Inspection on 08/06/05 for Montague Drive

This inspection was carried out on 8th June 2005.

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

Montague Drive 21/09/09

Montague Drive 19/09/07

Montague Drive 13/09/06

Montague Drive 17/01/06

Montague Drive 25/01/05

Montague Drive 27/01/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Montague Drive 20 Montague Drive Leeds West Yorkshire LS8 2PD Lead Inspector Hebrew Rawlins Unannounced 8 June 2005 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 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 Stationary 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. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Montague Drive Address 20 Montague Drive Leeds LS28 2PD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of registration, with number of places 0113 2400062 0113 2400062 Community Integrated Care Ms E Noland Care home 4 Learning disability (4) Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: no Date of last inspection 22/2/05 Brief Description of the Service: The South Yorkshire Housing Association owns the property at Montague Drive. The care and services are provided by Community Integrated Care which is a registered charity caring for people with special needs. Montague Drive is a detached bungalow located within 2 miles of Leeds City Centre and is at the top of a quiet cul de sac. There are a wide range of shops and leisure facilities within easy reach of the property. The home has 4 bedrooms. All are single rooms and have a washbasin. They are decorated to individual taste and choice. Service users are encouraged to buy personal items for their own use, which helps to create a homely atmosphere within the establishment. Service users are encouraged to make full use of the entire house. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on the 8th June 2005 at 4.00pm by one inspector. The purpose of the inspection was to ensure the home continues to provide a good standard of care for its residents. Service users and staff present at the visit were made aware of the inspection through discussion with the inspector. They were invited to give their views on the care and services provided. Records were inspected and these included each resident’s care plans and staff recruitment files. What the service does well: What has improved since the last inspection? Residents’ care plans continue to improve, and identify the way in which each resident’s needs should be met and is easy to follow. The manager ensures staff members have a clearer understanding of the purpose of the plans, and are more confident when talking about residents’ needs. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 6 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. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4. Montague Drive is in full compliance with the standards as demonstrated by service users’ individual files, person centred planning, reviews, communication books and appointments with specific professionals for ongoing treatment. EVIDENCE: The home practises a flexible approach towards individual needs. In discussion with staff it was clear they are aware of the importance of arranging visits for prospective service users, which will be in full compliance with the standard. Service users’ individual files also demonstrate this; person centred planning, reviews, communication books and appointments with specific professionals for ongoing treatment. Service users agreements were available in individual service users files. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9.10. Because of residents communication and sometimes-physical disabilities staff help resident choices by skilled observation. The care planning system continues to improve. EVIDENCE: Montague Drive residents often require staff to interpret their speech given their individual communication difficulties. This is done through trained observation, and by the involvement of the multidisciplinary team inclusive of professional workers not directly employed by the home that are able to interpret service users speech. In establishing the individual service users’ plans, the rights of service users are acknowledged. The manager makes sure reviews are kept up to date. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,17. Local facilities are regularly used and all residents are encouraged to make full use of the home and community facilities. Staff recognises that time and support for residents in and outside is an important part of their life. The home encourages all residents to become involved in menu planning. EVIDENCE: Staff and residents at Montague Drive participated in lively banter the atmosphere was good throughout the visit. Resident’s rights are respected as evidenced in resident’s files and communication books/diaries within the home. Staff are aware of the aspirations of individual resident and encourage them to make full use of local amenities. Discussion with staff took place around food provided by the home. Care staff would ask residents what they like and dislike and who ever is on duty would cook for the resident. This system means some meals are bettered prepared and cooked depending who is on duty. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20. The care documentation has improved to meet the Commission standard. Medication sheets must be sign whenever medication is given to a resident. There was evidence of other health professionals meeting identified health needs. EVIDENCE: All four residents care plans were inspected. They all contain a photo of the residents and documents were concise. Risk assessments in place where appropriate. There is good communication system in place to ensure the changing needs of resident were met and health care visits are recorded in resident files. The administration medication sheets was checked staff did not always complete this. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23. The home provides clear information on how to make a complaint about the service. It includes reference to the Commission for Social Care Inspection if people wish to take a complaint outside the home. EVIDENCE: The appropriate policies and procedures were seen to be in place with all the relevant details and staff confirmed they know about Adult Protection procedure. They were aware of what to do if a complaint was made. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,30. The home offers a safe, well-maintained environment for its residents who are able to access the garden and areas of the home easily if they so choose. Communal areas are decorated and furnished to a good standard offering safety and comfort. EVIDENCE: The home is decorated and furnished to a good standard throughout and the communal rooms offer a safe and comfortable space for the resident. All areas of the home were clean and tidy and nothing was seen during the inspection that could cause a hazard to residents. Their bedrooms offer sufficient space and are comfortably furnished with their own personal positions. Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not looked at on this visit. EVIDENCE: Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not looked on this visit. EVIDENCE: Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Monague Drive Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 17 no Are there any outstanding requirements from the last inspection? 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 20 Regulation 13 Requirement Medication sheets must be sign whenever medication is given to a resident. Timescale for action 13/8/05 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 Good Practice Recommendations Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Monague Drive J52 S1482 Montague Drive V228972 24.5.05 Stage 4.doc Version 1.30 Page 19 - 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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