Care Home: Carr Manor Road

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well Information about services provided by the home is good, is available to those people who use the service and provides enough information for them to be able to decide if the home will be suitable for them. They can make trial visits to the home if they want to. People live in a homely environment that gives them safety and security. They are treated with respect and staff show good awareness of their needs. Positive relationships were seen between staff and people living there. People appeared to be at ease sitting in the lounge/dining area and staff offered the support they required at lunchtime to make sure that they could enjoy their food. People`s bedrooms have been decorated and furnished to meet their individual needs and tastes. Communication in the home appears to be very good and the staff team work well together. The home offers a good range of activities and takes into account individual likes and dislikes. Staff ensure people are safe when taking part in activities, they also support people to keep contact with family and friends. What has improved since the last inspection? Following a person centred planning meeting staff have supported an individual to purchase a summer house. They have enabled 2 people to find and access a jewelry making class on a regular basis with staff support as needed. They have involved Social Care Managers in individual reviews, to re-assess the night time support levels needed by individuals when on holiday, and the impact this has on budgets/value for money for those individuals. This has ensured that these people are able to continue to have the opportunity to go on holidays of their choice/preference. They have supported an individual`s spiritual needs by arranging home visits from a relevant person to administer communion. What the care home could do better: The manager should ensure staff sign the medication sheet when medication is given. This will ensure people`s health and well being are not put at risk by medication been given more than once. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Carr Manor Road 34 Carr Manor Road Leeds West Yorkshire LS17 5AZ     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: Frederick Rawlins     Date: 1 1 0 5 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 27 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Carr Manor Road 34 Carr Manor Road Leeds West Yorkshire LS17 5AZ 01132888449 01132888449 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) : Community Integrated Care care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 5 The South Yorkshire Housing Association owns the property at Carr Manor Road. The care and services are provided by Community Integrated Care which is a registered charity caring for people with special needs. Mrs Sharon Hutchinson manages the home on behalf of the latter. Carr Manor is a semi-detached house located within 2 miles of Leeds City Centre and is at the end of a quiet street. The home has been open since August 1996. There is a wide range of shops and leisure facilities within easy reach of the property. The home has 5 bedrooms. All are single rooms with wash hand basins. There are two fully equipped bathrooms comprising a bath, shower and toilet. All bedrooms are decorated to individual taste and choice. People who use the service are encouraged to buy personal items for their own use, which helps to create a homely atmosphere within the establishment. People are encouraged to make full use of the entire house and garden and the facilities within, including television, video and music system. Care Homes for Adults (18-65 years) Page 4 of 27 Care Homes for Adults (18-65 years) Page 5 of 27 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 home had a key inspection carried out on the 14/05/07 and an annual service review carried out 02/05/08. This does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review. The inspection process included looking at information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out on the 11/05/09 between 09:00 and 16:00 hrs. The methods we used included looking at records, observing staff at work, talking to the manager and looking around the home. Before the visit we provided some people Care Homes for Adults (18-65 years) Page 6 of 27 using the service, their relatives, staff and other health care professionals with survey questionnaires so that they could share their views of the service with us. The questionnaires returned have been used as evidence in the body of the report. The home had also completed and returned their Annual Quality Assurance Assessment form and the information provided has also been used as evidence in the body of the report. The purpose of the visit was to assess what progress the home had made in meeting the requirements made in the last inspection report and the impact of any changes in the quality of life experienced by people using the service. We have recently improved our practice when making requirements to improve national consistency. Some requirements from previous inspections may have been deleted or carried forward as recommendations, but only when it is considered that people that use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The fee for the service are currently 930 pounds 68 pence per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking 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.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 8 of 27 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 9 of 27 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 who use the service can be sure that the home will meet their needs following assessment. Also written and verbal information provides enough information for them to decide if the home will meet their needs. Evidence: The statement of purpose and friendly house brochure provides information about the service and facilities. People using the service said they were very happy with the home. One said This is my home another said theyre my friends. One person in the survey returned said this home was selected because of its locality and easy access. Another person said my parents chose it as they thought it was right for me. The needs of people who use the service have been assessed before they move in to Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: the home. This is undertaken in a person centred way with full involvement of the prospective person using the service. The assessment used covers all aspects of daily living. Care plans are then drawn up from any needs that are identified. The manager is assigned to be key worker for initial 3 months during settling in period. People who use the service had also had a re-assessment carried out, if their needs had changed. All the people are provided with a contract with all relevant information, which are placed in their files. Pre-visits to assess the person within their own environment is carried out and overnight stays in the home are arranged before decisions are made about moving in. Care Homes for Adults (18-65 years) Page 11 of 27 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. Staff are aware of the individual needs of people who use the service. The care plans give good detailed guidance for staff about meeting all identified needs. Evidence: People who use the service have support plans that have been developed from the needs and risk assessment process with the involvement/ guidance from the multidisciplinary team. Information is person centred and support plans give information on peoples likes, dislikes and preferences with regard to care and support. Care plans looked at showed they had been reviewed at regular intervals. This includes obtaining feedback from people using the service, noting changes and developing action plans to address changing needs. Staff members have a good knowledge of peoples individual needs, how they communicate and how to support them. Staff were able to accurately describe the care they give and talk about in detail how Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: people like to be supported in their daily routines. One person said I have a weekly routine that I like. People using the service were offered choices throughout the day, around what to do or what to eat. Staff interactions with people were very good. Care Homes for Adults (18-65 years) Page 13 of 27 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. The social needs of the people are met and