Care Home: Creative Support

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What the care home does well This is a well run home with good staff support and committment. Creative Support provides the people who live there with a good fulfilling way of life. The quality of the care given is excellant and the caring staff give service users the support they need to make decisions and choices that effect their everyday lives to make sure they have a varied social life. There is good rapport between service users and staff and healthcare needs are well met with other healthcare professionals fully involved. The care plans contain good information and tell staff how they can meet all of the needs of the people living in the home. What has improved since the last inspection? Refurbishment of the home is now complete. The bathroom has been decorated and new kitchen units and appliances have been installed. There is new furniture in the sitting room and the kitchen flooring has been replaced. What the care home could do better: The home has little to improve upon as it offers a good standard of accommodation and good support is in place for service users to ensure their care needs are met and that people live ordinary and meaningful lives. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Creative Support 35 Coatham Road Redcar TS10 1SA     The quality rating for this care home is:   three star excellent 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: Eileen Hulse     Date: 1 9 0 3 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 Older People 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 Older People Page 2 of 21 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 Older People Page 3 of 21 Information about the care home Name of care home: Address: Creative Support 35 Coatham Road Redcar TS10 1SA 01642493500 01642482990 redcar@creativesupport.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Creative Support Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Creative Support is a home for 12 adults between the ages of 18 -64. The home describes the house as a hostel and the residents are cared for in the home for up to 2 years. There are planned programmes of rehabilitation to prepare people to live independently. There is a team of mental health care professionals monitoring each persons well being. The house has 12 single bedrooms 6 of which are en-suite; a large communal lounge has a TV music system and a pool table. The fully equipped kitchen encourages residents to be assisted with cooking and cleaning. Staff supports the residents with household activities. The house is located close to the beach and the shops and the residents spend a lot of time out in the community. 12 Over 65 0 Care Homes for Older People Page 4 of 21 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection on this service was completed on 15 January 2007 This is an overview of what the inspector found during this inspection The quality rating for this service is 3 STAR. This means that people who use this service experience EXCELLANT quality outcomes. How the inspection was carried out. Before the visit we looked at information we have received since the last visit on 15 January 2007 How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service their relatives and staff. Care Homes for Older People Page 5 of 21 During the visit we observed staff practice and talked with people who use the service and looked at how well their needs are met. We looked at other records which must be kept. Checked that staff had the knowledge skills and training to meet the needs of the people they care for. We looked around the building to make sure it was safe clean and comfortable and checked if any improvements had been made. 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 Older People Page 7 of 21 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 21 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Good assessments are included within the plans of care for all service users that help to form the basis of the individual care plan and ensures that service care needs will be met. The service does not provide intermediate care. Evidence: All service users living in the house have had needs assessments carried out by a care manager and the manager of the service prior to their admission. When a vacancy occurs, a care manager makes a referral to the home and the prospective service user makes a visit to see the home and to meet the people living there. The person then is able to decide if they would like to move in and ensures the correct care and care plans are made available prior to moving in. The organisation has comprehensive policies and procedures regarding the admission process and this helps people to know their care needs will be met. Care Homes for Older People Page 9 of 21 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. All service users living in the home have individual plans of care that give staff the guidance they need to ensure the needs of people are met. Evidence: All service users living in the home have a plan of care. The care plans are organised and well laid out and this helps to access information quickly. They are monitored and evaluated on a regular basis but some of the information is repetative and the company is currently reviewing the care plan format to streamline the contents and so avoid repetician. Detailed risk assessments are included within the care plans, they are clearly written, easy to follow and and include detail on what the risk is, the action to be taken to minimise the risk and what resources are needed. As part of the case tracking process, medication that is held for three service users was looked at. Care Homes for Older People Page 10 of 21 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. There is a good range of social activities made available to fulfil lifestyles for service users and this ensures people are able to make choices on how they prefer to spend their leisure time. Evidence: All daily routines of the service are centred on the preferences of people living in the home and during the visit a number of service users were out and about. One service user was out looking at a prospective placement, one person was out shopping for ingredients for a cookery class and another two people were at the local swimming baths and clothes shopping. Information is recorded in the care plans and identifies what people prefer to be involved with. The home do not have transport but as part of the rehabilitation programme, service users use the local transport services and a request has been made to provide the service with a car. Memberships for service users have been obtained for the local gym and healthy lifestyle group and other external social aspects include going out for meals to the local restaurants, pubs and swimming. Many of the activities are made available in both group and individual settings and all service users are offered opportunities to enrol in college courses, university courses and community classes and at this time service users are attending educational studies of their choosing. Two service users have employment and