Inspection on 21/07/05 for Ivyhurst Close (4)

This inspection was carried out on 21st 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

Ivyhurst Close (4) 10/12/08

Ivyhurst Close (4) 15/03/07

Ivyhurst Close (4) 13/01/05

Ivyhurst Close (4) 07/12/04

Ivyhurst Close (4) 28/06/04

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 4 Ivyhurst Close Aigburth Liverpool Merseyside L19 3PJ Lead Inspector Leila Mavroupoulou Unannounced 21 July 2005 2:00pm 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. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 4 Ivyhurst Close Address Aigburth Liverpool Merseyside L19 3PJ 0151 427 7927 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 Limited Miss Winifred Austin PC Care Home 2 Category(ies) of LD - Learning Disability - 2 registration, with number of places 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th December 2004 Brief Description of the Service: 4 Ivyhurst is a bungalow property in a quiet cul-de-sac in the Aigburth area of Liverpool. It provides accommodation and personal support for two younger persons in single bedrooms. The home is staffed throughout the day with two members of staff and a sleep-in staff at night. There are a number of aids to promote the safety and comfort for its residents. It is easily accessible by public transport the home has a mini bus to enable the residents to access community facilities. There is a large garden to rear of the property.The home is in good decorative condition and is decorated at regular intervals and maintained by a housing association. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. On the day of the inspection both residents were at home and two staff were on duty. The inspection lasted for two hours during which time the inspector spoke to staff, observed interaction of residents with staff, inspection of the house, activities offered and inspection of resident’s file, staff records, fire and accident book and other information which is required to be kept in the care home. The home focuses on meeting the needs of the individual residents with a strong emphasis on the residents accessing community facilities and educational opportunities at the local college. The residents benefit from a staff group that has a low staff turnover and sickness level. Thus enabling the staff to develop a relationship and understanding of the residents’ needs since they only able to communicate their feelings and wishes through non-verbal communication. The residents are supported in maintaining contact with their family and have holidays each year, which is included in their weekly fee. The home provides detailed care plans and risk assessments, which are regularly review to ensure that the resident’s assessed needs are met and advice is sought from specialist health professionals to ensure the health and safety of the residents. What the service does well: What has improved since the last inspection? What they could do better: One of the bedrooms and the shower room is need of redecoration. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 6 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. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The home would make their own assessment of the resident needs to ensure that they would be able to provide the necessary care and support to the resident. EVIDENCE: The home has a detailed Statement of Purpose setting out the services provided at 4 Ivyhurst Close and details of their admission process. The home has not had a new admission for many years. However, discussion with the manager and the information in the home’s Statement of Purpose show that a detailed assessment would be made by the manager of the care home and assessment would be over a significant period of time, which would include visits and trial period to the home. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10, Each resident has a detailed care plans and risk assessments to promote their physical and emotional well- being. EVIDENCE: Each resident has detail care plans, protocols and risk assessments showing clearly how their assessed needs would be met. These are reviewed at regular intervals with other health professionals. In addition staff training is linked to the resident’s needs. The individual weekly activities show that the resident make choices about their daily lives, with the support of staff, through the variety of social activities provided. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 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) 11,12,13,14,15,16,17 The staff supports the residents to access community services and training opportunities at local colleges to develop skills to improve their quality of life. EVIDENCE: The staff at the home supports the residents to access various community facilities as evidenced in the resident’s weekly activity planner. This includes outings to local shops, restaurants, markets and attendance at the local college one day a week. Currently, one resident attends relaxation class and the other attends a course on communicating through the use of pictures. The resident’s records and photographs displayed in the resident’s bedroom show that the staff supports the resident to maintain contact with family and friends. Observation during the inspection showed that the residents are able to choose to be on their own. The staff in the home have a good rapport with the residents and have learnt over the years some of the residents’ nonverbal communication. The staffing levels in the home enable the resident to be assisted at mealtimes. The home provides special diets as required and staff are trained to provide support to residents that require feeding through artificial method as evidenced in resident’s record and staff training records. