Care Home: Park View Road Care Home

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What the care home does well People are provided with thorough standards of pre-admission assesment which makes sure the service can fully meet people`s needs. People who use the service are well cared for. Their individual needs are taken into account and the care is person centred. Care plans are developed in a person centred and individual way to make sure people`s needs are fully met. Plans are reviewed well as people`s needs change and in response to any serious incidents occurring. People are protected by good reporting systems for safeguarding matters. What the care home could do better: The service has met the requirements we made at our last visit, as already mentioned in this report. We have made two new requirements at this visit. Staff must be properly supervised in their job role. This must be done to make sure staff are properly aware of their job role and responsibilities and given clear guidance on what is expected of them. The service must be monitored regularly by the organisation. This will ensure it is run inthe best interests of the people who use the service and the staff and manager are supported in their roles. Random inspection report Care homes for adults (18-65 years) Name: Address: Park View Road Care Home 2A Park View Road Bradford W Yorkshire BD9 4PA one star adequate service 12/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Dawn Navesey Date: 1 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Park View Road Care Home 2A Park View Road Bradford W Yorkshire BD9 4PA 01274481030 Telephone number: Fax number: Email address: Provider web address: glen.sutcliffe@yorkshirehousing.co.uk Name of registered provider(s): Name of registered manager (if applicable) Glen Brian Sutcliffe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brunel Support Works care home 9 Number of places (if applicable): Under 65 Over 65 9 0 learning disability physical disability Conditions of registration: 9 0 The maximum number of service users who can be accommodated is: 9 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 category: Old age, not falling within any other category - Code LD, maximum number of places: 9 Date of last inspection Brief description of the care home Park View Road is a residential care home for nine people who have a learning disability and may also have additional health or other complex needs. It specialises in Care Homes for Adults (18-65 years) Page 2 of 12 1 2 0 6 2 0 0 9 Brief description of the care home providing care and support for people with autism. Park View Road is managed by Support Works which is part of Yorkshire Housing. Park View Road is a single storey building. The home is split into two areas but overall it has nine single bedrooms, three having en-suite facilities and communal toilets and bathrooms. There is a large main kitchen which provides meals thoughout the day, a kitchenette area where people can prepare their own drinks, snacks etc. There is a spacious lounge/dining area which has direct access to the garden, and two other small lounges where people can sit quietly. The home is in Heaton and is near to local shops, and bus routes. Fees for the home are available by contacting the manager. Care Homes for Adults (18-65 years) Page 3 of 12 What we found: We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints or concerns. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection, which was carried out on 12th June 2009. - Relevant information from other organisations. - What other people have told us about the service. - One inspector also carried out an unannounced visit to the home on 11th May 2010 and was at the home from 10am until 2.15pm. During the visit we spent time with and spoke to people living in the home. We also spoke to the staff, the registered manager and the district manager. After the visit, we spoke on the telephone to the head of service. - We also sent surveys to people who use the service and staff. A number of these have been returned and comments made have been used in this report. People who use the service were assisted by a staff member to complete their questionnaire. The home sent us their annual quality asssurance assessment (AQAA) when we asked for it. It was clear and gave us most of the information we asked for. They are aware of improvements they need to make to the service and told us of improvements made in the last year. However, it would also have been useful to have said how the lives of the people who use the service had been affected by the improvements made or planned. In returned surveys, people were positive about the home, they said they were treated well and liked the food and the decor. People we spent time with at the home appeared content and relaxed. Two people said they enjoyed living at the home and got on well with the people they live with. Staff said that most of the time people get on well with each other and especially enjoy going out together. The manager said it is very important to make sure people can live compatibly together. He said this is always seriously considered before anyone new moves into the home. In the AQAA, the manager said, All admissions are fully assessed by the community team for learning disabilities. The management team carry out their own assessment with the staff team deciding on the suitability of any placement. We looked at pre- admission assessments records for some people. We saw that peoples needs are assessed thoroughly before they start to use the service. This means that staff can be told about Care Homes for Adults (18-65 years) Page 4 of 12 any specific needs they might have and know what help and support to provide. The assessments involve the person using the service, their family and any other professionals