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Inspection on 29/06/06 for MacIntyre Residential Home

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

This inspection was carried out on 29th June 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.

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

What the care home could do better:

No requirements or recommendations were made at this inspection.

CARE HOME ADULTS 18-65 MacIntyre Residential Home 1-5 Waring Close off Glenfield Frith Drive Glenfield Leicestershire LE3 8PZ Lead Inspector Mr Steve Hunnybun Unannounced Inspection 29th June 2006 09:00 MacIntyre Residential Home DS0000001725.V302143.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 Residential Home DS0000001725.V302143.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 Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service MacIntyre Residential Home Address 1-5 Waring Close off Glenfield Frith Drive Glenfield Leicestershire LE3 8PZ 0116 2871955 0116 2321697 diane.davies@macintyrecharity.org www.macintyrecharity.org MacIntyre Care 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) Zoey Cussons Care Home 15 Category(ies) of Learning disability (15), Physical disability (15) registration, with number of places MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category PD may be admitted to the home unless that person also falls within the category LD - i.e. dual disability. 5th January 2006 Date of last inspection Brief Description of the Service: The home is set off a residential road in Glenfield. Local shops are situated nearby with a doctors 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 residential service is distributed over three newly built houses named; Pippin Place, Hurst House and Red Robin Reach. The houses have been specifically designed for the people who live in them. There is both ground floor and first floor accommodation with a lift to access the first floor. The houses are set in spacious grounds. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussions with the care staff and observations of care practices. One resident’s file was tracked in detail while the inspector concentrated on medication procedures for the other. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. What the service does well: 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 Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 6 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 Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 7 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: Full assessments of needs are present in residents’ files. One resident had a wealth of information from his previous placement in several folders including many pictures of him engaging in activities. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 8 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Files contained very useful care plans and person centred plans. The resident who was tracked in detail has a person centred plan in development, which the inspector was shown. His plan details how to communicate with him to ensure he makes choices and his needs are met. He is shortly about to have a picture exchange system introduced where he will have activities represented by pictures that are fixed to a board. This will enable him to anticipate endings and beginnings of activities. Comprehensive risk assessments were present on all aspects of life. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 9 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: A great emphasis is placed on activities for residents. At the time of the inspection residents were supported to engage in relaxing activities on return from day care. This included listening to music, watching TV and sitting in the garden. Residents are also supported to access a range of local facilities such as pubs, parks and local shops. The inspector saw pictures of a resident, who has a physical disability, using a climbing wall. Residents are supported to maintain contact with families and friends. Files contain information about appropriate contact. Staff were observed treating residents with respect and recognising their rights. One resident was asked if the inspector could see her room and she signed ‘no’. This was respected. Meals are recorded in residents’ daily logs and those seen by the inspector indicated a varied, healthy diet. Meals are planned on a weekly basis but due to the numbers of residents in the houses it is always possible to change this or to eat out. One MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 10 resident has an appointment to see a dietitian for advice regarding a healthy diet. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Very comprehensive information is kept regarding residents’ health and personal care needs. Residents are supported to access appropriate medical services and appointments are recorded along with the outcome and any advice. Due to recent errors the inspector focussed on medication provision at the home. Medication procedures were discussed and the administration of tablets to a resident was observed. This resident’s medication is kept securely in a locked cupboard and two staff are present when tablets are given. Residents’ medication records were examined and all recording was up to date. Very useful information regarding medication is kept with the records. The inspector is confident that the home has take appropriate steps to minimise the risk of future medication errors. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The provider has a robust corporate complaints procedure and the houses are in the process of developing ones that are accessible to specific residents. Records regarding residents’ finances were up to date and accurate. Staff receive training regarding adult protection as part of their induction. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: The inspector looked round the houses, focussing on the rooms of residents tracked as part of the inspection process. The houses have been designed, decorated and furnished with specific residents in mind whilst retaining a homely feel. Safety is paramount; one resident has no sockets or switches in his room where he can reach them as he breaks them. Another resident pulls the curtains down so has no curtains in his room. He has coverings on the windows to maintain his dignity and privacy. The house manager stated that curtains are being introduced gradually in communal areas to try to encourage him to tolerate them. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff undergo a comprehensive training package comprising core training such as first aid and specific training relating to the needs of particular residents. All staff complete a useful induction pack when they join the service. It was not possible to examine staff records, as the staff present did not have access to them. The home has a robust recruitment procedure; staff stated that appointments are not made without appropriate references and Criminal Records Bureau checks. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37,39,42 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 managed. EVIDENCE: The registered manager is currently absent and an acting manager is being registered. The intention is that there be a registered manager in each house. Questionnaires are sent to residents’ families prior to reviews to ascertain their views regarding the service. Residents’ views are sought through the person centred planning process. Comprehensive health and safety risk assessments are present at the home. All records regarding fire safety were up to date and accurate. MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 16 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 3 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 3 23 3 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 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 17 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 MacIntyre Residential Home DS0000001725.V302143.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000001725.V302143.R01.S.doc Version 5.2 Page 19 - 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!