Inspection on 24/11/06 for Magnolia House

This inspection was carried out on 24th 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

Magnolia House 03/09/09

Magnolia House 20/03/09

Magnolia House 03/12/08

Magnolia House 24/11/08

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 Magnolia House 185 Rockingham Road Kettering Northamptonshire NN16 9JA Lead Inspector Kim Cowley Unannounced Inspection 24th November 2006 11:30 Magnolia House DS0000067312.V321244.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 Magnolia House DS0000067312.V321244.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. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magnolia House Address 185 Rockingham Road Kettering Northamptonshire NN16 9JA 01536 518689 01536 513989 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) Caring Homes Limited Mr Marko Raphael Korosso Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The Home is registered to provide personal care to service users as follows: Learning Disability (LD) - Magnolia House (10), Violet House (4), Lily House (5). Only one service user over the age of twenty five (25) years may be admitted to Magnolia House. Only service users between the ages of eighteen (18) and twenty five (25) may be admitted to Violet House. Only service users between the ages of eighteen (18) and twenty five (25) may be admitted to Lily House. N/A Date of last inspection Brief Description of the Service: Magnolia House provides care and support to younger adults with learning disabilities/autistic spectrum disorders. An established home, Magnolia House was taken over by a new Owning Body in June 2006. The premises consist of three units: Magnolia House, Lily House, and Violet House, which are all on the same site. Magnolia House and Lily House are refurbished Victorian properties, and Violet House is a purpose built bungalow. The home has 19 beds in total: 10 in Magnolia House (aged 25-65), four in Violet House (aged 18-25), and five in Lily House (aged 18-25). Violet House and Lily House mainly accommodate residents with autistic spectrum disorders, and Magnolia House caters for residents with learning disabilities. One Registered Manager is responsible for the three units, each of which has its own Team Leader and dedicated staff team. The home is situated on a main road into Kettering, and has good transport links and a car park. There is a secluded garden with seating areas and a barbecue at the rear of the property. Fees range from £350 to £2,000 per week. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to five residents living at the home by meeting or observing them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met other residents, two relatives, the Registered Manager, the Deputy Manager, Team Leaders, Senior Carers and Care Assistants. What the service does well: Magnolia House provides an excellent all round service for younger adults with learning difficulties/autistic spectrum disorders. The home has a lively and purposeful atmosphere and all residents interviewed or observed appeared to be content and settled in the home. On arrival at Magnolia House one resident was in the kitchen making his own lunch. He told the inspector ‘I love it here. I have my independence.’ Other residents were having were having lunch that staff had prepared for them, or out at day centres. In the afternoon residents helped staff to prepare a buffet for a resident’s birthday party being that evening. The home has an experienced Manager and an established staff team. All those on duty during the inspection were enthusiastic about their work and knowledgeable about the residents they care for. Interaction between residents of staff appeared excellent. Relatives praised the staff team. One commented, ‘The staff are very good indeed. They can read my relatives body language and they understand her very well.’ All areas inspected were homely, warm and comfortable. Residents’ bedrooms were personalised according to their hobbies and interests. Violet House, being recently purpose-built, offers a high standard of accommodation that appears well suited to the needs of the residents accommodated there. The grounds are Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 6 being landscaped and work was being carried out on them on the day of inspection. 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. Magnolia House DS0000067312.V321244.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 Magnolia House DS0000067312.V321244.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. (Standard 2 was inspected.) EVIDENCE: The home’s admission criteria is set out in its Statement of Purpose, and details are provided of conditions/behaviours which the home is able to accommodate as well as those whose needs fall outside its categories of registration. This helps to prevent inappropriate referrals being made. The Manager said that when a new referral is made he tends to discuss it with the referrer (usually a social services case manager) first, before the potential resident is involved. This prevents potential residents becoming anxious about possible changes in their lives, although some can be involved from the outset if they have the capacity. Relatives, where appropriate, are consulted at every stage of the admission process. If the home appears suitable for the resident in question the Manager visits them in their own accommodation to meet and observe them, and carry out an assessment. If it appears the home can meet their needs they are invited to visit. They may visit a number of times until a decision it made as to whether or not the home is suitable for them. The Manager said, ‘Once they’ve been Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 9 here a few times we begin to get the idea as to whether they’d like to live her or not. However it’s a ongoing process and something you can’t rush.’ Records show admissions being carried out gradually to minimise disruption to the potential resident and ensure the home is going to meet their needs. Magnolia House DS0000067312.V321244.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met. (Standards 6, 7, and 9 were inspected.) EVIDENCE: Care plans are currently being re-written using a new format introduced by the Owning Body. This comprises of two folders (personal and care planning), and aims to be more user-friendly. Those care plans inspected were of a good standard and showed evidence of regular review. Resident choice was emphasised and staff training needs in relation to particular conditions identified. Residents (if at all possible) and/or their relatives are asked to approve and sign care plans. Residents are encouraged to make decisions about all aspects of their lives and care plans showed evidence of this process. For example, arrangements for meals differ depending of residents’ wishes and needs. On arrival at the inspection one resident in Magnolia house was making his own lunch in the kitchen. Two were eating a meal prepared by staff, and other residents had taken packed lunches to day centres. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 11 All residents have detailed individual risk assessments drawn up to reflect their skill levels and the type of support they need. One showed a resident having a series of risk assessments as he gained the confidence to travel independently to work. Another provided evidence that a resident had been appropriately risk assessed as he gradually took responsibility for his own personal care. Magnolia House DS0000067312.V321244.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Daily life and social activities enable residents to lead full lives. (Standards 12, 13, 14, 15, 16, and 17 were inspected.) EVIDENCE: A full-time Activities Organiser is employed by the home to cover all three units. She produces an individual programme for each resident in conjunction with the resident, where possible, and their relatives, keyworker, and the home’s Manager Current activities include attendance at colleges, day centres, leisure centres, and community social clubs. Some resident undertake paid sheltered work. The home has its own people carrier to provide transport to activities. In house group activities are also organised, including craft sessions, video nights, karaoke, pub visits, and trips out. The Manager and Activities organiser said residents have been welcomed into the local community and use nearby shops and transport. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 13 Relatives can visit the home at any time. Some are involved in the care of their relatives in the home and attend all relevant meetings, other have less involvement and keep in contact via telephone and occasional visits. One relative commented, ‘Magnolia’s been brilliant for my relative and staff always make me welcome when I visit.’ The home has three functioning kitchens, one in each unit. Care staff are responsible for the cooking, helped by residents where appropriate (in Magnolia House residents take it in turn to help in the kitchen each day). Residents choose food at house meetings or individually. Pictorial cards are used, where appropriate, to help them choose. If residents do not have the capacity to do this, relatives are consulted and staff observe residents eating to see what they seem to like. Different diets are catered for, including soft, low calorie, African Caribbean, and halal. Menu records showed a diverse and wholesome diet being provided. Magnolia House DS0000067312.V321244.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are met. (Standards 18, 19, and 20 were inspected.) EVIDENCE: Residents’ personal care needs are set out in their care plans, and records showed evidence of consultation with residents and/or their families, where possible. Local GPs and a team of community learning disability nurses meet residents’ health care needs. The latter also provide staff at Magnolia House with specialist training where necessary. Others who provide services to residents at the home include physiotherapists, dieticians, occupational therapists, psychologists, and psychiatrists. Medication is administered by designated staff who have been trained in-house by the home’s contract pharmacist. Medication supplies are kept securely in each unit. Team Leaders are responsible for overseeing medication administration and checking that records are properly maintained. The Manager said staff monitor residents’ mediation regimes and work closely with health care professionals to ensure they are effective. Magnolia House DS0000067312.V321244.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents (where appropriate) and relatives feel able to talk to staff about any concerns they might have. (Standards 22 and 23 were inspected.) EVIDENCE: Records showed that all complaints, however minor, are recorded and action is taken to resolve them. Some residents can speak out if they are not happy, but others rely on staff or other carers to work out if something is wrong. For example, the Manager said that if a resident’s behaviour changes suddenly this could indicate that something is upsetting them. It is then up to staff to find out what the problem is and work out how to resolve it. A number of forums exist for residents or their representatives to raise concerns. These include talking to staff or the Manager, discussing concerns at meetings or reviews, and using the home’s formal complaints procedure. One relative who was interviewed said he would have no hesitation in telling a member or staff if he had any concerns. All staff receive Protection of Vulnerable Adults training as part of their induction. The Manager said that safeguarding residents forms the basis of all staff meetings at the home, and confirmed that both he and his staff had a good understanding of what procedures to follow if abuse was suspected. There have been no formal complaints about the home since it was reregistered in June 2006. Magnolia House DS0000067312.V321244.