Inspection on 03/02/06 for L`Arche Community (Preston)

This inspection was carried out on 3rd February 2006.

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

L`Arche Community (Preston) 28/06/07

L`Arche Community (Preston) 08/02/05

L`Arche Community (Preston) 26/10/04

L`Arche Community (Preston) 09/03/04

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 L`Arche Community (Preston) 3 Moor Park Avenue Preston Lancashire PR1 6AS Lead Inspector Mrs Lynne Lynch Unannounced Inspection 3rd February 2006 02:30 L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service L`Arche Community (Preston) Address 3 Moor Park Avenue Preston Lancashire PR1 6AS 01772 251113 01772 251116 preston@larche.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) L`Arche (Registered Office) Mr John Francis Sargent Care Home 6 Category(ies) of Learning disability (6) registration, with number of places L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: L’Arche communities originated in France in 1964. Many other similar communities have developed since that time. LArche is a faith community in the Christian tradition that welcomes people of all faiths or none. LArche supports people to pursue their own faith both within and outside the home,if that is what they choose. The L’Arche home in Preston is situated on the outskirts of the city centre adjacent to a large park area and is in easy reach of community facilities and amenities. The home is also close to all main transport links. The house is a large detached property that is furnished and decorated in a domestic style. The aims of L’Arche as an organisation are to provide a community lifestyle where people who have a learning disability and staff can share their lives and work together. L’Arche has a clear admissions criteria and a comprehensive assessment process. The home does not provide a Monday to Friday daytime service so applications for admission can only be considered when arrangements for day or work placements are in place. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 2.30 pm and took place over three hours. There are five people currently living at the home. The registered manager was not at the home at the time of the inspection. The inspector spoke with three members of staff, including the homes administrator, all five service users and observed the staff and people living at the home. Staff and medication records were inspected and the inspector and two of the service users conducted a tour of the building. The staff member who has specific responsibility for training and development was not on duty, however she forwarded training records and the homes training plan to the inspector within days of the inspection. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 4th July 2005. What the service does well: What has improved since the last inspection? A new en-suite toilet has been built into one of the service users bedrooms, which helped to meet her needs and has proved beneficial to all who live in the home. L’Arche continue to have a strong commitment to training, there is a clear progression from induction and foundation training, through to NVQ training, there are now four members of the team NVQ qualified. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 6 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. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): None of the above standards were inspected at this visit. EVIDENCE: L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): None of the above standards were inspected at this visit. EVIDENCE: L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): 12 and 13 Service users are encouraged to follow their hobbies, interests and goals in life. Good opportunities are provided for people to be part of and participate in community life. EVIDENCE: Employment, Education and Training are all areas addressed via the care planning process. Day services attended also help to address these areas. It is a requirement of L’Arche that all service users have a day placement, as they don’t generally provide day support during the week. L’Arche maintains good links therefore, with both day services and colleges attended, where individual support is given. Staff live alongside service users as part of the L’Arche community and therefore know them very well and continue to provide support regarding appropriate and achievable activities. Individuals access a range of local community facilities. Regular activities include meals out, sailing, canoeing, performing arts and shopping. On the day of the inspection, one of the service users had been to a dance class, which she said she enjoyed. Another service user was observed discussing what she wished to do over the weekend. Two sets of parents visited the home during the inspection one of the parents said “The staff have a very positive approach they communicate L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 11 well with my daughter and have helped her to continue with her own interests and develop new ones, they help her make the best of things where her skills are limited”. Good staffing levels allow for the people at the home to pursue individual activities. One service user spoken to during the inspection spoke of the training she is doing with staff to enable her to take part in the Great North Run, which is a half marathon run for charity. She showed the inspector her medal for completing this race last year and was obviously proud of this achievement. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): 20 Good practice and a thorough self-audit system ensures that medication is handled and administered correctly. EVIDENCE: Staff have received training prior to administering any medication. One member of staff has responsibility to oversee medication. Medication is stored in a locked cabinet in a locked cupboard. A system of thorough self-audit is in place with any errors being quickly noted recorded and addressed. The records viewed were appropriately maintained, with no dose or signature omissions. There is a clear procedure in place for administration, with evidence of staff signatures. Patient information leaflets are kept in a file ensuring staff are well informed about the medication and any possible side effects. