Care Home: Allied Back-up Project Limited - The Old Bakery

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

CARE HOME ADULTS 18-65 Allied Back-up Project Limited - The Old Bakery The Old Bakery 54 Park Street Crediton Devon EX17 3HP Lead Inspector Teresa Anderson Unannounced Inspection 3rd March 2009 11:00 Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allied Back-up Project Limited - The Old Bakery Address The Old Bakery 54 Park Street Crediton Devon EX17 3HP 01363 777565 01647 24447 alliedbackup54@yahoo.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Allied Backup Project Limited Mr Frederick James Saunders Mr Frederick James Saunders Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th March 2008 Brief Description of the Service: The Old Bakery is owned by the Allied Backup Project Ltd, and is situated in a residential area of Crediton. The home is close to the centre of the town and from the road has nothing to distinguish it as a residential home. The Old Bakery is a smaller home and is registered to provide accommodation and personal care for up to four people with learning disabilities. The registered person is also responsible for the day-to-day management of the home. The inspection report for the home is available on request from the office. The range of fees payable for people living at the home as available direct from the home. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place as part of the normal programme of inspection. The site visit took place over one day. During the inspection we (the commission) spoke or saw all of the people whose home this is. We were unable to speak directly with three of the four people living here. This means that we only spoke with one person and because that person would be identifiable, we have not used their quotes in full but have summarised what was said. We looked in depth at the care and services offered to some people living here. This helps us to understand the experiences of people who live here. We spent time observing the interactions between staff and the people living here. We spoke with three members of the staff and with the owner. Records in relation to care planning, medication, residents’ monies and staff recruitment were inspected. As well as carrying out a visit to the home we contacted some relatives of the people living here to obtain their feedback and comments. And we sent surveys to health and social care professionals who have contact with the home, and none were returned. The owner of the home also provided the commission with information about the home in the Annual Quality Assurance Assessment (AQAA). What the service does well: This service is housed in a residential house that has been adapted for use as a care home. It is homely, with lots of pictures, plants and ornaments. It is clean throughout. Each person living here has a plan of care that is specific to their needs and is person centred. Staff understand the people they care for and have an understanding of their needs and how to meet these. People are helped to remain well and healthy through proactive health care and by ensuring that people have equal access to health services. Although people living here have mostly been here a long time, relatives say that staff continue to support them to help them manage and overcome any behavioural issues. People are supported to remain active and have a social life. These are fairly low key, but enjoyable. There are some activities within the home and these include puzzles, TV and a music system. People are able to receive visitors Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 6 when they like and are also supported to visit their families in their homes. The home has a seven seater car which means that everyone can go out together and means that outings can be spontaneous. Some people enjoy helping with housework and preparing meals. Everyone helps to choose and shop for meals, which are nutritious and varied. Staff say they try to strike the balance between what people prefer to eat and what is healthy. Although most of the people living here have limited communication, they are supported to have their views and preferences heard. For example, staff observe people to see if they like or dislike something, and take appropriate action. Relatives say that having spent the weekend away from the home, they are always happy to return. In addition staff receive training in protecting people from abuse. People living here appear relaxed, happy and comfortable. Staff working here receive appropriate training and are supported to achieve National Vocational Qualifications in care. They are recruited using robust procedures to help ensure that only suitable people work here. The home is well managed by the owner with the support of a member of staff who is about to apply to become the Registered Manager. This person is studying at NVQ level 4 and has bought about many improvements in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who come to live here can be assured that staff will have a good understanding of them and what their needs and desires are. EVIDENCE: People living here have lived here for a long time and there have been no changes to the occupancy since the last inspection. However, staff described the process that helps people to make a decision about where they live before they come to live here. This includes giving them information in a format they can use and explaining this information at a pace that suits each person. In depth assessments are carried out and each person visits the home to meet with other people living here and with staff on numerous occasions. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Improvements in the way that care is planned mean that these contain the level of detail needed to help ensure that person centred care is delivered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living here has a plan of care. These are kept securely, easy to access and well organised. Since the last inspection the staff report that further work has been undertaken to the care planning system. We looked at some care plans and saw that people living here have differing abilities. Staff work with each person to help them to meet their potential and to ensure that they are supported to explore what opportunities might make Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 11 their lives more meaningful and fulfilled and what might help them to develop new skills. Care plans show that associated risks are identified and where needed are managed. People are encouraged to take risks as a way of developing their skills and opening up opportunities to them. This has, over a long period of time, resulted in one person now going swimming where they could not previously. People say, or relatives say on their behalf, that they are very happy with their lives and like the things they do and how staff support them to do this. We saw that people living at this home have freedom throughout the home and are encouraged to be independent and to use their skills. Throughout the site visit staff were heard offering choices to the people living here, for example whether to help with making tea, what to eat and what to do with the day. The owner and manager act as appointees for handling people’s finances. All monies are kept safely and securely. The home has an auditing system carried out by an accountant on an annual basis. All accounts are kept separate and records and receipts are kept of all monies received and spent. