Care Home: 47 Averill Street

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What the care home does well Service users continue to live in a home that offers them personalised high quality service which is able to meet their individual needs and expectations.We saw that each service user was living as they desired and was able to receive individualised support to which they or someone close to them had agreed. Service users preferred day to day routines were recorded in detail as were health care requirements , meals, activities and personal aspirations. This means members of staff were able to clearly and concisely gain information on how the service users required support and what was required to promote their independence, self worth and self esteem. One service user told us that they had been unwell and had received the support they needed to gain better health. Service users are supported to live as others within the community and were possible visit their own GP and clinics within the community rather than receive services at home. Information was recorded which demonstrated that members of staff made sure that service users received all their financial benefits including mobility allowances which has led to one service user having their own car to promote their independence. The manner , approach and conduct of members of staff on duty demonstrated that service users were empowered to live as they wished. We observed care and attention being provided which was clearly personal to the service users and at their request. Interactions between service users and staff were observed and heard which supported our belief that service users at the home live as they desire with support from members of staff. Meals and meals times were observed to be flexible with a general menu available offering service users choice. However we saw service users were able to and chose additional alternatives and received their meal when they wished rather than at set times to suit the home. The manager has improved links with community specialists who were provide support services to service users. Service users had their needs kept under review and records confirmed that statutory reviews were undertaken as required and that service users had been supported to contribute at such meetings. Heath care action plans are also kept under review and the way this is completed has improved since we last inspected. Each service users medication is kept individually as are their records. Minimum stocks are held on the premises and record keeping to demonstrate good management of medication was in place. Service users have continued to have days away from the home and annual holidays. Records identified how service users views were obtained and how plans were made to make sure all service users maintained their hobbies and interests, visit outside venues and places of interest as they wished and went on holiday. Staff training continues to be prioritised with the AQAA identifying that of the five full time and two part time members of staff, 70% of them have achieved a National Vocational Qualification ( NVQ) at level 2 or above with a further 20% completing such training. This exceeds the National Minimum Standard to have 50% of the workforce trained to NVQ 2 level or above. The organisation has recruited a new training co-ordinator who has been working closely with the service to ensure regular training updates are made available. Such trainingincludes the protection of vulnerable adults. All members of staff receive individual supervision, attend staff meetings, have training and development programmes in place and are appraised annually. This means service users are supported by members of staff who are trained, monitored and supported to a good level. What the care home could do better: We found no areas of the service which fell below the required standard. The AQAA identified that the registered manager had been able to evaluate for herself how the service could continue to develop over the next twelve months and had plans in place to do this. Random inspection report Care homes for adults (18-65 years) Name: Address: 47 Averill Street 47 Averill Street Newton Heath Manchester M40 1PH three star excellent service 11/05/2007 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sylvia Brown Date: 1 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: 47 Averill Street 47 Averill Street Newton Heath Manchester M40 1PH 01613209060 Telephone number: Fax number: Email address: Provider web address: delia.murphy@nwcs.ltd.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Deborah Mary McAllister Type of registration: Number of places registered: Conditions of registration: Category(ies) : North West Community Services (GM) Limited care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The registered person may provide the following category/ies 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 The maximum number of service users who can be accommodated is: 3. Date of last inspection Brief description of the care home 47 Averill Street is a residential care home providing 24-hour care and accommodation for 3 people with learning disabilities who may also have additional disabilities. The building is leased from the Manchester Methodist Housing Association with the North West Community Services Ltd contracted by Manchester City Council to provide support. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The home is situated in the Newton Heath area of Manchester and is close to local amenities and transport routes. The home is a purpose built bungalow sited on a residential street. All bedrooms are single occupancy. Communal and kitchen areas are large and can meet the needs of people with high mobility needs. At the rear of the house is a well-maintained garden. Fees are negotiated with purchasing authorities based on individuals support needs. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We conducted a random inspection of the service as part of our regulatory responsibility. We did this to see if there had been any significant changes in the delivery of the services provided and if any of those changes impacted negatively on the service users or affected the 3 Star Excellent rating given at the last Key inspection in 2007. At the last key inspection the quality rating given to the service was 3 star. This means the people who use this service were experiencing excellent quality outcomes. Since that time we have asked the registered provider to complete an Annual Quality Assurance Audit (AQAA) each year . The AQAA is a self-assessment document that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We have also conducted an Annual Service Review (ASR) each year which means we looked at all the information we had on the service including the AQAA and completed a report of our findings. Since we last inspected the service a new manager has been appointed who also manages the day to day running of another service. She has successfully completed the registration process with us to become the registered manager of the service in 2008. At this random inspection we found that there had been one new admission since the last key inspection. As a consequence we looked at that service users file in depth which we call case tracking. We were able to meet with the service user and consult with them about how they viewed the support they received. We had a look at one other service users file to gain an overview of how the service was continuing to support them. We spent 2.5 hours at the home and were able to observe service users as they went about their day to day routines, we spoke with the manager, observed support staff as they assisted service users and completed other duties. We looked around the home and looked at a sample of servicing records to confirm information provided to us within the AQAA. We found that the home continues to be managed to a good standard which provides service users with excellent outcomes. The manager was on duty was well organised and was able to provide us with all the information we asked for in a timely and prompt manner. For reporting purposes the terms we or our are used when referring to the Care Quality Commission CQC or inspectors acting on their behalf. What the care home does well: Service users continue to live in a home that offers them personalised high quality service which is able to meet their individual needs and expectations. Care Homes for Adults (18-65 years) Page 4 of 9 We saw that each service user was living as they desired and was able to receive individualised support to which they or someone close to them had agreed. Service users preferred day to day routines were recorded in detail as were health care requirements , meals, activities and personal aspirations. This means members of staff were able to clearly and concisely gain information on how the service users required support and what was required to promote their independence, self worth and self esteem. One service user told us that they had been unwell and had received the support they needed to gain better health. Service users are supported to live as others within the community and were possible visit their own GP and clinics within the community rather than receive services at home. Information was recorded which demonstrated that members of staff made sure that service users received all their financial benefits including mobility allowances which has led to one service user having their own car to promote their independence. The manner , approach and conduct of members of staff on duty demonstrated that service users were empowered to live as they wished. We observed care and attention being provided which was clearly personal to the service users and at their request. Interactions between service users and staff were observed and heard which supported our belief that service users at the home live as they desire with support from members of staff. Meals and meals times were observed to be flexible with a general menu available offering service users choice. However we saw service users were able to and chose additional alternatives and received their meal when they wished rather than at set times to suit the home. The manager has improved links with community specialists who were provide support services to service users. Service users had their needs kept under review and records confirmed that statutory reviews were undertaken as required and that service users had been supported to contribute at such meetings. Heath care action plans are also kept under review and the way this is completed has improved since we last inspected. Each service users medication is kept individually as are their records. Minimum stocks are held on the premises and record keeping to demonstrate good management of medication was in place. Service users have continued to have days away from the home and annual holidays. Records identified how service users views were obtained and how plans were made to make sure all service users maintained their hobbies and interests, visit outside venues and places of interest as they wished and went on holiday. Staff training continues to be prioritised with the AQAA identifying that of the five full time and two part time members of staff, 70 of them have achieved a National Vocational Qualification ( NVQ) at level 2 or above with a further 20 completing such training. This exceeds the National Minimum Standard to have 50 of the workforce trained to NVQ 2 level or above. The organisation has recruited a new training co-ordinator who has been working closely with the service to ensure regular training updates are made available. Such training Care Homes for Adults (18-65 years) Page 5 of 9 includes the protection of vulnerable adults. All members of staff receive individual supervision, attend staff meetings, have training and development programmes in place and are appraised annually. This means service users are supported by members of staff who are trained, monitored and supported to a good level. What they could do better: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement 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 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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