Inspection on 07/12/05 for St Luke`s Close (6)

This inspection was carried out on 7th December 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

St Luke`s Close (6) 23/03/07

St Luke`s Close (6) 11/02/05

St Luke`s Close (6) 10/08/04

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

CARE HOME ADULTS 18-65 St Luke`s Close (6) Ambury Road Huntingdon Cambridgeshire PE29 1JT Lead Inspector Janie Buchanan Unannounced Inspection 7 December 2005 10:00 St Luke`s Close (6) DS0000032579.V266681.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 St Luke`s Close (6) DS0000032579.V266681.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. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Luke`s Close (6) Address Ambury Road Huntingdon Cambridgeshire PE29 1JT 01480 456941 01480 451883 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) Cambridgeshire Social Services Annika Christine Short Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only 2 rooms measuring 14.5 square metres to be used for wheelchair dependent service users No service user will be accommodated for more than 6 months at any one time 10th August 2005 Date of last inspection Brief Description of the Service: 6 St. Luke’s Close is a local authority respite care home for up to 6 adults with a learning disability. Service users may also have a physical disability. There are some 38 regular respite care users. Although the usual pattern of visits is for planned short stays, the home also takes people in an emergency and may accommodate them for up to six months, pending a solution to their situation. The mixture of short and longer term placements presents tensions, with planned respite stays sometimes having to be cancelled at short notice as beds are taken by longer stay clients. 6 St. Luke’s Close was registered on 1 July 2002 and is purpose-built. The building is one of several opposite St. Michael’s Day Centre in Huntingdon. It is a short walk from Huntingdon town centre which has a range of shops and leisure facilities. 6 St. Luke’s Close is a single storey bungalow, with a large entrance hall, lounge, diningroom/kitchen, laundry room, six single bedrooms, a large assisted bathroom, a large assisted shower room and two offices. Two of the bedrooms are registered to be able to accommodate people who are wheelchair dependent. Annika Short is the registered manager of St. Luke’s. She has overall responsibility for the respite service at 6 St Luke’s Close, as well as the domiciliary care agency which offers support to people living in two large bungalows in St Luke’s Close and in smaller houses around Huntingdon. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection for the year 2005/6 and was unannounced. Three service users were resident on the day of inspection: one had already gone to day services but the inspector was introduced to the other two. The inspector observed staff whilst they helped these service users have their breakfast and get ready to go out for a walk. She interviewed three members of staff, the team leader and briefly met the home’s manager. She also talked to a speech and language therapist who visited during the inspection. A tour of the home was undertaken and a range of documents was viewed. The inspector received 14 comment cards (requesting feedback about the service) that had been completed by service users and their families. 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. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 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 St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 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 the following standard(s): 1,3,4,5 The home has a Statement of Purpose and Service User Guide that gives prospective service users useful information about the services and the facilities on offer. Admission and assessment procedures are good, ensuring that prospective service users’ needs will be met at the home. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide both of which contain the information required by the regulations. In addition these documents, all service users are given a ‘Welcome to St Lukes’ brochure that is in a suitable format for its readers. A worker goes through the contents of all these documents when a prospective service user visits to view the home. Admission procedures are thorough. New service users are only admitted after a care manager has undertaken a full needs led assessment. Service users and their families are then invited to visit the home several times before they decide whether or not it is suitable for them. Good pre-admission assessment information was viewed on the files that were checked. Each service user is issued with a contract that is signed by them or their advocate. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 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 the following standard(s): 6,9 Service users’ plans of care set out in detail the action to be taken by staff to ensure that all aspects of their health, personal and social care needs are met. Staff enable service users to take responsible risks. EVIDENCE: Three service users’ care plans were viewed and the information they contained was comprehensive, up to date and gave the reader a good picture of each service user’s specific needs. Included in the plans were details about service users’ social history, their likes and dislikes, their daily routines and their needs in relation to their mobility, personal care and medication. Action is taken to minimize identified risks and hazards and a number of comprehensive risk assessments were in place for service users including those in relation to using the home’s minibus, money, medication and bathing. Senior staff have undertaken specialist risk assessment training and all risk assessments are agreed with the manager before becoming active. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 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 the following standard(s): 14,15,17 Service users have opportunities for stimulation through a variety of leisure activities and staff support service users to maintain links with their families. EVIDENCE: There are a variety of leisure activities for service users to enjoy including regular trips shopping, 10 pin bowling, walks and playing indoor cricket. Many service users attend weekly local organisations for people with learning difficulties such as The Heron and Gateway clubs. The home has recently been given access to a nearby day centre at the weekend where service users can play pool and table tennis. One service user wrote on a comment card: ‘I’m happy when I stay here as the staff take me out to different sports’. Family and friends are welcome at the home and three service users who have been there for a number of months have frequent contact with their respective families. One service user has his own mobile phone that he uses to call his family, and another returns home regularly. On the day of inspection itself staff were preparing for a meeting with family members and carers to be held at the home that evening. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 11 The home’s six-week rolling menu was viewed and showed that service users receive a varied and healthy diet. The team leader stated that he is currently in consultation with a catering manager to further improve the nutritional content of the meals. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 12 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): 19,20 Service users’ health needs are well met at the home and they have regular access to a range of specialist health care professionals. EVIDENCE: Service users’ health care needs were clearly recorded in the care plans viewed and all service users are registered with a local GP during their stay. Staff at the home receive specific training in administering stesolid medication, dealing with epilepsy and understanding autism. A number of health care professionals visit service users and, on the day of inspection a speech and language therapist was working with one service user. She reported that she received appropriate referrals from the home; that staff were knowledgeable about the service users in their care; and that staff worked hard to communicate with service users. The home had recently commissioned a full assessment of one service user by Sense East, specialists in dual sensory loss. Medication storage and administration records were checked found to be satisfactory. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 13 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): 22,23 Staff have a good understanding of adult protection and concerns are responded to quickly. EVIDENCE: Details of how to complain are contained in the home’s Statement of Purpose and Service User Guide, and a copy of the procedure is on display in the kitchen. The team leader stated that both service users’ families and advocates had been given a copy of the procedure. Despite this, however, six of the fourteen service users and families who completed the comment cards stated that they were unaware of the complaints procedure and would not know who to speak to if they were unhappy. Records are kept of any complaints received and the details of recent complaints (concerning lost items of clothing) were viewed. These complaints had been investigated and responded to appropriately. All staff receive training in protecting vulnerable adults and showed good awareness of reporting procedures. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 14 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): 24,29,30 The environment of the home provides service users with an attractive and homely place to live, and the equipment they need to help their independence EVIDENCE: The home is purpose built for disabled people and has aids to assist service users such as tracking and mobile hoists, rising baths, level access showers, specialist beds and hand rails. On the day of inspection the home was clean, free from strong smells and well maintained. Furnishings are of good quality and areas of the home had been attractively decorated for Christmas. Two new sinks have been installed since the last inspection, as have sensor lights in the garden and a number of intumescent strips on fire doors. However, the office feels cramped and staff complained that it was not large enough to accommodate all who need to use it. Although the home has a sizeable garden, it largely consists of lawn and more could be done to make it a stimulating environment, especially for service users with sensory impairments. The carpet in bedroom one was badly stained. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 15 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): 32,33,34,36 Staffing levels at the home are good and well-trained, competent staff look after service users. EVIDENCE: Staffing levels are satisfactory and there is always a minimum of three (and sometimes 4) staff on duty when the home is full. Scrutiny of the duty rota showed these staffing levels to be maintained and the home was fully staffed on the day of inspection. Staff interviewed spoke knowledgeably about their job, and service users. One relative commented ‘my daughter enjoys her stay at St Lukes and we have found staff friendly and helpful’. However, one service user commented ‘ I feel when there is more high dependency service users in I would like more staff so that more able bodied service users have equal amount of staff time’. This was discussed with the team leader. Training for staff is good: three staff have completed NVQ level 2 in care, and four staff are currently undertaking it. Two staff are undertaking their NVQ level 3 in care. Staff training records viewed showed that, in addition to all mandatory training, staff undertake additional training specific to the needs of service users. All staff interviewed commented that the training they received was good and equipped them well to do their job. Staff receive regular supervision and have their performance appraised annually. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 16 A number of personnel files were checked. They information they contained was generally satisfactory and showed good recruitment practices in place. However, in three instances the people that had written references for prospective employees differed from the names given as referees on the employee’s application form. No explanation was given for this. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 17 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): 38, 41, 42 Health and safety practices in the home ensure that service users are protected. EVIDENCE: The manager is competent and qualified for her role and there are good systems of communication in place between staff. Staff reported that they felt supported by the management team. A number of records in relation to health and safety (fire, gas, hoist servicing, portable appliance testing) were viewed by the inspector and found to be in good order. Staff interviewed by the inspector confirmed that they had received training in fire safety, food hygiene, moving and handling and first aid. The inspector viewed no major health and safety hazards in the home. St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 18 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 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Luke`s Close (6) Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x 3 3 x DS0000032579.V266681.R01.S.doc Version 5.0 Page 19 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 2 3 Standard 24 34 41 Regulation 23 (2)(d) 7,9,19 schedule 2 17(2) schedule 4 Requirement The badly stained carpet in bedroom one must be cleaned or replaced. References for staff must be checked more thoroughly. The duty rota must contain staff’s surname. Timescale for action 01/04/06 07/12/05 31/12/05 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 28 Good Practice Recommendations Consideration should be given to the provision of additional communal space, such as a conservatory, to give greater choice to service users. This was a recommendation following the previous two inspections. The garden should be developed to provide a more varied and exciting environement for service users. 2 28 St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 St Luke`s Close (6) DS0000032579.V266681.R01.S.doc Version 5.0 Page 21 - 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. 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