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): None of the above standards were inspected at this visit. EVIDENCE: L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 The home provides a good standard of individual and communal living space in a safe, comfortable environment. EVIDENCE: The home is a large detached property that has developed through the conversion of two semi-detached houses and is close to the local amenities. The premises are comfortable and have a homely ambience. Each service user has a single bedroom that meets the minimum size requirements and there is sufficient communal living space within the home for the number of service users accommodated. All the service users in the home said they were happy with the accommodation, each having a lovely bedroom with plenty of room for personal belongings. Individuals also choose decoration and furnishings. Any maintenance required is addressed quickly and regular safety checks take place, with records kept. One service users bedroom has had an en-suite toilet added to meet her needs her dad said “she is as happy as a sand boy with her new toilet facility, this means that she is more settled at night, which benefits her and everyone else”. He also felt that the homes layout provided his daughter good opportunity to spend time alone or in company which is important to her. Another service users parents said, “It is absolutely super here, so much a home, our son is very happy and settled”. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 15 The home appeared clean and hygienic at the time of inspection. Staff and service users work together to keep the home clean and have weekly tasks identified. The home has a separate laundry with hand washing facilities. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 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 numbers, skills and effectiveness of the staff team reflect in positive outcomes for service users who are able to pursue their individual wishes and lifestyles. EVIDENCE: The majority of the staff team live in the home alongside the service users. The level of support and skill mix of staff is appropriate for individuals needs. Staff meetings take place on a weekly basis. Staff who live in the home have agreed off duty days. Saturday is viewed as a day of rest for service users and the home endeavours to provide 1:1 time for all service users on Saturdays. New staff are inducted to the home over several months and are mentored during this time. A training matrix is in place, which covers all areas of mandatory training. All staff have undergone medication administration training and protection of vulnerable adults training. Four staff have completed NVQ qualifications and a further two staff are registered to commence this. Some staff who work for the L’Arche organisation spend an agreed amount of time in the community and then move on to other communities within the organisation. This means that the compliment and overall qualification of the staff team is not a constant, however the organisation is committed to ensuring that all staff receive adequate training and support. Two members of staff were spoken to during the inspection and confirmed that they had received a thorough induction. The staff showed a good awareness of the policies and procedures in place and of individuals needs. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 17 L’Arche as an organisation advertise posts in general publications and via specialised media such as religious papers and gap year magazines in an attempt to target specific groups who will view the posts as more than just a job and will show commitment to the organisation and its beliefs. The home has an equal opportunities policy and applies this to recruitment, deployment and training. The homes recruitment policy covers Health issues; CRB and immigration laws where applicable. The staff files viewed contained an application form, personal history, qualifications and self-assessment form. Three references are sought and contacts within the L’Arche community are contacted both within this country and abroad in cases of people being employed from other countries. Disclosure certificates were not available at the home due to the umbrella organisation holding these and forwarding confirmation of receipt of these to the home. The manager of the home has recently met with the inspector and a regulation manager for the Commission for Social Care Inspection at his request to discuss several issues including the recruitment of staff and is working with the CSCI to reach a mutually agreeable outcome. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 18 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 The home is well managed and run in the best interests of the service users. EVIDENCE: The registered manager of the home holds a Diploma in Management Studies, the Registered Managers Award and a counselling qualification and has extensive experience of working with people who have a learning disability. The manager’s job description is comprehensive and clearly outlines his responsibilities. L’Arche as a national organisation regularly provides management and development training opportunities and the Community Leaders meet three times a year for peer support and to address any business issues. Staff and service users spoken to were happy with the management of the home and had a good knowledge of the lines of accountability and the infrastructure of the L’Arche organisation. Staff, service users and relatives all felt the home was well run with the interests of the service users at the forefront to all decisions made. L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X X X X L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 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. 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 L`Arche Community (Preston) DS0000010035.V258014.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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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