Inspection on 22/06/05 for 50 Stoneygate Road

This inspection was carried out on 22nd June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

50 Stoneygate Road 05/10/09

50 Stoneygate Road 25/09/07

50 Stoneygate Road 19/09/06

50 Stoneygate Road 15/11/05

50 Stoneygate Road 16/09/04

50 Stoneygate Road 03/10/02

Similar services:

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 50 Stoneygate Road Leicester Leicestershire LE2 2AD Lead Inspector Fiona Stephenson Unannounced 22 June 2005 09:30 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 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 Stationary 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 C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 50 Stoneygate Road Address 50 Stoneygate Road Leicester LE2 2AD Telephone number Fax number Email 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 Prime Life Limited Mr Mark Raynor Care Home 19 Category(ies) of A Alcohol dependant past/present (2) registration, with number MD Mental Disorder (19) of places 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/09/2004 Brief Description of the Service: 50 Stoneygate Road is a care home registered for 19 people with mental health needs. It is siutated in a residential area close to a range of local amenities including Victoria Park and the Botanical Gardens. The main house, which is Edwardian, caters for 13 service users, all of whom have single bedrooms. Communal facilities incude a games room, two lounge/diners and a television room. There is also a modern extension comprising of four flats (two singles and two doubles) all of which have bedrooms, lounges kitchens, and bathrooms. They are accessible via the main house, but also have their own private entrances. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 10:10 and 15:15 on Wednesday 22nd June 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 three clients are selected, and their care is ‘tracked’ through observations, care records, and where possible, through discussion with the clients themselves – on this occasion none of the clients case tracked were able to be spoken with, so the inspector spoke with four other residents instead. She also looked at health and safety records, and looked at nine comment cards sent to the Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? The recording of the administration of medication is now accurate. The surface temperatures of the radiators have been checked and are not a risk to clients. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 6 A private lounge area has been created by putting a dividing wall in one of the lounge areas, to give clients, professionals, and staff opportunities to talk about issues without being disturbed. 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 C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 2,4,5 Good assessment procedures are in place, and prospective clients are given sufficient opportunities to ‘test drive’ the home prior to admittance. EVIDENCE: Care records show good assessments of client needs on arrival to the home, and a written history of each client to help staff understand and support their needs. The manager informed the inspector that clients have the opportunity for one over night stay and up to two day visits prior to formal acceptance to live in the home. He informed the inspector that clients are given a written contract soon after admittance. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 6,7,8,9,10 Generally, client’s individual needs and choices are well supported within the home. EVIDENCE: Care plans were checked and on the whole found to reflect the changing needs of clients. One client’s behaviour pattern has changed, and is putting him at more risk. The staff and management at the home are not in the position to stop this behaviour, however a review with the funding body is recommended to ensure they are fully conversant with the changes. Observations and care records indicated that clients are supported in having an independent lifestyle 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16,17 Clients are well supported in having the lifestyle of their choice. EVIDENCE: Within the home there is a snooker table, multi-gym and opportunities for games such as card games. Staff at the home use the transport to take clients to the cinema, snooker halls, and to other social activities. This was observed during the time of inspection. Records show that clients have also been on organised trips to Skegness and Rutland Water. The inspector spoke with four clients who informed her of their daily lives, and the discussions demonstrated that staff were clearly aware of their needs and supported them in accessing leisure facilities, as well as supporting them with personal and familial relationships. One client informed the inspector “the home is marvellous…Mark (the manager) has given me chances that nobody else has given me…this is the best place’ 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 18,19,20 The personal and healthcare support of clients living at the home is good. EVIDENCE: Through discussions with staff it was evident that they had a good understanding of the care needs relating to each of the clients at the home. Care records also demonstrated that staff were aware of their needs, and how to support clients in meeting those needs. All clients spoken to were happy with the care they received. One said ‘my basic care needs are met…and I’m happy with that’, when asked if he would like more than his basic needs met, he said ’no’. Records showed that clients have choice in relation to their G.P. There are 19 clients at the home, and there are 16 separate G.P.s to support their individual health needs. The administration of medication was checked and found to be in satisfactory order. