Care Home: Carleton House

Similar services:

• Sunny Bank (P.R.S.) Ltd
• Ashwood Court Unit 1
• Thornton Lodge
• Alfred House Residential Care Home
• Barkerhouse Road (123)
• Fernhaven
• Thames House
• Creative Support

What the care home does well We received completed surveys from all the people who live at the home and were also able to talk to two of the three residents during our visit. People told us that they were very happy living at the home and satisfied with all aspects of the service. Comments included; `It is a nice home to live in.` `I can do anything I choose to do.` `It is a nice clean home and it is a comfortable home.` `Barbara (the manager) is a nice lady and I get on well with her.` `Barbara treats us very good and always listens to me.` `I like living at Carleton House as we are always treated with kindness.` `Barbara listens to us no matter how big or small the problem is.` When we visited the home we found that there was a happy, relaxed atmosphere and it was apparent that residents got along very well with the manager. Residents appeared relaxed and spoke freely about their opinions and views. The manager demonstrated a good understanding of the needs of the residents and described good working relationships with community professionals such as doctors and social workers. We saw evidence that the manager monitors and promotes residents` good health. The manager showed a good understanding of safeguarding procedures and people told us that they felt safe and content living at the home. People who live at the home lead active and fulfilling lifestyles and are supported to maintain relationships with people who are important to them. One resident told us that the manager had helped her arrange a holiday with a relative and provided support to them both during their time together. People spoke very enthusiastically about their annual holidays which include holidays abroad and places nearer to home such as Blackpool and The lake District. One resident said ``I love our holidays, they are my favourite thing.`` The home is well maintained, nicely furnished and clean. We were also able to confirm that residents are involved in making decisions about the home such as what colours to have when redecorating. What has improved since the last inspection? There were no requirements made following the last inspection. However, self assessment information provided by the manager demonstrates that she continues to develop the service and encourages people who live at the home to be involved in this process. What the care home could do better: The National Minimum Standards for care homes were introduced in 2002. From this date, all care homes were expected to work in a formal manner in line with written policies and procedures that should be in place for all aspects of the home`s management. For homes such as Carleton House it has been very difficult to adjust to the ways of working which were brought about by the introduction of the National Minimum Standards. Carleton House is one of a small number of homes registered with the Commission which was originally registered under the `Boarding Out` scheme. These homes were registered in the eighties and were expected to run as small family homes, much like adult placement schemes. Whilst there was some recognition that adult placement homes didn`t need to be inspected against the National Minimum Standards, no such recognition was made of ex `Boarding Out` homes. The manager has made some good progress in introducing more formal ways of working and various paperwork, but record keeping is not a strong area. However, we have been able to determine in this and previous inspections that the shortcomings in terms of procedural guidance and record keeping do not affect the care the residents receive and do not have a detrimental effect on the outcomes they experience. During our visit we were able to confirm that the manager has a number of fire safety measures in place. However, the manager was unsure if she had a formal fire risk assessment. We advised the manager to ensure there is a fire risk assessment in place in line with fire safety regulations. We also made a recommendation that the manager of the home undertake refresher training in the key health and safety areas such as first aid and food hygiene. This is to ensure that her knowledge remains up to date. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Carleton House 29/31 Carleton Street Morecambe Lancashire LA4 4NX     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Marie Cordingley     Date: 2 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Carleton House 29/31 Carleton Street Morecambe Lancashire LA4 4NX 01524831496 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Barbara Davidson Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 3 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 3 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 whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home Carleton house has been developed combining two semi-detached houses together to function as one care home. The three residents have a single bedroom each. The shared facilities are a lounge/dining room, a smoke room and a kitchen/diner where they prepare drinks for themselves and each other. This accommodation also offers bed & breakfast to two other people. The people who reside at Carleton house are prompted to do as much for themselves as possible and thereby enhance their independence. Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home There is a beautiful garden to the rear with garden furniture, where service users enjoy relaxing and when weather permits having a Bar-be-que The current fees are as set by the Local Authority at 311 pounds per person per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection of this home included an unannounced sit visit which was carried out over one day. As the visit was unannounced the manager and residents didnt know it would be taking place until we arrived. During our visit we spoke with the manager and two of the three residents of the home. We also looked at some paperwork and carried out a tour. We carried out a case tracking exercise which involved us looking closely at the care and support provided to one resident from the point that they were admitted to the home. Care Homes for Adults (18-65 years) Page 6 of 28 Prior to our visit we asked the manager to fill in a very comprehensive self assessment. This was returned to us within agreed timescales and gave us good information about all aspects of the service provided. We also wrote to residents and asked them to complete a survey about the standard of the service provided. We received a completed survey from every person who lives at the home. What the care home does well: What has improved since the last inspection? Care Homes for Adults (18-65 years) Page 8 of 28 There were no requirements made following the last inspection. However, self assessment information provided by the manager demonstrates that she continues to develop the service and encourages people who live at the home to be involved in this process. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a home where their daily care needs are met. Evidence: Carleton House is a small home and the current residents have all lived there for a number of years. As such, there were no recent assessments that we could look at. However, we talked with the manager about the processes she would follow if any new admissions are carried out in the future. The manager explained that due to the size of the home she would ensure that any new resident would get along with the people already living at the home. She said We would do an assessment over a period of months and include a few overnight stays before deciding that we could meet someones needs. We talked with residents during our visit who told us that the manager understood their needs and provided support to suit their personal preferences. One resident said Barbara (the manager) always helps me with everything I need no matter how Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: small. Care Homes for Adults (18-65 years) Page 12 of 28 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. People receive care and support that meets their individual needs and is in line with their own preferences. Evidence: The residents who live at the home told us they felt all their needs were met. One resident said Barbara listens to us and treats us with kindness. Another resident said Everything I need is at this house. People told us that they were able to make their own choices at home. One resident explained that he had a front door key and said I can come and go as I please, and another resident who responded to our written survey wrote I can do anything I choose to do. We were able to determine that there are no set routines at the home and that activities such as mealtimes are entirely flexible to fit in with residents needs. The Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: manager told us Meals are served anytime of day, whatever fits in with the residents. In discussion, the manager showed a good understanding of risk taking and was able to give us examples of residents being supported to take well managed risk to aid their development. The manager explained that all the residents were encouraged to be involved in the running of the home on an everyday basis. At the time of the visit a new kitchen was being fitted and some decoration work going on. One resident told us that she had helped to choose the kitchen and colours. Care Homes for Adults (18-65 years) Page 14 of 28 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 this home are enabled to enjoy fulfilling lifestyles and maintain contact with people who are important to them. Evidence: People who live at the home told us they had very busy lifestyles and described the numerous activities they enjoyed. One resident told us I love going on my computer, I have got my own computer in my room. Activities described by residents included those they enjoyed at home as well as activities in the community using facilities such as the local sports centre and college. Residents also told us about the numerous holidays they had enjoyed in the previous year including holidays abroad. One resident said I love holidays they are my favourite thing in the world and we have lots here. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: We saw evidence that people living at this home are provided with a lot of support to maintain relationships that are important to them. One resident told us how the manager of the home had helped her arrange a holiday with a family member and had provided support throughout the process. The resident said She didnt have to do that, it meant so much to me. People told us that they were able to have friends at the home whenever they liked and that they could see their friends in private if they wanted to. In discussion we were able to confirm that people are offered a varied, nutritious and appealing diet. One resident told us that the food was always really nice and said we can have our meals whenever we want, and snacks are always available. The manager explained that she promoted healthy eating to the residents. One resident had managed to lose a significant amount of weight (following medical advice to do so) with support from the manager. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are supported to maintain good health. Evidence: All the residents who live at the home told us that they had a say about how they received their support and care. One resident told us Barbara listens to us and is always very kind. In discussion we were able to confirm that people had access to community health care when they needed it and the manager described positive relationships with health care professionals such as GPs and specialist nurses. We saw examples of how the manager supported residents to maintain their health. One resident told us how she had lost weight following advice to do so from her GP. She described how the manager had assisted her to follow a healthy diet and take exercise. This home was previously visited by a CSCI pharmacy inspector who gave advice Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: about the safe storage and administration of peoples medicines. We were able to confirm during this visit that the manager continues to follow this advice to help safeguard the safety and wellbeing of people living at the home. We also noted that people are enabled to manage their own medication if they wish to do so. The manager confirmed that there are processes in place to ensure that anyone managing their own medication does so safely. Care Homes for Adults (18-65 years) Page 18 of 28 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. The safety and wellbeing of people living at the home is protected. Evidence: People told us in their written surveys that they were aware how to make a complaint should the situation arise. In addition, the two residents we spoke to during our visit told us that they were confident any concerns they did raise would be dealt with properly. The manager told us that she had a process for keeping a record of any complaint made. We viewed the record and this confirmed that no complaints had been received in the home. We also noted that we had not received any complaint about the home since the last inspection. All care homes are required to have written procedures in place that are followed if it is thought that someone has been the victim of abuse, these are generally referred to as Safeguarding procedures. The manager showed a good understanding of the procedures as well as an understanding of her responsibility to help keep people safe. People we spoke with during our visit told us that they felt safe living at the home. One resident said I feel safe living here and I am always treated with kindness. Care Homes for Adults (18-65 years) Page 19 of 28 Care Homes for Adults (18-65 years) Page 20 of 28 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 living at the home are provided with comfortable and safe accommodation. Evidence: Carleton House is a small care service which is run as a family home. As such, the accommodation provided is domestic in nature and very homely. During our visit we found all areas of the home to be clean, warm and comfortable. There was some work ongoing which included the fitting of a new kitchen and redecoration of other areas. Residents spoke enthusiastically about the improvement work and were clearly quite keen to see the finished results. One resident told us that she had helped to choose the kitchen and the colours for redecoration. All the residents at the home have their own bedrooms which we saw to be nicely personalised and unique to their occupants. One person we spoke with said I love my room, Ive got my own DVD player and a computer. Care Homes for Adults (18-65 years) Page 21 of 28 Care Homes for Adults (18-65 years) Page 22 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. None of the standards in this section are applicable because there are no staff employed at this home. Evidence: Not applicable. Care Homes for Adults (18-65 years) Page 23 of 28 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. People live in a well managed home where their safety and wellbeing is promoted. Evidence: The manager of the home has extensive experience and throughout the inspection demonstrated a genuine commitment to promoting the wellbeing of people living there. It was apparent throughout the visit and from comments received prior to our visit, that people living at the home hold the manager in the highest regard and feel content and safe in her care. The manager told us that she consults residents on a daily basis about the running of the home and their opinions about the standards of the service. Since the last inspection this process has developed further with annual satisfaction surveys being issued to residents and their families. All the residents at the home manage their own day to day spending with some general support form the manager if needed. One resident told us Barbara helps me Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: to plan my money so that I can save up for big things. The manager is aware of the need to promote the health and safety of people living at the home and has taken various measures including the installation of special tap valves to ensure that water doesnt get too hot and various fire precautions. Whilst we were able to confirm that there were fire procedures in place the manager was unsure if she had a formal fire risk assessment. We advised the manager to look into this and ensure that there was a fire risk assessment in place for the home. Whilst the manager of the home has good general health and safety knowledge we made a recommendation that she attend update training in the key health and safety areas including fire safety and food hygiene. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 42 The manager should ensure that there is a fire risk assessment in place and that this is regularly reviewed to help ensure the safety and wellbeing of people living at the home. The manager should consider undertaking refresher training in the key health and safety areas to assist her in working in a safe manner. 2 42 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!