Care Home: 11 Beechpark Avenue

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 11 Beechpark Avenue 11 Beechpark Avenue Northenden Manchester M22 4BL The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Bell Date: 2 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 25 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 11 Beechpark Avenue 11 Beechpark Avenue Northenden Manchester M22 4BL 01619981247 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): St Bonaventures Trust Name of registered manager (if applicable) Miss Vanessa Ann Clarke Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 25 A bit about the care home 11 BeechPark Avenue is a care home registered to provide personal care and accommodation for 3 adults with learning disabilities aged between 18 to 65 years of age. The registered provider is St Bonaventures Trust. All residents have tenancy agreements in place. The house consists of 3 single bedrooms, a staff sleep-in room, lounge, dining area, kitchen, art and craft room, bathroom and a toilet. There is a utility room attached to the house for laundry. The home is wheelchair accessible with external ramps. The house is a detached building with a paved frontage and a landscaped garden to rear and side. It is set in a quiet residential street with houses of a similar type. It is well located for transport links by road and bus. The home is close to local shopping facilities. The weekly charge for the service is calculated according to the needs of the individual. The home has a Statement of Purpose and Service User Guide that provides details about the service and the functions and purpose of the organisation. These are available upon request. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 25 How we did our inspection: This is what the inspector did when they were at the care home We visited the home on two days. On our first visit we had a look round the building and looked at what staff had written down about people living in the home. On the second visit we sat and talked to two people who were living in the home and three of the staff that provide their support. The manager had also sent us some information about what happens in the home What the care home does well Care Homes for Adults (18-65 years) Page 7 of 25 People living in the home told us that staff treat them well. They trust staff and know that they will listen if they are worried about something. Staff support people to do the things that they enjoy. When people are not feeling well, staff will get in touch with the doctor and make sure that they remember to take their medicine at the right time. People living in the home can choose what they want to do each day and can make decisions about things that are important to them. One person told us about how he likes to go to college and he showed us the things he makes there. He also told us that he sometimes chooses to spend time on his own in his bedroom. Care Homes for Adults (18-65 years) Page 8 of 25 Both people we spoke to said that they feel safe living in the home and that they get on well with staff. Staff and managers treat people with respect and they work hard to make sure people are safe and happy. What has got better from the last inspection What the care home could do better Care Homes for Adults (18-65 years) Page 9 of 25 We think that written information about people living in the home should be written on separate pieces of paper. This is because there is a law called the Data Protection Act that says written information about people should be kept confidential. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Val Bell Regulatory Inspector Care Quality Commission 3rd Floor, Unit 1, Tustin Court, Port Way Preston PR2 2YQ 01772 730 100 Care Homes for Adults (18-65 years) Page 10 of 25 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The system in place to assess and monitor individual needs ensures that people can achieve the lifestyle of their choice. Evidence: We looked at the care records belonging to two people using this service. Their needs had been subject to continual reassessment and this ensured that they were receiving appropriate care and support. Risks had been identified and carefully assessed and staff were provided with clear guidance on what they must do to keep people safe from harm. This assessment process had been carried out in a person-centred manner, which means that people were valued as individuals and the support they received respected their rights, personal preferences and choice of lifestyles. This was commended as evidence of best practice. Care Homes for Adults (18-65 years) Page 13 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using this service receive the care and support that they need in a way that meets their expectations. Evidence: We looked at the support plans for two people using this service. The plans had been developed from consultation with the individual and their relatives, where appropriate. They detailed each persons needs and how these would be met in accordance with their preferences. The plans focussed on positive behaviour and provided staff with guidance on how to support people whose behaviour presented challenges to the safe delivery of care. The plans had been kept under constant review and had been updated as individuals needs had changed. Plans also recorded the decisions that individuals were able to make with or without support. In talking to staff it was clear that they respected and valued the people they support and had used innovative and creative ways of ensuring that people using the service had opportunities for growth and personal development. This was commended as evidence of best practice. Care Homes for Adults (18-65 years) Page 14 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People receive the suport they need to live their chosen lifestyles. Evidence: We looked at two support plans and had conversations with two people living the home. It was evident that people receive the right amount of support to lead fulfilling lives, both within the home environment and in the local community. Staff worked well with the relatives of people living in the home and this encouraged and supported people to maintain the relationships that were important to them. One person told us that he was doing a computer course at college and that he attended church with his family every week. He said that he got on well with staff and that they provided the support he needed to do the things he enjoyed. He told us that he was responsible for keeping his bedroom clean and tidy and for helping staff with the weekly food shopping. He said, I