Inspection on 08/12/05 for The Mount

This inspection was carried out on 8th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Mount 23/04/08

The Mount 13/04/07

The Mount 30/06/05

The Mount 05/10/04

The Mount 21/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 The Mount 29 Palmer Lane Barrow On Humber North Lincolnshire DN19 7BS Lead Inspector Janet Lamb Announced Inspection 8th December 2005 09:30 The Mount DS0000002815.V265226.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 DS0000002815.V265226.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 DS0000002815.V265226.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Mount Address 29 Palmer Lane Barrow On Humber North Lincolnshire DN19 7BS 01469 532897 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) Prime Life Limited Sandra Diane Hubbard Care Home 17 Category(ies) of Learning disability (17) registration, with number of places The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must now adhere to the Residential Staffing Forum guidelines in respect of staffing levels. 30th June 2005 Date of last inspection Brief Description of the Service: The Mount in Barrow on Humber, owned by Prime Life Ltd, provides personal care for 17 adults with learning disability, in single rooms (except for one double), on two storeys. The house with two bungalows is set in its own grounds, and is not suitable for people with physical disabilities (though one bungalow is suitable). Local shops and amenities are close by in the village and the home has its own transport. There are large gardens for residents use. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection, one of two required in each inspection year, took approximately 5 hours to complete. The inspection involved speaking to service users, staff and the Manager, viewing some of the communal areas of the home and all of the bedrooms, and inspecting some of the records and documents held there. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement was made in this section. EVIDENCE: No evidence was gathered in this section. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement was made in this section. EVIDENCE: No evidence was gathered in this section. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement was made in this section. EVIDENCE: No evidence was gathered in this section. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement was made in this section. EVIDENCE: No evidence was gathered in this section. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement was made in this section. EVIDENCE: No evidence was gathered in this section. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 only. Residents have a very homely, comfortable and safe place in which to live. EVIDENCE: The home has been refurbished and redecorated since the last inspection. A tour of the house revealed all bedrooms have been fitted with new furniture and all but one has been redecorated. Some rooms have been enlarged or made smaller and new bathrooms have been created, and all areas now meet the requirements of the environmental standards. A garden decking area has been built to the rear of the house and the whole of the outside of the house has been upgraded. There is now a hot tub and exercise/relaxation room, which is available to residents and also to residents of The Manor House, sister home to The Mount. Overall standards have been improved for residents. The lounges and dining room have been made to look more homely and the kitchen has been upgraded. Residents spoken to were very satisfied with the changes, though not everyone liked the hot tub. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35. Residents have their individual and joint needs well met by competent and qualified staff. EVIDENCE: Residents are very well supported in their daily lives and routines by a staff group, which is competent, experienced and qualified. There are four staff that have completed NVQ level 2 and another four still doing the award. Once completed there shall be 67 of care staff with the qualification. All but two new staff have completed the Learning Disability Award Framework course. Staff also undertake company statutory training in fire safety, first aid, food handling, moving and handling, medication administration and health and safety. Conversations held with the Registered Manager and staff, about qualifications, was confirmed by the staff files. Staff were observed interacting very well with residents, and meeting their needs individually. Residents greatly enjoy walking out to the local shops with the staff and the day of the inspection was no exception. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Residents are somewhat involved in the running of the home and their health, safety and welfare are promoted, but they could be included more in the monitoring and quality assuring of the service. EVIDENCE: The Registered Manager has now completed the NVQ level 4 Registered Manager’s Award, and completes short courses with the company as necessary. Residents benefit from having a Manager that is very experienced in managing and caring for people with a learning disability. They are involved daily with the running of the home wherever possible and where it directly affects them. Their views are taken into consideration on a daily basis and also as part of the home’s quality assuring and monitoring systems, which are still in their early stages. Once the quality assurance system has reached the end of a cycle and a review of the system has been carried out, the CSCI must receive a copy of the review report, as in regulation 24. This regulation is expected to be met The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 15 within the next 6 months. Observation of residents’ interaction with staff and management reveals they are confident their views and plans for their future are listened to on a daily basis. Evidence in the form of the review report must be received within 6 months, if this standard outcome is to remain scored as met. The Manager and staff maintain equipment, systems and services throughout the home to ensure safety and welfare of residents. There are policies and procedures in place, guidelines to follow and training for staff in the appropriate areas of health and safety. Safety records and monitoring documents are held, along with risk assessment documents. Fire safety checks are made and drills held regularly as required and a fire risk assessment is available. All other safety measures and documentation to evidence them are in place, with the exception of a current electrical wiring safety certificate. The Mount DS0000002815.V265226.R01.S.doc Version 5.0 Page 16 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 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Mount Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000002815.V265226.R01.S.doc Version 5.0 Page 17 Yes. 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 YA5 Regulation 5 Requirement The Registered Provider must develop a contract that meets the requirements of standard 5 and regulation 5. (This is a continuing requirement.) The Registered provider must ensure the home has a current electrical safety certificate following an electrical safety check completed by an approved electrician. Timescale for action 28/02/06 2 YA42 13(4) and 23(2)(p) 31/01/06 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 DS0000002815.V265226.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 DS0000002815.V265226.R01.S.doc Version 5.0 Page 19 - 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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