Inspection on 19/12/05 for The Mount

This inspection was carried out on 19th 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

The Mount 30/04/09

The Mount 17/04/08

The Mount 18/04/07

The Mount 07/09/05

The Mount 03/11/04

The Mount 21/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Mount 6 Liverpool Road, North Burscough Nr Ormskirk Lancashire L40 5TP Lead Inspector Val Turley Unannounced Inspection 19th December 2005 11:00 The Mount DS0000040694.V264668.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 The Mount DS0000040694.V264668.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. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Mount Address 6 Liverpool Road, North Burscough Nr Ormskirk Lancashire L40 5TP 01704 893907 01704 896181 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) Social Services Directorate Miss Karen Smith Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 4 service users to include; Up to 4 service users in the category of LD - Learning Disability. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 7th September 2005 Date of last inspection Brief Description of the Service: The Mount is situated in a residential area of Burscough. It offers planned respite care for up to 4 younger adults. Service users have, primarily a learning disability and some additional physical disabilities. The home offers a comfortable environment. Accommodation is in single bedrooms, with a lounge area, dining area, and bathroom and toilet facilities. The grounds are open and spacious with ramped access. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second of two statutory inspections to be carried out this year. The inspection was an unannounced one and took place on the 19/12/2005. The inspection was undertaken by one regulatory inspector. On the day of the inspection there were no service users resident at the home although some were due to be admitted later in the day. Files were examined and the manager and support staff spoken to. A tour of the home also took place. What the service does well: What has improved since the last inspection? What they could do better: Although staff training has improved, the home should continue to work towards 50 of the care staff achieving a recognised care qualification. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 6 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 Mount DS0000040694.V264668.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 The Mount DS0000040694.V264668.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): These standards were not assessed. EVIDENCE: The Mount DS0000040694.V264668.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): 9 Procedures were followed to ensure that all activities were risk assessed to ensure as far as possible the safety of the service users. EVIDENCE: There were general risk assessments in place for the home in relation to activities undertaken by service users e.g. visits to community facilities. In conjunction with these there were risk assessments in place for each of the service users and the activities they were likely to participate in. The assessments highlighted the action that needed to be taken to minimise the risks and hazards for service users as they participated in these activities. Discussion with a member of staff confirmed that any activities were risk assessed prior to service users participating in them. The Mount DS0000040694.V264668.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): 12, 13 and 15 Service users were supported to participate in appropriate community based activities encouraging both a continuity of care and opportunities to extend experiences and interests. EVIDENCE: During their stay at The Mount the service users were supported to attend day centres, colleges and work placements. The manager stated that the service user would be supported to find out and take up educational and employment opportunities if this was identified as part of a service users person centred plan. These arrangements were confirmed in documentation in service users files and through discussion with the manager and support staff. Documentation on service users files and discussion with support staff indicated that service user were encouraged and supported to integrate into community life through trips to the local shops, pubs, McDonalds. The manager stated that staff used their own cars to transport service users, enabling them to use local facilities. The local dial a ride service was also used. Staffing was organised to ensure that the staffing ratios were at their highest at the busiest times of the week enabling service users to enjoy the range of activities on offer. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 11 From discussion with staff and from documentary evidence it was clear that the home maintained contact with families in between the service users periods of respite care ensuring as far as possible that good relationships were maintained. Families and friends were welcome to visit service users during their periods of respite care and there was a policy in place to support this approach. The Mount DS0000040694.V264668.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): 20 The management of medication in the home was thorough, safeguarding the service users as far as possible. EVIDENCE: The home had comprehensive policies and procedures in pace in respect of the management of medication in the home. Documentation examined indicated that the support staff followed the procedures expected of them. The manager was very much aware that the management of medication was potentially more complex in a home offering only respite care and it was evident that she had thought through the procedures carefully to reduce the risk of any errors being made. There was written evidence in place that training had been arranged for all staff in the administration of medication The Mount DS0000040694.V264668.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): 23 The home had good policies and procedures in place in order to protect service users. EVIDENCE: The home had a range of policies and procedures in place, which were designed to ensure as far as possible that the service users were protected. The registered manager had produced some additional guidelines for the support staff as to the action they should take when managing physical and verbal aggression. Discussion with the manager and information on service users files confirmed that appropriate strategies were in place prior to admission to ensure that any challenging behaviour presented by service users could be managed effectively. The Mount DS0000040694.V264668.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): 30 The home was clean and hygienic, providing a safe environment for both service users and support staff. EVIDENCE: At the time of the inspection, the homes laundry was being moved to a more appropriate location within the home. There was documentary evidence in place outlining the work that was planned in respect of this move. The new laundry area included a sluice. The homes policies and procedures were comprehensive with a view to ensuring that the home was clean and hygienic and to control the spread of infection. On the day of the inspection the home was clean and free from odours. Discussion with the registered manager and support staff indicated that they worked positively to manage some difficult situations and ensure that standards of hygiene in the home were maintained at a high level. Guidance had been sought from the appropriate departments within the County Council in respect of this. The Mount DS0000040694.V264668.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 and 34 The support staff at the home were carefully selected and had the necessary qualities and competencies to meet the needs of the service users. EVIDENCE: Discussions with and observation of the staff at the home confirmed that they had the competencies and qualities required to meet the needs of the service users accessing the home for respite care. The staff spoken to were well motivated and keen to provide a developing and appropriate service for the service users and their families. Documentary evidence and discussion with the staff confirmed that staff received a range of appropriate training. When necessary, specific training was provided for the staff team, with a view to meeting the needs of the service users. There was an awareness of the need to ensure that the service user group resident at the home at any one time were compatible and a policy was in place to underpin this approach. As a result of this any admissions were carefully planned with appropriate staffing levels being arranged. On the day of the inspection it was not possible to access the staff files, however discussion with a recently recruited member of staff confirmed that staff were only appointed following a rigorous recruitment and selection process during which the necessary checks were made and references taken up to ensure as far as possible the suitability of applicants. Discussion with the registered manager and a member of staff confirmed that service users were involved in the selection process and that their views were taken into account when appointing staff. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 16 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): 37 and 39 The home was well run and managed with needs of the service users determining as far as possible the service provided. EVIDENCE: The registered manager was well experienced and qualified in the field of learning disability. There was evidence on her training file that she had attended a range of courses during the last twelve months with a view to extending her competence and knowledge in her role as registered manager. From discussion with her and with the support staff present at the time of the inspection it was apparent that the home was well managed. This was confirmed by the results of a number of audits that had been undertaken at the home. The views of a number of health and social care professionals had been sought and these were all positive. The views of service users and their carers were sought following each period of respite care and again these were all positive. From the evidence on service users files and from discussion with the manager and support staff it was evident that the staff team aimed to ensure that they were fully aware of the support needs and the aspirations of each of the service users who accessed respite care at The Mount. The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X 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 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Mount Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000040694.V264668.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 The Mount DS0000040694.V264668.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!