are Care Homes for Older People Page 11 of 21 Evidence: waiting for criminal record bureau checks to be completed before starting their work. Some service users form intimate relationships and staff support is offered to maintain privacy and dignity to people and personal links with families and friends are well supported and encouraged. Service users were positive about the service and comments they made included, Staff are very good and give me a lot of help I cook and shop for myself I think this service has helped me a lot This house is very nice and the staff are very good we can go out anytime we want I would like to do voluntary work and the staff are going to help me to do this Care Homes for Older People Page 12 of 21 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 has good policies and procedures regarding complaints and protection of vulnerable adults that are made known to service users and families and this helps to protect people and to ensure their complaints and concerns are handled effectively. Evidence: A detailed complaints procedure is given to service users and their families in both written and verbal form following admission into the home so that they know should they have a complaint or concern who they can report it to and how it will be investigated. All concerns and complaints are documented with information that includes who the complaint was made by, what the concern is, dates and times, who will deal with it and the outcome. The home information given to service users (service user guide and statement of purpose ) also includes name and address of the Local Authority if anyone prefers to take a complaint to them. Service users spoken with during the visit were all aware what they should do if they had a concern or a complaint about the service. The POVA (Protection of Vulnerable Adults ) procedures are in the home and accessible to the staff and all staff currently employed have received POVA training from the Local Authority. Care Homes for Older People Page 13 of 21 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, 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. 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. The home is clean, warm and well maintained and this offers service users a homely and safe place to live. Evidence: The home has recently undergone extensive refurbishment and furniture, carpets, and furnishings as well as Kitchen and laundry equipment has been renewed throughout the building. All areas have been re-decorated, flooring, washer and dryer have been replaced in the laundry and lounges and the kitchen has been completely renewed with two cookers and all units replaced. During discussions with service users, they made positive comments about the house that included, The house is lovely now with all the new stuff I am very comfortable here its like home from home The kitchen is really nice now and I like cooking in there Care Homes for Older People Page 14 of 21 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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 staff rota is service user needs led with good staffing levels and all staff hold a care qualification. This ensures that service users needs are met and they are kept safe from potential harm. Evidence: Discussions held with the manager and members of staff showed that staff have a good understanding of their roles and responsibilities. Staff stated they are provided with training specific to the needs of the service users and this has allowed the service to have a mix of skills and experience amongst the staff group. The staff rota shows there are good staffing levels at all times and at the time of the visit there were six staff on duty, all staff employed in the service hold an NVQ care qualification and when new staff have been appointed, the policy of the company is to enrol the staff for an NVQ care qualification. Although a staff training maitrix is held at the companies headquarters who nominate the all of the training and notify staff when training courses are booked in particular all mandatory training, the home also has a training maitrix on the office wall that is accessible to the staff team. For specialist courses the company send requests and flyers to the home for staff to show interest. Staff personal files of the two most recent members of staff looked at were up to date, well maintained and contained all of the details that the home is required to keep. A copy of training that has been undertaken is also held within the individual personal Care Homes for Older People Page 15 of 21 Evidence: files. Staff meetings are held monthly and chaired by the manager of the service and meeting Minutes are recorded and held for reference. A formal one to one staff supervision system is in place and sessions receive supervision every month from the manager. Discussions with the staff on duty evidenced that they had received a lot of training and they felt it helped them to do their job and comments they made included, I have recently completed all my mandatory refresher training and completed other courses such as Stress and Wellbeing, Safer Handling of Medication and the NVQ Level 3 unit on Administering Medication to Individuals I think the training helps us to do our job better I have worked here approximately ten years and it is an excellant staff team to work with and good support Feel we are given a large amount of training to help us carry out our roles Very happy working here Care Homes for Older People Page 16 of 21 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. The service is well managed by a person with good leadership skills and well maintained records and this helps to ensure the service is run in the best interests of the service users. Evidence: The manager has worked in various care settings for a number of years, she worked for Mental Health Management and managed a day service and prior to that she was employed by Stockton Social Services Day Services. She was registered as Manager of the service in June 2006 and has completed the Registered Managers Award and NVQ in Level Four and has continued to update her knowledge and skills by completeing a number of training courses that include NVQ Level three in medication and completed Managing Medication NVQ Level Five Internal systems are well developed and allow the views of service users, relatives and others to be sought and to monitor the quality of the service provided. Observation showed that staff followed safe working practices at all times and records evidenced Care Homes for Older People Page 17 of 21 Evidence: that staff have received training in fire safety, health and safety and food hygiene. Accident documentation and fire logbooks were up to date and well maintained. Care Homes for Older People Page 18 of 21 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 Older People Page 19 of 21 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 Care Homes for Older People Page 20 of 21 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 Older People Page 21 of 21 - 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. 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