Inspection on 03/02/09 for Ivy Cottage

This inspection was carried out on 3rd February 2009.

CSCI found this care home to be providing an Good service.

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

Ivy Cottage 11/10/06

Ivy Cottage 23/01/06

Ivy Cottage 09/08/05

Ivy Cottage 08/11/04

Ivy Cottage 12/07/04

Ivy Cottage 02/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ivy Cottage Ackton Lane Ackton Featherstone West Yorks WF7 6HP The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Rob Padwick Date: 0 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Ivy Cottage Ackton Lane Ackton Featherstone West Yorks WF7 6HP 01977701370 01977795707 ivycottage1@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ivy Cottage (Ackton) Limited care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: Date of last inspection A bit about the care home Ivy Cottage is a care home providing personal care and accommodation for 10 younger adults who have a learning disability. Many of the service users present with complex needs including the management of challenging behaviour. The home is situated in Ackton, a small residential suburb of Featherstone, and is some distance from local amenities. It is privately owned and has two sister homes which also accommodate this category of service user. The premises, that are not purpose Care Homes for Adults (18-65 years) Page 4 of 29 built, have service user accommodation arranged on two floors. All bedrooms are designed for single occupation and there is adequate communal space. The home has a small open garden to the front of the house and a pleasant secure courtyard to the rear along with car parking facilities. Weekly fees within the home at the time of the inspection ranged from 2,000 pounds to 2,600 pounds dependent on the assessed needs of individuals. The manager confirmed that existing and prospective service users are provided with a Service User Guide detailing what services are provided and the aims and objectives of the organisation. Additional copies are available upon request. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home The last time we inspected the service was 11th October 2006 This inspection was done in one day and people did not know we were coming. We looked at written information and visited all the bungalows in the home and spoke to people who live and work there. Care Homes for Adults (18-65 years) Page 7 of 29 To help the way we inspect services someone known as an Expert by Experience assisted us with this inspection visit. Information collected by her is included within this report. What the care home does well Staff are good at involving people about decisions affecting them Care Homes for Adults (18-65 years) Page 8 of 29 People can choose some good things to do and staff support them to be as independent as possible Staff support people to make sure they are healthy and well Staff listen to people and make sure they are kept safe from harm Care Homes for Adults (18-65 years) Page 9 of 29 The manager has talked with people in the home about how they like to be supported What has got better from the last inspection What the care home could do better Care Homes for Adults (18-65 years) Page 10 of 29 Support plans for all of the people should be improved and use pictures and words to help people understand them better. The building should be modernised and redecorated to make it nicer for people to live in Care Homes for Adults (18-65 years) Page 11 of 29 The door to the smoking area should be kept shut to make sure people living in the home are kept comfortable and warm. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Rob Padwick 33 Greycoat Street London SW1P 2QF 02079792000 Care Homes for Adults (18-65 years) Page 12 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service are assessed to ensure the home can meet their needs and information is available to help them to make a decision about using it. Evidence: Information about the service was available to help people thinking about moving into the home to know what they can expect from it. The acting manager told us about plans to improve this information with more pictures and words in order to make it easier to understand. Case files belonging to people living in the home contained evidence of a careful admission process and we were told us people are able to visit the service before a final decision is made about whether they will move in. Whilst case files inspected contained details about the assessment process for the home, some of the information about this was not available to inspect and this meant it was difficult to tell how accurate this process was. A recommendation is made about this. Care Homes for Adults (18-65 years) Page 15 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in the home are supported and involved in decisions about their lives to ensure their wishes and feelings about these can be met. Evidence: People told us they were involved in making decisions about their lives and we saw evidence of this in the case files belonging to them. The self assessment for the service indicated the home has a strong ethos of involving people in decisions and there was clear evidence the new manager was taking action to develop this and new staff teams had been created to help bring this about. Support plans were available to assist staff in meeting the needs of people living in the home and whilst some of these were better organised than others, a series of meetings had been held with the people using the service to ensure they better reflect their individual wishes, feelings, strengths and personal interests and are consulted about these. It was evident staff were knowledgeable about the needs and limitations of people living in the home and there was evidence that people using the service were supported to take responsibility for taking sensible risks as part of their everyday lives. Some of the case files belonging to people living in the home were better organised than others and recommendation is Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: made about this. The Expert by Experience commented, The manager (told us) they were going to start using more pictures and symbols in the support plans to help people have more choice and a further recommendation is made about this. People living in the home told us staff generally listened and assisted them with making decisions and be as independent as possible and a self advocacy worker was visiting on the day of our visit to help develop this aspect of the service further. Care Homes for Adults (18-65 years) Page 17 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in the home are able to take part in good range of activities to ensure that they can experience a lifestyle that meets their individual needs and wishes. Evidence: People using the service told us they liked living in the home and there was evidence they were supported to make choices about a good range of activities to ensure they experience a lifestyle that meets their individual needs and choices. Some people living in the home attend college whilst others told us about work they did delivering newspapers and working on a golf course. The service has its own transport to help people go out in the community and a group of them were out visiting a local shopping centre on the day of our visit. Information provided by the manager indicated people are supported to go on holidays and some of them told us about visits to Blackpool and plans they were making to see friends in London. People living at Ivy Cottage are supported to maintain links with their friends and families and some of them go home to stay with them at weekends. There was evidence people living in the home are Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: supported to take responsibility for light domestic tasks and the manager told us they are involved in daily walkarounds of the home, to ensure it is kept clean, tidy and safe. People confirmed they were able to make choices about what food is served and told the Expert by Experience they can choose what they want for dinner and help go shopping for this. Menus inspected provided evidence of a range of healthy meals and the case files documented appropriate monitoring