Care Home: 5 Park Hill Drive

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What the care home does well Although the service has been registered since December 2007, there has been no one living in the home until July 2009, and as such it is still in it`s infancy.The two people who are living in the home on a permanent basis, have been given good support to move and settle in 5 Park Hill Drive.The environment is excellent. The home has very good quality furnishing and fittings, and was very clean on the day we visited. People living in the home have personalised their bedrooms to reflect their personalities and interests. People living in the home are encouraged to participate in activities outside of the home, and to keep links with family and friends. Staff supporting people living in the home have received a good induction, and good training to help them meet the needs of the people they support. People living at 5 Park Hill Drive are encouraged to help with tasks in the home, and help with cleaning, and cooking where appropriate.There are good management systems in place to ensure the health and safety of both people who live in the home, and the workers who support them.We observed a good rapport between residents and staff. We also observed that good relationships had developed between the residents, including the resident using the service for respite care. What has improved since the last inspection? Not applicable. What the care home could do better: The service needs to improve staffing during the day and week-ends so that there is not the reliance in using the day care facility at 9 Grace Road, to ensure there is staff support for people living at 5 Park Hill Drive. This would enhance the lifestyle of residents, enabling them to stay at home, or undertake activities with staff outside of their home environment. If day care at 9 Grace Road is being used to support the needs and aspirations ofindividuals, this should be included more fully in the care planning process, detailing how the activities undertaken during their time at the facility will meet those aspirations. This should also be part of the review process. Management should ensure the AQAA provides information more specific to how the needs of people at 5 Park Hill Drive are being met, as opposed to an overview of both 5 Park Hill Drive, and 9 Grace Road, which it has close links with. Key inspection report Care homes for adults (18-65 years) Name: Address: 5 Park Hill Drive 5 Park Hill Drive Aylestone Leicester LE2 8HS The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Fiona Stephenson Date: 1 9 1 1 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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 Care Homes for Adults (18-65 years) Page 2 of 26 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 mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 26 Information about the care home Name of care home: Address: 5 Park Hill Drive 5 Park Hill Drive Aylestone Leicester LE2 8HS 01162331035 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : 9 Grace Road Limited care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 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 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 26 A bit about the care home 5 Park Hill Drive is a residential care home for up to three adults with learning disabilities. The service is suitable for people who are working towards living more independently. It also provides a respite care service. The home is a three bedroom house. Bedrooms, bathing and shower facilities are all on the first floor. People living in the home need to be able to use the stairs to access these facilities. On the ground floor there is a living room, dining room, kitchen and utility areas. Residents also have the use of a good sized and well planned garden at the back of the house. A staff sleep-in room is also on the ground floor. The home is close to local shops and amenities, and is close to Leicester city centre. There are close links with 9 Grace Road, a care home for people with learning disabilities owned by the same company, which is directly across the road. Fees are dependent on the assessed needs of the individual. Information about the service is detailed in the Service User Guide, and the Statement of Purpose. These can be requested by contacting the Manager of the service. Care Homes for Adults (18-65 years) Page 5 of 26 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: two star good 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 26 How we did our inspection: This is what the inspector did when they were at the care home This key inspection took place on the 19th November 2009. The main method of inspection we used was case tracking. This means looking at the care given to people in different ways. We did this by, - talking to people who use the service, - talking to staff and management, - looking at records. We looked at the Annual Quality Assurance Assessment (AQAA). This is a document the provider (the person who owns the service) sends to us at the CQC, and it tells us what the provider thinks about the service they deliver to people who use 5 Park Hill Drive. Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well Although the service has been registered since December 2007, there has been no one living in the home until July 2009, and as such it is still in its infancy. The two people who are living in the home on a permanent basis, have been given good support to move and settle in 5 Park Hill Drive. The environment is excellent. The home has very good quality furnishing and fittings, and was very clean on the day we visited. People living in the home have personalised their bedrooms to reflect their personalities and interests. People living in the home are encouraged to participate in activities outside of the home, and to keep links with family and friends. Staff supporting people living in the home have received a good induction, and good training to help them meet the needs of the people they support. People living at 5 Park Hill Drive are encouraged to help with tasks in the home, and help with cleaning, and cooking where appropriate. Care Homes for Adults (18-65 years) Page 8 of 26 There are good management systems in place to ensure the health and safety of both people who live in the home, and the workers who support them. We observed a good rapport between residents and staff. We also observed that good relationships had developed between the residents, including the resident using the service for respite care. What has got better from the last inspection What the care home could do better The service needs to improve staffing during the day and week-ends so that there is not the reliance in using the day care facility at 9 Grace Road, to ensure there is staff support for people living at 5 Park Hill Drive. This would enhance the lifestyle of residents, enabling them to stay at home, or undertake activities with staff outside of their home environment. If day care at 9 Grace Road is being used to support the needs and aspirations of Care Homes for Adults (18-65 years) Page 9 of 26 individuals, this should be included more fully in the care planning process, detailing how the activities undertaken during their time at the facility will meet those aspirations. This should also be part of the review process. Management should ensure the AQAA provides information more specific to how the needs of people at 5 Park Hill Drive are being met, as opposed to an overview of both 5 Park Hill Drive, and 9 Grace Road, which it has close links with. 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 Fiona Stephenson CQC East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA Email: enquiries.eastmidlands@cqc.org.uk Care Homes for Adults (18-65 years) Page 10 of 26 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 26 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 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides good information and support to people considering moving into 5 Park Hill Drive. Evidence: We looked at the information people are given to help them know about the service they will receive if they choose to live at 5 Grace Road. We saw that the Service User Guide and Statement of Purpose gave people good information about the service. This is currently not in a format that would be easier for people with learning disabilities to understand (e.g. picture bank), but we were told that the service is working towards having its information in this format,and saw some evidence of this being done. We looked at the records and saw that people who move into 5 Park Hill Drive have had detailed assessments made to check that their needs can be met by the service. We were also informed that before people move into the home, they have the opportunity to visit for the day, to help them get to know the staff, and other residents and to find out for themselves what the service is like. Care Homes for Adults (18-65 years) Page 13 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual needs and choices of people living at 5 Park Hill Drive are being adequately met. Evidence: We saw that each person who lives at 5 Park Hill Drive has an individual care plan which says what their needs are, and how the service is going to help them meet their needs. We saw that the plans are reviewed regularly and updated. We saw that the service identifies if there are any risks that staff need to be aware of and how to support people in reducing those risks e.g. road safety. But the risk assessment was not always clear about why the person needed support. We saw that all people who live at Park Hill Drive go to the day care facility at 9 Grace Road. We were told by management that this had been agreed with the service users, and those advocating on their behalf, however this information was not clearly documented in their care plan. Nor was there information about how the activities at the day care centre would support the needs,aspirations and goals of the residents who attend. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Care Homes for Adults (18-65 years) Page 15 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at 5 Park Hill Drive, currently have their lifestyle compromised by having to go to the day care facility at 9 Grace Road during the days they are not involved in other activities outside of the home. Evidence: We saw that people living at 5 Park Hill Drive have good relationships with each other and with staff. Staff work well with residents to help them develop independent living skills, and to live their lives as they would wish to. We saw that people living in the home go college, and to groups that meet their needs e.g. art group. We noticed that people are encouraged to keep good links with family and friends. Whilst visiting, we noticed that all residents at 5 Park Hill Drive went across the road to another residential home for people with learning disabilities, which is owned by the same company. We were told that this home has day care facilities which people at 5 Park Hill Drive use. We were told that if people dont go to college during the day or other Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: activities, then they go to day care. We were informed that this happened during the week-end as well as during the week. The manager told us that because the home has only recently been fully occupied, they havent had the staff to enable people to stay at home all day if they wanted to. He informed us that they are currently recruiting with the aim to give people more opportunities to stay at home and undertake activities with staff in their own home. We saw that the current lack of staff means that people living at 5 Park Hill Drive do not have a day when they can just relax in their own home. We did see that people enjoyed the activities at the day centre. We saw that people choose their own breakfasts and