Care Home: Halifax Drive Care Home

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What the care home does well Halifax Drive is a well managed service that provides an excellent standard of care within a pleasant and homely environment. Staff provide good support to enable service users to reach their own personal potential and achieve independence where this is possible. The service provides a good range of activities. Service users are encouraged to participate but individual choices are respected, as is the need for personal space and privacy. What has improved since the last inspection? Recommendations following the last inspection were promptly addressed The home now has a Registered Manager. The Service Users` Guide is now provided in an `easy read` format. All Person Centered Care plans have been re-written with the involvement of the service users. All service Users have a `Health Action Plan`. All staff have received safeguarding vulnerable adults training and service users have safeguarding information in an `easy read` format. Much of the home has been redecorated to provide a more homely environment. What the care home could do better: It is recommended that the Statement of Purpose and Service Users` Guide is updated to contains the new contact details for the Care Quality Commission. Key inspection report Care homes for adults (18-65 years) Name: Address: Halifax Drive Care Home 72 Halifax Drive Leicester Leicestershire LE4 2DP     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Carole Burgess     Date: 1 5 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Halifax Drive Care Home 72 Halifax Drive Leicester Leicestershire LE4 2DP 01162340519 01162340525 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lansdowne Road Limited Name of registered manager (if applicable) Mr Hayden Knight Type of registration: Number of places registered: care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: No additional conditions of registration. Date of last inspection Brief description of the care home Halifax Drive is a home providing personal care and accommodation for up to 34 people with a learning disability. The Registered Providers, Lansdowne Road Limited, are part of the Craegmoor Group, who have many care homes catering for people with a learning disability. The home is purpose built and divided into four areas, Ash Lodge, Beech Lodge, Cedar Lodge and a bungalow located within the grounds that provides more independent living for up to three people. All of the identified areas within the home have a lounge, dining room and kitchen for service users to use. Meals are provided from the main kitchen except where service Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 34 Brief description of the care home users are living independently. There is a well- maintained, accessible garden, with tables and chairs and a barbecue, which service users help to maintenance as part of their activities. The home is situated on the outskirts of Leicester city centre and is within reach of local shops and other facilities. It is easily accessible by car or public transport and there is limited parking available in the grounds. The Statement of Purpose and Service Users Guide (also available in an easy read format) are available in the reception area with the homes last CQC inspection report. The level of fees is individually assessed and agreed with placing authority. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 Stars. This means the people who use the service experience excellent quality outcomes. We as it appears throughout the Inspection Report refers to the Care Quality Commission . The focus of the inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who use the service and their views of the service provided. The previous key inspection was undertaken on 4th January 2008. The site visit was unannounced and took place over six hours. We selected four service users and tracked the care they received through a review of their records, discussions with them (where possible), discussions with other people who use the service, the Care Homes for Adults (18-65 years) Page 6 of 26 care staff, and observation of care practices. We spoke with staff members regarding the training and support they received. Planning for the inspection included assessing notifications of significant events, a review of the Annual Quality Assurance Assessment (AQAA) sent to the CQC by the service, which provided excellent and detailed information. The Registered Manager, deputy managers and other staff spoken with were positive and helpful during the inspection. The fees at the time of inspection were dependent on assessed needs. Care Homes for Adults (18-65 years) Page 7 of 26 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 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 26 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 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are going to live at Halifax Drive are provided with detailed information, in accessible formats, and have their health, welfare and social care needs fully assessed before they move to the home. Evidence: The home provided prospective service users and/or their representative with a detailed Statement of Purpose and Service Users Guide (both gave information about the home) to help people decide if the home was the right one for them. The Statement of Purpose was also presented in an easy to read format, and the Service Users Guide was available in a picture and large print version. Prospective service users were given a Moving into Halifax Drive pictorial and large print booklet before moving into the home. This told people that they could visit the home before they move in, that they could choose how they would like their room to be decorated and that they could have personal items of furniture in their room. It also gave information about who their key worker would be and what other support was provided. Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: Each service user had a detailed and signed Service User Agreement (Terms & Conditions) to ensure that all parties were aware of the services that were to be provided. Prospective service users had a pre-admission assessment, completed by either the Registered Manager, or a deputy manager, with additional assessments completed by an independent forensic psychologist where necessary, to ensure that peoples needs were fully assessed so that they could be supported once they move to Halifax Drive. Care Homes for Adults (18-65 years) Page 11 of 26 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 who live at Halifax Drive are supported and assisted by the staff to make decisions and choices that affect their daily lives and their futures. Evidence: All service users had a person centered care plan which fully reflected, in detail, their life style preferences, choices and long term aims and goals, and mirrored the assessment and plan of care detailed in the local authority assessment. Wherever possible people were fully involved with this process. Service users were treated as individuals, with dignity and respect. Staff gave examples of how this was supported within community settings, and gave an example of how they addressed inappropriate comments that were made by explain that certain comments were unacceptable and hurtful to people with a learning disability. Care plans were clear and contained detailed information relating to peoples life style choices under the headings What I do. This related to personal preferences, a social Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: interaction profile with life style choices, and sections of information titled Must Read, Essential to Read and Extra Information that provided detailed information how people communicated to make their wishes known such as I understand and communicate in short sentences. One person spoken with said that the homes staff had supported him in his decision to move toward independent living and at the point of moving he had also been supported when he decided he was not yet ready to move out of the home. Service users participate in the running of the home through regular service users meetings within the home. They also had a nominated representative who represented service users at area meetings. Service users were also involved in the recruitment of staff and the interview process. There opinions were valued and acted upon. The Registered Manager said that service users asked prospective staff questions and their opinions were considered when employing new staff. Service users had detailed risk profiles and were encouraged and supported to take acceptable risks to enable them to develop and support their independence and decision making choices. The home responded promptly to service users who appeared to be missing if they were not back at the expected time. They had a Grab Sheet with a photograph and person details which could be quickly passed to the police to ensure that they had the necessary information to affect the persons safe return to the home. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are provided with opportunities to achieve their personal goals, and work toward independence where this is appropriate. Evidence: We looked at four care plans to assess the quality and depth of information recorded for each service user. Care plans were person centered and very detailed to ensure that personal capabilities, preferences and aspirations were recorded. The care plans contained details that were important to the individual. There were records of personal aspirations, goals and achievements. The care plans demonstrated how the service supported people toward developing independence such as making tea and cooking meals. Service users, who were able, were observed managing their own laundry, and were also encouraged to keep their rooms clean and tidy. Some people attended Day Care whilst others were supported in education and employment Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: where this was appropriate. There was a daily activities schedule with nominated carers providing support and 121 supervision. Activities include shopping, aromatherapy, bowling, a film night, a disco at the pub and Dan the music man (who entertained people in the home) to name but a few. Craegmoor Healthcare produce a newsletter called Making A Difference which celebrates the successes of people who live in their homes. Peoples care plans demonstrated that individual lifestyle choices were well supported with both group and individual activities well supported. There were opportunities for various activities inside and outside the home. The home has a games room, TV, DVDs and computer games although some people had there own TV and computer in their own room. The home had a min bus (which staff would like to be larger to accommodate more people) to take service users on trips to places such a Bradgate Park and shopping trips. A group of service users and staff went on holiday to Scarborough this year and the home had produced (in draft) a booklet with photographs of an overview of the trip to provide information and learning outcomes for the staff following the holiday. People spoken with said that they had a great time and hoped that a similar trip could be arranged for 2010. Although people are encouraged to take part in activities , outings and holidays, individual choice was respected if people chose not to participate. The variety of activities and support is to be commended as this enabled service users to reach their own personal social and educational potential, and for those who were able, to work toward independent living. Care Homes for Adults (18-65 years) Page 15 of 26 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. Service users are well cared for in respect of their health and personal care needs. Evidence: Service users care plans were detailed and provided carers with thorough information about the health and personal care needs of the people who live at Halifax Drive. When service users moved to Halifax Drive they were given information in a pictorial easy to read formats on healthy living that shows what fruit and vegetables keep you strong and healthy, and service users are helped to complete their five favorite fruit and vegetables and are encouraged to eat healthily. They were also provided with information about person centered care planning called What is this person centered care planning thing? and Thinking about my person centered plan, and about their health action plan all in easy to read formats. Information called Thinking about my person centered plan encouraged service users to think about life style choices such as emotional support, smoking, the medication they need to take, activities and relaxation to support and promote healthy living. Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: Contact with social and healthcare professional such as social workers, GPs and hospitals were recorded and followed up by care staff to ensure that social, welfare and healthcare (including sexual health) needs were addressed. Medication policies and procedures were satisfactory and staff received the training required to ensure the safe administration of prescribed medicines. All service users had been assessed regarding their capabilities to self medicate. Although some people were deemed able to self administer no one had chosen to do so and all medication was given by the care staff. Observation during the inspection showed that staff interacted well with the service users, were friendly and supportive and treated people with respect and dignity. One person spoken with made it clear that staff were very supportive and caring in all aspects of his daily life including supporting his mental healthcare needs. Care Homes for Adults (18-65 years) Page 17 of 26 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. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of service users rights Evidence: Service users and staff spoken with showed that people were at ease with discussing any concerns with staff or with the Registered Manager. Information regarding advocacy service was available and some service users did have external advocates to provide them with independent support and advice. The homes complaint file was viewed. The service have not received any complaint since 2007 except minor concerns which were dealt with as they arose. CQC have not received any complaints about the service. The complaints and whistle blowing police was displayed in the foyer, and service users were provided with this information in pictorial and large print format so they knew how to complain if necessary. The homes complaints process reflected local safeguarding policies and procedures and all staff had received safeguarding vulnerable adults training this year and were fully aware of their responsibilities in safeguarding vulnerable people from harm or abuse. Care Homes for Adults (18-65 years) Page 18 of 26 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. A comfortable, clean, safe and homely standard of accommodation is provided to suit the wide age range of people who live at Halifax Drive. Evidence: The home was clean, safe and well maintained with accommodation to suit people of various ages and disabilities. It was decorated and furnished to a good standard that created a homely atmosphere. There were additional small kitchens where service users could develop independent living skills following a risk assessment and with the support of staff where necessary. Peoples rooms that were seen were decorated to reflect their personality, interests and tastes. There were sufficient toilets, bathing and adapted bathing facilities, including a shower that can accommodate a wheelchair. The homes health and safety arrangements, regular maintenance and regular fire drills demonstrated that the Registered Manager was mindful of his responsibility in making sure that service users and staff lived and worked in a safe environment. Care Homes for Adults (18-65 years) Page 19 of 26 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. Staff at the home are well trained and sufficient in number to meet service users health and social care need. Evidence: There were thirty-two people living at Halifax Drive at the time of the site visit. Staffing levels at the point of inspection were sufficient to support the services users health and social care needs, with additional service support by administrative, kitchen, domestic and maintenance staff. Four staff files were checked during the inspection and showed that there was a satisfactory recruitment process. All staff had had a Criminal Records Bureau (CRB) check to ensure that service users were well protected. New staff carry out a recorded and supervised induction programme and had mandatory training that included safeguarding vulnerable adults, first aid, infection control, equality and diversity , health and safety. moving and handling, food safety awareness and managing violence and aggression to ensure that they had the necessary skills to support the people in their care. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Staff spoken with said that they were well supported by their manager, and the organisation, and received the training they needed to care for the service users as was demonstrated by the training certificates in staff files. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager provides strong and supportive leadership to staff, ensuring that service users receive a high standard of care. Evidence: The Registered Manager was an experienced carer and had worked for Craegmoor for approximately sixteen years. He had a National Qualifications (NVQ) in care 2, 3, 4 and the Registered Managers Award. He was supported by two experienced deputy managers and works in a supervisory and management capacity, and in addition to the care staff numbers. The Registered Manager provided strong and innovative leadership and was enthusiastic about improving the lives of the people who lived at Halifax Drive, and supporting his care staff in creating an open, positive and inclusive atmosphere in the home. The home had improved experientially over the last few years under the guidance of the Registered Manager for which he is commended. Staff said that the service had improved under the Registered Managers leadership Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: and that they received support, regular supervision and training. The staff files contained, evidence of regular, recorded supervisions and annual appraisals and numerous certificate as evidential support for the training they had completed. There were effective quality assurance monitoring systems at all level. Service users were provided with questionnaires to complete called Your Voice in a pictorial and easy to read format that asks such things as, Are you treated with respect and feel valued?, Do you think the staff do their jobs well? and Do staff listen to what you say? The AQAA states: at Halifax Drive we hold monthly service user meetings which are minuted, and all points raised are actioned within specified timescales. Minutes are typed up, and copies are distributed to those who attended. During the meetings we follow the company Your Voice strategy, Ask, listen, and DO: this i.e. an initiative that ensures that service users are actively involved in decisions made in and about the home i.e. staff interviews. Our service users attend a forum, which is an ideal opportunity to meet other service users and discuss any issues relevant to themselves. There is also an advisory group within Craegmoor which is made up of Service Users, and some members of the management team including, the Chief Executive. These meetings generate ideas for improving the services and care provided. The service promoted safe working practices through, quarterly Health & Safety meeting, with service users present. There were generic risk assessment for all areas of the home such as the laundry and garden. Regular staff training in first aid, moving and handling, food hygiene and fire safety ensure the services commitment to the safety of both service users and staff. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 1 It is recommended that the Statement of Purpose and Service Users Guide is updated to contains the new contact details for the Care Quality Commission. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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