Care Home: Mountjoy

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What the care home does well The systems operated by the service help to ensure that people are fully involved in their assessments, which reflect and show how they want to live their lives. Good assessment and planning systems mean that people are supported and assisted to live as ordinary a life as possible and to take risks in the pursuit of living an independent lifestyle. People have a say in how they live their lives and have opportunities for personal development and their rights respected in their daily lives. People have a say in the way they are supported and cared for and ordinary community based healthcare services meet their individual needs. The systems operated by the service in relation to dealing with complaints and safeguarding people ensure that people`s health and wellbeing are promoted and protected. The service provides a safe and comfortable environment, which suits people`s needs and lifestyles. An effective staff team who are competent, qualified and supervised, supports people using the service. People using the service live in a well run home where they know they have a say in what happens and where they know they are safe. What has improved since the last inspection? Standards have been consistently maintained. What the care home could do better: The use of Person Centered Planning Tools, may enhanced the planning, care and support processes for people living at the home. CARE HOME ADULTS 18-65 Mountjoy 24 Mountjoy Road Edgerton Huddersfield West Yorkshire HD1 5PZ Lead Inspector Tony Brindle Key Unannounced Inspection 30th June 2008 12:30p Mountjoy DS0000026324.V367839.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 Mountjoy DS0000026324.V367839.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. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mountjoy Address 24 Mountjoy Road Edgerton Huddersfield West Yorkshire HD1 5PZ 01484 432471 01484 667747 Imacdonald@bridgewoodtrust.co.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) Bridgewood Trust Limited Mrs Joanne Sykes Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2007 Brief Description of the Service: 24 Mountjoy Road is owned and managed by Bridgewood Trust, and it is an organisation that specialises in providing accommodation for adults with a learning disability. The home is registered to provide accommodation and care for up to eight people, however, one of the bedrooms is a double room and as all the people who live in the home occupy single rooms, only seven people are in residence. All of the bedrooms are personalised reflecting peoples’ individual tastes and hobbies. The establishment is a Victorian property and is situated in a residential area, close to the town centre of Huddersfield. The property is well maintained throughout and is indistinguishable from neighbouring houses. The fees in June 08 ranged from £286.00 - £473 per week. There are additional charges for hairdressing, holidays and toiletries. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Mountjoy DS0000026324.V367839.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 three (3) stars. This means the people who use this service experience excellent quality outcomes. This unannounced visit started, it was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home and the care staff. The care plan files of people living at the home were seen and included assessments, care plans, daily and medical records and the record of activities. Staff records were also seen and included application forms, references, police checks and training records. A sample of people’s medications and monies were checked and a look around the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance document. The inspector would like to take the opportunity to thank the staff and people living at the home for their hospitality, patience and co-operation throughout the visit. What the service does well: What has improved since the last inspection? What they could do better: Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 6 The use of Person Centered Planning Tools, may enhanced the planning, care and support processes for people living at the home. 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. Mountjoy DS0000026324.V367839.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 Mountjoy DS0000026324.V367839.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems operated by the service help to ensure that people are fully involved in their assessments, which reflect and show how they want to live their lives. EVIDENCE: Information held within people’s personal files showed that they had had their personal needs identified by way if an appropriate assessment of needs, which showed their likes, dislikes, choices and preferences. The assessments were found to contain good levels of information, which could be used to tell staff how people prefer to be supported and cared for. Mountjoy DS0000026324.V367839.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessment and planning systems mean that people are supported and assisted to live as ordinary a life as possible and to take risks in the pursuit of living an independent lifestyle. The use of Person Centered Planning Tools, may enhanced the planning, care and support processes for people living at the home. EVIDENCE: Information held within individual assessments, care plans and reviews shows that people are fully involved in all aspects of their lives. The information contained within the daily records showed that people have a say in what happens to them, and it was pointed out to the operations manager that the use of descriptive words in the daily records to reflect and show people’s choices, preferences, likes and dislikes, was positive and very useful. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 10 The operations manager explained that the care plans contain detailed information about people’s needs and requirements. These plans were seen to be a very good aid to the staff working with the people living at the homer, as the information could be used to guide to show people how to specifically support and care for individuals living at the Mountjoy. Evidence was found of the care plans being reviewed on a periodic basis, and these reviews are attended by the person themselves, their family (if appropriate) and any other relevant professionals such as a Community Nurse, Social Worker, or Day Placement Officer. The operations manager explained that where necessary, risk assessments are carried by the staff, the outcomes of which are recorded within people’s individual files. These were seen, and were found to contain good levels of information about potential risks to a person’s health and safety, and information about how to either eliminate, or significantly reduce the risks. Staff who were spoken with were clear about the need to ensure confidentiality within the service, and the operations manager explained that confidences would only be broken when an issue was affecting, or what about to affect a person’s health, safety or wellbeing. An example of this would be if someone was being abused, or taken advantage of. A discussion took place with the operations manager about the use of specific Person Centered Planning Tools, and he explained that this something the organization as a whole hopes to look into in order to improve the lifestyle and care planning systems for individuals. Mountjoy DS0000026324.V367839.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have a say in how they live their lives and have opportunities for personal development and their rights respected in their daily lives. EVIDENCE: The operations manager explained that “central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary” and added that “life should be meaningful.” Information held within the daily records showed that activities such as daytime placements are organized for people to attend, and the operations manager explained that people could, and do from time to time, choose not to attend a day centre or work placement. Other information held within the daily records shows that people are well supported to make decisions about what they do with their spare time and how the kind of activities and interests they decide to get involved with. The operations manager explained that a group of people living at the home had shown an interest in Crown Green Bowling, and as a result links with a local Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 12 bowling club had been made, some bowls had been donated so that people could try it out, and a taster session had been arranged for later that week. Information contained with people individual files shows that they are regularly consulted about things they would like to do both inside and outside of the home, and that people are well supported to make decisions about which activities to get involved in. The operations manager confirmed this saying that the staff try and obtain as much information about local events and activities and discuss these with the people living at the home. Information held with people files showed that they are well supported to take part and engage in activities both inside and outside of the home, with the staff working flexibly to support and ensure that people can get to appointments and events on time. An example of this took place on the day of our visit, with a staff member coming into work early in order to support someone at an appointment. The operations manager explained that family and friends are welcomed into the home, and can get involved in daily routines and activities if they like (with the person’s agreement.) Staff members were observed to treat people with respect and dignity. Examples of this were people using the correct form of address, knocking on bedroom doors before entering, discussing personal issues in a private manner and giving clear explanation about the various activities and events taking place in the home. One person who was spoken with said that they were consulted about what should go on the menu, and supported to make decisions about when to get involved in the buying and cooking of food and meals. A staff member explained that people are encouraged to get involved in meal preparation, but it is dependant on their abilities. Another person living at the home said that changes are made to the menu to include people’s individual likes and dislikes. A look at the information on the menus confirmed this. Mountjoy DS0000026324.V367839.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have a say in the way they are supported and cared for and ordinary community based healthcare services meet their individual needs. EVIDENCE: The manager said that people are supported and encouraged to use ordinary community based healthcare services as part of living an ordinary lifestyle. This was confirmed by the medical and daily records, which also show that how people’s healthcare needs are fully met by way of consultation with the person themselves, access to local healthcare providers, and support from staff within the home. The medication systems were checked and found to be safe and to protect people using the service. Staff records show that they are trained in how to administer medicines safely and correctly. Discussion with staff found them to have a good understanding of the healthcare needs of the people using the service. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems operated by the service in relation to dealing with complaints and safeguarding people ensure that people’s health and wellbeing are promoted and protected. EVIDENCE: Information held by the service shows that they have not received any complaints since the last inspection. The operations manager explained that the manager and staff have very good relationships with the relatives of the people living at the home, and he added that “any concerns or worries that people have are often ironed out immediately, and therefore making an official complaint is not always necessary.” He went on to say that if either relatives or people living at the home have worries or concerns, then these are usually recorded within people’s individual files. Information held with the files confirmed this. The staff training records show that staff have had training in safeguarding people from abuse, and one staff member clearly explained what they understood constituted abuse, and was able to clearly explain what they would do if they were alerted to abuse taking place, or if abuse was suspected. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service provides a safe and comfortable environment, which suits people’s needs and lifestyles. EVIDENCE: The accommodation at Mountjoy was found to be well maintained. All the rooms seen were to be well decorated and furnished, and the home was found to be immaculately clean. Bedrooms were seen to be highly personalized, and the grounds were also found to be well maintained and accessible. People living at the home said that they like the home, and enjoyed living there. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. An effective staff team who are competent, qualified and supervised, supports people using the service. EVIDENCE: Information contained with the staff personnel files shows that the service has a well developed recruitment procedure that has the needs of people who use the service at its core. The operations manager said “the recruitment of good quality carers is seen as integral to the delivery of an excellent service” and that ”the service is highly selective, with the recruitment of the right person for the job being more important to the filling of a vacancy.” He added that people who use the service are involved in the recruitment of staff as much as is possible, saying “ people views on new staff members are sought and fed into the selection process.” The staff training records show that the staff have received movement and handling training within the last 12 months, and the operations manager explained that refresher courses are arranged. Staff have had safeguarding training, and other mandatory training such as health and safety, infection Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 17 control, managing aggression and violence, dementia care, autism awareness and basic food hygiene. Staffing levels were seen to provided to meet the needs of the people who live in the home and as already mentioned, are flexible to take into account the activities and daytime commitments of people living at the home. The operations manager explained that recruitment process at the home, and the information contained within staff member’s personnel files confirmed that there are good systems in place that protect the people living at Mountjoy. The records confirmed that all the appropriate preemployment checks are carried out on people before they start working in the home. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service live in a well run home where they know they have a say in what happens and where they know they are safe. EVIDENCE: The information held by the Commission shows that the registered manager has the required qualification and experience to run the home. Information held within the individual records and care plans shows that the systems operated by the manager and staff ensure effective safeguarding not only the people living at the home, but their belongings, monies and valuables. The operations manager explained that people are supported to manage their own money where possible, adding that those who do not currently have the skills are encouraged and supported to develop to become as independent as possible. The information contained with people’s individual records confirmed Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 19 this. Record keeping within the home was seen to be of a consistently high standard, with detailed information being recorded about events in the home, and analysis of that information being undertaken so as to learn lessons and ensure that the care and support being provided is always to a high standard. Records are kept securely and discussions with the staff showed that they are aware of the ensuring confidentiality. Staff at the home said that they believed the home to be well managed, and that if they needed to speak to other managers within the organisation then they could do this without any problems, as there is always someone available via the on-call system. One staff member said that the manager acts as an excellent role model for other employees, and they added that they would think that other professionals would see the manager as an imaginative and effective leader. Based on the way that information has been supplied to the Commission by the service over the course of the last year, and taking into account the evidence found on the day of the visit, it is clear that there is strong evidence to say that the ethos of the home is open and transparent. It is clear from observations and by way of recorded evidence, that the views of both people who use the service and staff are listened to, and valued. The Annual Quality Assurance Assessment (AQAA) that was returned to the Commission was found to contain excellent information that was fully supported by appropriate evidence. It included a high level of information about the equality and diversity issues, and there was a range of evidence to show how the service listens to people living at the home. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 20 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 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 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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 YA7 YA9 Good Practice Recommendations The use of Person Centered Planning Tools, may enhanced the planning, care and support processes for people living at the home. Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Mountjoy DS0000026324.V367839.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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