Care Home: Low Laithes Village

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What the care home does well This was a very positive first inspection of Low Laithes Village. There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at the home and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. The accommodation has been built to a very high standard and all people`s private accommodation is furnished and fitted to meet their needs and in accordance with their preferences. People live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. What has improved since the last inspection? This was the first inspection of the home. What the care home could do better: No requirements or recommendations have been made following this visit. CARE HOME ADULTS 18-65 Low Laithes Village Off Wombwell Road Ardsley Barnsley South Yorkshire S71 5HB Lead Inspector Cheryl Stovin Key Unannounced Inspection 26th February 2008 10:00 DS0000070660.V360625.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 DS0000070660.V360625.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. DS0000070660.V360625.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Low Laithes Village Address Off Wombwell Road Ardsley Barnsley South Yorkshire S71 5HB 01226 272 050 01226 272 068 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) www.hesleygroup.co.uk The Hesley Group Ltd David James Little Care Home 30 Category(ies) of Learning disability (30) registration, with number of places DS0000070660.V360625.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, 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: 30 N/A 2. Date of last inspection Brief Description of the Service: Low Laithes Village is a purpose built village environment registered to provide accommodation and care for up to 30 people aged 16 years and older with a learning disability and associated behavioural problems. All of the accommodation for individuals is in fully self-contained maisonettes comprising of a kitchen/dining room, living area and a bedroom equipped with en-suite facilities. The home is situated in a semi-rural area close to the village centre of Wombwell with easy access to the town centre of Barnsley. The annual charges made are subject to individual assessment of the amount of care that people require. The average charge is £224,000 per annum. DS0000070660.V360625.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This report brings together evidence gathered during the Key Inspection of Low Laithes Village. This included a visit made by an inspector to the home on 26th February 2008. A total of six hours were spent on the visit. During this visit we looked round the building looked at records and talked to people living and the home and to management and staff. This was the first inspection of the home since it was registered and no additional visits have been made. The purpose of the inspection is to make sure that people receive the care and support they need and that they and their families are satisfied with the service. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: This was a very positive first inspection of Low Laithes Village. There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at the home and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. DS0000070660.V360625.R01.S.doc Version 5.2 Page 6 The accommodation has been built to a very high standard and all people’s private accommodation is furnished and fitted to meet their needs and in accordance with their preferences. People live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. 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. DS0000070660.V360625.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 DS0000070660.V360625.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): 1,2,4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are assessed before moving into the home to make sure that the home can meet their needs. EVIDENCE: Everybody is fully assessed before moving in to make sure that the home can meet their needs. The assessment process is very detailed to take into account the complex needs of people moving into the home. People are encouraged to visit the home several times before moving in to give them an opportunity to meet the staff and other people living at the home, and to sample the daily routine. Everybody has their own individual guide to Low Laithes Village. The guide is written in a format to meet the communication needs of the individual and includes photographs, symbols as well as the written word. The document gives important information about the staff and accommodation and facilities provided at the home. DS0000070660.V360625.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): 6,7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their care plan to make sure that support is given in accordance with their needs and preferences. People are fully involved in all aspects of daily life within the home and are encouraged and supported to be as independent as possible. EVIDENCE: All of the five people living at the home care records were looked at. The care plans are detailed and clearly show how people prefer to be supported in their daily routine. The care plans are completed with the people living at the home. This helps staff to understand the person as a whole, and contains details of people’s DS0000070660.V360625.R01.S.doc Version 5.2 Page 10 abilities, likes and dislikes, interests and family history. The care plans are detailed and give very clear instructions as to how the individual prefers the care to be given and the routines to follow from the beginning to the end of the day. The care plans contain what time people like to get up and what routines they like to follow during the day. The home uses a person centred planning system to draw up the care plans. The minutes of the meeting are produced using pictures and photographs to make sure that people can understand what decisions have been made regarding their care and support needs. People living at the home are encouraged to plan their own reviews of their plan of care and they choose the venue, the refreshments to be served and the format of the meeting. A DVD is produced following the review to give to their families if they have been unable to attend. The DVD charts the celebration of people’s achievements and progress. Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. The risk assessments include any potential risks both in and out of the home including the use of public transport. People are encouraged to participate in the day to day running of the home and join in all activities of daily living. Staff and everybody living at the home appeared to be working together as a team. DS0000070660.V360625.