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is safe and well maintained. (Standards 24 and 30 were inspected.) EVIDENCE: A full tour was undertaken of the three units that make up Magnolia House. All areas inspected were homely, warm and comfortable. Residents’ bedrooms were personalised according to their hobbies and interests. Violet House, being recently purpose-built, offers a high standard of accommodation that appears well suited to the needs of the residents accommodated there. Some areas of Magnolia and Lily are in need of re-decoration and the Manager said the Owning Body has allocated resources for this purpose. The grounds are being landscaped and work was being carried out on them on the day of inspection. The Manager said that care staff are responsible for cleaning the home, helped by residents where possible. In this way staff act as role models to residents. All areas inspected were cleaned to a good standard and were tidy. One relative commented, ‘The home’s always very clean.’ Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Well-trained and professional staff meets residents’ needs. (Standards 32, 34, and 35 were inspected.) EVIDENCE: There is an established care staff team consisting of the Manager, Deputy Manager, Team Leaders, Senior Carers, and Care Assistants. All staff on duty during the inspection were enthusiastic about their work and knowledgeable about the residents they care for. Interaction between residents of staff appeared excellent. Relatives praised the staff team. One commented, ‘The staff are very good indeed. They can read my relatives body language and they understand her very well.’ The Owning Body oversees the recruitment of new staff. The Manager stated it is company policy that no member of staff works in the home without POVA clearance, and that staff work under supervision while their CRB check is processed. Staff must provide two written reference and the Manager said these are followed up by phone as an extra safeguard. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 18 Staff have access to extensive training opportunities. The Owning Body has purchased its own training provider who runs statutory and specialist training courses. At present nearly 25 of the staff team have NVQ Level 2 or above in Care, and the Manager said this percentage is set to increase as more staff are signed up. Two Team Leaders are currently undertaking NVQ Level 2 in Customer Care, which is aimed at enhancing their work with residents and their families. At present all staff have monthly supervision sessions. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed. (Standards 37, 39, and 42 were inspected.) EVIDENCE: The Manager has 13 years experience in care, a Diploma in Health and Social Welfare, and a degree in Psychology. He was observed during the inspection to have an excellent rapport with the residents, always putting them first, no matter how busy he was. Relatives’ comments about the Manager included, ‘Marko is a good manager, he’s energetic and he gets things done’, and ‘Marko’s easy to get on with and talk to, and he’s very approachable.’ An Area Manager oversees the running of the home and compiles monthly Regulation 26 reports. Records showed that residents’ views and their likes and dislike are central to the running of the home. As many of the residents are unable to give their views verbally, staff rely on their own observations, and on information Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 20 collected from families, friends, and health and social care professionals. In this way staff determine how best to meet their needs and ensure they have the best possible quality of life while living at Magnolia House. For residents who are able to speak out, there are house meeting where they get the opportunity to have their say in how the home is run. During the inspection it was noted that the first floor windows in Lily House did not have restrictors fitted, and could pose a risk to residents. In addition there were no specific risk assessments in place for these windows. This was reported to the Manager who said that although he did not think these windows posed a risk to residents, he would get restrictors fitted as a precaution. On 4.12.06 he contacted CSCI to say the work was complete and all first floor windows in Lily House now had restrictors fitted. In addition it was observed that residents’ care plans in Magnolia House were not being kept securely as the lock was broken on the cupboard in which they were stored. This was discussed with the Manager who agreed to take steps to ensure the records were kept securely in line with the Data Protection Act. Following the inspection he contacted CSCI to say that a lockable filing cabinet had been ordered for these records. The servicing of moving and handling equipment was discussed. Some residents have wheelchairs that they keep at their day centres. It was unclear as to who was responsible for servicing these wheelchairs. The Manager agreed to find out, and ensure they were serviced in line with health and safety legislation. Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 21 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 4 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 4 23 4 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 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 3 X X 3 X Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Magnolia House DS0000067312.V321244.R01.S.doc Version 5.2 Page 24 - 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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