Care Home: CARE Kibworth

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What the care home does well Although no one new has moved into the home, the manager and staff continue to find out about the needs of people who live in the home and check whether the home is able to give them the support they need. There is good written information which tells staff about people`s needs and what kind of support and help they want. The manager and staff support people to make choices and to have control over their own lives. Staff give good support to people. There is a good easy-going relationship between staff and people who live in the home. People have the confidence to ask staff for what they want. People are encouraged to be as independent as they can be, while still keeping safe. People who live in the home enjoy a very good lifestyle - they are able to do different activities that they enjoy, both in the home and in the community. Friends and relatives are welcome in the home. People are enabled to be independent, and are supported to develop skills, like budgeting and cooking. Staff support people to follow up any health concerns that people have. Everyone has a local GP and has health checks that they need to help them stay healthy. People feel able to talk to the manager or staff if they have any problems. Staff have training to help them to keep people safe from harm. People who live in the home get training and information to about their rights and about how to stay safe. The home is clean and comfortable for people who live there. Everyone can have their own things in their bedrooms. Staff get training in different subjects to help them to do their job well. There are policies which tell the staff how to do their job well. Checks are done to make sure equipment is safe. Staff support people to look after their money independently and to manage how they spend it. The manager and staff ask people for their views about things. People who live in this home have a right to speak out and ask for what they want - and they are able to do this. What has improved since the last inspection? Since the last main `key` inspection that we did, we carried out a smaller inspection, looking just at how people are kept safe from harm. At that time we asked the provider to make sure that everyone understood well about their right to be safe. The manager and staff have made sure that this has been done really well. Staff have had training about safeguarding. People who live in the home have also had training and information and support to help them understand their rights and to get more confidence. This is excellent. What the care home could do better: This home is providing an excellent service, and we did not find anything that must be improved. We did find that the provider (the company Self Unlimited) does not get POVA1st safety check at the moment for new staff, before they are employed in the home. the POVA1st check does give a short-term safeguard until a full Criminal Records Bureau (CRB) check is done. Although new staff do not have contact with people who live in the home until the CRB check is done, we would recommend the provider gets the first check done also. Key inspection report Care homes for adults (18-65 years) Name: Address: CARE Kibworth 70 High Street Kibworth Leicester LE8 0LP     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: Chris Wroe     Date: 1 8 0 8 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 24 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 24 Information about the care home Name of care home: Address: CARE Kibworth 70 High Street Kibworth Leicester LE8 0LP 01162793848 01162793848 highstreet12@freeuk.com www.selfunlimited.co.uk Self Unlimited care home 6 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) : Number of places (if applicable): Under 65 learning disability Additional conditions: No person falling within the category Learning Disability (LD) can be admitted where there are already 6 persons of category LD already in the home. The home limits its services to the following service user categories The maximum number of service users who can be accomodated is: 6 The registered person may provide the following category/ies of service only: Care Home only - Code PC To service users of the following gender: Either Total number of service users in the home must not exceed 6 Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Care Kibworth is situated in the village of Kibworth, Leicestershire. It is owned by the charitable organisation, Self unlimited, which was previously called Cottage and Rural Enterprises Limited (CARE). The home is set back from the main road leading into Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 6 Brief description of the care home Kibworth. It is close to a variety of local amenities, including shops, post office, and bus stops. The home provides care and support to six adults who have learning disabilities. Some people who live in the home go to college, some people work and some use the day service at another site, which is owned by the same company. The home has bright and comfortable lounge and dining areas, two fully equipped bathrooms and an attractive garden. People who live in the home have their own single bedrooms. Care Homes for Adults (18-65 years) Page 5 of 24 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: We visited the home on 18th August 2009. The manager, Jo Darling, helped us with our inspection, and two people who live in the home and one member of staff helped us also. Our visit to the home lasted a total of four and a half hours. The main way we do our inspections is using a method we call case tracking. This means looking at the care given to people in different ways. The ways this was done are: - talking to the people who live in the home - talking to staff and the manager watching how people are given support - looking at written records. We talked to two people who live in the home during our visit and spent some time with people and with staff. We watched to find out how comfortable people were in their home. We spoke to one member of staff during our visit to the home, who told us about working in the home and gave us their views. We also found out information about the home from the Annual Quality Assurance Assessment (AQAA), which