Care Home: Huntly Road (26)

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What the care home does well 26 Huntly Road provides exceptionally high quality accommodation for the people who live there. Everyone has lived there for many years and unquestionably see the house as their own home. The manager (who is also the owner) provides strong leadership to a committed staff team who make sure that all of the home`s procedures and routines are based on meeting the needs and preferences of the people who live there. The atmosphere in the home is informal and homely in every sense of the word. What has improved since the last inspection? The home has maintained its very high standards. All of the bedrooms have been redecorated to meet the tastes of the people who live there. What the care home could do better: The manager is planning to make sure that everyone gets a holiday this year. The staff training programme needs to be refreshed to make sure that staff are getting all of the training that they need. The team is very well qualified but some training needs to be renewed every year and staff should also be kept aware of the latest developments in social care. Key inspection report Care homes for adults (18-65 years) Name: Address: Huntly Road (26) 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ     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: Peter Cresswell     Date: 2 3 0 3 2 0 1 0 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 22 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Huntly Road (26) 26 Huntly Road Fairfield Liverpool Merseyside L6 3AJ 01512609120 01512915467 cymrujune@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs June Dunne Name of registered manager (if applicable) Mrs June Dunne Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Female whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 26 Huntly Road provides care for three adults with learning disabilities. The home is situated in the Fairfield/Newsham Park area of Liverpool, close to local amenities and bus routes on Sheil Road and Prescot Road. It is a large, three storey house which is also the owners family home. The service users share the two large ground floor lounges and kitchen with the owner, who also manages the home. There is a large bath/shower room on the ground floor and service users bedrooms are on the first floor. The accommodation is particularly spacious, well furnished and well maintained. Care Homes for Adults (18-65 years) Page 4 of 22 3 Over 65 0 Brief description of the care home There is a garden to the front of the house and a rear paved garden. Cars can be parked on Huntly Road, which is a relatively quiet side street. The homes office is in the neighbouring property which is also owned by Mrs Dunne. Care Homes for Adults (18-65 years) Page 5 of 22 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: For this inspection we visited the home without telling anyone exactly when we would be arriving. During our visit we spoke to all of the people who lived there, the manager and the staff who were on duty. Two of the residents showed us their rooms and we also looked at the rest of the building. We checked files including care plans, safety records and staff files. Before we called, the manager had completed an Annual Quality Assurance Assessment (AQAA) which gives the homes own view of how it is meeting the needs of the people who live there. Care Homes for Adults (18-65 years) Page 6 of 22 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 7 of 22 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 8 of 22 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 live at Huntly Road have all of the information that they need. Evidence: There have been no new admissions to Huntly Road for the last ten years and nor are there likely to be any. Should this situation arise the manager has all of the skills and experience needed to make sure that a full and proper assessment would take place. The Statement of Purpose has recently been revised and covers all of the areas it needs to. Care Homes for Adults (18-65 years) Page 9 of 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed, individualised care planning helps to make sure that people get the care and support that they need. Evidence: There are detailed care plans for all of the residents. They are written in a very accessible, quirky style that leaves staff in doubt about what is required. Staff make daily reports on the computer. The reports themselves are not especially detailed but there is also a checklist so staff can make sure that all areas of the care plan have been met. It would be a useful next step to individualise the checklists. Two of the care plans have been completely rewritten and the third is about to be done in the same style. Everyone is encouraged to make their own choices as far as they are able. The local authority is carrying out assessments under the Mental Capacity Act but no written reports have been received yet. The people living at Huntly Road take a full part in making decisions about life in the house, to the best of their abilities. All records are stored securely, most of them in a locked office in the house next door, also owned by the same person. The care plans are reviewed every year at meetings Care Homes for Adults (18-65 years) Page 10 of 22 Evidence: involving the service user, relatives, staff and social workers. These recorded fully and kept on file. The owner/manager also carries out more frequent less formal reviews and these should be recorded on the file. Care Homes for Adults (18-65 years) Page 11 of 22 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. People living in Huntly Road enjoy individually designed programmes of activities based on things they want to do. Evidence: Huntly Road is a small family based home and the people who live there take part supported by staff - in many of the regular routines of family life such as some shopping, cooking and cleaning. When we visited one of them