Inspection on 01/03/07 for St Michael`s House

This inspection was carried out on 1st 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 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 Michael`s House 17/02/09

St Michael`s House 20/02/06

St Michael`s House 27/01/05

St Michael`s House 10/06/04

St Michael`s House 21/01/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 St Michael`s House 1/3 St Michael`s Avenue Northampton Northants NN1 4JQ Lead Inspector Irene Miller Unannounced Inspection 1st March 2007 10:00 St Michael`s House DS0000012925.V331915.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 St Michael`s House DS0000012925.V331915.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. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Michael`s House Address 1/3 St Michael`s Avenue Northampton Northants NN1 4JQ 01604 250046 01604 638496 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 Anne Going Mr Kenneth Going, Mr Raymond Galbraith, Mrs Marian Galbraith Mrs Anne Going Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may continue to provide care for 1 existing named service user under 45 years of age The Home provides care for Service Users in the Age category of 45yrs and 65yrs and 65yrs and over. 20th February 2006 Date of last inspection Brief Description of the Service: St Michael’s House is situated in a residential street close to Northampton town centre. The Home is registered to provide personal care, without nursing, for up to thirteen people with mental health needs. St Michael’s House is a Victorian property, providing accommodation in two double and nine single bedrooms, two of which have en-suite facilities. There are two lounges and a small dining room. As there are no lift facilities in the home, people accommodated in upstairs bedrooms must be able to safely negotiate the stairs. There is an enclosed garden to the rear of the premises. The current weekly fees are in the region of £348 per week. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for service users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000. The primary method of inspection used was ‘case tracking’ which involved selecting two residents, looking at their health, social, emotional and physical needs and tracking the care they receive. The care plans of the residents chosen to be case tracked were looked at (a care plan sets out how the home aims to meet the, personal, health, social and emotional needs of the resident), and discussion took place with residents and staff and general care practices were observed. The homes policies, procedures and records in relation to staffing recruitment and training, concerns and complaints, medication management, and general maintenance and upkeep of the home were viewed. The registered manager Mrs Anne Going was available at the home throughout the inspection visit. The inspector spent two hours planning the areas to focus on at this inspection, based upon information gained from reviewing previous inspection reports and other information relating to the home. The inspection took place over a period of approximately six hours. What the service does well: The phased admission process allows new residents time to adjust to their new surroundings, and become familiar with the staff and existing residents. Residents are encouraged and supported to lead as independent a lifestyle as possible, and be involved with the local community. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 6 The staff were observed giving emotional support to residents in a relaxed, professional manner, residents were observed being put at ease, their anxieties recognised and responded to appropriately. The registered manager operates an open door policy and takes an active role in the day to day care of residents. During the inspection residents were observed to approach the registered manager on several occasions to seek clarification and to express their wants and needs. The registered manager was observed to listen to the residents concerns and provide emotional and practical support and advice. 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. St Michael`s House DS0000012925.V331915.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 St Michael`s House DS0000012925.V331915.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): Standard 2 Quality in this outcome area is good. Prospective residents are informed about the services they will receive and can be assured that the support will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was information available to demonstrate that pre assessment of needs had taken place prior into resident moving into the home, and there were records of resident’s individual goals, such as achieving greater independence, helping in the kitchen preparing drinks and snacks, and having greater independence in maintaining personal hygiene. As part of the admission process prospective residents are encouraged to visit the home on several occasions to meet with the residents and staff, during which assessments of their needs determined. Resident said that the manger had visited them first, and then they visited the home and had tea with the other residents. Residents said that they were very happy and liked living at the home, and that the staff were helpful and good to them. St Michael`s House DS0000012925.V331915.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): Standard 6,7 & 9 Quality in this outcome area is good. Residents are encouraged to take risks and be as independent as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans had information available to support that residents were encouraged to maintain their independence as suitable to their ability and capacity, such as going out unsupervised, visiting friends and family, helping with housework, and preparing drinks and snacks. Risk assessments had been completed that had identified hazards associated with the activities being undertaken. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 10 St Michael`s House DS0000012925.V331915.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): Standards 12,13,15,16 & 17 Quality in this outcome area is good. Residents are enabled to follow their preferred lifestyle and to be part of the wider community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were records available to demonstrate that residents participate in social and cultural activities of their choosing. Some of the residents attend local day centres and others spend their time pursuing their individual hobbies and interests, such as going to the local shops, reading books, watching television, and listening to music. Comments received from residents in response to questionnaires sent out by the Commission for Social Care Inspection expressed satisfaction with living at the home. Comments such as, ‘I go for walks with the staff’, ‘I go to church on Sundays’, ‘I’m happy living her’, ‘all the staff are very good to me’ and ‘I go to the shops when I like’. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 12 In discussion with residents they said that they liked to do as they pleased, and that their relatives and friends where welcome to visit them at any time. The resident’s right to experience personal, family and sexual relationships was handled with sensitivity and respect. Staff confirmed that special dietary requirements were catered for, such as low fat and diabetic diets. In some instances staff had to be vigilant as certain foods interact with medications that residents are prescribed. The dining room was clean and residents were observed to be enjoying the lunchtime meal that was stew and dumplings, residents said that they enjoyed the meals, and that the food was good. St Michael`s House DS0000012925.V331915.