Care Home: Huddersfield Mencap 4

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What the care home does well Huddersfield Mencap 4 (1 Victoria Road) provides people living there with homely and friendly environment. A relative said in the survey "1 Victoria Road has a home atmosphere in the truest sense. Warm, caring, loving, secure, happy, democratic; everbody is listened to". People are supported to live their chosen lifestyle with support form staff when needed. People enjoy good relationships with the staff. Individuals said they have a key worker and like the staff working at the home. Individual care records are person centred and people are involved in their plan of care. What has improved since the last inspection? Sit on weighing scales have been purchased so that people can be weighed properly. A new sofa has been purchased. The home has worked hard to meet the requirements and recommendations made at the last inspection by the commission. What the care home could do better: More detail is required in manual handling and nutritional assessments to ensure the staff have the correct information about the care needs of people. More care is required to ensure all the information about staff working at the home is kept in the staff records. CARE HOME ADULTS 18-65 Huddersfield Mencap 4 1 Victoria Road Lockwood Huddersfield West Yorkshire HD1 3TF Lead Inspector Bronwynn Bennett Unannounced Inspection 4th October 2007 09:45 Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huddersfield Mencap 4 Address 1 Victoria Road Lockwood Huddersfield West Yorkshire HD1 3TF 01484 340833 01484 340833 linda-reilly@huddersfield-mencap.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Huddersfield Mencap Mrs Theresa Elizabeth Kelly Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2006 Brief Description of the Service: 1 Victoria Road, Lockwood, is a care home providing personal care and accommodation for six people with learning disabilities. It is owned by Huddersfield Mencap, a charity providing a range of services locally for people with learning disabilities. The home is situated on the outskirts of an industrial/residential community close to the centre of Huddersfield. It was purpose built as part of a complex also containing warden supervised accommodation for older people. The home is built on two floors with single rooms on both floors and adequate communal facilities. Information about the home and the services provided are available from the home in the statement of purpose and the service user guide. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit. The visit began at 9.45am and finished at 3.25 pm. During this visit the inspector spoke to people living at Huddersfield Mencap 4 (1 Victoria Road), some staff and the manager. The inspector read records of people’s care and staff records, looked at how medicines are given and looked at the accommodation available in the home. There were six people living at the home on the day of this visit. Before this visit the Commission for Social Care Inspection sent out questionnaires. Six questionnaires were sent to people living at the home and everyone responded. One questionnaire was received from a relative. Prior to this visit the manager gave the CSCI information that had been requested, for example about any illnesses, accidents and incidents and how the home is managed. The inspector would like to thank everyone for their assistance during this inspection process. What the service does well: Huddersfield Mencap 4 (1 Victoria Road) provides people living there with homely and friendly environment. A relative said in the survey “1 Victoria Road has a home atmosphere in the truest sense. Warm, caring, loving, secure, happy, democratic; everbody is listened to”. People are supported to live their chosen lifestyle with support form staff when needed. People enjoy good relationships with the staff. Individuals said they have a key worker and like the staff working at the home. Individual care records are person centred and people are involved in their plan of care. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use 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 are consulted and individual needs are assessed prior to them moving into the care home. EVIDENCE: No one has moved into the home since the last visit by the CSCI. The care records looked at for people currently living in the home showed social work assessments and pre-admission information collected by staff. Everyone who responded to the CSCI survey said they were asked if they wanted to move into the home and they had received enough information about Mencap 4 before deciding if it was the right place for them to live. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use 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. Individual assessed, personal goals and needs are reflected in their plan of care. People are supported to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: On the day of this visit there were six people living in the home. Everyone was busy going about their daily lives with support form the staff where required. There is a relaxed and homely environment at Victoria Road. People were observed throughout this visit sharing positive relationships with the staff. Everyone who responded to the survey said the staff treat them well and listen and act on what they say. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 10 A relative said in the survey that their loved one enjoyed good relationships with other people living at the home and staff. The care records for two people were looked at. Both records were person centred and easy for the reader to follow. The individuals spoken to said they had been involved in their care plan and they had a key worker that they liked. The care records are in a suitable format and language so that everyone can understand what is recorded. The daily records for each person contained good information and reflected the care being provided for each individual. One care record had a manual handling assessment but there was no care plan available to show the actions that staff must take to support that person. For example, do they require support with movement in the home or out in the community, or do they use aids to support them with their mobility. This was discussed with the manager who agreed to take action in the matter. There were risk assessments in place to show how any potential risks should be managed as part of a persons preferred lifestyle. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use 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 are supported to be part of the local community and take part in activities. People are supported to maintain relationships with family and friends. Individual rights and choice is respected and their independence promoted. EVIDENCE: Everyone who responded to the survey said they “always” make decisions about what they do each day. Everyone has a care plan relating to work and their choice of educational activity, some people are in paid employment. On the day of this visit some people were attending the day centre or had gone to work. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 12 People are supported to be part of the local community and access local facilities such as the church, pub, places of interest, keep fit class and the theatre. During a recent meeting everyone had decided to plan for a trip to Blackpool, a bonfire night party and Christmas party. Relationships important to the individual are recorded in individual care records. Some people choose to go and spend time away from the home and stay with relatives. People spoken to during this visit said they spend time with their family and friends. Individual cultural needs are recorded in their care records. Where people undertake domestic tasks such as cleaning their room, this is recorded in their care records. Everyone is provided with a key for their room and a locked draw for keeping things safe and private. Mealtimes continue to be relaxed and unhurried. Individuals were observed being supported by staff to prepare food and eat their meal. Everyone contributes to the planning and choice of menu and go to the local supermarket to shop for food. Healthy eating is encouraged at the home. Individuals spoken to during this visit said they enjoyed their meals. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in their preferred way and their health care needs are being met. The policy and procedure fro dealing with people’s medication protects people. EVIDENCE: People receive care and support in their preferred way and these preferences were recorded in the care records looked at. During this visit people were arranging to attend GP appointments and visits to the chiropodist. One individual had a concern regarding their medication that was fully explained by one of the staff. People have their weight monitored and suitable sit on weighing scales have been purchased since the last visit by the CSCI. In addition, there are nutritional assessments in place; however there was no information to direct staff of the required actions they need to take if the outcome of the assessment shows a high risk. This was discussed with the manager who agreed to clarify the matter with the appropriate professional. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 14 During this visit people were observed being treated in a dignified and respectful manner by staff, for example supporting people to exercise their choice. Respecting the individual’s need for privacy was also seen recorded in the care records looked at. Everyone spoken with said they had a key worker. Two records looked at contained health care records and people are supported to access NHS healthcare facilities. The medication and medication records for two people were checked and correct. One person administers their own medication. The risk assessment and guidance that staff must follow to the support the individual in this activity was recorded. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use 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 feel that their views are listened to and acted upon, and they are protected from abuse. EVIDENCE: The home displays a complaints procedure in a suitable format that everyone can access freely. There have been no complaints made at Mencap 4 since the last visit by the CSCI. Everyone who responded to the survey said they knew who to speak to if they were not happy, and knew who to make a complaint. One individual spoken to during this visit said they would talk to someone if they were unhappy or wished to raise a concern. A relative who responded to the survey said the home had “always” responded appropriately where concerns had been raised. The manager confirmed that with the exception of one new member of staff everyone has undertaken adult protection (safeguarding) training. Two staff spoken to during this visit had a good understanding of the required actions that must be taken should there be any allegations of abuse. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and homely environment that is well maintained. EVIDENCE: Everyone who responded to the survey said the home is “always” fresh and clean. People are supported to clean their rooms and any support required to carry out this task is recorded in the individuals care record. The inspector had a look around the home. It is comfortable, homely and provides a relaxed environment for people to live. A new sofa has been purchased since the last inspection by the CSCI. The rooms looked at had been personalised by the individual with items such as pictures, décor, bedding and other personal effects. The laundry facilities were clean and well organised and the staff team has undertaken infection control training. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use 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 competent staff team supports people. The recruitment policy and procedure requires some improvement to ensure it protects people. EVIDENCE: A relative that responded to the survey said the staff are professional, courteous and friendly. Positive relationships were observed during this visit and a relative said in the survey that they enjoyed very good relationships with the staff team. Everyone who responded to the survey said they are “always” treated well by the staff and the staff “always” listen and act on what they say. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 18 The manager confirmed that all staff, with the exception of one new member of staff has achieved NVQ (National Vocational Qualification) level 2 or above in care. Three staff have achieved LDAF (Learning Disability Award Framework) accredited training. Training is also provided for the safe administration of medication. The organisation ensures that all staff complete basic training such as Mencap Induction, Infection Control, First Aid, Fire, Manual handling and Adult Protection (safeguarding). Two staff records were looked at. One record held the required information, including police checks. The other did not have a full employment history. All staff should have a full employment history with any gaps being explored. This was discussed with the manager who agreed to take action to remedy the matter. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use 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 is well run and operates in the best interests of everyone. The health and safety of people is promoted and protected. EVIDENCE: The home’s registered manager is Ms Theresa Kelly. She has completed the NVQ (National Vocational Qualification) level 4 qualification in care. The staff said that the manager is supportive one person commented the manager is always there and helpful. There is a quality monitoring system in place that seeks the views of everyone living in the home. There are resident and staff meetings held on a monthly basis. A representative of the organisation carries out management review Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 20 reports. The results of consumer surveys are published and made available in the home. The home’s fire safety records were looked at. There is weekly testing of the fire alarm and emergency lighting systems. In addition to this there are regular fire drills that everyone takes part in. This is good practice. Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Where a manual handling assessment shows the person has manual handling needs a care plan should be in place to show the actions that staff must take to support that person. More detailed information is required in the individual nutritional assessments to ensure the staff have the correct information about the actions they must take. The employment history of all staff working at the care home should be recorded in the staff files kept 2. YA19 3. YA34 Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Huddersfield Mencap 4 DS0000026344.V352460.R01.S.doc Version 5.2 Page 24 - 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. 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