Inspection on 10/01/06 for 25 The Sandfield

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

25 The Sandfield 07/02/07

25 The Sandfield 14/06/05

25 The Sandfield 30/03/05

25 The Sandfield 02/11/04

25 The Sandfield 18/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 25 The Sandfield 25 The Sandfield Northway Tewkesbury Glos GL20 8RU Lead Inspector Mr Simon Massey Unannounced Inspection 10th January 2006 12:00 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 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 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 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. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 25 The Sandfield Address 25 The Sandfield Northway Tewkesbury Glos GL20 8RU 01684 275894 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.mencap.org.uk Royal Mencap Society Miss Lynne Beverley Humphries Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: 25, The Sandfield is a detached property on a larger housing estate approximately two miles form the centre of Tewksbury. The home is close to local amenities and facilities. The home provides care and support to four adults with Learning Disabilities. The home is owned and maintained by New Era Housing Association and staffed and run by the Royal Mencap Society. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2 hours on Tuesday 10th January 2006. The inspector met with the registered manager. One other staff member was on duty and the inspector also spoke briefly to two service users who were at home at the time of the visit. . Records relating to care planning, medication and health and safety were examined. The inspector also discussed various issues with the manager relating to the future development of the service. The environment was not inspected during this visit. For a full report against the core minimum standards readers are referred to the previous inspection report, which was produced in June 2005. The requirements made at the previous inspection had been met. What the service does well: What has improved since the last inspection? What they could do better: No significant areas requiring improvement were identified during this inspection. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 6 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. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 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 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: There have been no admissions to the home in the previous 12 months. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard were not examined in detail during this visit. EVIDENCE: The manager described and explained the changes that are being implemented to the care-planning format that is used in the home. This will provide ongoing reviews and also annual Individual Planning Meetings. These IPPs provide goals and objectives that are identified by the service user and their respective keyworker. The home is organising input from the Community Learning Disabilities Speech Therapist to see whether communication with three of the service users can be improved. It is hoped that this will empower people to have more input in identifying their goals, needs and aspirations. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 & 12 Service users have established routines that the staff team support, and efforts are being made to ensure that choice is provided. Improved communication techniques will help ensure that service users are empowered to make decisions and choices about their future. EVIDENCE: On the day of the inspection 2 service users were at home being supported by the manager and one other care staff. Both these service users have chosen to spend a considerable amount of time in the home. The manager explained how the staff team are attempting to explore other possibilities by improving communication with the service users. Both are being encouraged to participate in activities outside the home, whilst respecting their right to make choices about their daily and weekly routines. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The home has a satisfactory system in place for the storage and administration of medication. EVIDENCE: The homes medication and storage system was examined and found to be in order, with all medication correctly stored and records being accurately kept. None of the service users are able to self medicate. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not examined during this inspection. EVIDENCE: The planned work around communication, mentioned earlier in the report, should further promote the protection of service users. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard were not inspected in detail during this visit. EVIDENCE: The communal parts of the home seen were clean and well maintained with no odours evident. The door from the kitchen to the utility room has been replaced and also the front of the property has been cleared providing greater light to the kitchen area. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 33 The home has an established core of staff that understands the needs of the service users and the values of the home. EVIDENCE: The home has recruited one new staff member who has transferred from another Mencap home, and now has just one vacancy for 15 hours per week. The rotas show that sufficient cover is being provided and that the use of agency staff has been significantly reduced over the past 4 months. 1 staff member has completed NVQ 3 and another 2 are due to finish shortly. The new staff member has already completed their NVQ training. Sickness levels, which have previously been high in the home, have also significantly been reduced, which has also contributed to the reduction in the use of agency staff. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 The home is well managed and has a clear sense of direction. The home needs to ensure that fire safety tests are completed and recorded to protect the service users. EVIDENCE: The home has registered its manager since the previous inspection. They are qualified and also have several years experience of managing other Mencap homes. The manager has addressed a number of issues including staffing levels, care planning and staff training and supervision. The home is well managed and run with a clear sense of direction and commitment to promoting choice and quality of care. All health and safety records were examined and found to be up to date and in order. One shortfall was identified in the recording of fire safety tests, with a number of tests not being completed over the past 2 months, and a requirement is made in respect of this. 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 16 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 17 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 X 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 X 23 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 x 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X x X X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 x 3 X X X X 2 x 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 4(a) Requirement The home must ensure that fire safety testing is completed and recorded. Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 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 25 The Sandfield DS0000016327.V277312.R01.S.doc Version 5.1 Page 20 - 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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