Inspection on 23/11/06 for MacIntyre - The Croft

This inspection was carried out on 23rd November 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.

Other inspections for this house

MacIntyre - The Croft 07/01/09

MacIntyre - The Croft 23/02/06

MacIntyre - The Croft 13/07/05

MacIntyre - The Croft 03/02/05

MacIntyre - The Croft 26/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Croft 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE Lead Inspector Mr Val Flannery Unannounced Inspection 23rd November 2006 11:50 The Croft DS0000006667.V311135.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 The Croft DS0000006667.V311135.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. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Address 59 Mill Lane Great Sutton South Wirral Cheshire CH66 3PE 0151 339 1988 0151 3391988 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 Mrs Patricia Cox Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users in the category of LD (Learning disability) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 23rd February 2006 Date of last inspection Brief Description of the Service: The Croft is a care home for four adults with a learning disability. Although located in a residential estate in Ellesmere Port, the semi-rural area surrounding the home ensures the privacy of service users is protected. A range of local shops, pubs and other facilities are within easy reach of the home. The home is a four-bed bungalow, with all the bedrooms being single. The rooms are individually decorated and furnished and contain hand-washing facilities. A range of hoists and other lifting aids are available to help service users with mobility problems. Communal space consists of a large lounge and a separate dining room next to the kitchen. There is a secure, well-maintained garden to the rear of the home. Sufficient bathrooms and toilets are provided. Staff are on duty twenty four hours a day to care for service users. Information provided by the manager showed that accommodation fees are £399.35 per week for individual service users. Further information about fees and other costs can be obtained from the manager. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 23 November 2006 and lasted 3 hours. Val Flannery, Regulatory Inspector, carried out the visit. The visit was just one part of the inspection. Before the visit the registered manager was also asked to complete a questionnaire to provide up to date information about the service. Questionnaires were also made available for service users, families, health and social care professionals to find out their views. Other information received by CSCI since the last inspection was also reviewed. During the visit various records and the premises were looked at. A number of service users and staff as well as the registered manager were spoken with and they gave their views about the service. What the service does well: There is good information about the home available for service users and their families to help them make a choice about moving in. Good information is kept about service users’ needs and how they will be met. Assessments have been done to show what help service users need in the home and when they go out. This means they can to choose what they want to do in their daily lives and still stay safe. Service users are encouraged to decide for themselves, with help from staff, what to eat and how to spend their leisure time. Relatives are able to visit the home at any reasonable time so they can keep in touch with their relative. Staff let relatives know about things that affect their relative in the home so they know what is happening. Service users use a range of health care services, helped by staff or relatives, so they stay well and healthy. There is an easy to understand version of the complaints procedure for the home so service users know how to complain if they need to. The home is easy for relatives and other visitors to get to so they can visit as often as they like. Comment cards were sent back to CSCI from four service users, two relatives, three health/social care professionals and one GP. The service users comment cards were completed with help from their support workers. Comments included: The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 6 • • Staff at The Croft do a wonderful job Good communication and caring team Most people who sent back comment cards said good things about the home. 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 Croft DS0000006667.V311135.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 The Croft DS0000006667.V311135.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff from the home would carry out full assessments to identify the care needs of service users before they move in. This will help ensure staff are aware of service user’s needs and how these are to be met. EVIDENCE: The current service users have lived in the home for a number of years, so the process of helping a new resident move in has not been tested in The Croft for some time. The organisation that runs the home, MacIntyre Care, has well established procedures in place that ensure prospective service users have the necessary information, and are able to visit the home, before making a decision about moving in. A copy of the statement of purpose and service user guide is available in the home. The service user records seen during the visit contained a copy of the service agreement between the service user and MacIntyre. Also seen was a copy of a full assessment of the service users’ needs carried out by the care managers from the local authorities responsible for those service user. Staff were seen helping service users with daily living tasks; for example, moving about the home and getting ready to go shopping. Service users need full help with daily living tasks. They have difficulties with communication but The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 9 staff spoken to were aware of how the service users communicated, what their needs were and what to do to meet hose needs. The Croft DS0000006667.V311135.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ assessed needs, and how these are to be met, are included in their person centred plans so staff know what to do for each service user. EVIDENCE: During the visit, service users were seen moving about the home and making choices about where they wished to relax. One service user chose to sit in the office whilst the visit was taking place. One of the service user’s care files, including their person centred plan and risk assessment, was seen during the visit. The information seen included some background history, things they like doing, people in their life, activity list and copies of review meetings. Risk assessments were seen that showed how the service user was to be supported, both in the home and in the local community, so as to ensure their safety and well-being. The service user’s level of needs means that they need full help with daily living. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 11 Staff spoken with said any changes to the service user’s needs are recorded and discussed with the key-worker and manager. Where necessary these changes are discussed with relatives and the care manager. Staff were also seen helping service users with personal care and their mid-day meal. A copy of the organisation’s policy on confidentiality of information was seen during the visit. The Croft DS0000006667.V311135.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 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 are supported so they can be as independent as possible in their daily lives. EVIDENCE: During the visit, staff were seen helping a service user so he could shopping in Ellesmere Port. Other records seen showed that service users are given help to take part in other community-based activities such as using local leisure facilities. Service users records seen showed that family contact is encouraged and that relatives are kept informed, if appropriate, of events that affect the service users. Staff spoken with were aware of the significant people in service users’ lives. Staff spoken with were aware of their roles, particularly with regard to respecting the rights and responsibilities of service users. They were seen The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 13 talking with service users about the activities they were doing and asking them what they wanted for their mid-day meal. A record was seen of the food offered to service users which showed they had a varied and healthy diet. Staff were seen helping a service user to eat their meal. A copy of the proposed new menu was seen; staff spoken with said this was based on service users’ personal preferences. The Croft DS0000006667.V311135.