Care Home: St Marys Gate (25)

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What the care home does well People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. People that live at the home made positive comments about living at St Mary`s Gate and comments received in surveys returned to us said, `I am happy here`, `Things have improved now that we are using very few agency workers` and `I love the new sensory room in the back where the dining room used to be and the big TV I can easily see in the lounge`. The personal care and health needs of people that use services are met to an excellent standard so they are supported to maintain their personal appearance and hygiene. Staff understand the safeguarding procedure and their responsibility in how to report suspicions of abuse or neglect so protect vulnerable people. The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. What the care home could do better: We could not see any improvements the service could as the service is very well managed and the provider organisation forward thinking in how it plans to develop the facilities and services available to people so improve their quality of life. Random inspection report Care homes for adults (18-65 years) Name: Address: St Marys Gate (25) 25 St Marys Gate Euxton Chorley Lancashire PR7 6AH three star excellent service 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: Anthony Cliffe Date: 0 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: St Marys Gate (25) 25 St Marys Gate Euxton Chorley Lancashire PR7 6AH 01257241899 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Philippa Jayne Steele Type of registration: Number of places registered: Conditions of registration: Category(ies) : Link-Ability Charity Ltd care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The registered person may provide the following category of service only: Care Home with Nursing - Code N To Service Users of the following gender: Either Whose primary care needs on admission ot the home are within the following categories: Learning Disability - Code LD The maximum number of Service Users who can be accommodated is: 4 Date of last inspection Brief description of the care home St Marys Gate is registered to accommodate four learning, physical and sensory disabilities. The home is one of a number of properties operated by Link-Ability, which is a non-profit making Voluntary Organisation. Link-Ability provides a service for both adults and children who in addition to having a Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home learning disability also have additional complex health and/or behavioural difficulties. It is the aim of the Organisation to provide a tailor made package of care for people using its services. In pursuing this aim there is close collaboration between Link-Ability and peoples parents and relatives. St Marys Gate is a purpose built bungalow situated in the village of Euxton. There is a range of local amenities, and those which are accessed further away in the Chorley district. The home is well suited to the needs of the people living there, with facilities and equipment having been installed to meet their individual care needs. These are regularly reviewed to ensure they remain appropriate. People living there have their own bedrooms and these have been decorated and furnished to reflect the individual tastes, preferences and interests. There is a communal lounge and dining room, kitchen, laundry and guest bedroom, which serves as the staff sleeping facility and office. There are gardens on either side of the home, one of which provides an enclosed and private area. The front of the home faces onto a courtyard, which is shared with neighbours. Information about the range of fees for living at St.Marys gate can be obtained by contacting the manager directly. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This random visit took place on the 6th May 2010 and lasted over three hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last two years we have completed annual service reviews which which told us the home was still providing an excellent service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living with there with the help of staff and family as well as the manager and staff team and they gave us their views about living and working there. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care or support plans. We could see that the home used a person centred approach as well as person centred planning and care and support plans demonstrated that people were included in their care or support plans so staff had information on which to provide individual care so their care is based around their needs and choices. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care or support plans we saw were individual to people using the service and included information about their personal routines and choices about personal care or if they could not help themselves. The care plans we saw said where people needed care and support and told us how people wanted their care to be arranged and how staff would provide support or care to help them to care for themselves or if care was arranged or planned around their daily routines. So care based on their personal preferences was provided. Care Homes for Adults (18-65 years) Page 4 of 9 We saw information in care and support plans that guided staff about the health needs of people using the service. We saw positive outcomes when staff had requested help and advice from medical professionals. We saw that a person who had physical and learning disabilities had problems with swallowing and had risks associated with this was able to stay at the home as the home had consulted the persons doctor and other professionals had been involved so the right advice and treatment was given and the person was able to remain safe and well and continue to live at the home. Staff were also provided with training on how to make sure the tube used to provide sustenance could be replaced when necessary so the person did not have to experience the upset of going to hospital. Staff were also trained in the use of equipment to help the persons breathing so they did not experience distress. Surveys returned to us by people living at the home before the visits said they made choices about what the did at the home and that the home did everything well and provided them with the right care and support. Reviews of care were very good and told us people living at the home received the care and support they needed and was planned around their changing needs. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We saw that care and support plans referred to how people made decisions about their daily routines and choices or how people that use services made decisions for themselves so were confident that people made decisions that were important to them. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. People that use services were unable to manage their own medicines so staff helped them manage them safely. During the visit we saw the complaints policy was available to people using the service and available in an easy read or understandable format that people with learning, physical and sensory disabilities could understand so they could use it if necessary. The records we saw also contained a copy of the complaints procedure. We had not received any complaints about the home since our last visit and the home told us they had received none either. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We spoke to staff about their responsibility, accountability and understanding of the safeguarding adults procedure. Staff we spoke to were able to describe the indicators of abuse or neglect and how and to whom they reported allegtaions or suspicions of abuse or neglect. We saw training records for the home and all staff had received safeguarding training in 2008 with training arranged for 2010. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with a senior carer, carer and manager about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people Care Homes for Adults (18-65 years) Page 5 of 9 from further distress. We spoke to a staff member who was on her induction who confirmed she had received safeguarding adults training during her induction. We saw the home was suitably equipped to provide people with physical, sensory and learning disabilities so their personal care needs could be met. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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 7 of 9 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 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 8 of 9 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. 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