involved with their care. For example, community nurses or staff from day centres. This is good practice and means peoples needs are identified well. In the AQAA, the manager said, We have developed personal care plans into person centred plans, encouraging service users to contribute in all areas within the plan. We looked at care plan and risk assessment records for some people who live at the home. We found the care plans to be improved since our last visit. They were person centred and individual to each person. Easy read language and pictures were included in the plans to help make them more accessible for people who use the service. They had clear and detailed instruction on how the needs of people who use the service are to be met. Staff said they felt the care plans gave them enough detail on meeting peoples needs. They also said the deputy manager had taken the lead role on care planning but always involved staff and people who use the service. When asked what the service does well, staffs comments included: Park View offers lots of choice to the people that live within it and promotes independence to all The home meets the needs of all service users Creates an individually tailored care plan which is implemented quite consistently and respond well to changing needs in client care. Staff had very good knowledge on peoples care needs and could speak confidently about the support they give. They also had very good knowledge of peoples individual support needs and could describe peoples routines well. It was clear that any restrictions placed on people because of safety and risks have been properly planned for and documented. Staff said the positive behaviour management plans were developed with all people involved with the person using the service and worked well to manage behaviours that challenge in a positive way. People are encouraged to make choices and decisions about what they do, using a variety of communication methods such as speaking, signing, pointing and facial expression. Staff said they encourage people to make choices in their every day lives such as what to do, what to eat, what to wear and where to go out. We saw people being offered choices throughout the visit. Staff also responded well to requests for anything, such as going out. Staff were, in the main, thoughtful, discreet and respectful of peoples dignity when attending to any needs. We had some concerns that staff at times spoke about people as if they were not present. We brought this to the manager and deputy managers attention. People living at the home looked well cared for and well groomed. Attention had been paid to detail such as nails painted and jewellery worn. At our last visit to the service, we said, the serious incident forms must be regularly reviewed and analysed to help staff recognise any patterns and identify any changes to peoples needs and behaviours. The deputy manager now has responsibility for this. Very good, clear systems have been put in place to make sure all incidents are looked at every month for each person that lives at the home. This is done in good detail and clearly Care Homes for Adults (18-65 years) Page 5 of 12 shows any patterns or trends that can be addressed. For example, the need for increased staffing levels at certain times. Good records are kept of health appointments and their outcomes. Staff make sure that people are given support to attend appointments to meet their health needs. People are referred to health professionals when needed. For example, dieticians, occupational therapists, psychologists and specialist nurses. The deputy manager told us of improvements they had made to the medication system which makes it clearer and safer. The deputy manager is the lead on managing safeguarding issues. She has received training to do this. The manager has also undertaken this training. In the AQAA, the manager told us the training is specifically aimed at adult protection for managers of services. We said at our last visit to the service that all safeguarding issues must be reported to us and Bradford Adult Protection Unit. There have been a number of safeguarding matters reported in the last year. These have now been done properly and thoroughly which makes sure people are protected. Records showed that staff have received training in safeguarding adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse. They were familiar with the whistle blowing procedure and said they would have no hesitation in using it if they thought they needed to raise concerns outside of the home or organisation. We received some concerns about the service which we reported to Bradford Adult Protection Unit. The head of service has investigated these concerns and action plans have been put in place, which include more management support, more supervsion for staff and further training on managing violence and aggression, use of safe restraint and moving and handling. Staff said the training they had received on managing violence and aggression and use of safe restraint had been good. They said they felt confident but stressed that restraint is rarely used and they are trained in re-direction and de-escalation techniques which seem to work well in positively managing peoples behaviours that challenge. In returned surveys, staff said they usually had enough staff. We looked at rotas. They showed that there are 6 staff on each shift during the day and 3 on nights. In addition to this the manager is available through the day Monday to Friday and there is a chef on duty. Most staff we spoke to said they had enough staff to meet peoples needs and that extra staff were brought in if people needed this additional support. One staff said management are responsive to what is currently a developing service and make changes as needed. The manager said this sometimes means