Inspection on 28/10/08 for Mansard House

This inspection was carried out on 28th October 2008.

CSCI found this care home to be providing an Good service.

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

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Mansard House 28 Watling Street Road Fulwood Preston PR2 8DY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Felicity Lacey     Date: 2 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Mansard House 28 Watling Street Road Fulwood Preston PR2 8DY 01772774219 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Robert Brooks Type of registration: Number of places registered: Potensial Limited care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability, Code LD - maximum number of places 9 Date of last inspection Brief description of the care home Mansard House is owned by Potensial, a company which provides a range of services for people with a learning disability. Mansard House is registered to provide accommodation and support for up to nine people over the age of 18 years. At the time of this inspection there were six people living at the service. The house is located on the outskirts of the city of Preston and is well served by public transport. There are a range of amenities and facilities close by including Preston College, a library, banks and shops. The premises consist of a large detached property with a garden and parking to the rear. The appearance of the house is in keeping with the local area. The Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 9 Brief description of the care home accommodation is arranged over three floors and is domestic in character. Each bedroom is equipped with en suite facilities. The third floor is a self contained three bedroom flat with its own cooking facilities. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in line with the commissions policy, as there has been a change to the ownership of Mansard House a full inspection was conducted. This inspection included an unannounced visit to the service. Information was provided by the manager of the home including the way in which the staff of Mansard House meet the needs of the people using the service, the training and support staff receive and data about health and safety at the home. Surveys were received from six people who use the service and two staff members. The people living at Mansard House were able to give their views on the support provided and the manager and staff were also spoken with. Case records and documents relating to the support provided at the service were looked at. A tour of the premises took place. Care Homes for Adults (18-65 years) Page 6 of 27 Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? The manager has continued to build a staff team who can respond to the needs of the people living at Mansard House. There has been opportunities for staff to undertake training which is based on the support needs of the individual. The people spoken with during the visit felt that the staff understood the type and level of support they need as an individual. Care Homes for Adults (18-65 years) Page 8 of 27 The range of activities on offer has improved. Discussions with people living at the home has led to starting group fishing sessions, and arts and crafts group and a film group. People living at the service have also continued to attend college to follow their interests and gain qualifications. The training and support received by staff has continued. The manager is keen to identify and develop further training in response to complex needs, for example staff have undertaken training in Listening and Counselling, this has helped staff offer emotional support to people living at the service. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about Mansard House is available in a variety of formats and this ensures that people who may use the service are able to make their decision based on a good understanding of how the service operates. The assessments gathered at the time of admission ensure that individual support needs are understood. Evidence: The statement of purpose of the home has been up dated. The statement outlines the objectives and philosophy of the home. The home provides personal care and support for people with a learning disability, who may also have other complex needs and require the involvement of a range of agencies. The manager plans to make information about the home available on mini disc to people who may come to live at the home, by using real pictures he hopes that these may relieve some anxieties, and will help people become familiar with the service. There is an easy read version of key information accompanied by pictures, this should be reviewed as some of the pictures used do little to explain the content of the guide and some information is out of date. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The care files looked at demonstrated that people living at the service have been involved in the assessment of their own care needs. There were assessments from a range of professionals, including social services and mental health services. The assessments seen were detailed and covered all areas of support. The manager or a senior member of staff completed an assessment and helps draw up a plan of gradual introduction for people who may come to live at Mansard House. The introduction includes visits to the service, meeting the other people who live there and overnight stays. Surveys completed by people living at the home indicated that four people did not choose to come to Mansard House but had enough information to make a decision and two indicated that they were asked and had enough information. Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have a support plan in which individual needs and choices are identified, people are supported to take risks as part of an independent lifestyle: this means that people are supported in line with their personal preferences and lifestyles. Evidence: The plans seen during the visit to Mansard House showed that the support needs of people living at the service were understood and the staff were active in involving people in planning the support they needed. The personal support plans included personal and health care needs, cultural and religious needs and the involvement of family and friends. The plans included advice and guidance on dealing with specific behaviours. There was evidence of monthly reviews of progress towards identified goals and to consider events during the month. The review is completed by the key worker and the person living at the service. The people spoken with during the visit to Mansard House Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: thought that the staff were helpful and encouraging. People living at the service felt they had real choice and that staff supported them to do the things they liked. There were a number of formats in use for risk assessments. This could cause confusion and inconsistencies. It is important that risk assessments are up to date and reviewed regularly: a recommendation was made at the last inspection regarding this. At the time of this inspection some risk assessments were duplicated, and the dates indicated that they had not been reviewed regularly. The manager is introducing a new system for risk analysis and management, which is a complex and lengthy process, whilst this system is being introduced it is important that clear guidance is available for staff regarding identified current risks. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to follow their chosen lifestyle both in and outside the home, this means that individual choices and independence is promoted. Evidence: People who live at Mansard House are supported to follow their chosen occupations or educational courses. People spoken with were involved in a range of activities, which included attending the local college following courses in catering and computing, involvement in cookery and gardening clubs, going to the cinema and theatre. The staff are active in helping people find opportunities and developing the skills needed for work and to take up further education. People are provided with information about the local community. The home is situated near to the city centre, and the people living at the service are able to make use of Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: local community facilities. The staff help people living at the service to keep contact with their family and friends. This was appreciated by the people living at Mansard House, one person spoke about visiting relatives in different parts of the country, and how the staff had helped set this up. The staff provide support and guidance for people at the service to help develop personal relationships and make appropriate decisions. There are some routines at the service which are agreed with the people living there. Household chores are carried out by staff and people living at the service. The people living at Mansard House are encouraged to be as independent as possible, and there was evidence of varying levels of support being provided in line with individual needs. People living at Mansard House are involved with meal preparation and menu planning. There is an emphasis on healthy food. Part of the house is a self contained flat, and this has its own cooking facilities. The people living in the flat manage their own food budget and prepare their own meals. People spoken with were happy with the quality of the meals and the choice of food at the home. