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Inspection on 20/06/05 for MacIntyre Residential Home

Also see our care home review for MacIntyre Residential Home for more information

This inspection was carried out on 20th June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There are excellent outcomes for service users at MacIntyre Care. Service users are clearly encouraged and supported to make decisions and take an active role in the running of the home. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. All service users attend a day service, some of which is provided by MacIntyre. The staff team are highly trained and supported ensuring an excellent service for service users. All comments received from relatives were positive and included; "Sometimes my daughter displays difficult behaviour which is part of her disability. I feel that the staff care for her in an exceptional way, always treating her in a very caring manner, with respect and dignity."

What has improved since the last inspection?

At the previous inspection, one requirement and one recommendation was made. Both have been fully met by the service. Building work is almost complete on the new homes.

What the care home could do better:

The inspector has made no requirements and recommendations at this inspection.

CARE HOME ADULTS 18-65 MacIntyre Residential Home 1-5 Waring Close, off Glenfield Frith Drive Glenfield Leicester LE3 8PZ Lead Inspector Jo Vyas Unannounced 20 June 2005 13:00pm 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. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service MacIntyre Residential Home Address 1-5 Waring Close, off Glenfield Frith Drive Glenfield Leicester LE3 8PZ 0116 287 1955 0116 287 1955 diane.davies@macintyrecharity.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) Ms Zoey Cussons Care Home 12 Category(ies) of LD Learning Disability(12) registration, with number PD Physical Disability (12) of places MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 29/11/04 Brief Description of the Service: The home is set off a mainly residential road in Glenfield, close to the countryside. Local shops are situated nearby with a doctor’s surgery, post office and hairdressers. The nearest bus stop is only a few minutes away with services to a number of towns including Leicester just three miles away. The home is run by MacIntyre Care, a charity, which provides residential accommodation and day services to people who have a learning disability. The home comprises of three ground floor houses with separate rear gardens. Each house has four single personalised bedrooms specifically equipped to meet the needs of each of the twelve service users who have a learning disability and some have an additional physical disability. An additional building is also available and houses a laundry and administration area. MacIntyre are in the process of rebuilding a new home on site. Building work has commenced and will continue until around the end of 2005. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the CSCI is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they received through looking at their records, discussion with them, and their relatives, care staff and observation of care practices. This unannounced inspection took place between 1:20pm and 6pm on a weekday and was carried out by one inspector as part of the annual plan of inspection. At this time, no questionnaires have been received from service users, but ten were received from relatives. The inspector has also received a pre-inspection questionnaire. What the service does well: What has improved since the last inspection? What they could do better: The inspector has made no requirements and recommendations at this inspection. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 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. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 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 MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 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) These standards were not inspected at this time. EVIDENCE: MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 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 The individual needs and choices of service users are fully addressed. EVIDENCE: • The home use Person Centred Planning to plan care and meet the needs and aspirations of service users. The plans cover aspects of daily living and also include the service user’s hopes and dreams. The Person Centred Plans are transcribed into user-friendly formats using photographs, charts and symbols. Plans also include a health plan and personal care guidance. They may also include, dependent on the individual’s needs, a distress assessment tool and communication profile. Plans are reviewed via monthly link worker meetings, which are minuted and communicated to the rest of the staff team via monthly staff meetings. Staff spoke to the inspector about ways in which they consult with service users and their families and involve them in the Person Centred Planning approach. Staff stated that for a service user who has no speech, they would invite their family for a meal so that they could discuss plans over the meal together with the service user. Staff were observed offering choices to service users and encouraging them to make decisions. C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 10 • • MacIntyre Residential Home • Risk assessments are currently being reviewed but are comprehensive and accessible. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 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) 12, 13, 14, 15, 16, 17 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: • Evidence was seen of service users accessing the local community i.e. shops and the park also visiting the theatre, the cinema and the church. At home service users watch TV, listen to music, carry out art and crafts and play games. Service users were observed being offered a choice of snacks and meals. Meals were taken wherever the service user felt most comfortable and were relaxed and informal. Service users were supported with their meals sensitively, with respect and upholding their dignity. Staff encourage and facilitate family/friends contact. This includes picking up and dropping off relatives if they are unable to visit without this assistance. All service users access a day service including MacIntyre’s own day service. Some service users have recently returned from a holiday. C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 12 • • • • MacIntyre Residential Home 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 There are very good levels of personal and healthcare support to service users. EVIDENCE: • • • Personal support is detailed in personal care profiles. All service users are registered with a GP and have access to the appropriate healthcare professionals as required. Healthcare monitoring sheets are used to record all healthcare needs and visits. Medication was received, stored, handled and disposed of appropriately. A member of staff was competent in their knowledge of medicines used and the ways in which they should be given. Staff have received medication training. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 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 standard(s) These standards were not inspected on this occasion. EVIDENCE: MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 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 standard(s) 24, 27, 28, 29, 30 MacIntyre provides service users with a safe and comfortable place to live. EVIDENCE: • • • • The home was clean and well maintained. There are sufficient toilets and bathrooms with appropriate specialist equipment, such as bathing aids, to meet the needs of the service users. Communal areas are bright and homely. A relative stated via a comment card, “Whenever I call, either arranged or not, the carers are always welcoming and the house is clean and tidy. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 15 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) 33, 35, 36 The deployment and number of staff is sufficient to meet the needs of the service users. Staff are highly trained and supported ensuring service users receive a good quality service. EVIDENCE: • There are normally two or three staff in each home during the day and two waking night staff and two staff who sleep over night but are on call. A relative stated that occasionally there is only one staff on a shift in house 5 at the weekends. The Registered Manager stated that this only happens if someone has phoned in sick and cover cannot be found. Staff from the other two homes cover at times when two staff are required. The Registered Manager stated that this has been risk assessed. Staff spoke about the six-month induction they complete, which involves mandatory training such as adult protection, moving and handling etc and the Certificate in Working with People with a Learning Disability. Once this is completed, staff are expected to enrol on the National Vocational Qualification level three. Currently, there are ten staff completing the National Vocational Qualification level three. The Registered Manager stated that they are also trying to appoint a National Vocational Qualification co-ordinator. Staff stated that they usually receive one to one supervision every month. C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 16 • • MacIntyre Residential Home 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, 39 The staff team benefits from good management, leadership and direction from the Registered Manager, which ensures service users receive consistent, quality care. EVIDENCE: • • The home has a Registered Manager who is currently completing the National Vocational Qualification level four and the Registered Managers Award. She also has four years experience in management. Service user files contained completed questionnaires on the quality of service people receive. MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 4 3 3 4 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 MacIntyre Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 18 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 MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicester LE3 8PZ 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. Extracts may not be used or reproduced without the express permission of CSCI MacIntyre Residential Home C51 C01 S1725 Macintyre V233752 200605 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!