is a big form that the manager filled in to tell us lots of Care Homes for Adults (18-65 years) Page 6 of 24 different things about the home. We checked all the standards that the Care Quality Commission has decided are key standards during this inspection. The information in this report just about what we checked in this inspection. We have kept details about individual people out of the report, to make sure these things are kept confidential. Care Homes for Adults (18-65 years) Page 7 of 24 What the care home does well: What has improved since the last inspection? Since the last main key inspection that we did, we carried out a smaller inspection, looking just at how people are kept safe from harm. At that time we asked the provider to make sure that everyone understood well about their right to be safe. The manager and staff have made sure that this has been done really well. Staff have had training about safeguarding. People who live in the home have also had training and information and support to help them understand their rights and to get more Care Homes for Adults (18-65 years) Page 8 of 24 confidence. This is excellent. 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 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 24 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 24 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. People who live in this home benefit from excellent ongoing assessment of their needs and wishes and the chance to be fully involved in making choices about their home. Evidence: Everyone who lives in the home has lived there for a long time. No one new has moved into the home since we did our last inspection. Staff continue to find out about the needs of people who live in the home. At the moment people are talking about moving to a new home in Kibworth, which is being built for them. They will live there as tenants, under supported living arrangements. Everyone who lives in the home has been fully involved in the process and made choices about their new home - and their families and circle of important people have been involved too. People are getting ongoing support to help them feel comfortable with any changes, and to feel in control. Written information is given to people who live in the home, to tell them about the home and about what they can expect. Staff have the right kinds of training to help them meet the needs of people who live in the home. Care Homes for Adults (18-65 years) Page 11 of 24 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 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 in this home benefit from excellent attention to their needs and good support to enable them to be as independent as they are able and wish to be. Evidence: People we spoke to, who live in the home, told us that they feel well cared for by staff. We saw that staff have good, easy-going and respectful communication with people who live in the home. Good communication is an important part of how the staff meets peoples needs. People told us about their daily lives - and we saw that they have choice and control over how they live their lives. People make choices about what they wanted to do and about their daily routines. When we talked to the manager and staff we found that they saw it as really important that people who live in the home have choice and control over their own lives. People who live in the home told us about the ways that they are supported to be indpendent and make choices. Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: We saw that there are care plans for each person, which give details about the kind of support they need. One person talked with us about what was important to them and said they were involved with their care plans. There is information about what support people need to communicate included in the care plans. Care plans have personal and individual information in them. There are also person centred folders, which give lots of information about what people have been doing and what they like and dont like. There are also risk assessments for people, which tell about how people can be safely supported to do the things they want to do. The manager and staff are good at supporting people to have as much independence as they can have. People are able to develop their confidence and skills so that they can be more independent - in things like managing their own money, looking after their medication, and travelling around and spending time alone. Care Homes for Adults (18-65 years) Page 13 of 24 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 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 in this home receive excellent support to enjoy a good lifestyle. Evidence: We found out about the different things that people who live in the home are involved in. We looked at written records which gave us information. We also talked with people and they told us about the different activities they enjoy. Some people study different subjects at college. Some people work and do volunteering. People are supported to go to church if they would like to. People have different leisure interests. Staff support and enable people to take part in different activities, and also to have independence. Staff support people to increase their independence, by learning new skills and by helping them to achieve goals. People who live in this home have family and friends and partners involved in their lives. They are enabled to visit people, or to have people come to visit them. People Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: we talked with told us about who is important to them and said that they are welcomed in the home. Staff give people information and support to enable them to have safe relationships and to make choices. People who live in this home cook their own meals, plan menus and go shopping, and do housework and other chores - with staff support if they need or want it. The staff and manager support people and give lots of information and training so people can make good choices - about what they do in their daily lives, about keeping themselves healthy and eating well. Care Homes for Adults (18-65 years) Page 15 of 24 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 in this home benefit from excellent support to keep themselves healthy and well. Evidence: One person