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Mansard house are encouraged to maintain independence in personal care and are supported to manage their own health care, in this way their wellbeing is promoted. Evidence: The people living at Mansard House do not require help with personal care. They are supported to access health services. Health needs are monitored in line with individual care plans and risk assessments. Staff benefit from access to specialist health support and advice when needed. People living at the service confirmed that they were supported with their health needs in line with their own wishes. Staff have completed training in safe practises in handling and administration of medication. Some people who use the service maintain control over their own medication, others prefer to be supported by staff. Medication is stored securely. Medication Administration Records are maintained: at the time of the visit there were two gaps in the administration record it is important that the reason for medication not being given are recorded and any gaps accounted for. Care Homes for Adults (18-65 years) Page 17 of 27 Care Homes for Adults (18-65 years) Page 18 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The practices at the home for dealing with complaints and safeguarding are understood by people who live at the service and staff and this protects the welfare of people living at Mansard House. Evidence: The people spoken with and who completed surveys were able to say who they would go to with any concerns, and also that they were confident any concerns would be sorted out. In the course of daily living there are times when disagreements occur, people living at the service felt that when this happened they were treated with fairness and staff listened to their views. The manager has maintained a record of concerns raised and any remedial action that has been taken. The staff spoken with understood the action that should be taken in response to any safeguarding matter. There are detailed guidelines and training in place for managing individual behaviours. Training is to be provided in safeguarding. The manager understands the safeguarding procedures and the need to involve local social services should a safeguarding issue arise. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The property is well maintained and this provides a pleasant environment for people living at Mansard House. Evidence: The property is spacious and meets the needs of people living there. The rooms are decorated and furnished to a good standard. People spoken with had been involved in choosing how they would like their rooms to be furnished. There is a living room, a games room and a kitchen diner, which provide communal space. The house has a garden at the rear which has seating and barbecue equipment. the surveys completed by people living at Mansard House confirmed that the home was warm and clean. The accommodation provides bedrooms on the ground floor and upper floors. All bedrooms are en suite. The staff are responsible for keeping the house clean. There are laundry facilities which can be used by people living at the home. There are infection control procedures in place, and staff receive training in these procedures. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment practices and training provided ensure that staff are competent in their job roles, this provides the people living at the home with support based on understanding and good practice. Evidence: The home is staffed in accordance with the needs of the people living there. There have been some staff absences during the past months and these have been covered by staff doing additional shifts. The staff spoken with during the visit and who completed surveys felt well supported in their job roles. The people spoken with who live at the service thought the staff were approachable, helpful and good listeners. The recruitment practices at the home ensure that the required references and Criminal Record Bureau Disclosures are obtained. Recently there have been a number of overseas workers recruited who will work at the home and undertake training with the organisation. The manager has ensured that these staff work along side experienced staff. The staff team have regular training opportunities. 75 of staff have a National Vocational Qualification in care at level 2 or above. The staff spoken with felt they had Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: regular opportunities for further training and benefited from training that was arranged in response to the individual needs of the people they support. New staff completed a structured induction process. This was confirmed by staff spoken with during the visit. Staff training records were looked at and these were not up to date. The manager must ensure that an accurate record of training attended is maintained and that mandatory training is renewed when required. The manager is supported in providing training by the company which operates Mansard House. The manager confirmed that staff are to complete the recommended Learning Disability Qualification award at the level appropriate to their understanding and experience. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in an inclusive way and this ensures that the opinions of the people living there are listened to and valued. The health and safety of people living and working at the home is promoted by the management practises of the company. Evidence: The manager has completed the registration process. He is experienced and has completed relevant training. People using the service consider the manager to be approachable and very supportive. The manager is supported by senior support workers. Potensial, the company which operates Mansard House, also provides supervision and support for the manager. The manager monitors the quality of care and support provided, through informal and formal means. There is high level of day to day contact between the manager, staff and people using the service. Discussion is encouraged and the people living at the service felt they were involved in making decisions. The home is monitored by Potensial who have a quality assurance process, part of this involves regular visits to Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: the service by a representative of the company, until recently these visits have not been recorded. As a company operates this home it is required that month visits are made to access the quality of care and support being provided, these visits should be unannounced and should include discussion with the people living at the service and staff. A copy of the outcome of these visits should be provided to the manager, and should be retained for inspection by the commission. In this way the company demonstrates that it is aware of the quality and standards within the service. The service is also audited by the contracts departments of the local authorities who currently fund placements. The information provided by the manger indicates that all company policies are being reviewed. The required policies are in place at the home and will be reviewed regularly in light of legislation changes and good practice advise. Staff receive training in safe working practises. Required health and safety checks are completed. Incidents and accidents are recorded and monitored. The manager confirmed that the required maintenance checks are carried out. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Risk assessments should be reviewed regularly and a consistent format should be used. Any duplicated or out of date risk assessments should be removed from the working file to avoid inconsistency or confusion when providing support for a person living at the service. All medication should be properly accounted for. An entry should be made on the MAR to show when medication is missed or not taken, according to the key. The manager should monitor the MAR and identify any gaps in recording. Visits should be conducted to the home in line with regulation 26 of the Care Homes Regulations 2001, and a record of these visits should be available for inspection. 2 20 3 42 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!