using agency staff but they only use regular staff from the agency who have been trained in managing violence and aggression and have got to know the needs of the people who live at the home. In the AQAA, the manager said he intends to keep staffing levels under review as peoples needs change Staff were generally positive about their training. Comments included: Never done as much training in my life Care Homes for Adults (18-65 years) Page 6 of 12 Fantastic and really useful Training needs met well, looking forward to starting my NVQ. Staff spoke highly of their induction and training specific to people with learning disabilities. The manager said they are members of the National Autistic Society and access training on autism through this. One person felt they would benefit from more training on autism. The deputy manager told us that more individual training was planned with health care professionals involved with people who use the service. Comments were mixed on the support and supervision staff receive in their roles. Some said they felt they got good support and opportunities to discuss their performance or issues they had. Others said they did not always feel listened to by the manager of the home. We looked at staffs supervision records and saw that staff had not had one to one meetings for periods of up to 6 months. The head of service has also recently identified this, as mentioned earlier in this report. Staff also said there had been poor communication in the home at times, which had led to poor teamwork. Staffs comments included: Nothing ever seemed to get done about anything Communication could be better Deputy and team leaders do all the supporting, manager, we dont see him getting involved. We discussed this with the manager and district manager. They said they now have proper arrangements in place to make sure staff have one to one supervision meetings, have staff meetings arranged and have introduced handovers between each shift to increase communication. Records also showed that individual staff issues were being addressed and managed with staff. Staff must be properly supervised to make sure they are aware of their job role and responsibilities and given clear guidance on what is expected of them. The manager of the service has 15 years experience of working with people with a learning disability. He has an NVQ (National Vocational Qualification) level 4 in care management and has achieved the registered managers award. The home also has a deputy manager and team leaders who support him in this role Most staff said they received good support from the manager as mentioned above. Comments included: Good manager, approachable, listens Service is managed well between manager and deputy Very fair Potters about on shift observing our work. However, other comments included: Care Homes for Adults (18-65 years) Page 7 of 12 More often than not he is busy in the office sorting things out Good support from deputy but not manager We dont see him getting involved. When asked what the service could do better, one staff said, To have a manager who leads by example. The manager said he felt that management support for staff would now be better as they have recruited a full compliment of the deputy and team leaders. We looked at records of regulation 26 monitoring visits. These are visits that must be carried out monthly by the organisation to look at how the service is running and being managed. None of these had been completed for the last few months. We discussed this by telephone with the head of service who assurred us that arrangements were now being put in place for the proper monitoring and support of the service from the organisation. She also said that a full audit of the service had been completed in the last month which had identified the need for more management support as previously mentioned. She said the organisations project manager would be providing this support from this month. The manager also said he was exploring ways of getting comments on the home from health and social care professionals who visit. He said he would be looking to introduce a questionnaire in order to do this. What the care home does well: What they could do better: The service has met the requirements we made at our last visit, as already mentioned in this report. We have made two new requirements at this visit. Staff must be properly supervised in their job role. This must be done to make sure staff are properly aware of their job role and responsibilities and given clear guidance on what is expected of them. The service must be monitored regularly by the organisation. This will ensure it is run in Care Homes for Adults (18-65 years) Page 8 of 12 the best interests of the people who use the service and the staff and manager are supported in their roles. 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 set out on page 2. Care Homes for Adults (18-65 years) Page 9 of 12 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 10 of 12 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, 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 1 36 18 Staff must be properly supervised in their job role. This must be done to make sure staff are properly aware of their job role and responsibilities and given clear guidance on what is expected of them. 30/06/2010 2 39 24 The service must be monitored regularly by the organisation. This will ensure it is run in the best interests of the people who use the service and the staff and manager are supported in their roles. 30/06/2010 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 Care Homes for Adults (18-65 years) Page 11 of 12 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Adults (18-65 years) Page 12 of 12 - 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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