Care Home: Adrian House

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What the care home does well People who live at Adrian House are well cared for. They are encouraged to spend time in the local community and their independence is promoted. People who live at the home get good continuity of care and staff know people really well. The home seeks guidance and support, and works well with healthcare professionals and people`s healthcare needs are well met. What the care home could do better: Staff should receive more training that equips them with the right knowledge, understanding and skills. This will help make sure everyone who lives and works at the home is safe. Random inspection report Care homes for adults (18-65 years) Name: Address: Adrian House 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ two star good service 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: Carol Haj-Najafi Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Adrian House 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ 01132490341 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Adrian Maguire Type of registration: Number of places registered: Conditions of registration: Category(ies) : Adrian Maguire care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 9 The maximum number of service users who can be accommodated is: 9 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 category: Learning disability Code LD, maximum number of places: 9 Date of last inspection Brief description of the care home Adrian House is a family run home for men with a mild learning disability. The accommodation is in two joined terrace houses with large garden in the Chapeltown area of Leeds, close to bus routes and local amenities. The home is three storeys high Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home with bedrooms on the first and second floors and no lift. All bedrooms, which can offer single occupancy, are in excess of the minimum size requirements. None have en suite facilities. Communal areas are on the ground floor. The proprietor/manager has lived in the house with his family for many years. The adult members of the family, with the assistance of a paid part time care worker provide support. Most of the residents are over 65 and have lived like members of the proprietors extended family. The range of fees is available from the manager of the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We looked at all the information that we have received, or asked for, since the last inspection. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints or safeguarding incidents. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous inspection which was carried out on 9 August 2007 and annual service reviews. - Relevant information from other organisations and what other people have told us about the service. Surveys were sent out to people who use the service and at the time of writing this report one survey had been returned. One inspector carried out an unannounced visit to the home on 21st May 2010. We spent two hours at the home and spoke to two people who live at the home, a healthcare professional, the registered manager and his wife who also works at the home. We looked at training records, safeguarding information, behaviour plans and daily records. The registered manager and his wife are the main carers. One other staff works at the home and has worked there for a number of years. In the AQAA, the registered manager said, We run our home as an extended family and try and focus on the care and needs of our service users first and foremost. We promote our service users to be as independent as possible in their daily lives whilst offering support should they require it. We constantly look at our policies and procedures to review and refresh and keep our knowledge up to date. We constantly seek advice, help and support from other third parties and incorporate their advice into the running of the home for the benefit of our service users. People we spoke to during our visit told us they are happy living at Adrian House. One person said, We do different things and the food is very nice. Another person confirmed that they like living at Adrian House and everyone who works at the home treats people well. People who live at the home said they make decisions about what they do, for example, deciding when to go out and when to visit their family. People said they get good support with their healthcare and healthcare professionals visit the home when they need them. One person said they often go out with their community nurse, and went out with them on the day of our visit. Care Homes for Adults (18-65 years) Page 4 of 9 We spoke to a healthworker who was visiting the home. They said they did not have any concerns about the home and felt the home keeps good notes, follows advice and works well with professionals. They said the person they visit has made very good progress since they moved into Adrian House. In the AQAA the registered manager said, We encourage all our service users to be involved as much as possible in everyday activities of their daily lives, to express interests in leisure and social activities, and enable them to pursue these with support if needed. We encourage service users to be involved in the local community by visiting local shops, healthcentres, parks, hospitals, churches etc. We encourage service users to maintain contact with relatives, friends and encourage visitors to the home whenever possible. On the day of our visit six of the seven people had activities planned. Some people had gone into the local community independently, other people were going into the local community with support workers and others were at day centres. People receive varied day care packages which have been agreed with people who live at the home and other professionals. The home tells us about things we need to know. They send us detailed reports and tell us what action they have taken to deal with any problems. They recently told us about some incidents when there have been tensions between people who live at the home. The home has recently been involved in a safeguarding case which was looked into by the local safeguarding team. In the AQAA the registered manager said, On reflection of the incident and what happened, we could maybe have handled the situation in a different way but at the time we did not have guidelines to follow if an incident like that should occur. Therefore we have now incorporated help and guidance in this area from other healthcare professionals and have accessed training which covers these topic of events. The manager has attended a safeguarding course and a de-escalation technique training course which helps people have a better understanding of how to manage peoples behaviours. The manager said others would also attend the same or similar courses. We looked at two peoples behaviour management records. Information in the care records was good and gave detailed information about how behaviour should be managed and potential risks. These were written with support and guidance from healthcare professionals. In the AQAA the registered manager told us what they have done to improve the home, what they could do better and how they are going to do this. They said they have improved by attending training courses in the last twelve months but plan to improve by attending courses which help promote the running of the home. They also said they may look at the possibility of recruiting another member of staff. Some training needs have been addressed, for example, the manager has attended a fire safety course and his wife has attended an infection control training course. However, they have not received up to date first or emergency aid training. CQC has guidance for tailoring the first aid requirements to the needs of the people who Care Homes for Adults (18-65 years) Page 5 of 9 use the service but this must be assessed through a formal process in the form of a risk assessment, otherwise first aiders must be available at all times. The home does not have a first aid risk assessment. The manager said they would complete first aid training as soon as possible. What the care home does well: 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 1 35 18 Staff must receive more training that equips them with the right knowledge, understanding and skills. This will help make sure everyone who lives and works at the home is safe. 31/07/2010 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. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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