Inspection on 19/01/09 for Mineral Cottage

This inspection was carried out on 19th January 2009.

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

Mineral Cottage 26/03/07

Mineral Cottage 08/03/06

Mineral Cottage 28/09/05

Mineral Cottage 10/11/04

Mineral Cottage 14/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Mineral Cottage 520 Whitehall Road New Farnley Leeds West Yorkshire LS12 5HZ     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: Frederick Rawlins     Date: 1 9 0 1 2 0 0 9 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. that people have said are important to them: They reflect the things 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 26 Information about the care home Name of care home: Address: Mineral Cottage 520 Whitehall Road New Farnley Leeds West Yorkshire LS12 5HZ 01132293561 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mineralcottage520@msn.com Mr Gary Williams,Ms Sue Robinson Name of registered manager (if applicable) Mr Gary Williams Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of users wo chan be accommodated is: 6 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 categories: LearningDisability - Code LD Date of last inspection Brief description of the care home Mineral Cottage is a family run care home offering a service to four young adults who have learning disability. Accommodation is offered over two floors and the home is situated on a main road close to local shops and amenities. There is a regular bus service into Leeds City Centre that run past the home and the journey takes around twenty minutes. Car parking is provided to the rear of the house or on the main road. Care Homes for Adults (18-65 years) Page 4 of 26 care home 6 Over 65 0 6 Brief description of the care home A large enclosed garden is available for the service users to the front of the house, and ramp provides access to the flagged area at the rear where there is a barbeque. Care Homes for Adults (18-65 years) Page 5 of 26 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: The inspection process included looking at information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out between 10:00 and 14:00 hrs on the 19th January 2009. The methods we used included looking at records, observing staff at work, talking to people living at the home, talking to staff and looking around the property. The home completed and returned their Annual Quality Assurance Assessment form and the information provided has been used as evidence in the body of the report. The purpose of the visit was to make sure that the home was being managed for the Care Homes for Adults (18-65 years) Page 6 of 26 benefit and well being of the people using the service. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspections reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Some recommendations have been made as a result of this inspection. The registered manager was available throughout the visit and proved to have a very positive attitude to the inspection process. Feedback was given to the manager at the end of the visit. At the time of writing this report, the fees charged for care provided were from 500.00 to 1500.00 pounds per week. What the care home does well: What has improved since the last inspection? 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. Care Homes for Adults (18-65 years) Page 8 of 26 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 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and health care 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 26 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. People who use the service can normally be sure that the home will meet their needs following assessment. Also written and verbal information provides enough information for them to decide whether the home will meet their needs. Evidence: The Statement Of Purpose, which provides information on the services provided by the home, is available from the manager of the home. People using the service said they were very happy with the home. One person spoken with said, I like it here. The needs of people who use the service have been assessed before they moved in to the home. The assessment used covers all aspects of daily living. Care plans are then drawn up from any needs that are identified. However the last person to move into the home had not had a written assessment done by the home. The manager said she was using an assessment drawn up by another placement after which a care plan would be Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: drawn up. This could lead to important care needs being overlooked. After discussion the manager agreed an assessment should have been carried out by the home. With the exception of one person, people who use the service had also had a reassessment carried out, if their needs had changed. In the Annual Quality Assurance Assessment (AQAA), the manager said they individualise any assessment to suit individuals. They said one person visited several times prior to stay. People who use the service all have an agreed contracts. Care Homes for Adults (18-65 years) Page 12 of 26 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 are supported in making decisions about all aspects of their daily lives including managing risks. Evidence: People are meaningfully involved with the running of their home and lives. The care planning is person centered and genuinely includes the individual in all the decision making. The staff only give support where necessary, the preferences of the individual are clearly central to the care. Care planning system used at the home make sure that central to all decision making is the individual. The staff supports this decision making both verbally and with pictorial images. Their files contain an overview of how the individual sees their day and what their favorite things to do are. Record keeping is of good standard and the assessment and care planning in general Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: provide good detail to the care provided at the home. Staff must make sure however that they sign and date all entries that they make in the persons care record and the care files could benefit from a more orderly approach. Each person is also involved in regular reviews, which takes place with day service staff, relatives and staff from the home. These reviews encompass all aspects of peoples lives and show how agreements are reached about risk management. One person was in the home during the inspection the others were out working or at day centres. That person was sensitively supported by the staff. The atmosphere was relaxed and friendly, with clearly an excellent rapport between the staff and the person in the home. She showed us a new coat she had bought and talked about how much she enjoyed shopping trips. Care Homes for Adults (18-65 