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 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. Service users are given help to use the healthcare services they need to keep well and healthy. EVIDENCE: Separate ‘Health Action Plan’ files are kept for each service user. These contained information about service users’ health needs and also showed that they are supported to attend doctors and hospital appointments. MacIntyre Care has developed a ‘patient’ passport that contains details of service users’ healthcare needs. This can be used if, for example, the service user is away from the home and needs emergency aid. Hoist and other mobility aids are provided for service users with mobility problems. During the visit, staff were seen providing personal care to service users; for example, using the bathroom and changing their clothing. These tasks were carried out in a sensitive and caring manner, in the private in the service user’s bedroom with the door closed. Wherever possible personal care tasks are carried out by staff of the same sex. The manager said that this is not always possible but that there are guidelines for staff who may have to provide personal care to a service user of the opposite sex. MacIntyre Care has policies and procedures on the administration of medication; a copy is kept in the home. Service users’ medicines are kept in The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 15 locked cupboards in their bedrooms. The record of medicines given to a service user was seen and was satisfactory. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 16 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. Satisfactory procedures are in place to ensure service users are protected from abuse. There is a complaints procedure that service users and relatives know how to use so they can raise concerns. EVIDENCE: A copy of the complaints procedure is available in the home. Details on how to contact the Commission for Social Care Inspection are included in the procedure. The manager and staff spoken with said the home has not received any complaints since the last inspection. A copy of the complaints procedure has been provided in picture format that makes it easier for service users to understand. MacIntyre Care has an adult protection procedure, a copy of which is kept in the home. Included in the procedure is a copy of the government guidelines ‘No Secrets’. The member of staff spoken with said they knew about the complaints and adult protection procedures and what to do if a problem arose. They said they would refer any concerns to the senior member of staff on duty. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 17 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, 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. The home is comfortable and safe so that it is suitable for the needs of service users who live there. EVIDENCE: The home is a domestic type bungalow. It is well maintained, safe and provides a comfortable environment for service users. Each bedroom is decorated and furnished to suit the person whose room it is. All bedrooms are single and have hand-wash basins in them. There are two bathrooms and two toilets for service users. Since the last visit one of the bathrooms has been refurnished and the kitchen units have been repaired. There is a large lounge and dining room for the service users to share. The garden to the rear of the home is secure and well maintained. Service users would need help from staff to get into the garden. Lifting aids such as bath hoists, walking frame and wheelchairs are provided for service users with mobility problems. The lay out of the home allows for service users to move freely between their bedrooms and the communal areas. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 18 On the day of the inspection the home was clean and free from unpleasant smells. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 19 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, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are cared by a staff team who know them so their needs are met. EVIDENCE: The staffing rota seen showed that there is normally two staff on duty during the day when the service users are in the home. There is one member of staff on duty during the night. The registered manager can be included as part of the rota. There are two staff on long term sick; their hours are covered by staff from the home and by staff from other MacIntyre Care services in Chester/Ellesmere Port. Information provided by the manager before the inspection showed that six of the eleven support staff have achieved an NVQ level 2 or above. There information also included a training plan for all staff for 2006. This showed that staff have access to the following training: first aid, practical fire awareness, manual handling, medication and food hygiene. The staff records seen during the visit were satisfactory. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 20 Staff spoken with during the visit said they receive support and guidance from the manager on their roles and responsibilities. This includes individual supervision and team meetings. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 21 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, 38, 39, 41, 42 & 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is geared to ensuring the needs of service users are met. EVIDENCE: The registered manager has worked for MacIntyre Care for a number of years in a senior capacity. She has achieved NVQ Level 4 in care and has also completed the registered managers’ award. She has attended training on managing the day-to-day running of the home. As part of her employment contract the manager works nineteen hours per week directly supporting service users and nineteen hours per week in her role as manager of the home. MacIntyre Care has a range of policies and procedures which the Commission for Social Care Inspection have agreed as meeting the standard required. Copies of these are kept in the home. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 22 Health and safety records seen during the visit showed that fire safety training, drills and service records are satisfactory. Other records were seen to confirm that equipment in the home is serviced regularly to make sure it is safe. MacIntyre Care has corporate health and safety objectives for 2006/07. The manager and staff are aware of their responsibilities under health and safety legislation. A copy of MacIntyre Care’s equal opportunities policy is kept in the home. The organisation holds learning sets on its value base for staff as part of their individual personal development plans. Feedback on the quality of the service offered by the home is asked for at service users’ yearly reviews and in questionnaires sent to relatives. Unannounced monthly visits are made by a manager from the organisation to check how the home is running. Reports of these visits are sent to the Commission for Social Care Inspection. The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 23 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 3 4 3 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 3 The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. 1 Refer to Standard YA5 Good Practice Recommendations The service agreement should be signed by the service user and/or their representative and by MacIntyre Care The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 The Croft DS0000006667.V311135.R01.S.doc Version 5.2 Page 26 - 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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