told us that they look after their own health and personal care needs staff give any support that people need. Everyone has access to a local GP. We found from looking at written records that staff support people to have the health check-ups they need, such as dental checks and optician visits. Each person has an individual health plan. There is good attention given to the individual health needs of each person and to making sure that they stay as healthy as possible. The manager has made sure that each person has good information about any health conditions and any medicines they take, so that they can make choices and have good understanding. We looked at the way that medication is given out and stored in the home. Everyone who lives in this home looks after their own medication. There are checks in place to make sure this is done safely. Medication is stored locked away. Care Homes for Adults (18-65 years) Page 16 of 24 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 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 in this home benefit from very good support to safeguard and protect them. Evidence: People we spoke to who live in the home told us they know how to raise any concerns and that they would talk to the manager if they are not happy. There is a complaints procedure in the home, which tells people how to make a complaint and how it will be looked into. Staff have had training to help them to understand how to protect people from harm. People who live in the home have also been involved in training to help them to understand their rights and how they should be kept safe. Some people have been given support and education to increase their confidence and understanding of their rights. People we spoke to told us they feel safe in their home. There are policies to tell staff about what they need to do to safeguard people. The manager and staff are very supportive of enabling people to have choice and control over their own lives. They are also very aware of the need to protect people sometimes. Where needed, the manager has made sure that she keeps social workers and other people informed about things. Everyone has their own bank accounts and manages their own money - with support from staff if the need it. Records are kept to make sure people are protected. Care Homes for Adults (18-65 years) Page 17 of 24 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 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 in this home benefit from being in a homely, comfortable environment. Evidence: We looked around the home, and found that it is clean, comfortable and homely. People who live there are able to move freely around the home, and staff try to keep their office and work separate, so it does not feel that they are invading peoples home. Each person has their own bedroom, and can have their own personal things in it. There are two bathrooms. There is a lounge, activities room and kitchen/dining room. There is a separate laundry room, with washing machine and dryer for people to use. Outside there is a good sized back garden. The manager and staff make checks on fire safety equipment to ensure it is safe, and carry out fire safety practices. they also make regular checks of other equipment and make sure the home is safe for people. There are plans for everyone to move into a new home, which is being built in the way that they would like. People we spoke to told us they were looking forward to moving. Care Homes for Adults (18-65 years) Page 18 of 24 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. People who live in this home benefit from have well trained and supportive staff. Evidence: Staff work during the day to support people to live their daily lives and take part in different activities. At night a member of staff sleeps at the home to be available if anyone needs them. The provider makes sure that proper checks are carried out on all new members of staff, such as collecting references and getting Criminal Records Bureau (CRB) clearance. People who live in the home are involved in interviewing new members of staff and choosing who should come and work in the home. Members of staff have ongoing training in different areas to help them to do their job well and to meet the needs of people who live in the home. Some of the subjects covered include first aid, safeguarding adults, National Vocational Qualifications(NVQs) in care. One member of staff told us they get very good training in the home. Staff get regular support from the manager. Care Homes for Adults (18-65 years) Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in this home benefit from very good, supportive management. Evidence: The same registered manager is still running the home as when we last inspected. One member of staff told us that they felt very well supported in their work. One person who live in the home also told us they feel the manager is really approachable. We saw during our visit to the home that the manager was very open with everyone. People who live in the home are asked for their views about how the home is run. People are confident to speak up about how they feel about things. There are also questionnaires given to relatives to ask them about how they feel about the home. The provider also does a larger survey about all their homes every year, to find out if the service is good. There are other ways that people can give their views - there are groups and meetings held so they can say what they think. Staff carry out safety checks of different equipment, to make sure it is fit for use. Both staff and people who live in the home have training and are aware about how to keep Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: safe when using chemicals, doing cleaning and other tasks in the home. Care Homes for Adults (18-65 years) Page 21 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 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 1 34 It is recommended that the provider carries out POVA1st checks before beginning a new member of staff on induction training - even if they do not have contact with service users - to ensure that they are safe people to work for the company. Care Homes for Adults (18-65 years) Page 23 of 24 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. 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