Inspection on 17/01/07 for Macintyre Care - 12 Woodland Road

This inspection was carried out on 17th January 2007.

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

Macintyre Care - 12 Woodland Road 10/03/06

Macintyre Care - 12 Woodland Road 18/05/05

Macintyre Care - 12 Woodland Road 02/12/04

Macintyre Care - 12 Woodland Road 06/07/04

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 Macintyre Care - 12 Woodland Road 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR Lead Inspector Mr Val Flannery Key Unannounced Inspection 17 January 2007 12:15 Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 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 Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 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. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Macintyre Care - 12 Woodland Road Address 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR 0151 200 6847 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) www.macintyrecharity.org MacIntyre Care Mrs Sandra Earlam Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 4 service users in the category of LD (learning disability) 10th March 2006 Date of last inspection Brief Description of the Service: 12 Woodland Road is a care home for four adults with a learning disability. It is in a residential area of Ellesmere Port, close to shops, pub and the town centre. The home is a dormer bungalow and service users are accommodated on the ground floor. All the bedrooms are single and are individually furnished and decorated. Each of the bedrooms contains hoists and other lifting aids to assist service users. The home has one bathroom, one shower with toilet and two separate toilets. Communal space consists of a dining area in the kitchen, lounge and conservatory. Car parking space is available to the front and rear of the home. Staff are on duty twenty-four hours a day to care for service users. The current charge for living at the home is £1350 per week. This information was provided by the manager in December 2006. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 17 January 2007and lasted 3.5 hours. The visit was carried out by Val Flannery, Regulatory Inspector This visit was just one part of the inspection. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. Service users and staff were spoken with and they gave their views about the service. What the service does well: The home provides relevant information on the service offered. Possible new residents are able to visit the home before deciding to move in so they know about the home before they move in. Staff from the home carry out an assessment so that the resident, their relatives and the staff at the home know that the person’s needs can be met there. Although the current service users have limited communication, they are actively involved in making decisions on how they live their lives. Wherever possible service users are encouraged to make decisions about the care they receive and are offered choices around everyday living routines. Individual service users have plans of care that includes a weekly activity programme and shows the level of level of help they need with these activities. Service users are supported by staff to regularly use community-based services. The residents receive the healthcare they need from doctors, nurses and others, such as dentists, to keep them well and healthy. The staff team help them with the personal care they need to help them take part in their everyday lives. The home is well looked after so that it’s comfortable and safe for the residents. Staff are well trained and supervised so that they can give the best possible help and support to the residents. The manager is qualified and has a number of years experience caring for service users with a learning disability. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 6 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. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 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 Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 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): 1, 2, 3, 4, & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available on the service offered by the home and there is a procedure to follow when new residents move into the home. New residents, therefore, would have enough information to decide if their needs could be met at the home. EVIDENCE: The current service user group have lived in the home for a number of years so the admission procedure has not been ‘tested’. However, MacIntyre have developed procedures that ensure prospective service users are made aware of the service offered by the home. This can include introductory visits and overnight stays to meet other service users and staff. Staff from the home as well as the care manager from the placing authority would carry out full assessments. A copy of the service user guide and statement of purpose are kept in the home and would be made available to prospective service users and/or their representatives. Currently the home has a block contract with the funding authority to care for the service users. The manager said that the organisation is in discussion with Social Services about individual service user contracts. A copy of the placement agreement between the organisation and the individual service users is kept on their files. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 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): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Records are in place that show that changes to service users’ needs are identified and acted upon. This ensures staff have the information to help service user make ‘safe’ choices about what they do each day. EVIDENCE: Although the residents have limited communication, staff were seen talking with and supporting service users to make decisions on daily living. For example, where they wish to sit, if they wished to go to their bedrooms and helping them with their mid-day meal. Comprehensive plans of care and background information are available on individual service users. This sets out how service users preferred to be cared for, their likes and dislikes, family involvement and how their healthcare needs are to be met. Risk assessments are in place that show service users are encouraged and supported to take responsible risks, both in the home and in the local community. Staff spoken with were aware of the needs and Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 10 capabilities of service users. The manager said that the yearly review of the service offered is to be carried out by Social Services later this month. MacIntyre have provided policies and procedures on the confidentiality of information that is included in staff induction training. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff support service users to take part in a range of activities, both in the home and in the local community. This helps ensure service users maintain links with the local community. EVIDENCE: The plans of care, and other records, seen during the visit showed that each service user has an individual weekly schedule which involves them doing activities in the home and in the community. These included visits to hydrotherapy, sound beam, music and movement, reflexology and going out to local attractions such as Eastham Ferry and the Boat Museum. Also included were trips out to local shops and other local amenities. On the day of the visit one service user was seen returning from a hydrotherapy session. The registered manager said that rather then going away on an annual holiday they organised days out for the service users. