Inspection on 19/09/06 for 50 Stoneygate Road

This inspection was carried out on 19th September 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

50 Stoneygate Road 05/10/09

50 Stoneygate Road 25/09/07

50 Stoneygate Road 15/11/05

50 Stoneygate Road 22/06/05

50 Stoneygate Road 16/09/04

50 Stoneygate Road 03/10/02

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Trevayler Residential Care Home

Thornham Grove

Hunter`s Lodge

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

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

CARE HOME ADULTS 18-65 50 Stoneygate Road Leicester Leicestershire LE2 2AD Lead Inspector Debbie Williams Unannounced Inspection 19th September 2006 03:00 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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.V312169.R01.S.doc Version 5.2 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.V312169.R01.S.doc Version 5.2 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 info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Joyce Elaine Spriggs 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.V312169.R01.S.doc Version 5.2 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. 15th of November 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. At the time of this inspection fees ranged from £350 to £750 per week. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main method of inspection used was ‘case tracking’ which involved selecting residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. This was a positive inspection as it was evident that residents accommodated were satisfied with the care they received and felt comfortable in their surroundings and with the staff on duty. Good outcomes were achieved in most areas. What the service does well: What has improved since the last inspection? Since the last inspection staff records have been updated to include all required information. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 6 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.V312169.R01.S.doc Version 5.2 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.V312169.R01.S.doc Version 5.2 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): 1,2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents are provided with the information they need to make an informed choice about the home and their individual aspirations and needs are assessed. EVIDENCE: Assessment records for the case tracked resident were examined. The registered manager explained that staff were in the process of reviewing all care records and bringing them up to the required standard. The documentation in use included a residents profile, physical, mental health and behavioural assessments and also included personal support needs, financial management needs and accomodation needs. Once this documentation is fully implemented then comprehensive assessment records will be in place for each resident. A copy of the home’s Statement of Purpose was seen, this contained all required information and is supplied to all prospective residents. All residents are referred to the home from social services, the registered manager or senior staff member also undertakes a needs assessment for each resident before they move into the home. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents changing needs are met, risks are assessed and managed appropriatley. EVIDENCE: The care records of three residents were inspected. Residents are able to make decisions regarding their lifestyle and are enabled to take responsible risks. This was confirmed by the case tracked residents spoken with. The home’s Statement of Purpose sets out any rules or procedures that residents are required to follow, this are kept to a minimum and are in place for health and safety purposes. Residents are encouraged to attend and participate in resident meetings. During this inspection residents felt free to approach the registered manager with any queries or concerns and the registered manager enabled them to make decisions regarding their queries. Residents are able to take responsible risks and this is managed according to individual needs. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are enabled to live ordinary domestic lives, their rights and responsibilities recognised and social, cultural needs met. EVIDENCE: Activities on offer included, trips out shopping or for days out. A week’s holiday to Skegness was planned for six residents. There is a snooker table at the home and residents are able to listen to music or watch TV. Residents spoken with were happy with the range of activities on offer and confirmed that they were able to maintain relationships with their families and friends. A copy of the week’s menu was available to all residents. A choice of meal is always available. There is a kitchenette which residents can use to make drinks and snacks as required. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Personal support needs are met in the appropriate manner required by individual residents. Residents were not always protected by the home’s medciation policies and procedures. EVIDENCE: The individual personal support needs and emotional needs of residents are recorded in residents care plans. Residents spoken with confirmed their needs were met. It was evident from observation of interactions between residents and the registered manager that residents felt supported by her. Medication administration records were inspected and it was found that policies and procedures for the safe administration of medication were not always adhered to; a requirement was made regarding this. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Adult protection procedures in place minimise risk for residents. EVIDENCE: A record of all complaints received is maintained. Residents confirmed that their views are listened to by staff and management. The manager was aware of Vulnerable Adult procedures and staff had access to adult protection policy and procedures. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The premises met the lifestyle needs of residents accomodated and mostly provided a comfortable and homely environment. EVIDENCE: Most areas of the home appeared well maintained. The company maintenance man was at the home during this inspection. The carpet outside the kitchenette area was in a poor state and was not conducive with a homely, comfortable environment. A recommendation was made regarding this. Resident’s personal accommodation was personalised and residents could lock the door to their rooms. All areas of the home seen appeared clean and hygienic. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported by an effective staff team and protected by appropriate recruitment procedures. EVIDENCE: The home’s staffing roster was inspected. At the time of this inspection there were nineteen residents living in the home. During daytime hours there were three care staff on duty and two care staff during the night. There was also on call staff available and the registered managers hours were supernumerary. The staff file for one staff member was inspected and was found to contain all necessary references and checks. Records of staff training were maintained. All staff receive induction and foundation training. Fifty percent of care staff have achieved a National Vocational Qualification level two in care and all other care staff are working towards this qualification. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 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): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Management and administration procedures in place serve the best interests of residents accomodated. EVIDENCE: The registered manager holds a National Vocational Qualification level four in care and the Registered Managers Award. Resident’s views are sought at monthly residents meetings and through resident’s questionnaires. The home has a health and safety policy and risk assessments are carried out in all areas. All necessary checks such at hot water temperatures and electrical appliance tests are carried out by the home’s maintenance man. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 16 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 3 2 3 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 17 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 YA20 Regulation 13 Requirement The providers must ensure that safe administration of medication procedures are adhered to. Timescale for action 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that the carpet outside the kitchenette is repaired or replaced. 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 18 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 © 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 50 Stoneygate Road DS0000006314.V312169.R01.S.doc Version 5.2 Page 19 - 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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