Inspection on 03/09/07 for MacIntyre Residential Home

This inspection was carried out on 3rd September 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 Residential Home 29/06/06

MacIntyre Residential Home 05/01/06

MacIntyre Residential Home 20/06/05

MacIntyre Residential Home 29/11/04

MacIntyre Residential Home 23/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 MacIntyre Residential Home 1-5 Waring Close off Glenfield Frith Drive Glenfield Leicestershire LE3 8PZ Lead Inspector Helen Abel Unannounced Inspection 3rd September 2007 4.45 MacIntyre Residential Home DS0000001725.V341425.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.V341425.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.V341425.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 catherine.warren@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.V341425.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. 29th June 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. Fees range from 43.364 –86.125 per year. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A plan was made prior to the visit in which available information from the previous inspection report and service history, annual quality assurance assessment were summarised. This unannounced visit took place early Monday evening. The Registered Manager was not present upon the inspection. A manager and support staff assisted the Inspector with the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussions with the care staff and observations of care practices. Two service users files were tracked in detail. The Inspector was unable to communicate with service users. It has been necessary to form judgements about their experiences based on all other evidence including observations. No completed questionnaires from relatives or health professionals had been received at the time of the inspection. The use of the term ‘service users ’ has been used in the body of this report, rather than ‘residents’ as this is how they are referred to in the home. The inspection was positive indicating good outcomes for service users. No requirements or recommendations were made. What the service does well: Comprehensive assessment procedures ensure that service users needs and aspirations can be effectively met. Written information about the home has been updated and now includes a Service User Guide to tell residents about the each house to help people decide whether it might be the right place live. This is produced in a format that includes plain English, pictures and symbols appropriate to service users needs. Service users are involved in day to day decisions, are well supported to take reasonable risks with good support plans that accurately reflect their needs. Service users have opportunities to engage in vocational, leisure and community activities, are given support in maintaining links with family and friends and enjoy good, nutritious food. Service users receive appropriate personal support and their health and medication needs are well met. All staff are trained in medication procdeures MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 6 prior to giving any medicines. The three house were built eighteen months ago and provide service users with clean, comfortable and a homely environment, which meets their needs well. Service users are protected from abuse and their concerns and complaints are listened to and acted upon. Service users are effectively supported and protected by well-trained staff and thorough recruitment practices. Good health and safety practice ensures Service users welfare in these areas is promoted. Good systems are in place to ensure that the service users views inform the way the service is delivered monitored and improved. 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. The summary of this inspection report can be made available in other formats on request. MacIntyre Residential Home DS0000001725.V341425.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 Residential Home DS0000001725.V341425.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Comprehensive assessment procedures ensure that service users needs and aspirations can be effectively met. EVIDENCE: A comprehensive assessment process takes place before new service users move into the home. This includes the MacIntyre managers visiting the person in their current setting, collecting assessments from all professionals involved and arranging time for the person to visit the home to see how they fit in with the existing resident group. Visits are arranged first over a mealtime, and then an overnight stay and progress to weekend visits. A full assessment written by the manager was in place together with assessments submitted from a variety of professionals, prior to the service users admissions. Assessments covered all aspects of care; physical, mental and emotional health as well as social and cultural and religious needs. Each service user is provided with a contract presented in plain English, pictures and symbols. This includes information about: complaints, protection, your money, relationships, health and safety and person centred planning. This is drawn up with the service user and their representative and MacIntyre staff. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 9 MacIntyre has recently appointed a Head of Service to be the person responsible for assisting new people into the home. Written information about the home has been updated in September 2007 and now includes a Service User Guide to tell service users about 1 Waring Close to help people decide whether it might be the right place live. This is produced in a format that includes plain English, pictures and symbols and is appropriate to service users needs. Copies of the last inspection report are held in the home and are made available. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 10 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. 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. Service users are involved in day to day decisions, are well supported to take reasonable risks with good support plans that accurately reflect their needs. EVIDENCE: Two service users support plans were examined: these focused on the individual, were very detailed covering all aspects of support in relation to mental, physical and social needs. Comprehensive risk assessments form part of each plan and address risk to the resident as well as those around them. Staff actively contributes to support plans and routinely refer to them to gain information as to how to support and respond to individual service users needs. Plans are seen as live documents, being regularly reviewed and modified to reflect service users changing needs. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 11 Service users are supported to make decisions about their lives in relation to such areas as décor, food, social and leisure activities. Most service users manage their own finances with staff support. Records of expenditure are kept and the manger audits these regularly. The records and balances for two residents were checked and found to be accurate. The Inspector observed the manager remind staff about ensuring two signatures are entered on records in order to maintain accurate record keeping and safeguarding of service users finances. A communication advisor has been appointed to develop the quality of life for service users with work around a communication audit and a person centred review pilot scheme. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 12 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. 