of this. The Expert by Experience said There is a lot of activity choice for people and they have an activities co-ordinator which is good. Each person has their own activity book which shows (they are) treated individually. One person told us he goes out on his own but knows he has his phone if he needs help. I think this is good. Someone else told us he sits on the (Local Valuing People) partnership board. Care Homes for Adults (18-65 years) Page 19 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care of people living in the home are appropriately met by staff who have been trained to ensure their wishes and feelings about these are respected. Evidence: People living in the home told us staff supported them with their health and personal care needs and case files inspected contained details about these to ensure their wishes and feelings about these are met. The group of people living at Ivy Cottage are generally independent of personal care with staff supporting them with a series of prompts to help them maintain independent living skills. Case files contained evidence of working with health professionals in the community, together with regular monitoring of health conditions and details of appointments with doctors and dentists. Some of the people living have in the home have some difficulties in managing their behaviour and there was evidence staff had received training about this to ensure they are kept safe from potential harm. Positive interactions were observed between staff and people living in the home and from discussion it was clear they were knowledgeable about their various conditions and know them well. Policies and procedures are available to guide staff in administering medication to Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: people living in the home and there was evidence of staff training on this aspect of practice. Regular audits of the medication records are carried out and the acting manager told us he was planning to make checks of staff abilities in relation to this aspect of practice. The medication records kept in the home were accurate and appropriately kept with information for staff about their uses and side effects to help them protect people from potential harm. Care Homes for Adults (18-65 years) Page 21 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The concerns of people living in the home are taken seriously by staff who have been trained to ensure they are able to safeguard them from potential abuse. Evidence: Complaints policies and procedures are available and people using the service told us they were generally happy living in the home and that staff listened to them and took their concerns seriously. No concerns had been made to CSCI since our last visit to the home and the complaints record indicated none had been received by it. Staff training is provided on the protection of vulnerable adults with appropriate policies on these. Staff who we spoke to indicated a good understanding of these and were clear of their responsibilities to safeguarding people from potential abuse. Since our last visit to the service some safeguarding alerts had been sent to the Local Authority to investigate and we saw evidence of appropriate action on these. Care Homes for Adults (18-65 years) Page 22 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in the home are provided with a comfortable and safe environment although this would be improved by upgrading the building. Evidence: The building was clean and being well maintained with staff helping to keep it tidy on the day of our visit. The Expert by Experience said it smelt nice ..which is important. Whilst the decoration of the building was generally satisfactory there were some areas that would benefit from updating as the Expert by Experience said it was a bit old fashioned. A recommendation is made about this. The acting manager told us he was aware of this and that a new Wii game had been recently bought and there were plans to get a wide screen TV in the near future. There is an outside area where people can smoke, but the door to this had been left open which resulted in some parts of the building being cold and not warm enough. The Expert by Experience said I think it is good there is an area where people can smoke but the door needs to be kept shut or have an automatic closer on it. A recommendation is made about this. Care Homes for Adults (18-65 years) Page 23 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff are safely recruited and are friendly and competently trained to ensure the wishes and feelings of people living in the home can be met. Evidence: People living in the home told us staff were meeting their needs and it was evident staff had a good understanding of them. The new manager had developed the staffing arrangements into separate teams to ensure better opportunities for people using the service are provided. The Expert by Experience commented, I think the staff are nice and friendly and are very good at interacting with the residents. There was evidence of appropriate staff supervision taking place and regular meetings to ensure a sense of direction and leadership. A staff training matrix had been developed to help identify future training with staff files containing evidence of a range of appropriate training. Recruitment policies and procedures were in place to ensure staff are safe to work with people living in the home and their files contained evidence of appropriate checks being carried out. Information provided by the manager indicated people living in the home continue to be involved in the selection of new staff and there was evidence they are supported to be involved in the interview process and send out job descriptions to prospective applicants they have helped to devise. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The wellbeing of people living in the home are supported by appropriate management and administration systems to ensure the smooth running of the service. Evidence: Since our last visit to the service a new manager had been appointed and we saw evidence of the close involvement of people living in the home to ensure it can continue to be run in their best interests. The new manager is a qualified Learning Disability Nurse and has management qualifications and was in the process of applying to be formally registered with the Commission. Since being appointed, the new manager had restructured the staff teams and we saw evidence of a clear vision to help develop the service further. Staff told us the manager took a positive and open approach and there was evidence of regular meetings to ensure people are consulted and can contribute ideas about the running of the home. Regular audits and checks were being carried out to ensure the service can monitor its progress and we saw questionnaires being developed as part of this. Information sent to the Commission indicated regular checks of electrical and gas equipment are carried out and a random inspection confirmed this and that fire drills were taking take place to ensure the health, safety and welfare of people living in the home. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 The Registered Person should ensure all the information about the assessed needs of people living in the home are kept in the service. This is to ensure staff have information to ensure they are able to meet their needs. The Registered Person should ensure support plans for all of the people living in the home are developed to the same standard, in order to ensure their needs can be met and their wishes and feelings about these are fully respected by staff. The Registered Person should make the support plans for people living in the home more easy to read to help them to understand them better. The Registered Person should ensure the building is upgraded to provide people living in the home with an environment that meets their needs in a comfortable and homely way. The Registered Person should ensure the door to the outside smoking area is kept shut. This will ensure people Page 27 of 29 2 6 3 6 4 24 5 24 Care Homes for Adults (18-65 years) living in the home are kept comfortable and warm and that their health and safety is protected. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!