Care Home: Prospect House

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What the care home does well To make sure peoples personal and health care needs can be met these are assessed before coming to live in the home. People are encouraged and supported to live as ordinary a lifestyle as possible. This includes using ordinary community based health care and leisure services. Some people attend local colleges and others day opportunities provided by the local authority. People say they like living in the home and one person says they are learning how to do things for themselves so they can move into their own home. There is a relaxed and enabling environment created and people have a say in what they do and what happens to them. People are supported by trained and qualified staff who say they enjoy working in the home. People are protected by the way staff are recruited and selected and they are safeguarded from any kind of abuse. People are also protected by the way medicines are dealt with as records show staff are trained to do this safely. The way people are cared for and supported is looked at regularly and changed to reflect peoples choices and preferences. Records show the home has not had any complaints or had to make any Safeguarding referrals to the local authority. Everyone is provided with an easy read complaints policy and procedure and an easy read Service User Guide telling people what services they should expect to receive. People living in the home and those caring for them appeared to be happy and said they have a say in what they do and how the home runs. What has improved since the last inspection? This was the first inspection visit to the home. What the care home could do better: The evidence shows that people living in the home and those caring for them have a say in what they do and how the home runs. However, the manager says they intend to carry out Quality Assurance surveys for people living in the home, their relatives and other visiting professionals later this year. They also said they intend to collate all of the information gathered and provide a Quality Assurance Report reflecting peoples views on the quality of care provided. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Prospect House 31 Drury Lane Altofts Normanton WF6 2JT     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tony Railton     Date: 2 1 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 20 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 20 Information about the care home Name of care home: Address: Prospect House 31 Drury Lane Altofts Normanton WF6 2JT 01924896620 01924896753 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Four Care Plus Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 The maximum number of service users who can be accommodated is: 6 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: Learning Disability, Code LD Date of last inspection Brief description of the care home Care Homes for Adults (18-65 years) Page 4 of 20 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: two star good 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: Following this visit the service has been given a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 09:15 and ended at 13:00. During the visit there was the opportunity to speak to people living in the home, the manager and support workers. Some peoples records were looked at and included assessments, support profiles, reviews, daily and medical records and their activity plans. Some peoples medicines were checked and some peoples financial records were also checked. Some staff records were seen and included, references, police and POVA (Protection of Vulnerable Adult List) checks. Staff training records were also seen and some supervision notes. A tour of the premises was undertaken and the homes maintenance records seen. This was a very enjoyable and positive visit and the inspector would like to take the opportunity to thanks people living in the Care Homes for Adults (18-65 years) Page 5 of 20 home, the manager and the staff team for their hospitality and cooperation throughout the visit. 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 set out 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 20 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 20 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. To make sure the service can meet peoples personal and health care needs these are assessed before coming to live in the home. Evidence: To make sure the service can meet peoples support and health care needs these are assessed before coming to live in the home. This was confirmed by the registered manager. Peoples records show there are comprehensive assessments and support profiles telling others how they want to be cared for and supported. The support workers say the assessment profiles are good and easy to follow. One person showed the inspection their support profiles and said they have a say in what happens to them. Care Homes for Adults (18-65 years) Page 9 of 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are recorded in their support profiles and they have a say in how they live their lives and how they are supported. Evidence: People know their personal and changing needs are reflected in their support profiles and they have a say in what they do. This was confirmed by people living in the home, the deputy manager, and support workers. The risk assessments show people are supported to take risks as part of living an ordinary lifestyle. People say they enjoy cooking, doing their washing and going out. The daily records and reviews show people have a say in what they do every day. The reviews also show peoples relatives and other professionals also have a say and they think the home meets peoples personal support needs. One person said they like living in the home, however, they are looking to move on into a home of their own. Care Homes for Adults (18-65 years) Page 10 of 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live as ordinary a lifestyle as possible, have opportunities for personal development and enjoy a varied and balanced diet of their choosing. Evidence: People are supported