Inspection on 07/09/05 for The Mount

This inspection was carried out on 7th 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

The Mount 30/04/09

The Mount 17/04/08

The Mount 18/04/07

The Mount 19/12/05

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 L40 5TP Lead Inspector Ajam Auckburally Announced 7 September 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Mount Address 6 Liverpool Road North Burscough Nr Ormskirk L40 5TP 01704 893907 01704 896181 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Social Services Directorate Lancashire County Council Miss Karen Smith Care Home 4 Category(ies) of LD Learning Disability (4) registration, with number of places The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3. 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. Date of last inspection 3 November 2004 Brief Description of the Service: The Mount is situated on Liverpool Road in Burscough and close to all amenities. The home is owned by Lancashire County Council and provides respite and short term care for a maximum of four people with learning disabilities. The home is a dormer bungalow and there are 4 single bedrooms to accommodate the residents. A lounge/dining room is also available on the ground floor. There are facilities such as a ramp, disabled toilet and other aids to help the residents remain as independent as possible. A manager and supporting care staff are employed to provide 24hr care to the residents. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first of two statutory inspections to be carried out this year. The inspection was an announced one and took place on the 7th September 2005 and lasted for 4 hours. The inspection was carried out against the National Minimum Standards for Adults (18-65). There were four residents living at the home at the time of the inspection but they were all out attending day centres. However, it was established from speaking to the staff, reading records and comments received from relatives that the residents are well cared for. What the service does well: What has improved since the last inspection? More training courses have been provided by the local authority for the staff. These include LDAF (Learning Disability Award Framework), NVQ (National Vocational Qualification). The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 6 Most of the recommendations and requirements made during the previous inspection have been met. They include providing a contract to the residents and providing more information on the care plans. 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 Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The procedures and practices for admitting new residents are efficient. Residents coming to stay at the Mount have all their needs fully assessed and met. EVIDENCE: All new admissions to the Mount for respite care are referred to by the local social services department and the pre admission assessments are done by the social workers. The manager said that once a referral has been made by the social worker, she will visit the prospective resident at his/her home accompanied by another member of staff. She said that this meeting with the residents and their families is an important part of the pre admission process. Information about the resident is gathered with input from both the resident and his family. The manager said that this exercise helps her and the staff provide appropriate care to the residents. Another important part of the pre admission process is the visit by the prospective resident to the home for as many times as is needed. The manager said this is to ensure that the resident is comfortable with the home, the staff and other residents. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 9 Written information such as the service user guide and other information about the Mount are provided at this stage. The manager said another point of contact with prospective residents who may need respite care is at the regular meetings held for this purpose. The meetings are also attended by families and by people who provide adult placements. The manager said that the assessments play a vital part in deciding whether to accept a resident for respite care or not. She said that residents coming for respite care at the Mount have great expectations and the way not to disappoint them is to meet all their needs and to ensure that they enjoy their experience. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7 The care plans devised are good. Residents have full choice about the care they receive. There are good care plans for the residents and they can be involved in their day-to-day activity. EVIDENCE: The case files of two residents were examined and they clearly show that care provided is according to assessments made during the pre admission process. They show that risk assessments of the individual were done. The abilities of the residents and their likes and dislikes were recorded. One resident who is unable to communicate verbally had her dislikes of food recorded. This information was supplied by the parents. There were instructions for the staff on how the residents would like to be treated. It was recorded in one file what a resident would like the staff to do The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 11 for her and how they should do it. This was in relation to providing personal care. The manager said that the information received and collected play a major part in the care provided to the residents. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 17 The policy to protect the rights of residents is comprehensive. A nutritional and flexible catering system is operated. People staying at the home have their rights protected. They enjoy a good and varied diet. EVIDENCE: The manager said that all the residents’ rights are protected by ensuring that the staff are well trained. There are policies on protecting the rights of residents which include their rights to do what they want. This is only restricted by the residents’ own limitations. The manager said that the main meal is served in the evening. She said that there is no planned menu for the meals as the residents will choose what they want to eat. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 13 As the residents were attending day care, their lunches were being provided at the centres. They can take pack lunches if they preferred. The records of meals served were examined and they showed that varied and nutritional foods were provided. The records also showed that the residents were able to choose different meals. The manager and the staff on duty said that the residents can within reason have what they want to eat. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 The arrangements to meet the physical and emotional care for the individual are good. The residents stay in an environment where they have choices in their personal care. EVIDENCE: Personal care provided by the staff is based on the assessments and care plans. Each resident is cared for according to his needs and requirements. The staff said that they are always around to talk to the residents if they have any problems. They said that they are there to make sure that all the needs of the residents are met in a friendly and efficient way. Personal and delicate care is provided in the privacy of the resident’s bedroom or the bathroom. The staff said that they always respect the privacy of the residents. The manager said that all the health care needs of the residents are attended to while they are staying at the Mount. This will include doctor or hospital appointments. If the district nurse was visiting someone while they were at home, this service will continue. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The arrangement to give residents the opportunity to speak their minds is good. Residents live in an environment where they can speak freely. EVIDENCE: The residents are given the opportunity on a daily basis to air their views. The manager said that although some of the residents have poor verbal communication, she and her staff are able to communicate with them. She said that this is due to the experience all the staff have in caring for people with learning disabilities and also knowing the residents well. The manager said that everyone is encouraged to participate in discussions. The home has a well written policy on complaints. The procedures are that people should in the first instance speak to the staff if they have any complaints. The Commission for Social Care Inspection (CSCI) can be contacted if there is still a problem. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The Mount provides a good, safe and comfortable accommodation for the residents. The residents live in a home where they feel safe and comfortable. EVIDENCE: During the tour of the building, the inspector observed that the home is well maintained and that all areas were safe. There were no obvious hazards. The bedrooms checked were found to be clean and as tidy as the residents wanted. All the communal areas were found to be clean and furnished with easy chairs and sofas and other equipments to make the residents’ stay comfortable. There are policies and procedures on health and safety issues to ensure that the residents are kept safe from harm. The home is well maintained and there is a rolling programme of maintenance. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff training is an important aspect of the home’s development and forward planning. Residents are cared for by a team of well trained staff. EVIDENCE: Ten care staff are employed by the home. Of those only 1 has completed her NVQ level 2. CSCI recommends that 50 of care staff should achieve their NVQ level 2 by 2005. The manager said that the social services department is committed to providing this and other training to the staff. The staff spoken to said that she has attended an induction course consisting of Moving and Handling, First Aid, Food Hygiene. Other training courses attended by the staff are: LDAF (Learning Disability Award Framework) Managing Challenging Behaviour Abuse The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 18 Epilepsy Racial Awareness. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health care arrangements and the promotion of the welfare of the residents are efficient. The residents feel safe and their health care needs are well catered for. EVIDENCE: All of the residents staying at the home are from different part of West Lancs. Their doctors will visit in most cases. The manager said that if there is any difficulty, then a local doctor will visit. All the residents coming to stay at the home are advised to bring their own medications and a copy of their prescriptions. The manager said that this system works very well and that she has had no problems getting health care services for the residents. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 20 The manager said that she and her staff are fully aware of the need to protect vulnerable residents from hazardous situations. All residents coming to stay are risk assessed to ensure their wellbeing. The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Mount Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations The Mount F57 F08 S40694 The Mount V239901 070905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW 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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