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 22,23 Clients living at the home feel their views are listened to and respected, and they are provided with sufficient protection from abuse, neglect and self-harm. EVIDENCE: Clients talked with at the home informed the inspector that they were able to talk to the manager if they had a concern - one client said ‘if I was concerned about anything I would go to the manager who would listen and I’m sure, respond’. The staff at the home demonstrated a good understanding of how to protect vulnerable adults, and of ‘whistle blowing’ procedures. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30 Clients live in a homely, comfortable and safe environment where standards of hygiene and cleanliness are satisfactory. EVIDENCE: The inspector toured the home and looked at all communal areas as well as some of the clients’ bedrooms. The communal areas were observed to be clean, tidy and comfortable. The clients bedrooms were in varying states of cleanliness and tidiness. The staff encourage clients to keep their own rooms clean and tidy with varying degrees of success. Staff informed the inspector that they do clean the rooms at least once a week to ensure they are cleaned to a satisfactory level. The flat visited, also demonstrated that clients are able to express their individuality and preferences. Many clients have their own bedroom furniture, and they all have the opportunities to make their bedrooms suit their needs and lifestyles. One bedroom visited where the furniture was the property of the home; the drawers did not shut properly, and the sink unit was not in good repair. In two other rooms, the sink area appeared in poor condition. The member of staff escorting the inspector acknowledged this. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 14 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35 Clients are given sufficient support from a competent staff team. EVIDENCE: There are 12 members of staff including the manager, and one bank staff. The inspector checked the training records of staff on duty the day of inspection. They were considered to have good training covering a range of issues such as Drug and Alcohol Awareness, First Aid, Medication management, and Non Abusive Psychological and Physical Intervention (N.A.P.P.I) training. Of the 12 staff, the manager is currently working towards a National Vocational Qualification (NVQ) level 4, with five staff working towards an NVQ level 2, and one member of staff is working towards an NVQ level 3. Staff are key workers to individual clients and demonstrated a good understanding of their needs. There are three members of staff on duty during the day, and two staff on duty at night. Two comment cards suggested that staff do not always communicate effectively when approached by professionals. The manager understood these comments and is in the process of training staff in how best to communicate support that clients are getting, and how they are responding to care. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,41 The manager generally runs the home well, and clients benefit from his leadership, ethos and management approach of the home. EVIDENCE: The manager through discussion demonstrated a transparent and open approach. His staff informed me that he was very approachable, but also very clear about what should and should not happen in the home. Clients also felt able to talk to him about concerns they had e.g. one client is not happy with the vegetarian options in the home and has openly discussed this with the Manager. Of the five Health and Social Care Professionals comment cards, sent back to the CSCI, the majority indicated that the management and staff gave good support to clients living in the home. Of the three GP Comment cards received, all indicated they were satisfied with the way the home was managed, and that client’s needs were being met. The one Relatives Comment card received, indicated the relative was satisfied with the running of the home. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 17 Daily records do not always sufficiently reflect what each client has been doing on a daily basis, or their emotional and psychological well being. This may have a detrimental impact on information available for review meetings. 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 18 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 x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 50 Stoneygate Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 x x C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 19 no 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 Regulation Requirement Timescale for action 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 6 Good Practice Recommendations It is advised that the manager of the home contacts the placing authority of the client whose changing behaviour pattern was discussed during the inspection, and request a review as soon as is possible. Consider replacing or repairing items of furniture identified in the inspection as being in a poor state of repair. Continue to support staff in developing professional relationships with social workers, and placing authorities. Improve daily records to contain more detail about the daily lives of clients living in the home. 2. 3. 4. 24 32 41 50 Stoneygate Road C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Pavillions 5 Smith Way, Grove Park Enderby, Leicestershire 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 C51 C01 S6314 50 Stoneygate Rd V225962 300605 STAGE 4.doc Version 1.30 Page 21 - 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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