evening meals. The main meal is given during the day, and again this is when people are at the day care facility. People are given options for the main meal whilst at the facility. Care Homes for Adults (18-65 years) Page 17 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at 5 Park Hill Drive receive good personal and health care support. Evidence: We saw that people living at the home receive personal support in the way they prefer and require. People living at 5 Park Hill are encouraged to be independent and visit local health care services. We checked that medication was being administered properly and we were satisfied that it was. Staff who administer medication have been trained to do so. Prior to our visit, the manager of the service notified that a member of staff had made an error whilst administering medication. We were satisfied that the service had taken prompt action to ensure that the service user was safe. Care Homes for Adults (18-65 years) Page 18 of 26 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. There are good systems in place to protect people living at 5 Park Hill Drive. Evidence: We spoke with two of the people who live permanently at 5 Park Hill Drive. Both have recently moved into the home. Both felt able to talk to a member of staff or management if they had any concerns about the service they receive. The AQAA completed by the manager, tells us that the service has a complaints procedure, and that they like to deal with complaints quickly and effectively. The staff have been trained to Safeguard people they support. This means they are alert to the signs of abuse, and know who to contact if they are concerned that anyone living in the home is being abused. Care Homes for Adults (18-65 years) Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and very pleasant environment. Evidence: The home is a family sized home, and is furnished to a high standard. People have their own bedrooms which have been personalised to suit their needs. They can also have a key to their bedroom should they choose, and one of the residents has chosen to do this. Although residents do not have en suite facilities, there is a shower room and toilet, and bathroom and toilet on the same floor as the three bedrooms. There is a good sized kitchen and separate utility room for laundry. Staff have a sleep-in bedroom on the ground floor of the house. Residents make use of a good sized garden at the back of the house, which is well tended to. The house was in a very clean condition at the time of our visit. We were told by people who live there, that they help to clean the house, and do their own chores where possible. Care Homes for Adults (18-65 years) Page 20 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Current staffing deployment relies too heavily on residents using the day care facility at the care home across the road from 5 Park Hill Drive. Evidence: Staff who work at 5 Park Hill Drive also work at 9 Grace Road. Prior to July 2009 there was no one living in the home. The home now has two permanent residents and one person on respite care. There are sufficient staff on duty to support care during the night and in the first part of the morning, and later afternoon and evening. But currently if residents are not undertaking other activities, they have to go to the day care room at 9 Grace Road, and this can be from 10.30am to 3.00pm. This is happens both during the week, and at week-ends. We were told by the management of 5 Park Hill Drive that they are currently recruiting new staff, and they recognise that residents should be able to stay in their own home when they are not undertaking a planned activity. We checked the records of staff and are satisfied that the management have undertaken all the necessary checks when recruiting staff; and have provided staff with training necessary for them to do their work effectively. Care Homes for Adults (18-65 years) Page 21 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is being managed well. Evidence: The registered manager is experienced in working with people with learning disabilities, and has recently completed his National Vocational Qualification in Care to level 4 (management level). People have not been living at the home long enough for a formal quality assurance process to be applied, however other systems are in place such as care plan reviews, team meetings, staff training and staff supervision. The AQAA gave us detailed information, but not specifically about 5 Park Hill Drive, the information also covered 9 Grace Road. Both services work very closely with each other, however they are separate registrations. Care Homes for Adults (18-65 years) Page 22 of 26 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 26 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 1 32 18 The provider must inform the 29/01/2010 CQC of how the service is ensuring that residents have more opportunities to spend time in their own home during the day and weekends. It is not progressing the independence of people, and supporting them to live in a homely environment if they have to go to day care at another home, when not involved in other activities. 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 6 The service should more clearly document in the care planning process the reasons why people are using the day care services, and how this service will benefit them in Page 24 of 26 Care Homes for Adults (18-65 years) 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 achieving their goals and aspirations. 2 9 The service needs to be more specific when writing the risk assessments about why there is a risk, and why the person needs support. The AQAA should give more specific information about the residents living at 5 Park Hill Drive, and how the service is meeting their specific needs. 3 39 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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. 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