six care staff employed at the home in addition to the Registered Manager. Two staff are on duty throughout the day and one in the evening and night time. Senior CIC staff are on call in the evenings, weekends and on public holidays. Two staff have NVQ2 and one other member of staff is studying for it. All staff will be enrolled on to NVQ training, in line with the owner’s policy. CIC has a wide ranging training programme and staff are encouraged to apply for courses which interest them and will benefit the care of the service users. New staff are only employed subject to satisfactory CRB and POVA clearance. The recruitment file of the latest recruit contained evidence of all the necessary checks, including references. Agency staff are very rarely used and if this does happen they are only used if the agency is able to provide evidence that the necessary checks have been carried out and the staff are properly trained. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41,42, 43 The home is effectively managed and fire and health and safety procedures are up to date, ensuring a safe environment for the service users. EVIDENCE: The Registered Manager has completed her NVQ4 and has several years of experience in working with service users with learning difficulties. Regular audits of policies and procedures are carried out by the manager as part of a rolling programme of quality assurance. Annual questionnaires are sent out to relatives and the results are compiled on a national basis and published in CIC’s national in-house magazine. The home has in the past had all of the policies and procedures required by regulation and they were not re-examined on this occasion. Fire safety and training records were up to date and gas and electrical safety certificates were in place. The general standard of record keeping in the home is high and records are stored securely in a filing cabinet in the office. Fridge and freezer temperatures are monitored twice daily. Service users’ money is kept either by relatives or in an account held by the Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 18 owners. Money is provided to the home as required by the Registered Manager and/or the service users. Accurate records and receipts are kept of any money spent. It was not apparent why the service users do not have individual bank accounts. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 19 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 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huntsmans Wood (8) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 3 3 F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 2. Refer to Standard 24 6 Good Practice Recommendations It is recommended that the kitchen is redecorated to bring it up to the same standard as the rest of the home. It would be good practice to record the proceedings and decisions of the annual review. Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Liverpool Area 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. Extracts may not be used or reproduced without the express permission of CSCI Huntsmans Wood (8) F52 F02 S25286 Huntsmans Wood V235725 040705 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!