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People benefit from being involved in a range of activities both inside and outside the home. People are also supported to keep in touch with their family and friends and benefit from a balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living here rely on staff to support them with their activities as they are unable to do this alone. Staff told us that activities are arranged to help people to enjoy their lives. For example they go out for walks, for meals, swimming, to a local club once a week to meet with friends, play skittles and go to the shops and pubs. We saw a photograph album that showed people at outings to the Quay area in Exeter, at the hairdressers, at parties and of last years holiday to Brixham. This holiday was for one week and the four people living here were accompanied by Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 13 four members of staff. Photographs also show that people are supported to celebrate significant life events such as birthdays and Christmas. The home has its own seven seater car for outings. We talked to staff about how they meet individual needs if all outings happen as a group. The manager reports that they recognise this is not always ideal, and that some people would particularly benefit from having one to one time. The owner reports that discussions are ongoing with the funding authority to accommodate this. When we arrived at the home people were getting ready to go out for lunch. Everyone appeared happy and excited to be going. Inside the home there are some activities that people can take part in. The home has puzzles, a hi fi and a television. One person has a television in their room and enjoys drawing. There were lots of drawing materials available. The people living here are supported to visit with their families. Some go home and others are taken to visit with their relative if they cannot come to the home. Relatives we spoke with say they can visit when they like and are always made welcome. The manager reports that people living here are involved in shopping, choosing meals and preparing meals as their abilities and preferences dictate. Since the last inspection, the manager reports that shopping for food is now made into a fun activity which includes stopping for drinks and snacks. One person living here really enjoys helping with the preparation of food and benefits from being supported to do this. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People benefit from being supported by staff who understand their personal support needs and who help them to remain healthy. Improvements to the way medicines are managed mean these are managed safely on people’s behalf. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show that people receive the medical support they need. People have easy access for example to their GP, to specialist doctors and are encouraged to attend appointments relating to preventing health problems. Not all the people living here wish to attend these. One person living here is experiencing some health problems. Staff have worked very hard to engage with the appropriate health care services to ensure this person has equality of access to treatment and services. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 15 Staff demonstrate a good understanding of each persons needs and of signs or symptoms of distress or pain and records show they deal with this appropriately. In addition relatives report that people’s mental health and behaviours which have previously been challenging have improved with ‘help, understanding and patience’ from staff. The home uses a monitored dosage system to manage the medicines used in the home. We checked the records and these show that they are up to date and that staff record all medicines given. Good records of medicines received into the home and returned to the chemist are kept. All drugs are stored securely and safely, and staff have received training in managing medicines. There are good instructions for staff relating to when to give medicines prescribed to be used ‘when needed’, and good directions on how to give these. The local chemist has recently carried out an audit of the medicines system and the manager reports there were no recommendations made for improvement. The cupboard where medicines are stored has recently been updated. We discussed with the manager where this is sited. Whilst it is safe, it does not add to the homeliness of the lounge. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People are listened to and are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection staff have received training in safeguarding people. However, this training did not cover the locally agreed procedures to be followed if an allegation of abuse were made. The manager has arranged to obtain the guidance relating to this (Alerter’s Guidance) and to receive training in safeguarding adults from the local authority. Staff demonstrate a good knowledge of what abuse is and were observed being respectful to the people living here during our visit. Neither the home nor the commission have received any complaints about this service. The home has a complaints procedure. However people living here would be unable to use this. For this reason, the manager reports that people’s behaviour is observed for any changes or for signs that, for example, they do not like something. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Ongoing redecoration and updating in this home is resulting in people living in a homely environment, which is safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the majority of the home has been redecorated. The only areas left to do are the lounge and the laundry. And the manager reports there are plans to replace the lounge furniture. The home is decorated in a homely style with pictures, plants and ornaments. The lounge has a TV and a music system. The kitchen is large enough for everyone and has some safety features, such as cooker guards, to help ensure it is safe. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 18 There is liquid soap for use at sinks as is good practice to prevent the spread of infection. However, the home continues to use shared towels for hand drying. No one living here has an infection and all are able to use the toilet unaided and without problems. Staff say they encourage hand washing and therefore do not use paper towels. However, they say they keep this under review. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People living here benefit from being cared for by caring staff who receive training and are recruited using robust systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the day there are always two members of staff on duty at this home and at night there is one member of staff who sleeps on the premises. All staff receive induction training and all hold a National Vocational Qualification (NVQ) in care to level 2 or above, although this is not linked to the Learning Disability Award Framework as is best practice. In addition the manager reports that staff have received training in First Aid, the management of medicines and in caring for people with autism. The manager has arranged further training including fire training, food hygiene, equality and diversity, nutrition and health and safety and plans to arrange for staff to receive training in challenging behaviour. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 20 We looked at staff recruitment files and saw that each member of staff is interviewed, completes an application form, has written references, proof of identity and an enhanced police check prior to starting work here. Staff are described by relatives as ‘patient’ and ‘very good’. One person commented that their relative enjoyed their visits to their home but ‘can’t wait to get back to their own home’. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People benefit from living in a home that is well managed and promotes their health, safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner is currently the Registered Manager and as such remains responsible to the commission for the day-to-day running of this home. However, a member of staff who works here is currently undertaking this role. This person is completing their application form to register with the commission as the Registered Manager and is studying NVQ level 4 in care and management. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 22 Since the last inspection improvements have been made to the way care is planned and recorded, to the management of medicines, to recruitment, to the decor of the home, to record management generally and to staff training. Staff meetings are held where information is shared improvement exchanged. Staff say these are helpful. and ideas for Safety precautions around the home to help people stay safe include covered radiators and upstairs windows with restricted openings. The AQAA returned to the commission by the owner demonstrates that maintenance and safety systems are in place and that staff are supported by relevant policies and procedures. The manager reports that she is currently reviewing all of these to ensure they are specifically relevant to the home and not too generic to be useful. Records show that fire checks are undertaken regularly. Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x 3 x x Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Allied Back-up Project Limited - The Old Bakery DS0000021873.V374404.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!