and encouraged to live as ordinary a lifestyle as possible. Records show they are supported to use ordinary community based leisure and educational services. One person says they like going to college and are currently attending a Skills for Life course. Another said they like cooking and in particular baking. Another says they like going swimming and working on the computer. The record of activities and daily records show people enjoy a range of activities of their choice. The risk assessments show people are supported to take risks as part of living an ordinary lifestyle. One person says they are doing really well and hope to move to a home of their own in the future. The registered manager confirmed this and also said Care Homes for Adults (18-65 years) Page 11 of 20 Evidence: people living in the home are part of the community and have visits from a representative of the local residents association. This good practice is to be commended. People say they enjoy the meals provided and they have a choice of menu. One person said they like going food shopping and helping in the kitchen. Care Homes for Adults (18-65 years) Page 12 of 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples healthcare needs are met by using ordinary community based healthcare services ad they are prtected by the way medicines are dealt with. Evidence: The records show people are supported to use ordinary community based health care services. The manager confirmed this and said some people are also supported by hospital based consultants and specialist social workers. The records confirmed this. People are protected by the way medicines are dealt with as some peoples medicines were checked and found to be safe. The staff training records also show people giving medicines have been trained to do so safely. The Manager, Deputy Manager and Support workers confirmed they have received training in giving medicines safely. The records show some people sign for their own medicines. The manager says this is part of giving people their Independence and letting them be responsible for their own medicines. Care Homes for Adults (18-65 years) Page 13 of 20 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. People have a say in what happens to them and know that what they say will be taken seriously and acted upon. People are also protected from any kind of abuse. Evidence: People have access to an easy read complaints policy and procedure and they say they know how to make a complaint. People say they know people will listen to what they say and take what they say seriously. People are protected from abuse as training records show support workers have Safeguarding training. Records show the home has not had to make any Safeguarding referrals to the Local Authority since it was registered. Discussion with people living in the home and with the manager and support workers found there is a relaxed and open environment created and people feel they can say what they want. Care Homes for Adults (18-65 years) Page 14 of 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained home that is comfortable and safe. Evidence: A tour of the premises found it to be well decorated and well maintained, homely and safe. Records show regular health and safety checks are undertaken to make sure people remain safe. Staff training records also show to keep people safe they have Fire Prevention Awareness and Health and Safety Training. People say they like living in the home and one person says its great. People were observed relaxing in the home and being treated with dignity and having their wishes respected. Care Homes for Adults (18-65 years) Page 15 of 20 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. Peoples needs are met by trained trained and qualified staff and they are protected by the way staff are recruited and selected. Evidence: People are protected by the way staff are recruited and selected as records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. People are supported by trained and qualified staff as records show lots of staff have a National Vocational Qualification Level 2 or above. Staff training records also show they receive training in how to keep people safe. The minutes of the staff meeting show they have the opportunity to comment on the running of the home. Records also show peoples needs are met by staff that are supervised. People say they like the staff who support them and good positive relationships were observed throughout the visit being fostered with people living in the home. Care Homes for Adults (18-65 years) Page 16 of 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home that is run in their best interests, however, the views of people living in the home, and of their relatives are not yet sought or reflected in a quality assurance report. Evidence: People benefit from living in a home with an experienced and qualified registered manager. The care management systems in the home are good and records show peoples personal and health care needs are met. People are also protected and supported by trained and qualified staff. The minutes of reviews, residents meetings and staff meetings show people have the opportunity to comment on the running of the home. The manager says they intend to carry out quality assurance surveys to ask people living in the home , their relatives and others their views about the quality of services provided. They said they intend to collate all of the information gathered and provide a report showing what they said about the service. Care Homes for Adults (18-65 years) Page 17 of 20 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 18 of 20 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 39 The views of people living in the home and of their relatives and other visiting professionals should be sought through quality assurance surveys and a report provided telling others what people think about the service and reflect any changes as a result of their comments. Care Homes for Adults (18-65 years) Page 19 of 20 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 20 of 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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