Inspection on 26/03/07 for Mineral Cottage

This inspection was carried out on 26th March 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mineral Cottage 19/01/09

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 09/07/2008.

CARE HOME ADULTS 18-65 Mineral Cottage 520 Whitehall Road New Farnley Leeds West Yorkshire LS12 5HZ Lead Inspector Hebrew Rawlins Key Unannounced Inspection 26th March 2007 07:00 Mineral Cottage DS0000001534.V320242.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 Mineral Cottage DS0000001534.V320242.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. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mineral Cottage Address 520 Whitehall Road New Farnley Leeds West Yorkshire LS12 5HZ 0113 229 3561 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) Mr Gary Williams Ms Sue Robinson Sue Robinson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: 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. 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. The weekly fees are around £418.00 to 608.00 as per individual service contract. Additional charges are made for holidays and toiletries. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This unannounced key inspection took place at 7.00pm on the 26th March 2007. The purpose of the visit was to monitor standards of care in the home. The home completed a pre-inspection questionnaire. The information provided has been used in the preparation of this report. Completed survey cards were received from relatives and residents. Comments from the survey cards can be found throughout this report. During the inspection I spoke to residents and staff on duty. I looked at records and made a tour of the building. Feedback at the end of this inspection was given to the both providers. I would like to extend my thanks to everyone who contributed to the inspection and for the hospitality during the visit. What the service does well: The home provides a specialised service with an ordinary domestic setting. The providers make efforts to give people living in the home good experiences within the wider community. Comment card returned by parents said “‘ my daughter is very happy at Mineral Cottage, when she comes to my house every fortnight she can’t wait to get back on Sunday”. “ My son enjoys the interaction with the other residents”. “I am more than happy with the care provided”. “He is in a home from home”. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 6 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. Mineral Cottage DS0000001534.V320242.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 Mineral Cottage DS0000001534.V320242.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): 1, 2, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives have access to clear detailed information about the services provided by Mineral Cottage and can be assured that their needs will be met. The home carries out a pre-admission assessment to make sure that it can meet the person’s needs. EVIDENCE: Prospective service users have the opportunity to visit the home, stay for a meal, stay overnight and speak to other people living at the home before making any decisions about admission. The home is hoping to increase the number of people living there from 4 to 6. They have started to review the written information about the home for people to read. Copies of individual written contract were seen in people living at the home files. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 9 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): 6, 7, 8, 9,and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are encouraged to continue to make decisions about their day-to-day lives. Staff have a good understanding of the effect on individuals when these abilities are in decline and provides appropriate support. There is a conscious effort within the team to keep emphasising the positive. EVIDENCE: Two care plans were looked at, it was noted where decisions are encouraged. In all of the care records sampled there was evidence of health needs being met, by dental appointments, optical prescriptions and visits to GPs. Through observation on the day of the inspection, and by speaking to people living at the home it is clear that the privacy and dignity of people living in the home is respected. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 10 Risk assessments are in place to reflect lifestyle choices. In discussion with people living in the home, it was clear that they are supported to take risk in order to enjoy life’s experiences. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are supported to take part in appropriate activities within the community as well as in the house, the staff respond to individuals’ communicated preferences when organising activities and outings. Links with family members are very strong, staff seeing them as an important contribution to people living in the home’ daily lives. People spoken with at the home said the food was good. EVIDENCE: Some people living in the home attends learning centres, college or work on a part-time basis. The home has a bus and staff take people who live at the home out and about in Leeds, to shops, pubs, cinema, bowling, restaurants and sports centre. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 12 Families also supplement the input that staff can give, taking their relatives out and involving them in their own families’ lives. The inspector did not see the meal of the day. However the people in the home told me that the spaghetti Bolognese was great. All people living in the home is encourage to become involved in menu planning with individual choice. However not all have their nutritional needs routinely assess. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 13 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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff place a good deal of importance on continuity of care, whether that be from them at the home or community based health care professionals. EVIDENCE: Care plans show how individuals’ specific care needs are being met, including specialist input where required, for example speech specialist. There was evidence that care plans and the outcomes of these were being regularly reviewed. Medication administration records were looked at and found to be in order. Individuals’ have a choice about sitting in the lounges or remaining in their rooms, where they were surrounded by personal possessions. Both carers’ were observed explaining what they were doing when assisting people and trying to encourage their cooperation. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 14 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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by a robust complaints procedure. The management has not yet attended the adult training course. EVIDENCE: The home’s Policy File contains good detailed procedures to follow. The manager welcomed the opportunity to address concerns before they grew into serious complaints. No complaints have been received by the home in the past year. There are appropriate procedures in place for the safe management of personal allowance, the records showing that proper accounting procedures are adhered to. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 15 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): 24, 25, 26, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The providers of the service make a real effort to ensure the people live in a homely, well-decorated environment. This is achieved to a good standard. EVIDENCE: All of the peoples’ bedrooms were seen during this inspection. They are all tastefully decorated to reflect each person’s individuality within their own room. Each room seen was very different in style, colour and personalisation. The home is decorated and furnished to a good standard throughout and the communal rooms offer a safe and comfortable space for the people living there. All areas of the home were clean and tidy and nothing was seen during the inspection that could cause a hazard to service users. The recommendations made by the fire officer in his report last year have been addressed. New fire doors have been fitted as well as smoke alarms also the ceilings re-plastered. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 16 Since the last inspection the external of the home has had major work, several new Pvc-u windows fitted and the building re-rendered. The providers has also started work on the two bedrooms they hope to register in the next few months Mineral Cottage DS0000001534.V320242.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): 32, 33 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good balance within the staff team to meet the needs of the people living at Mineral Cottage. EVIDENCE: The two providers are the only staff at the home and the management decisions and care are shared equally. One has recently completed the NVQ awards (National Vocation Qualification) level 4 Registered Manager’s Award. Both have taken the First Aid refresher course. The staff team were observed carrying out their roles in a calm and professional manner. They were seen explaining things to the people in the home, reassuring them before interventions were carried out. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 18 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): 37, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and the people living in the home feel safe. Relatives stated they are very happy with the care provided. EVIDENCE: Policies and procedures are located in the office these documents are readily accessible. All records are secure and maintained in accordance with the Data Protection Act. Relatives said “ my daughter is very happy at Mineral Cottage, when she comes to my house every fortnight she cant wait to get back on Sunday”. “ My son enjoys the interaction with the other residents”. “I am more than happy with the care provided”. “He is in a home from home”. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x 3 3 x Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA17 Regulation 16 Timescale for action Residents’ nutritional needs must 01/05/07 be routinely assess. (Raised on 08/05/06) Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations The inspector recommends the manager attends the adult’s protection training course to ensure staff and residents are not placed at risk. Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Mineral Cottage DS0000001534.V320242.R01.S.doc Version 5.2 Page 22 - 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. 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