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. Service users have opportunities to engage in vocational, leisure and community activities, are given support in maintaining links with family and friends and enjoy good, nutritious food. EVIDENCE: At the time of the inspection service users were supported to engage in relaxing activities following on the return from day centre and an evening meal. This included: listening to music, watching the television, playing on a musical keyboard, 1-1 playing with staff, throwing a large ball game and walking around the garden. Service users are also supported to access a range of local facilities such as pubs, parks and local shops. Service users case tracked had undertaken a range of activities, visits to the space centre, disco one a week, museums, trips on the train. Staff were observed treating service users with respect and recognising their rights. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 13 Staff confirmed meals are recorded in service users daily logs and the emphasis on providing a varied, healthy diet. There is menu choice and each service user has a Health Action Plan. A nutritional screening assessment is completed for all service users and concerns with regards to their eating and weight are monitored. 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. Take away fish and chips are offered but the frequency is monitored in line with healthy eating. The modern open plan kitchens are a feature of the home, and are designed to accommodate wheelchair users to enable them to use the worktops comfortably around food preparation. The house vehicle is a Vauxhall Zafira, which is used by all the service users. Service users are actively supported to maintain contact with their family and friends. Relatives are free to visit at any time and social events are arranged to encourage relatives and friends to visit. One service user is actively supported and encouraged to attend a local church each Sunday. One service user case tracked recently enjoyed a birthday party at the home with family and friends invited and the party held outside with a buffet in the kitchen including home baked cakes by staff. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 14 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. 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. Service users receive appropriate personal support and their health and medication needs are well met. EVIDENCE: Service users support needs are clearly documented regarding service users health and personal care needs. Services users are supported to access appropriate medical services and appointments are recorded along with the outcome and any advice. All service users have access to primary care services such as GP, dentists and opticians. Good systems are in place for storing, recording and administering medication; only qualified staff members who have received appropriate training are involved in administration. There are clear guidelines relating to the administration of ‘as required’ medication. Staff members are aware of the side effects of medication and when and how to report any concerns. MacIntyre Residential Home DS0000001725.V341425.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. 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. Service users 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 service users in various communication formats. The complaints procedure is set out in the Service User Guide for new service users coming into the home. Records regarding service users finances were up to date and accurate. Staff receive training regarding adult protection as part of their induction, and other training offered includes- empowering service users and enabling complaints. MacIntyre Residential Home DS0000001725.V341425.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a clean, comfortable and homely environment, which meets their needs well. EVIDENCE: The Inspector looked around 3 houses at Waring Close, 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. One service users room was personalised with items and was observed moving independently around his bedroom and the rest of the home. Another service user was in the process of adding new items into the bedroom. The Inspector noted stale odours in both the bedroom and ensuite and the manager agreed to investigate this further. Other bedrooms were personalised to reflect the needs and wishes of the individual service users ranging from basic plain furnishings through to novelty lights, soft furnishings, music systems and television sets. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 17 There is a large landscaped garden with a fence and patio area. There is a raised sensory garden designed for people who use a wheelchair and/or have sight impairment. Service users were seen repeatedly moving freely in and around the garden area, whilst being safely observed by staff. Funds have been identified for a wheelchair swing and a summer- house for service users in the outdoor area. MacIntyre Residential Home DS0000001725.V341425.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are effectively supported and protected by welltrained staff and thorough recruitment practices. EVIDENCE: All staff receive a comprehensive induction followed through by a full training package with core training such as: first aid, manual handling, food hygiene, protection of vulnerable adults and specific training relating to the needs of particular service users. An identified staffing agency is occasionally used but only for specific staff cover. Managers confirmed MacIntyres drive to minimise the need for agency staff. The numbers, skill and gender mix of staff ensures activities are carried out effectively and efficiently for service users. Three staff recruitment records were sampled and confirmed appropriate references, Criminal Records Bureau (CRB’s) and protection of vulnerable adults register (POVA) checks were made before the employees started work. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 19 New staff commence a six moth probationary period followed by enrolment on relevant National Vocational Qualifications training. With one of the managers now established as a NVQ assessor she confirmed the intention to guide and support staff through their training whilst they are at the workplace. MacIntyre Residential Home DS0000001725.V341425.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. 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. Good health and safety practice ensures service users welfare in these areas is promoted. Good systems are in place to ensure that the Service users views inform the way the service is delivered monitored and improved. EVIDENCE: Questionnaires are sent to residents and families prior to reviews to ascertain their views regarding the service. Residents’ views are sought through the person centred planning process. Staff have regular team meetings with managers including night staff where residents support needs are discussed and any changes recorded. MacIntyre Residential Home DS0000001725.V341425.R01.S.doc Version 5.2 Page 21 Comprehensive health and safety risk assessments are present at the home. All records regarding fire safety were up to date and accurate as confirmed in the homes annual quality assurance assessment. MacIntyre Residential Home DS0000001725.V341425.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 x 4 x 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 x 32 3 33 3 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.V341425.R01.S.doc Version 5.2 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. 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.V341425.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V341425.R01.S.doc Version 5.2 Page 25 - 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. 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