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): 12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities. EVIDENCE: The atmosphere in the home is lively and welcoming, with everybody working together in the day to day running of the home. People are very much part of the local community and make use of a wide range of social and recreational facilities. Some people go to college and day centres, horse riding, sports centre’s, swimming, bowling, church and pubs. During the visit people were going out and about accompanied by staff.. DS0000070660.V360625.R01.S.doc Version 5.2 Page 12 People are encouraged to maintain and develop their own interests and to learn new skills. Low Laithes Village has been designed to be welcoming to the local community and everybody living at the home are encouraged to engage in meaningful activities. The home has an internet café, a launderette and a shop which will be open to the public. There is an arts and craft studio and a fully equipped catering kitchen to teach people how to cook. An allotment is in the process of being developed. People said that they enjoy living at Heathcotes and relationships between everyone during the visit were seen to be relaxed and friendly with appropriate use of light hearted humour and ‘banter’. People are actively encouraged to keep in touch with family and friends, internet access is available for people to use if they wish to keep in contact by e.mail. There is an emphasis on healthy eating in the home. There are no set mealtimes and people living at the home choose the menu’s to make sure that everybody has the chance to eat their favourite meals. Everybody works together preparing and cooking the meals and doing the food shopping. Pictures are used to identify meals to make sure that everybody can make an informed choice as to what to eat. People are encouraged to take holidays at the time of the visit a camping holiday was being planned for later in the year. DS0000070660.V360625.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): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. EVIDENCE: People’s personal support needs are assessed and form part of their placement plan. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. Some people have significant and complex support needs, clear strategies are in place to ensure support is given consistently by all staff. Behavioural plans are in place which have been drawn up in conjunction with a Psychologist and Behavioural Therapist. All personal care is given in private, and people were seen to be treated with dignity at all times. DS0000070660.V360625.R01.S.doc Version 5.2 Page 14 People living at the home said that they are treated well and staff spoken to were able to demonstrate a thorough understanding of people’s needs. Medication practices in the home are safe. People’s medication is stored safely in a medication cabinet in their own accommodation. All staff receive training in the safe handling of medication. There are detailed protocols in place for giving people ‘as required’ medication. DS0000070660.V360625.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): 22,23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the adult protection procedures which the staff understand and put into practice. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure which is displayed and includes details of who to contact if anybody is unhappy about anything in the home. A record is kept of any complaints received and what the outcome of the investigation was. Staff training records showed that all staff undertake Protection of Vulnerable Adults (POVA) training. Staff I spoke to demonstrated an awareness of the protection of vulnerable adults, and of the procedure to follow if they witnessed or suspected that people were not being treated properly. DS0000070660.V360625.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): 24,25,26,28,30 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a safe and clean environment which suits their needs. EVIDENCE: Low Laithes Village is a purpose built unique village consisting of 30 individual self-contained maisonettes. The accommodation is well equipped and furnished and fitted to meet the needs and preferences of the people living there. In addition people’s private accommodation there are spacious communal facilities for people to meet together and enjoy social and recreational activities. DS0000070660.V360625.R01.S.doc Version 5.2 Page 17 The village is set in a semi rural environment but within easy reach of the community facilities of the village centre of Wombwell. The town centre of Barnsley is within easy reach. The buildings are environmentally friendly and provide a sanctuary for bats and owls. There is also a recycling centre. A full tour of the home was un taken which showed that all areas of the building were seen to be fresh and clean. DS0000070660.V360625.R01.S.doc Version 5.2 Page 18 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): 32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty to meet the needs of the people living at the home. Some of the people living at the home have very complex needs and behavioural problems and require a team of staff to work with them to keep them safe. The staff team work flexibly to meet the social and recreational needs of people. The staff appeared to work together as a team and relationships with people living at the home were observed to be relaxed and friendly, with appropriate use of informality and humour. There is a commitment to staff training in the home with all staff required to undertake training to LDQ (Learning Disability Qualification) specification. DS0000070660.V360625.R01.S.doc Version 5.2 Page 19 There is an induction training programme in place which meets the common induction standards to Skills for Care specification. Mandatory training for staff includes, restraint and control, fire awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication. In addition to the mandatory training staff have also received training around people’s specific needs, for example epilepsy and autism training. The home has a programme of National Vocational Training (NVQ) in place. All staff are required to complete the award to make sure that they are qualified and competent. At the time of the visit 68 of the staff team had completed their award. The staff recruitment files of three recently appointed support workers were seen. All of the files contained CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) disclosures. Two written references, an application form and proof of identity were also in place. This makes sure that only suitable people are employed at the home. DS0000070660.V360625.R01.S.doc Version 5.2 Page 20 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): 37,38,39,41,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare is protected by the home’s health and safety practices. EVIDENCE: The home has a very strong management team consisting of the general manager, who is also the Registered Manager of the home, assistant general manager, vocational services manager and Human Resources Manager. All of the management team are qualified and competent to run the home. DS0000070660.V360625.R01.S.doc Version 5.2 Page 21 The management team are committed to ensuring that an open and positive atmosphere is prevalent in the home. The manager was seen to be very approachable during the visit and welcoming the opinions of people living at the home and the staff team. All people have their own bank accounts and financial procedures are in place to make sure that people’s money is handled safely. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. There is a formal quality assurance system in place to make sure that people are satisfied with the service provided. This system is very detailed with people living at the home being routinely consulted as to their satisfaction with the service. DS0000070660.V360625.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 x 4 3 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 4 25 4 26 4 27 x 28 4 29 x 30 4 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x 3 3 x DS0000070660.V360625.R01.S.doc Version 5.2 Page 23 N/A 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. Refer to Standard Good Practice Recommendations DS0000070660.V360625.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. 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