Care Home: 78 Polwell Lane

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What the care home does well The service is homely, and there is a family atmosphere at the home. The bedrooms reflect the personal preferences of the people who use them. Staff receive excellent training and regular supervision to support them in the work they do. Staff were observed to have an excellent understanding with people who live in the home, and clearly knew how to respond to their needs. Care plans are very detailed, person centred, and support excellent health and personal care. People living in the home have a rich and varied life, being supported in undertaking a range of activities to suit their needs and preferences. The providers are very conscious of health and safety, and there are good recording systems in place to ensure that health and safety needs are met. The service has good links with other health and social care professionals, and use these to support the needs of people living in the home. What has improved since the last inspection? The staff have recently introduced a more user friendly support planning format Staff have attended training on deprivation of Liberty standards. Service users have been provided with communication aids to support their time in the home. What the care home could do better: The manager highlighted the following areas for improvement in the AQAA. We could enable service users in developement of their own care planning Service users could assist in the recruitment and interviewing of new staff By purchasing a digital camera, staff could build up a photograph library of activities. To provide Service Users the means to have their say about their lives with the BILD forum helping to empower people. (The British Institute of Learning Disabilities (BILD) is a national charity committed to improving the quality of life for the 1.2 million people in the UK with a learning disability.) Staff commented on what the home could do better "better use of the garden". Key inspection report Care homes for adults (18-65 years) Name: Address: 78 Polwell Lane 78 Polwell Lane Barton Seagrave Kettering Northants NN15 6UB     The quality rating for this care home is:   three star excellent 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: Keith Williamson     Date: 2 8 0 7 2 0 0 9 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. that people have said are important to them: They reflect the things 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 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 25 Information about the care home Name of care home: Address: 78 Polwell Lane 78 Polwell Lane Barton Seagrave Kettering Northants NN15 6UB 01536722609 TOBEADVISED s.donaldson@consensussupport.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: HR Care Homes Limited care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: A total of 5 service users in the category of LD (Learning Disabilities) with PD Physical Disabilities) between the ages of 18 and 65 years may be acc ommodated in the home. No more service users may be admitted to the home when 5 service users in the category of LD (Learning Disabilities) with PD (Physical Disabilities) a re already accommodated in the home. Date of last inspection Brief description of the care home The home is purpose built, with accommodation for Service Users being on the ground floor. It is bright and airy and furnished in a homely manner. Service Users rooms are large, all have ensuite facilities and have furniture appropriate to peoples individual needs. The home situated in a residential area of the village, close to the amenities of Kettering Town. Transport is provided by the Homes own minibus, this is in addition to peoples own personal transport. Accommodation is provided for up to five younger adults, of either sex, who have a learning disability as well as physical disabilities. The Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 0 5 5 Brief description of the care home current fees range from £1764 to £1905 per week according to the persons assessed need. In addition to this, Service Users are required to pay £20 per week towards transport costs for activities such as sailing, holidays and outings. 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 peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections is on outcomes for Service Users and their views of the services provided. The main method of inspection used was case tracking which involves selecting a sample number of clients and tracking their care they received through talking with them, where possible and looking at their records and accommodation, in this case three Service Users were chosen. This visit took place over one day, commencing at 9.30pm and took six hours to complete. An opportunity was taken to observe the Service Users, talk with the Manager and staff, look around the home, and view records, policies and care plans. Information was also obtained from the Annual Quality Assurance Assessment, which gives information on the Service Users, home and the staff group. Comment cards were sent to the Service Users and staff, four were returned from Service Users and two from Care Homes for Adults (18-65 years) Page 6 of 25 staff. Service User comments were completed by someone assisting them. Comments included I am supported to the cinema, bowling, shopping, parks and other activities, my bedroom has just been decorated, I met the manager who asked me my likes and dislikes, and I visited the home before I moved in, I like to be informed about my life I like to choose, I get out most weekends, sometimes on a Saturday I like a lie in, this is OK. Staff commented on what the home does well, as Activities, nutrition, training and good staff working. Polwell Lane has a homely feel about it, and the Service Users are always put first, have choices and a say what goes on in their home, we have regular meetings to keep them informed. Staff commented on what the home could do better better use of the garden. Four staff were spoken with, and all Service Users were seen, and their interactions with the staff group observed. The quality rating for this service is 3 star. This means the people who use this service experience EXCELLENT quality outcomes. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 8 of 25 following this report, you can contact them using the details 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 9 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 10 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. Service Users continue to be offered detailed information on the service Evidence: The staff have developed a comprehensive statement of purpose and service users guide, which is very specific to the current group of people in the home. The information is available in a number of different formats which allows everyone in the home to understand it. This is produced including pictures and spoken translations. The complaints procedure is also included in the different styles of the guides. People have their needs assessed prior to moving into the home. No new service users have been admitted to the group since the last visit to the home. The assesments seen were very detailed, and included updated information, recognising any changes in the persons abilities and needs. Service users made the following comments through the comment cards sent to them prior to the visit, I met the manager who asked me my likes and dislikes, and I visited the home before I moved in Care Homes for Adults (18-65 years) Page 11 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 good 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 each person living at the home are well documented and acted upon by staff supporting people who live there. Evidence: We looked at the care records of people living at Forest Road. We found very detailed records to support the care and support offered to people who live at the home. Care plans are adapted into a format more easily understood by people who live there. We saw that care records were routinely up-dated to ensure they reflected the changing care needs of people living in the home. We saw that staff have a good understanding of the risks relating to each person who lives there, and have put risk assessments in place to reduce risks associated with each person. During our visit we observed staff being very mindful of how people might react to the change in events our visit caused. Staff ensured that appropriate action was taken to reduce the possibility of challenging situations. Care Homes for Adults (18-65 years) Page 12 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 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 the home have a rich and varied lifestyle. Evidence: We looked at the life plans of people who live at the home. These showed us people experienced a rich and varied social life. People have continuing education in the home, and go to the day centre to learn life skills. People also undertake sporting activity and go on a range of activities including bowling, swimming, visits to the pub and enjoy trips out. We saw that staff are sensitive to the individual needs of people living at the home. They were aware of the preferences of people in terms of where they prefer to sit in the home, and when they like to have company or be alone. We saw staff talk to and interact well with people who live there. Staff also were aware of how to effectively communicate with each person. Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: We saw the menu for people, this reflected their indivdual needs. The menus are all very similar, but there are adaptations to ensure the individual needs of each person are being met as detailed in their care plan. The menu provides a balanced and healthy diet. Service users made the following comments through the comment cards sent to them prior to the visit, I am supported to the cinema, bowling, shopping, parks and other activities. Staff commented on what the home does well, as Activities, nutrition, training and good staff working. Care Homes for Adults (18-65 years) Page 14 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. People who live at the home have excellent personal and healthcare support. Evidence: We looked at the personal and healthcare records of people who live at the home. We saw that they have good access to healthcare services to meet their personal and healthcare needs. On talking to staff as well as looking at the records, we found that staff act quickly on concerns they have about peoples needs, and these prompt actions have resulted in a good quality of life for those concerned. Staff use very advanced and innovative ways to communicate with people. Staff are able to tell changes in moods and recognise events such as the person experiencing pain. We looked at medication management and found that staff are administering medication appropriately to people who live at the home. We also looked at how medication is stored and this was stored safely. We saw staff records and these showed us that staff have undertaken training in the administration of medication. Care Homes for Adults (18-65 years) Page 15 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. People who live at the home can be confident that their concerns are listened to and acted upon, and they are protected from abuse. Evidence: We looked at the complaints procedure and saw that this was written in a way which is more helpful for people living at the home to understand. We saw very good interaction between people who live in the home, and staff who support them. We were told in the AQAA that the views of people living in the home are important, and that the service wants to get it right first time. We saw by looking at staff training records, and by talking to them that staff have a good understanding of safeguarding policies and procedures. Staff know what to do if they suspect that a person who lives in the home is being abused in any way. We also saw by looking at staff records, by talking to and observing staff that they understand how to work with people with challenging behaviour. People who live in the home have their own bank accounts. Staff support people living at the home in being responsible for their money. We checked the financial records at the home, and found accurate recording of money balances. Care Homes for Adults (18-65 years) Page 16 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home, live in a homely, comfortable environment, which is personalised to their needs. Evidence: We looked at the communal areas of the home and the bedrooms of people who live there. We found the communal areas to be very well decorated and homely. The bedrooms were decorated to reflect the personalities and preferences of the people using them, and included many items personal to the peolpe there. The staff have a detailed maintenance and renewal programme for furniture and fittings in the home. This is continually updated, as part of the quality control in the home and we saw how that translated in the home being well maintained. Staff are aware of hygiene and how to control the spread of infection. This is important as it keeps people safe in the home. Staff commented on what the home does well, as Polwell Lane has a homely feel about it, and the Service Users are always put first, have choices and a say what goes on in their home, we have regular meetings to keep them informed. Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: Service users made the following comments through the comment cards sent to them prior to the visit, my bedroom has just been decorated, I like to be informed about my life I like to choose, I get out most weekends, sometimes on a Saturday I like a lie in, this is OK. Staff commented on what the home could do better better use of the garden. Care Homes for Adults (18-65 years) Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The number, and skill mix of staff provide excellent support for people who live in the home. Evidence: We talked to staff and saw them supporting people who live in the home. We saw very good interaction between staff and people who live in the home, and staff demonstrated a very good understanding of the needs of people living there. We saw excellent levels of staff support, and detailed non verbal communication, with people living at the home having at least one to one support during the day. This ensures peoples needs are being met by a regular in put from staff. All staff said they were supported well to do their job, through induction training, on going training relating to the job they do, and through regular supervision. We looked at a sample of staff recruitment records, and saw that all the necessary checks were made to safeguard people who live at the home. We looked at training records and this confirmed that staff have undertaken a wide range of training to help them in their roles, some of this before working with service users. Training included health and safety, medication management, working with autism, and working with challenging behaviour. Training is organised in such a way that courses are obtained Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: from in house as well as external sources, and some ensures how aware staff are by having written tests following the courses. This indicates senior staff monitor how well staff perform within the home, and arrange training accordingly. One member of staff commented on the training provided by the company, and said they felt very well supported. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed effectively to provide a good quality of life for people who live there. Evidence: The registered manager has been in the home for a number of years and has the experience and qualifications to provide a suitable and safe environment for people living there. There are quality assurance and monitoring systems in place, and we saw the last audit undertaken by the providers. We were informed that they have reviewed the style of the questionnaires and hope to have them in a more user friendly format the next time they are used. Outcomes from the quality assurance monitoring is made available to people in the home, their representatives and those considering coming to stay at the home. We viewed a number of the policies and procedures, that are produced by the parent organisation. We were satisfied that these provide good guidance for the staff to Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: operate safe working practices. We looked at a number of tests the staff do to monitor areas such as the fire detection system, the hot water regulating system. These were up to date and showed us the staff monitoring helps keep people safe in the home. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes R 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 1 20 13 (2) Staff must sign the 31/08/2007 medication record sheets (MAR) upon medication being administered. 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 Requirement 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 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 24 of 25 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. 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. 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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