Inspection on 18/05/05 for Macintyre Care - 12 Woodland Road

This inspection was carried out on 18th May 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

Macintyre Care - 12 Woodland Road 17/01/07

Macintyre Care - 12 Woodland Road 10/03/06

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 12 Woodland Road, Macintyre Care 12 Woodland Road Whitby Ellesmere Port CH65 6PR Lead Inspector Val Flannery Unannounced 18 May 2005 14:25 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. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 12 Woodland Road Address 12 Woodland Road Whitby Ellesmere Port Cheshire CJ65 6PR 0151 200 6847 01267220562 www.macintye-care.org Macintyre Care 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) Mrs Sandra Earlam Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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) Date of last inspection 02/12/04 Brief Description of the Service: 12 Woodland Road is a care home for four adults with a learning disability. Located in a residential area of Ellesmere Port the home is close to shops, pub and the town centre. The home is a dormer bungalow, 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 provides one bathroom, one shower with toilet and two separate toilets. Communal space consists of a dining area in the kitchen, lounge and a recently constructed conservatory. A section of the garden to the rear of the home has been secured to ensure service users safety. Lifting aids are also provided in the bathing area. Staff are on duty twenty four hours a day to care for service users. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over three hours. One hour was spent reading previous inspection report and reviewing the service history of the home. All the service users were spoken with during the inspection. The staff on duty, including the manager, were also spoken with. A tour of the building was carried out. All the bedrooms were seen during the visit. The secure garden to the rear of the home was also seen. A number of service user and home records were inspected. No relatives or other visitors were in the home during the visit. The service users have limited communication skills. What the service does well: Service users files contain a lot of information including background details and personal histories. The care plans showed that service users’ care needs have been identified and that these needs are met. Because service users have lived in the home for some time staff have learned how best to meet their needs. Service users are supported by staff to use community facilities which ensures they have a varied and stimulating lifestyle. Risk assessments have identified possible safety issues and how these are to be addressed. The record of menus showed that service users are offered a choice of foods. During the visit staff were seen helping service users with personal care tasks such as dressing, eating, drinking and administrating medication. This was done in a quiet and caring manner. MacIntyre Care have provided policies and procedures on the administration of medication. They also provide a copy of the complaints procedure in picture format for ease of use by service users. Service users’ bedrooms and communal areas are maintained to a high standard. The overall standard of the decoration and furniture provides a warm and safe environment for service users. The manager and staff provide a high standard of care to service users. Relationships between service users and staff are good; service users are able to approach staff for help with personal and other needs. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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) 1/2/5 Service users’ care needs are identified, monitored and action taken to meet these needs. The statement of purpose and service user guide ensures information is available on the services offered by the home. EVIDENCE: The current service user group have lived in the home for a number of years. Service users’ plans of care showed that staff have identified their individual care needs and how these needs are to be met. Because of their limited verbal skills the care offered to service users is closely monitored and any changes recorded. A statement of purpose and service user guide was available which showed the services offered by the home. 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 the funding authority to have individual service user contracts. A copy of the placement agreement between the organisation and the individual service users is kept on their files. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 Services users’ care needs have been identified and included in their plans of care. The home is able to meet these needs. Risk assessments identify possible dangers to service users and safe guards are in place to protect them. EVIDENCE: The person centred plans contain a wide range of information on service users and how their assessed care needs are to be met. Included was the level of staff support required by service users in their daily lives. The care files seen were well laid out and contained information which was up to date. Assessed care needs of service users showed that they need staff support with every aspect of daily living. This includes using the bathroom, toilet, eating and moving about the home. Staff were observed helping service users with these tasks in a sensitive and caring manner. Wherever possible service users are encouraged to take responsible risks as part of their independent lifestyle, for example, when they go out in the garden and moving about the home. Risk assessments are in place which identify health and safety issues for service users. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 10 During the visit staff were observed asking service users what they wished to eat, if they would like a drink and if they would like to go out in the mini bus. The manager confirmed that service users are consulted on issues such as the new conservatory, menus and annual holidays. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 standard(s) 11/12/13/14/17 Service users are offered a varied and stimulating lifestyle and are appropriately supported by staff. The menus reflect the service users preferences and choices. EVIDENCE: Plans of care showed that service users are involved in appropriate activities. This can include hydrotherapy, rebound therapy, attendance at a community day centre and day care services provided by Social Services. On the day of the visit service users, supported by staff, went to visit a local beauty spot. The manager said that service users are supported to use local shops and other amenities. Included in the plans of care was the level of staff support required by service users to access these amenities. Mealtimes are flexible with service users able to eat their meals when they wish and at their own pace. The record of menus showed that choices are offered to service users which reflect their personal preferences. One service 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 12 user cannot swallow and is tube fed. Staff have received training on managing this procedure. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 standard(s) 18/19/20 Service users’ health and personal care needs are set out in their plans of care. The home ensures these needs are met. Staff offer full support with service users health and personal care needs. EVIDENCE: Staff were observed helping service users with personal care tasks, for example, using the bathroom, getting dressed and having an afternoon drink. They were also seen talking with service users and responding to their individual personal needs. The plans of care showed service users’ preferences on how they wished to be cared for are recorded. Because service users have lived in the home for some time staff have developed an awareness of their care needs. Plans of care seen showed that service users receive visits from doctors, nurses and other health professionals. The reasons for the visits and the recommended treatment were also recorded. The manager confirmed that providing a comprehensive level of personal and healthcare is a priority. Staff support service users to attend hospital, dental and other appointments. Satisfactory arrangements were observed for the administration of medication to service users. Service users require full assistance with the administration of medication. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 14 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 standard(s) 22/23 Satisfactory arrangements are in place to respond to complaints and adult protection issues. EVIDENCE: The complaints procedure includes details on how to contact the Commission for Social Care Inspection. A complete copy of the procedure is kept in the ‘Supporting People’ document. Service users, relatives and staff have access to a shortened version of the procedure, a copy of which is on display in the home. MacIntyre Care has produced the procedure in picture format, called ‘Service User guide to making a complaint’, a copy of which is kept on individual service users’ files. The manager said that no complaints have been received since the last inspection. CSCI have not received any complaints about the home. MacIntyre Care have produced an Adults Protection procedure, a copy of which is kept in the home. Also available was a copy of the government guidelines ‘No Secrets’. Staff spoken with knew about the complaints and adult protection procedures and what action to take. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 standard(s) 24/25/26/27/28/29/30 A safe and comfortable standard of accommodation is provided for the service users. There is enough shared space to meet service users’ need EVIDENCE: The home is a domestic type building that provides service users with a wellmaintained, comfortable and homely environment. Bedrooms are individually decorated and furnished, hoists/lifting aids are also provided to assist service users with mobility problems. One bathroom, two separate toilets and one shower with toilet are provided for use by service users. Both the bathroom and shower have lifting equipment to help service users with mobility problems. The doors to these areas have locks that will ensure the privacy of service users. Service users have access to communal areas which includes a dining room in the kitchen, lounge(which has recently been partially redecorated) and a recently erected conservatory at the back of the home. A section of the garden has been secured and flower beds raised which will enable service 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 17 users to use this area. The home is very clean and free from unpleasant odours. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/35/36/ Staff are employed in sufficient numbers to meet service users’ needs. Service users are cared for by appropriately trained and supervised staff. EVIDENCE: The staffing rota showed that there are normally two staff on duty during the day/evening and one waking plus one sleeping in staff during the night. These numbers can include the registered manager. MacIntyre Care provide on-going training for staff including NVQ in care, this will help staff further improve their skills in caring for service users. Six staff have achieved NVQ Level 2/3, three staff are due to commence NVQ and one member of staff is an internal NVQ assessor. Staff spoken with said they receive supervision and support from the manager which ensures they are aware of their responsibilities in caring for the service users. The home has received feedback, via questionnaires, from relatives on how they are doing. Some of the relatives comments included staff ‘are very friendly, enthusiastic and motivated’ and are ‘good advocates for service users’ ‘are willing to learn’. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 19 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 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) 37/38/42/43 The arrangements for managing the home are satisfactory. The health, safety and welfare of service users underpins the overall management of the home. EVIDENCE: Staff confirmed that the management approach encourages input from service users, relatives and staff on the services offered. They also said the manager offers leadership and direction to ensure the assessed care needs of service users are met. In discussion with the manager she confirmed that she is in the process of completing NVQ Level 4 in management and is also doing the Registered Managers Award. The staff spoken with said they receive support and supervision from the manager. MacIntyre Care have provided a comprehensive range of policies and procedures, copies of which are kept in the home and are available to staff. These and other records have been provided to ensure the service users’ rights and best interests are protected. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 21 A partial tour of the building was carried out which showed that health and safety issues are addressed. A record was available of monthly health and safety audits carried out by the home manager. The fire safety record seen showed that regular fire checks, drills and staff training is carried out. 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 3 3 4 3 4 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 12 Woodland Road, Macintyre Care Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 4 3 F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation NONE 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 NONE Good Practice Recommendations 12 Woodland Road, Macintyre Care F51 F01 S6682 12 Woodland Road V227248 180505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CH65 6PR 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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