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 11 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, The staff at the care home provides personal care and assistance to residents in a manner that promote their respect and dignity. EVIDENCE: Observation during the inspection showed that the residents are supported with personal care in the privacy of their of their bedroom, where there are specialist equipment such as “high low” bed, bathing equipment specialist chairs etc to promote the residents safety and well being. Discussion with staff and entries in the resident’s records show that they receive regular health checks from the speech therapist, continence adviser, GP. Etc. The staff administered all of the resident’s medication. Accurate records are kept of the resident medication received into the care home, administered and returned to the pharmacist. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 12 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 The home’s policies and procedures protect the residents, as they are vulnerable due to their disability. EVIDENCE: The home has a complaints procedure and various policies and procedures in place to protect the residents from all forms of abuse. Discussion with staff indicated that they are aware of the differing forms of abuse and are clear on the procedure they need to follow in the event of any allege abuse. The home provides a safe storage for the residents’ monies and records are kept of financial transactions. External auditors regularly audit the financial records of the residents. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 13 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) 24,25,26,27,28,29,30,31 The home is well maintained and provides a “homely”, comfortable and safe environment for the residents. EVIDENCE: The home is well maintained both internally and externally. A tour of the house showed that the residents bedrooms are personalised with items that reflect their taste and preferences with items such as; photographs, music centres etc. Each resident is assessed by an occupational therapist for aids to promote their safety and well being, as evidenced by equipment in the resident’s bedroom and the bathroom. All equipment in the home is regularly serviced as required by the manufacturer. The communal area is bright and spacious and allows residents easy movement around the room in their wheel chair or other specialist chair. The home laundry area is located in the garage away from the food preparation area and policies and procedures are in place to prevent the spread of infection. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 14 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 The staff at the care home are provided with the necessary training and support to ensure that the residents’ needs are met. EVIDENCE: The staffing level at the care home reflects the high level of dependency of the residents. The staff have the time to do uninterrupted work with the residents as evidenced in the resident’s individual activity programme. The resident benefit from a staff group that has low staff turnover, sickness and a commitment to ensure that they receive continuity of care from staff who are aware of their likes and dislikes. The staff on duty commented that they enjoyed working at the care home. This was evidenced through inspection of the staffing rota and discussion with the staff on duty. Many of the staff have achieved their NVQ level 2 in Care or are working towards achieving this qualification. The staff on duty commented that they enjoyed working at the care home. The staff receives regular individual supervision from the manager as evidenced in staff files and discussion with the staff. The home has a robust recruitment procedure to protect the residents, which include obtaining two written references and a Criminal Records Bureau check. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 15 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) 37,38,39,40,41,42,43 The manager of the home provides strong leadership to promote the interests of the residents in an environment where risks are minimised to ensure the health and safety of the residents. EVIDENCE: The registered manager has recently completed her NVQ level 4 Management Award. Discussion with the staff indicated the manager provides strong leadership and direction through regular staff meetings, supervision and being accessible at all times The policies and procedures of the home is develop centrally by Community Integrated Care. The home has a quality assurance system in place to monitor the quality of care provided to the residents. The manager of the home ensures that staff training in food hygiene, fire awareness, moving and handling and first aid are up to date. Discussion with the staff and training records show that staff have attended training in recent months. Regular fire checks, hot water checks are undertaken and a record is 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 16 maintained of all accidents/incidents to the residents and staff. The records in the care home are well maintained and information is kept in securely except those that are required for the day-to-day management of the home and care of the residents as observed during the inspection. 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 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 3 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 4 Ivyhurst Close Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 18 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. Refer to Standard Good Practice Recommendations 4 Ivyhurst Close F52 F02 S000025287 4 Ivyhurst Close V241202 210705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 3rd Floor 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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