they exercise choice in their daily lives. They also benefit from a good, healthy and varied diet. Evidence: Staff said that people who use the service have a variety of activities that they are involved in within their local community. This includes day centres, shopping, meals out, going out to the pub and going on holidays. Staff said they felt there were enough staff to make sure people who use the service get a good level of activity. They are encouraged to take part in activities they were engaged in prior to entering the home. In the survey returned one person said In week days I attend a day centre. In the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: evenings I relax at home. At the weekends I go back to my parents house. The home ensures that peoples nutritional and dietary requirements are met, working in conjunction with the dietician, speech and language therapist and other health care professionals as appropriate. They offer choice and variety, and ensure that peoples likes and dislikes are incorporated into menus. People are encouraged, facilitated and supported to maintain contact with family and friends. One person spoken with said they visit their family regularly. Care Homes for Adults (18-65 years) Page 15 of 27 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. Peoples health, personal and social care needs are set out in care plans and these needs are generally met. Evidence: Health care action plans focus on health promotion and have details of other health care professionals involved. People are supported to access GP and other health care services for treatment/screening as required, and have annual dental and optical check ups. Health care appointments, outcomes etc. are documented and monitored. Currently there are no people living in the home managing their own medication. People are supported to take prescribed medication by staff trained and competent in medication administration/knowledge. The MAR (Medicine administration record) charts were checked for accuracy. There were occasional gaps in recording where medication had not been given, but no reason for the omission was documented. Care Homes for Adults (18-65 years) Page 16 of 27 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 level of staff understanding gives assurance that complaints will be taken seriously and people will be protected from abuse. Evidence: People who use the service said the know who to complain to. In the survey returned one person said I dont know formally but I do in my behavior. Another said any complaint is done through my parent. There is detailed local and central policy and procedure re: abuse, complaints and whistle-blowing, accessible to all. There is accessible version of complaints procedure incorporated into the house brochure. Staff have received training in the protection of vulnerable adult, there is a whistleblowing, disciplinary, grievance and performance monitoring procedures in place. Staff spoken with were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe some of the different types of abuse. There are robust financial procedures and policies which are followed and accurate financial records kept within the home. Monies are stored securely and there is a policy Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: regarding receiving gifts. Care Homes for Adults (18-65 years) Page 18 of 27 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. The home offers a safe clean well-maintained environment for the people who use the service and provides appropriate bathing and toilet facilities. Evidence: It was not possible to look at all the rooms available during the site visit, as some bedrooms were locked and people were out. The bedrooms seen were decorated and furnished to a good standard. Bathroom and toilet areas are lockable and are equipped with specialist aids to meet individual needs and maximise their independence. Protective equipment is sited in appropriate areas around the home. Speaking to the staff it was evident they maintain a high standard of cleanliness within the home. People are encouraged to respect the environment and buy items of their choice for their own bedrooms. The communal areas are comfortable, clean, and were free from hazards. Regular health and safety checks are carried out and documented. Staff are trained in infection control and food hygiene and infection control policy is in place. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The manager said in the returned AQAA (Annual Quality Assurance Assessment) that redecoration and refurbishment schedule is in place and equipment/services are regularly inspected and serviced by maintenance staff/professionals Care Homes for Adults (18-65 years) Page 20 of 27 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. There are sufficient staff employed to make sure peoples needs are met and staff are supported in developing the skills and knowledge they need to care for people properly. Evidence: The majority of staff have been employed in the home for several years so are familiar with the needs of the people using the service. In the returned survey one person said I try and make myself clear but it is hard for the staff as I do not talk so I put it across by gesture. I am very settled and happy. Recruitment is properly managed; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. When staff start work at the home they are supernumerary for two weeks at induction and during that time they are made aware of the homes aims and procedures, it also allows time for them to get to know the people living in the home. Staff have regular supervision and attend staff meetings, this allows for regular Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: feedback from staff and managers, coaching and mentoring and performance review. The manager said in the returned AQAA that staff rota is planned to ensure skill mix for the service is correct and staff are recruited to ensure all skills are utilised to enhance peoples lives. She also said all staff on duty have the skills to communicate with people and assist with personal care needs if needed taking into account gender and cultural issues. Comments from staff regarding their training was positive. Staff felt they had received enough training to carry out their role. They said they had a good team and the manager is very supportive and they are encouraged to take up training opportunities. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management structure in place makes sure that the home is well managed and run in the best interest of the people living there. Evidence: The manager is registered with the Care Quality Commission (CQC). People said she is approachable and helpful. Regular meetings are held with people living in the home and records kept. To make sure that there are clear lines of communication within the home regular staff meetings are held and the manager operates an open door policy so that people are able to approach her at any time if they have a problem or concerns. Formal one-toone staff supervision also takes place, which gives staff the opportunity to discuss their training and personal development needs. The home holds money in safekeeping for a number of people. Only senior staff deal with peoples personal finances and receipts are obtained for any items purchased on Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: their behalf. We checked a number of transaction sheets and no concerns were raised. This means that people can be confident that the system is safe and well managed. Policies and procedures are in place to ensure the health and safety of people living at the home, visitors and staff, which are audited on a regular basis to make sure that they comply with changes in legislation good practice guideline. Information provided in the self assessment form show that all equipment in use at the home are serviced in line with the manufactures guidelines, which means that people can be sure they are in good working order. In the survey returned by a relative he said the home is well run, and I have had no complaints in the three years my daughter has been there. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 20 The manager should ensure that staff sign the medication sheet when medication is given otherwise this could lead to errors and people being given medication twice. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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 27 of 27 - 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!