Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 05/01/06 for MacIntyre Residential Home

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

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Generally, outcomes for people living in Waring Close are very good. They have good systems in place for assessment and care planning and most service users have a Person Centred Plan ensuring that the service is focussed on the people using it. Recruitment processes protect and support service users and staff were competent in their knowledge of adult protection. Health and safety procedures are robust.

What has improved since the last inspection?

No requirements or recommendations were made at the previous inspection. People living in Waring Close have all moved into new houses built purposefully to meet their needs.

What the care home could do better:

Risk assessments were not completed prior to new service users moving in. Therefore the service was unclear whether it could fully meet the needs of prospective service users and have since found that they are struggling to meet their needs. Care plans for one service user who was tracked did not reflect the person`s needs or choices.

CARE HOME ADULTS 18-65 MacIntyre Residential Home 1-5 Waring Close off Glenfield Frith Drive Glenfield Leicestershire LE3 8PZ Lead Inspector Joanne Vyas Unannounced Inspection 5th January 2006 09:15a MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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.V274964.R01.S.doc Version 5.1 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.V274964.R01.S.doc Version 5.1 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 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.macintyrecharity.org MacIntyre Care Zoey Cussons Care Home 15 Category(ies) of Learning disability (15), Physical disability (15) registration, with number of places MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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. 20th June 2005 Date of last inspection 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 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.V274964.R01.S.doc Version 5.1 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 care staff and observation of care practices. This unannounced inspection took place between 09:15am and 1pm on a weekday and was carried out by one inspector as part of the annual plan of inspection. 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.V274964.R01.S.doc Version 5.1 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.V274964.R01.S.doc Version 5.1 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, 4 Prospective service users’ needs and aspirations were fully assessed prior to moving into the home. EVIDENCE: • The service has recently admitted three service users to Pippin Place. Service users had a comprehensive assessment completed by a social worker and care plans completed by the health service. Two of the service users had also completed a “Getting To Know You” pack provided by MacIntyre. One service user also had a comprehensive Person Centred Plan completed by the previous service they resided in. Opportunities were given for service users to visit the home on numerous occasions, stay for tea, over night and weekend visits. Staff from the previous homes were also welcomed and staff from MacIntyre visited the service users in their previous homes. • MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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, 9 The individual needs and choices of service users are generally addressed. However, in some cases needs have not been assessed and choices have been ignored putting both staff and service users at risk. EVIDENCE: • Risk assessments are carried out for all people who live in these homes. However, no risk assessments were carried out prior to people moving into the home. This has led to a possible failed placement and another service user moving into another house. Care planning for one service user who was tracked was poor. The service user, despite having lived at the home for a number of years, also did not have a Person Centred Plan as per MacIntyre policy. Therefore there was very little information about this person including their mobility and choices. Staff stated that this service user loves to get out of their wheelchair but this was not mentioned in their care plan. The staff stated that the service user was taken out of his chair approximately three times a week when in the home. The inspector felt this was poor. DS0000001725.V274964.R01.S.doc Version 5.1 Page 9 • MacIntyre Residential Home 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): None These standards were not assessed on this occasion but were assessed at the previous inspection. EVIDENCE: MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 Page 10 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): None These standards were not assessed on this occasion but were assessed at the previous inspection. EVIDENCE: MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 Page 11 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 The inspector was satisfied that the home responds to complaints and concerns effectively and that service users are protected from abuse. EVIDENCE: • As most people living in the home are non-verbal, MacIntyre encourages staff to make complaints on their behalf on a daily basis. Staff state the complaint, how they recognised it as a complaint and action to be taken. The inspector felt that the outcome should also be written to evidence that the action was successful or if further action needed to be taken. Staff were competent in their knowledge of adult protection. MacIntyre provides regular training including during induction. • MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 Page 12 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 MacIntyre generally provides service users with a safe and comfortable place to live. It currently has some teething problems with the new houses but these are being addressed. EVIDENCE: • People who live at MacIntyre, Waring Close have recently moved into new houses, built with them in mind. The houses are decorated and furnished to a high standard. However, the inspector noticed that pictures of service users on the walls in one house were placed very high. As most of the service users are in wheelchairs in this house they would not be able to see the pictures at all. All houses are suffering from scuffmarks or knocks to the walls. This was particularly noticeable in Hurst House near the lift as the corridor is quite narrow here. A member of staff explained that it is difficult to turn wheelchairs around when coming out of the lift hence the marks on the walls. Hurst House was very cold at the time of the inspection whereas the other houses were very warm. A member of staff explained that they were having difficulties with the under floor heating and a plumber had been out that morning and the heating had started to come back on. The service user in the house at the time was distressed, as they were unhappy with being cold. DS0000001725.V274964.R01.S.doc Version 5.1 Page 13 • MacIntyre Residential Home MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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 The deployment and number of staff is generally sufficient to meet the needs of the service users. Recruitment processes protect and support service users. EVIDENCE: • • Recruitment processes are robust. Although retention of staff remains a problem, MacIntyre continues to look at incentive schemes in order to retain staff. At the time of this inspection there were minimum staffing levels. Staffing is dependent on the needs of the service users and can vary from one staff in each house to three or four. However, staffing levels are an issue currently, in one house, due to the needs of new service users not being risk assessed prior to admission. These issues are being addressed. MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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): 42 Service user are protected by the home’s health and safety procedures. EVIDENCE: • Health and safety checks are carried out appropriately. MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 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 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 X X 1 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 Page 17 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 YA6 Regulation 15 Requirement Timescale for action 06/02/06 2 YA9 13 The Registered Person is required to ensure all service users have an individual plan reflecting their needs and choices. The Registered Person is 06/02/06 required to ensure all prospective service users are risk assessed prior to admission to ensure the service can fully meet their needs. 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 2 3 Refer to Standard YA22 YA24 YA24 Good Practice Recommendations The Registered Person is recommended to include the outcome of a complaint for service users when recording complaints. The Registered Person is recommended to lower pictures in one house so that all service users can enjoy them. The Registered Person is recommended to look at ways of protecting the décor. MacIntyre Residential Home DS0000001725.V274964.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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.V274964.R01.S.doc Version 5.1 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!