helped a member of staff to make a chocolate cake; another made us a cup of tea. The care plans set out the things that people like doing and how they are to be achieved. Two of them go to local authority day centres on several days of the week. Those who have any contact with families are encouraged to maintain that contact, including going to family events. Nobody was able to go on holiday last year due to travel restrictions but plans are in progress this year including a possible cruise for one person and a break in Ireland for another. Care Homes for Adults (18-65 years) Page 12 of 22 Evidence: Meals are designed to meet the needs of each individual, some of whom have special dietary needs. Recent main meals have included samosas, cottage pie, Malaysian take away, bacon and potato bake and out for tea. In other words, typical, varied family fare. Care Homes for Adults (18-65 years) Page 13 of 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health needs are met by staff and are properly recorded. Evidence: Staff provide personal support sensitively and people can choose their own routines. When we arrived two of the residents were waiting for transport to a day centre, the other was getting up in her own time. Everyone has access to community and specialist health facilities and is supported in using them by staff. Medication is securely stored and properly administered. The home now uses printed Medication Administration Record (MAR) sheets provided by the dispensing pharmacist. In so far as they can be determined, peoples wishes in the event of death are recorded on file. Care Homes for Adults (18-65 years) Page 14 of 22 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 homes policies, procedures and practices protect the people who live there against the risk of abuse. Evidence: The home has appropriate policies and procedures in place though they only need to be used infrequently. Care Homes for Adults (18-65 years) Page 15 of 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Huntly Road provides people with clean, spacious, well equipped accommodation. Evidence: Huntly Road is a large, well decorated and well maintained house. Everyone has their own spacious bedroom and are able to choose how they are decorated. Staff do give them guidance in this area. Two people showed us round their own rooms and were very proud of them. The bathroom is especially spacious and well appointed. The main lounge is very big and well furnished, with comfortable sofas and a huge television. People also have televisions in there own room. There is a large separate dining room, though people generally eat at the breakfast bar in the kitchen. Care Homes for Adults (18-65 years) Page 16 of 22 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 are well qualified and committed to meeting the needs of the people they support though the training programme needs to be refreshed to make sure their knowledge is up to date. Evidence: There is a very stable staff team at Huntly Road and staff have great loyalty to the people who live there. There are sufficient staff on duty to meet everyones needs and additional staff are deployed to meet particular needs such as trips out. Ten of the 13 care/support staff have NVQ2 (the appropriate qualification) and three others are studying for it, so staff are well qualified for the job. Day to day training, to keep staff up to date, is less well organised and there has been little training over the past year. The manager said that there had been some financial uncertainty caused by factors beyond her control so less has been available for training. She has plans to revive the training programme and this is important to keep staff up to date and meet all of the statutory training obligations. Staff are properly checked before they are employed to make sure that unsuitable people are not employed. Care Homes for Adults (18-65 years) Page 17 of 22 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. Strong, sympathetic management helps to make sure that people living in the home are safe and that their views are fully taken into account. Evidence: The manager, who also owns the home, is qualified and highly experienced in the field of social care. She is deeply committed to the welfare of the people who live at Huntly Road, having been involved in their care for many years. The staff team is very stable and there was a positive atmosphere in the home when we visited (though we only saw a few staff). The manager provides strong, individualistic leadership to the team and staff are in no doubt about what is needed. There is no formal quality assurance procedure but the manager gives satisfaction questionnaires to visiting professionals and relatives. The ones we saw gave positive feedback but not many additional comments. The service users constantly let the manager and staff their views about the service in their different ways but formal systems would not be best suited to their needs. The owner employs an administrative worker who works for 26 Huntly Road and the neighbouring accommodation. This helps to make sure that the records are stored securely and kept up to date. Safety records were up to date and fire safety Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: systems are checked regularly. The electrician needs to complete the electrical safety form to make it clear when a new check is required. Any shortcomings in the electrical installation have been put right. Care Homes for Adults (18-65 years) Page 19 of 22 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 20 of 22 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 35 The manager should introduce a comprehensive training programme to make sure that staff are able to keep their knowledge up to date in all respects. Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 03000 616161 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) 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. 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