choose the meals I eat and he confirmed that he has access to drinks and snacks at any time. Records of meals provided had been Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: detailed separately for each person living in the home. This provided evidence that individuals were able to exercise choice in deciding what they liked to eat and drink. This was commended as further evidence of a person-centred approach to meeting the needs of people using this service. Care Homes for Adults (18-65 years) Page 16 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice so people living in the home can be confident they will be well cared for. Evidence: Two people using this service told us that they receive the right amount of support to lead the lifestyles that they prefer. This was provided flexibly and in a manner that respected their rights to privacy, dignity and choice. Staff are good at making sure people have regular health checks and have responded quickly when they were concerned about the health of people living in the home. We looked at the medication system used in the home. Records provided us with evidence that people were receiving their medication exactly as prescribed by their doctors. Medication was stored securely and the stock of medication had been accurately recorded. Care Homes for Adults (18-65 years) Page 17 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible, meaning that people feel listened to and taken seriously. Evidence: People using this service had been provided with a complaints procedure in an appropriate format and this included contact details for the Commission. A complaints record book was in place, although no complaints had been received since our last visit to the home. Care should be taken to ensure that complaints are recorded separately in order to comply with the requirements of data protection legislation. We asked two members of staff about the procedures in place for safeguarding people from harm. They told us that they had received training in what they must do to keep people safe and they know how to recognise the signs and symptoms of abuse. Two people living in the home told us that staff were good at keeping them safe from harm. Care Homes for Adults (18-65 years) Page 18 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in safe, clean, comfortable and very pleasant surroundings. Evidence: We were shown around the home by a member of staff and one of the people accommodated showed us his bedroom. This person told us that he keeps his bedroom clean and tidy. He also said that he spends time in his bedroom when he wants to be on his own. He had personalised his bedroom to reflect his interests and life choices. We found the home to be clean, hygienic and airy and there were no unpleasant odours present. People living in the home had been consulted about the decor, furniture and facilities provided, which were modern and domestic in nature. the homes equipment had been subject to regular maintenance. Planned refurbishment of the art room, hall, stairs and landing was due to take place in March 2009. people living in the home had chosen to go on holiday to Wales while this work was carried out. Laundry facilities were located in an outhouse and policies and procedures for the control of infection had been stringently followed. People living in the home had access to a safe and attractive garden, with adequate seating and shade provided during the summer months. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People receive care and support from staff that they like and who have the skills to support them correctly. Evidence: During our visits to the home we observed that sufficient staff had been deployed to meet the needs of the people accommodated. We looked at the personnel records belonging to two members of staff recruited since our last inspection. Suitable pre-employment checks had been obtained. Following their appointment, both staff had completed comprehensive induction programmes and had shadowed experienced staff during their first two weeks in the home. Both members of staff had attended a number of training courses and had been assessed as competent by the deputy or home manager. This was commended as evidence of best practice in ensuring that staff have the relevant skills and knowledge to provide good support to people using the service. Furthermore, staff files provided further evidence of staff supervision and appraisal to monitor their ongoing performance. Two people using this service told us that they like the staff and trust them to act in their best interests. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home was was managed well and the high level of consultation meant that people living in the home could contribute to the development of the service. Evidence: The manager was on holiday when we visited the home, although the deputy manager was present during both our visits. We found the deputy to be knowledgeable and competent to run the home in the absence of the registered manager. It was pleasing to note that the deputy took immediate action to respond to recommendations based on good practice. This provided evidence of best practice in managing a service that is responsive and sensitive to the changing needs of people living in the home. The service had a comprehensive quality assurance system in place to monitor, audit and review the outcomes experienced by people using the service. Policies and procedures had been produced in user-friendly formats so that people living in the home could be involved in decisions about the how the service was provided. peoples views were listened to at monthly house meetings and by completing questionnaires every year. The most recent survey was conducted in January 2009. The following is a sample of comments taken from these surveys, Staff always welcoming and the home Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: is always clean and tidy, very high standard of care. I have no complaints, always improving the standard of client care, always friendly and helpful. Extremely high standard of care. This provides evidence that the service is managed in the best interests of the people living in the home. We looked at a sample of health and safety records and found these to be accurate and up to date. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 22 Care should be taken to record complaints and concerns separately. This will keep personal information secure and confidential in line with the requirements of data protection legislation. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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