CARE HOME ADULTS 18-65
50 Stoneygate Road Leicester Leicestershire LE2 2AD Lead Inspector
Fiona Stephenson Unannounced Inspection 15th November 2005 12:15p 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service 50 Stoneygate Road Address Leicester Leicestershire LE2 2AD 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) 0116 2707276 0116 2707276 Prime Life Limited Mr Mark Raynor Care Home 19 Category(ies) of Past or present alcohol dependence (2), Mental registration, with number disorder, excluding learning disability or of places dementia (19) 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No more than 2 persons falling within category A may be admitted to the home. To be able to admit the named person in category MD/PD (dual disability) as identified in variation application number 39047 dated 15.10.02. 22nd June 2005 Date of last inspection Brief Description of the Service: 50 Stoneygate Road is a care home registered for 19 people with mental health needs, and two with alcohol dependency needs. It is set in the residential area of Stoneygate in Leicester, and is close to a range of local amenities. The main house caters for 13 service users, all of whom have single bedrooms. Communal facilities include two lounge/diners, a television room and a games room. There is also a modern extension comprising four flats (two singles and two doubles) all of which have bedrooms, lounges, kitchens, and bathrooms. They are accessible via the main house, however they also have their own private entrances. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 12:15 and 2:35 on Tuesday 15th November 2005. The focus of the inspection is to look at the outcomes for clients living in the home and to get their views of the service provided. To help gain this information the inspector undertook a ‘case tracking’ exercise, which means that two clients were selected, and their care ‘tracked’ through observations, care records, discussion with the clients themselves, and their key worker. This was the second statutory inspection for the home this year, and the inspector focused primarily on the standards that were not inspected during the previous inspection. What the service does well: What has improved since the last inspection?
The inspector checked two of the four recommendations made during the last inspection and found the home had acted upon both. These were: A review has been conducted for the client identified in the previous inspection as having a changing behaviour pattern. The commissioning authority is now fully aware of the client’s behaviour changes, and are supporting the home in how they are working with his needs.
50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 6 The majority of items in poor repair identified in the previous inspection have been replaced. Those remaining are at the request of the client who did not wish for new items to be installed. What they could do better: 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. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 1,3 Prospective clients are provided with sufficient information to support them in making the decision to move into 50 Stoneygate Road. EVIDENCE: The inspector spoke with one client who had recently moved into the home. He felt that the home had provided him with the care they said they would, and that he was given sufficient information to help him make the decision to move into Stoneygate Road. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): Not checked EVIDENCE: 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 11,12,13,14,15,16,17. Clients are well supported in living the lifestyle of their choice. EVIDENCE: The inspector spoke with the two clients who were case tracked. They spoke at length of their life styles, their activities and contacts with the local community and their families. Both were active outside the home, and enjoyed the contacts they maintained outside of the care environment. One client said he would prefer more stews and casseroles, however was happy with the food as long as staff continued to support him in having a daily ‘fryup’. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 18,19,20,21. Clients are provided with good support to ensure their physical and emotional needs are met. EVIDENCE: Both clients spoken with felt that staff and the manager were supportive in ensuring their needs were met. They had clear ideas about how they wished to live in the home, and they felt that staff and the manager respected their wishes. Neither client case tracked administered their own medication, however both felt that this was in their interest and explained why it would be problematic for them to administer themselves. The organisation has systems to deal with issues relating to death and dying for those who are ready to discuss and make arrangements for this. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): Not checked EVIDENCE: 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 24,25,30. Clients live in a homely, comfortable and safe environment. EVIDENCE: The inspector observed the communal areas and the bedrooms of clients who were case tracked. The inspector found the communal areas to be of a good standard of cleanliness and tidiness, and the client’s bedrooms to be in keeping with their needs and lifestyles. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 34,35. The home has good recruitment practices, however the staff files do not contain all information required by the regulations. EVIDENCE: The inspector checked the file of a recently recruited member of staff and found the recruitment practices to meet the required standards. Some required information was not on file such as the proof of identity, birth certificate and current passport (if the staff member has a passport). The manager was not aware that this should be on file. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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): 42,43 The health, safety and welfare of clients are promoted and protected by the management of the home. EVIDENCE: The inspector checked the file of a member of staff who is the key worker to one of the client’s case tracked. The file demonstrated that the member of staff had received training on safe working practices including moving and handling, fire safety, first aid and food hygiene. The inspector also saw information relating to the training provided to other staff members and was very pleased with the ongoing training provided to staff, and commitment to staff taking up National Vocational Qualifications. The manager encourages clients to talk to him and his staff about anything they are not happy with in the home, or anything they would like to see improved. There is also a formal quality assurance book that is located in an accessible place in the home. The inspector noted that there were no entries into the book, and noted concerns expressed about the lack of confidentiality that may stop clients from putting entries into the book. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 16 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 x x Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
50 Stoneygate Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 4 3 DS0000006314.V257272.R01.S.doc Version 5.0 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 YA41 Regulation 19 Requirement Provide an action plan detailing how the manager will ensure staff files have all documentation as required in Schedule 2 of the Care Homes Regulations Timescale for action 28/11/05 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 2 Refer to Standard YA43 YA36 Good Practice Recommendations Review the effectiveness of the current Quality Assurance document in gaining the views of clients at the home. Consider providing the manager with training in the effective use of ‘formal supervision’. 50 Stoneygate Road DS0000006314.V257272.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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