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 12 Four completed CSCI comment cards were received from relatives. These confirmed that they are encouraged and helped to keep in touch with the residents. During the visit staff were seen helping service users move about the home, use the bathroom and providing regular drinks. Staff were also seen helping service users with their mid-day meal. Service users were seen moving between their bedrooms and the communal areas, with staff assistance. Staff were seen offering assistance to service users in a caring manner and were sensitive to their capabilities. For example, staff talked with service users and explained what they were doing. They closed bedroom doors when caring for service users in their bedrooms. Daily routines are flexible and are dependent on service users’ wishes; for example, when they wish to eat their meals. Advice and guidance has been sought from dieticians on the food offered to service users. All of the service users have swallowing/eating difficulties and staff have provided separate, laminated lists of what each service user can eat. These are on display in the dining area. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 13 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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides appropriate personal and healthcare support to service users. This ensures their assessed care needs are met and that they stay well and healthy. EVIDENCE: The records seen during the visit showed that the healthcare needs of service users are monitored and action is taken to resolve any problems. A comment was seen in the complaints/compliment book whereby a healthcare professional complimented the staff on their actions with regard to service users’ healthcare needs. Service users’ files are kept in their bedrooms and include: • a record of any care or treatment from doctors, nurses and others such as dentists and opticians • personal medical information • a detailed guide about how to support the service user, called ‘My Life’ • a file titled ‘Daily Health and Well Being’. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 14 MacIntyre have provided policies and procedures on the administration of medication to service users by staff, a copy of which is kept in the home. Services users have a locked wall cabinet in their bedrooms where their personal medication is kept. The organisation also provides training for staff on the administration of medication so they can give residents their medication safely. Help with service users’ personal care was seen being carried out by staff in service users’ own rooms. This was done in a calm and sensitive manner. Both male and female staff work at the home so all residents can be cared for by staff of the same gender. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to deal with any complaints or adult protection issues that may arise. These ensure that the residents and/or their relatives are listened to and that residents are protected from possible harm. EVIDENCE: A copy of the complaints procedure was on display in the home. The manager said the home have not received any complaints nor made any referrals under the adult protection procedure since the last inspection. The complaints/ compliments book was seen during the visit. A copy of the government guidelines on adult protection titled ‘No Secrets’ is kept in the home. The manager said three staff are receiving up dated training on adult protection on the 29 January 07. Staff spoken with during the visit were aware of what action to take if they received a complaint or were concerned about an adult protection issue. They said they would normally refer their concerns to the senior member of staff on duty. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 16 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, 25, 26, 27, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well looked after so that service users continue to live in comfortable and safe surroundings. They all have single rooms so their privacy and dignity is maintained. EVIDENCE: The home is a domestic type building that provides service users with wellmaintained, comfortable and homely surroundings. Bedrooms are individually decorated and furnished. Hoists/lifting aids are also provided for service users with mobility problems. There are one bathroom, one shower and two separate toilets for service users. The bathroom and shower have lifting equipment in them and the doors to all the bathrooms and toilets can be locked for service users’ privacy. Communal areas for service users consist of a lounge, kitchen and conservatory. A section of the garden, with raised flowerbeds, has been made safe for the residents to use. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 17 The home was clean, tidy and free from any unpleasant odours. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 18 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): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive training, support and supervision to ensure they are able to meet the needs of service users. Thorough recruitments processes are in place to make sure that residents are protected from possible harm. EVIDENCE: The manager and support staff spoken with during the visit were aware of their role and responsibilities in caring for the service users. Staff were seen talking with service users, helping them move around the home and responding to their requests for assistance. It was evident that the staff on duty were aware of the service users’ capabilities; service users were seen approaching staff and were comfortable in their company. Staff spoken with were able to talk in detail about the needs of service users and how these needs were to be met. They also said that they are able to discuss any concerns/worries with the manager and they would seek advice to ensure service users receive the help they need. The staffing rota showed that there are normally at least two staff on duty during the day and one waking staff plus one staff sleeping in during the night. On the day of the visit additional staff were on duty to support service users with their daily activities. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 19 Information supplied by the manager before this visit took place showed that eight of the eleven support staff have achieved an NVQ Level 2. Three staff are working towards their NVQ Level 3. A separate list provided by the manager showed that staff have access to a range of training opportunities including: • Fire Awareness • Food Hygiene • Manual Handling • Risk assessment • Person Centred Planning • Medication Individual staff have a Personal Development Portfolio that sets out the training they have attended and also includes their training needs. Records were seen that showed satisfactory recruitment procedures are in place including obtaining two references and Criminal Record Bureau disclosures before any new staff start working at the home. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is qualified and experienced at running services for people with learning disabilities so that residents live in a home that is run well in their best interests. EVIDENCE: The manager confirmed that she completed her NVQ Level 4 in care and the registered managers award in January 2006. She has attended a number of courses to further update her management skills in the day-to-day running of the home. She is currently doing a City and Guilds certificate in learning disability and is an NVQ assessor. Staff spoken with said they receive supervision and support from the manager and that she will address issues about their performance with them. They also said the manager is ‘very committed to providing a good home for service users to live in’. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 21 MacIntyre have provided a range of policies and procedures copies which are kept in the home. These include health and safety, adult protection and managing service users’ finances. During the visit, a service engineer from British Gas was in the home carrying out repairs to radiators. A copy of the service record for the hoists was also seen. The manager said that insurance cover is in place for kitchen equipment and the lifting appliance in the bathroom. The manager said that MacIntyre surveyed service users and relatives in the spring of 2006 to find out what they thought of the home. She said the feedback was very positive about the service offered by the home. Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 X X 3 Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Macintyre Care - 12 Woodland Road DS0000006682.V307519.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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