years) Page 14 of 26 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. Staff support people to become part of, and participate in, the local community, in accordance with their wishes. Evidence: People are involved with domestic routines within the home such as the laundry and mealtimes. They decide what food is to be prepared and regularly help with the shopping. In the pass records showed menus have been varied and nutritious and meet with the individuals personal choices. However the manager has not kept up to date the recording of peoples meals. The manager agreed to address this. One person spoken with said the food is good I say what I want. The staff are positive in furthering peoples skills within the home and aim to provide a varied and fulfilling programme of activities both within the home and wider Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: community. Staff said that all the people living in the home have different activities that they are involved with during the week. Some attend day centres and college, one has a parttime gardening job one day a week. At weekend and evenings they use the local and community facilities, there is a minibus which enables people to go shopping, visit pubs and restaurants, cinema and theaters, bowling and sports centres. All the people have maintained strong links with their families, three of them spend alternate weekends with their families. People have put together an activities book with photographs showing all different activities and outings that they have been on. Care Homes for Adults (18-65 years) Page 16 of 26 Personal and health care 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. Peoples health is regularly assessed and reviewed to make sure that needs are not overlooked. Evidence: People have a health plan, which assesses their individual health needs. The management makes sure essential health needs were not overlooked. The manager has received training in medication and has a good understanding of the policies and procedures. The medication records were well maintained and storage of prescribed medication held safely. One person is supported to self medicate. Care Homes for Adults (18-65 years) Page 17 of 26 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. People living in the home and relatives have their views listened to, taken seriously and acted upon. There is a system in place to protect people from abuse. Evidence: The home has a complaints procedure. People who use the service said they would tell staff if they were unhappy. The home has not received any complaints since the last inspection. Relatives of people who use the service said they know how to use the complaints procedure. There is an adult protection policy and a whistle blowing policy in the home. The staff know what to do in the event of an incident or allegation of abuse being made. Care Homes for Adults (18-65 years) Page 18 of 26 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 environment in the home is homely, clean, safe and hygienic. Staff practices, in the main, control the spread of infection. Evidence: All areas of the home were visited. The home offers a very comfortable and safe place for people who live there. Staff have made sure that the peoples bedrooms reflect their needs and suit their choice and preferences. The home was clean, homely and free from any unpleasant smell. It provide sufficient space for people to meet with their families. Care Homes for Adults (18-65 years) Page 19 of 26 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. People are supported by trained staff who ensure peoples needs are met at all times. Evidence: There are only two staff in the home and they share the management and care equally. The manager said because they are the only two they are able to create a family environment. Living alongside the people in the home we know them and their families extremely well, this makes us well placed to ensure that their needs and choices are met. The manager said when one of them are not available to care for people in the home due to sick or holiday leaves the home uses an agency worker. They try to use the same worker to ensure people receive continuity of care. Because the people living in the home are fairly independent there is no need for a member of staff to stay awake at night. However one sleeps on the premise to support people if needed. In discussion with people they confirmed that the staff are good. Comments from them were; good and helpful I like it here there nice to me. Relatives have said there is a good up beat atmosphere with people and staff at the home. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Both staff have years of experience of working with learning disabilities. One has completed National Vocational Qualification (NVQ) at level four care and the Registered Managers Award. Care Homes for Adults (18-65 years) Page 21 of 26 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 a manner that promotes good service delivery in the best interest of people using the service. Evidence: The homes registered manager has many years experience of working with learning disabilities. During the site visit she discussed her commitment to making sure the home puts the interests of the people in the home first and provides the best possible quality service. All policies and procedures are readily accessible, all records are secure and maintained in accordance with the Data Protection Act. All personal allowances are recorded and any purchases made on behalf of anyone are recorded in the financial documents. People have access to their personal money at all times. People living in the home are encouraged to save for expensive items and holidays. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: The management have not introduced any quality assurance system to seek the views of people who use the service or their relatives. The manager must do this to make sure that people are given the opportunity to express their views about the service. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 6 Staff should make sure they sign and date all entries that they make in the persons care record and the care files could benefit from a more orderly approach. The manager should ensure a record is kept of what food the people living in the home have. This is evidence to show that dietary needs are addressed to prevent serious consequences to peoples health. The management should introduce a quality assurance system to seek the views of people who use the service or their relatives. 2 17 3 39 Care Homes for Adults (18-65 years) Page 25 of 26 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 © (2009) 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 26 of 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. 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!