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): Standards 18,19 & 20 Quality in this outcome area is good. Residents can be assured that the home can meet their health and personal care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the care plans there was information available that demonstrated that the physical and emotional health and personal care needs of the residents was assessed, and information was available on how the home planned to support the residents in maintaining or improving their physical and emotional health. There were records within the care plans and risk assessments of the support and involvement of relatives, social workers, the general practitioner, community psychiatric nurse and psychologists, in helping residents to achieve emotional and physical well being. When speaking with staff they were very aware of each resident’s level of emotional and physical support required, the staff were observed to give emotional support to residents in a relaxed, professional manner, residents St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 14 were observed being put at ease, their anxieties recognised and responded to appropriately. A sample check of the medication stock and storage facility and the medication administration records (MAR) sheets, evidenced that the medication held within the home was well managed. There were records available of recent staff training that had been provided in medication management. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 15 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): Standards 22 & 23 Quality in this outcome area is good. Residents and their representatives can be assured that any concerns or complaints they may have will be listened to and acted upon by the manager, and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a complaints procedure available for residents or their representatives to access should they be dissatisfied with the care provided by the home. There was an open culture within the home, the registered manager has an open door policy and during the inspection residents were observed to approach the registered manager on several occasions to seek clarification and to express their wants and needs. The registered manager was observed to listen to the residents concerns and provide emotional and practical support and advice. No complaints had been received at the home since the last inspection visit. Training is provided for staff on safeguarding adults, the home had recently accessed an internet training resource on safeguarding adults, which had proved as a successful training tool, staff spoken with who had completed the course said that they had found it a useful and practical method of learning. The home had the Northamptonshire Inter Agency Policies and Procedures on the Protection of Vulnerable Adults available should they need to report any suspected or actual abusive incidents. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 16 When speaking with staff they said that they would not hesitate to alert the registered manager if they witnessed or suspected any abuse within the home. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 17 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): Standards 24 & 30 Quality in this outcome area is good. The standard of comfort within the home is satisfactory, however there is a significant number of residents that smoke and over exposure to cigarette smoke may pose a risk of passive smoking for non-smoking staff and residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in a residential area within easy walking distance to shops and local community resources. The communal areas within the house were clean and tidy and bedrooms were personalised with items such as TV’s, video players, audio equipment, personal photographs and small items of furniture. The bathrooms and WC’s were clean and basic, there was some evidence of lime scale build up on the bath and tap surfaces that would benefit from being removed. Within one of the toilets on the second floor the hot water tap did not turn on, this was brought to the attention of the registered manager during the inspection visit. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 18 Many residents who live at the home enjoy smoking and prospective residents and their representatives are informed of this prior to entering the home. The main lounge is none smoking and there is a designated smoking lounge available within the lower ground floor, however the odour of cigarette smoke permeated throughout the building. The bedrooms viewed of residents who smoked had ashtrays available to ensure that cigarettes were extinguished safely. A fire and risk management safety consultant had been commissioned by the home to review the homes fire risk assessment, however the risk assessment was not available to view, the registered manager was reminded that a copy of the current fire risk assessment should be available at the home whilst it is undergoing review. Records were available of staff fire safety training that had taken place. The staff and contractors carry out fire, electrical, gas and water checks, and records were available to demonstrate that the checks were conducted on a regular basis. Damage had been caused to the structure of the building by a vehicle that had collided with an outer wall next to the kitchen area. The damage had been repaired; however an underground water supply pipe had burst and resulted in damp seeping through the walls of the newly constructed area and the floor of the kitchen. At the time of inspection an industrial dehumidifier was in use in an attempt to dry out the walls and the floor of the kitchen area. The floor of the kitchen was temporarily covered with planks to allow for access to the area, the kitchen was in a state of disorder due to the disruption that had been caused by the water damage. The registered manager confirmed that building repair works were in progress and would be repaired as soon as possible. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 19 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): Standards 32,34 & 35 Quality in this outcome area is good. The residents are supported by staff that are aware of their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with had achieved their National Vocational Qualification (NVQ) level 2 in care and training had been provided for staff covering areas such as food hygiene, first aid, health and safety, fire safety and medication. Service user specific training on mental health awareness, had been provided a visiting Community Psychiatric Nurse (CPN), and an on line had provided training course on safeguarding adults. The staff recruitment files viewed demonstrated that the registered manager carries out robust recruitment and selection checks prior to staff taking up employment at the home, and that residents are protected through checks carried out with the protection of vulnerable adults register and criminal records bureau. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 20 St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 21 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): Standards 37,39 & 42 Quality in this outcome area is good. Resident live in a home where their rights are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has completed a National Vocational Qualification (NVQ) Level 4 and the Registered Mangers Award, she takes an active role in the day to day care of residents, that ensures she is fully aware of their needs of residents and is available to offer support. Staff said that the registered manager supports them and confirmed that individual supervision was made available. There was no formal system in place to quality review the service provided, however informal meetings do take place regularly, that give the opportunity to gain the views and input of the residents and records were available of the St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 22 items that had been discussed, which included discussion on social activities and food preferences. Feedback received from residents living at the home, indicated that they were happy living at the home, and that opportunities were available for them to have a say in how they wish to receive support from the staff. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 24 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. 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. 1 Refer to Standard OP24 Good Practice Recommendations The build up of limescale to taps within bathrooms and toilets should be removed to ensure that all taps are fully functioning. St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 St Michael`s House DS0000012925.V331915.R01.S.doc Version 5.2 Page 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. 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