Inspection on 15/09/05 for Mount Avenue

This inspection was carried out on 15th September 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

Mount Avenue 25/06/07

Mount Avenue 13/02/06

Mount Avenue 04/02/05

Mount Avenue 28/09/04

Mount Avenue 26/03/04

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 Mount Avenue 1 Mount Avenue Hemsworth West Yorks WF9 4QE Lead Inspector Gillian Walsh Announced Inspection 15th September 2005 12:30 Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 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 Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 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. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mount Avenue Address 1 Mount Avenue Hemsworth West Yorks WF9 4QE 01977 615994 01977 616809 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) Mrs Christine Gatley Mrs Christine Gatley Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th February 2005 Brief Description of the Service: Mount Avenue is a small home, offering residential care to three service users with learning difficulties. It is situated in Hemsworth, which is 10 miles from the towns of Pontefract, Wakefield and Barnsley. The accommodation is a semi-detached house comprising of 3 single bedrooms, 2 on the first floor and one the ground floor. The bathroom/toilet facilities are situated on the first floor. The lounge/dining room, kitchen and also a utility room are on the ground floor. There is a fenced garden to the rear of the home. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection made on 15 September 2005 by two inspectors. A selection of records was examined, a tour of the home took place and time was spent talking with the provider/manager and a member of staff. Unfortunately at the time of the visit neither of the two residents were at the home but one resident had left a pleasant note for one of the inspectors. Both inspectors would like to thank the manager and staff for their hospitality and assistance during the visit. What the service does well: 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. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 6 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 Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 2. An assessment of prospective residents needs is made before a place is offered at the home. EVIDENCE: There have not been any recent admissions to the home but existing files showed that current residents had been admitted into the home after a comprehensive assessment of their needs had taken place. The manager said that one resident was ill in hospital and would have to have a full reassessment of their needs before they could be re-admitted to the home. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6,7 and 9. Residents are involved in care planning to ensure that their needs, goals and decisions about their lives are reflected. Risk taking is planned for and managed to promote residents independent lifestyles. EVIDENCE: Examination of the two current residents files showed that the manager has spent time with residents compiling their care plans. The plans are based on a comprehensive assessment of individual need and show how these needs should be met. Reviews are completed monthly. Care plans also demonstrate how individual choices and decisions have been made; and daily records show how this is put into practice on a daily basis. Ways to manage risk are agreed through risk assessments, recorded in the service user’s individual plan, and reviewed when required. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 12, 13, 15 and 17. Residents take part in educational, leisure and community based activities of their choice and are supported to maintain personal relationships as they wish. A healthy diet is available and promoted although residents have choice in all their meals and snacks. EVIDENCE: Both residents take part in a range of educational and leisure activities of their choice. These include college courses; day centres, adult education centres and local church activities such as keep fit classes and coffee mornings. Records show that family and other personal relationships are supported as necessary or as required by the resident concerned. The manager said that although she, or another member of staff would usually make the main evening meal, residents prepare their own breakfast, packed lunch and snacks as required. Food and drinks are available at all times for residents to access as they wish. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 18, 19 and 20. Residents receive personal care in the way they prefer and healthcare needs are met through appropriate community services. Resident’s are protected by the home’s systems for dealing with medications. EVIDENCE: Evidence contained within care plans demonstrates that residents have choice in how they receive personal support from staff. Health needs are met through community health care such as G.P and community nursing services including specialist nurses as required. Systems for the storage and administration of medication were checked and found to be safe and correct. Neither resident chooses to self medicate although facilities are available should they wish to do so. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 22 Procedures are in place to reassure residents that their concerns or complaints will be listened to and acted on. EVIDENCE: The manager said that no complaints had been made at or against the home since the last inspection. The complaints procedure is made available to residents through the service user guide. At the last inspection residents confirmed that they are confident that any concerns they have will be acted on. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 24, 25, 26, 27, 28 and 30. The shared areas within the home provide residents with a very comfortable and homely environment with bedrooms providing individual and personalised space to promote independence. The bathroom has some minor adaptations to meet the needs of residents. The home is very clean and tidy throughout. EVIDENCE: A tour of the premises demonstrated that residents live in a safe, very comfortable and homely environment. Bedrooms are decorated and furnished to the resident’s individual personal taste. The decoration and fittings in the bathroom were chosen by residents, as was the redecoration of the lounge. The manager said that they tried to choose decorations in calming colours to promote a relaxing atmosphere within the communal areas. A high standard of housekeeping ensures that the home is clean and tidy throughout. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Residents are supported by appropriately trained staff. EVIDENCE: Training files showed that all of the staff receive training appropriate to the job they do. This includes NVQ level 3, challenging behaviour and all mandatory training. A member of staff said that their training needs develop and are met in relation to the changing needs of residents. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 Resident’s views underpin the self- monitoring and development of the home. The health and welfare of the service users and staff is protected by the safety systems operated by the home. EVIDENCE: The quality monitoring processes were looked at and found to be appropriate. As part of this process the manager obtains the views of residents, staff, professionals involved in the care of residents and residents relatives and other visitors. The fire safety and other health and safety records and assessments were found to be satisfactory. Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 15 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 X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mount Avenue Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000006237.V250307.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mount Avenue DS0000006237.V250307.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. 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