Inspection on 13/06/07 for Amberley House (3)

This inspection was carried out on 13th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Amberley House (3) 18/01/06

Amberley House (3) 26/11/04

Amberley House (3) 07/07/04

Amberley House (3) 03/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Amberley House (3) Cedar Close Eckington Sheffield Derbyshire S21 4BA Lead Inspector Judith Beckett Unannounced Inspection 13th June 2007 10:00 Amberley House (3) DS0000019919.V329895.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 Amberley House (3) DS0000019919.V329895.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. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amberley House (3) Address Cedar Close Eckington Sheffield Derbyshire S21 4BA (01246) 436478 NONE 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) Enable Care & Home Support Limited Mrs Valerie Herring Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Amberley House (3) is a care home, which is registered to provide accommodation for up to seven residents with learning difficulties. The home currently accommodates six residents and does not provide bathroom and toilet facilities for more than this number. The home has a spacious garden, with a patio area. An extension has been built and this provides office accommodation and further facilities for the residents. The home is situated on the edge of the north-east Derbyshire boundary within the village of Eckington. It is close to shops, a post office and all local amenities and near to direct bus routes to both Chesterfield and Sheffield. The manager stated that the fees are £358.65 weekly with extra charges for toiletries £5-£12 per month and activities/socials £4-£15 per month. Information about the service is available in the entrance hall including the most recent Inspection Report. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 13th June 2007 and covered the morning, lunchtime and early afternoon. During this time the Inspector spoke with two residents, the registered manager, and staff. Many of the home’s residents have communication difficulties, the Inspector therefore observed the daily routines and the quality of the interaction between staff and residents as part of this visit. Other inspection methods used included the examination of the care records of 2 residents selected as part of case tracking, the medication systems in place and staff records. A brief tour of the building also took place to assess the general cleanliness and hygiene of the home. Two completed CSCI resident surveys were received the findings of which have been included in the main body of the report. 3 requirements were made at the last inspection visit in January 2006, all have been met. What the service does well: Residents say that they are well cared for and they like the home that they are living in. They liked the food provided and the home is always clean. They had just returned from their annual holiday abroad and said they had really enjoyed the trip. The views of residents are sought and the service is tailored to meet the needs of individual residents. Residents are supported to maintain links with the community, to maintain independence, and to lead fulfilling lives. A stable staff group work well together with the ethos of providing good care to residents and treating them as individuals. Staff are kind and caring in their interactions with residents. Clear and informative records are kept regarding the care needed and the way in which residents prefer to have their care delivered. The home is comfortable and furnished in a homely way. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Amberley House (3) DS0000019919.V329895.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 Amberley House (3) DS0000019919.V329895.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4,5. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ needs were being fully assessed before admission so that care is provided in a way that meets individual needs and expectations EVIDENCE: The care plans of two residents were examined as part of the case tracking process. The plans contained detailed admission assessments and these included the personal histories of the residents and specialist assessments, where appropriate. One new admission had taken place since the last inspection. Trial visits had taken place and the resident had settled very well. There were contractual details held on file for residents and these had been produced in a suitable format appropriate to the needs of the residents. The contracts included the rights and responsibilities of both parties. The contracts did not contain correct details of the company name. Amberley House (3) DS0000019919.V329895.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are comprehensive written care plans to guide staff in meeting the needs of the residents. There is documentation to confirm that residents receive support and assistance from staff in order to make decisions about their lives. EVIDENCE: Two care plans were examined as part of case tracking and these contained information about health, social and personal care needs and included details about how needs would be met. There are ‘Personal Planning Books’ and these contain clear evidence of input from the individual resident. The care planning documentation included daily routines and also covered any behavioural issues. Records of contact with outside professionals are kept, as are details of communication with relatives/significant others. There is suitable Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 10 emphasis on risk-taking and on risk assessment processes. Staff keep daily progress records and periodic reviews of care are also well documented. A good example of resident input into daily life at the home was available within the written notes of residents’ meetings, where there was record of the views of individual residents and evidence of the service acting on their wishes. There are advocacy arrangements for all residents. These are used frequently, at least six times in the last year. The financial records in respect of individual residents are audited annually. Residents are consulted on day-to-day aspects of running the home, e.g. choosing new dining room furniture, menus. All the residents had been taken in two cars to choose the new dining room furniture. They also chose the flooring. Each week the residents choose the menu for the following week. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff support residents to participate within the local community and to take part in individual and group activities. Residents influence their daily lives and routines and their choices and opinions are actively sought. EVIDENCE: The completed resident surveys stated that residents could do what they want to do during the day, in the evening and at the weekend. Two residents showed the inspector their bedrooms, which were highly individualised and, as well as being very comfortable, showed their interests and enthusiasms. Both residents said that they enjoyed living at the home and got on well with staff. They were lively, enthusiastic and communicative. Individual choices, interests and routines are clear on care planning Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 12 documentation. A sample of activities includes group and individual outings, swimming, cooking, bowling, crafts, theatre, church and annual holidays. The home has its own transport. Staff described the arrangements for residents to attend day centres and to engage in activities within the local community. Close links are maintained with a health resource at Ash Green, where there is access to a range of professionals. Staff do their best to accommodate the needs of individuals and acknowledge that people want to do different things. Activities and outings are also organised as a group, these are generally planned and include day trips to the seaside or shopping trips. One to one support is provided for attendance at appointments. Family and friends are encouraged to visit and to take an active part in care reviews and in the life of the home. Residents have been enabled to visit relatives who cannot get to the home Residents said the meals are appetising and are said to be good. Meals are generally taken in the communal dining area that is pleasantly decorated. All residents are able to make their own drinks and are involved with setting the tables. All are involved with clearing away the pots, washing and drying them. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs were being well set out in individual plans of care. EVIDENCE: The care plans examined provided documentary evidence that the views of the residents are taken into account. Residents had their own Personal Planning Books and these lay out the views and wishes of the residents. Routines are flexible e.g. meals and activities. Some residents are involved in the preparation of meals and in keeping the kitchen tidy and other household duties. The health records contained details of referrals to professionals and any relevant treatments for the residents. Some residents attend the Health Centre for appointments but others have home visits e.g. for dental appointments. The majority of the residents have the same G.P but one has retained their own whom they had prior to admission. GP visits are documented, with specific outcomes noted. A number of issues related to individual residents were Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 14 discussed. Staff had a clear understanding of residents’ needs and were observed dealing with residents in sensitive and appropriate ways. There appeared to be very positive relationships between staff and residents. Two drug administration sheets were looked and seen to be satisfactory. All staff have undertaken competency based medication training, with yearly medication assessments arranged. The retail pharmacy audits the medication system, with written records 3 monthly. Care plans contain information needed in the event of the death of a resident. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure and an open culture where there is confidence that concerns will be dealt with in the best interests of residents. There are written policies and procedures for staff to follow with regard to the protection of vulnerable adults ensuring residents are protected. EVIDENCE: A well-worded complaints procedure was displayed in the entrance hall. Relevant policies and procedures are in place in the event that concerns are raised by residents or by other parties. A pictorial complaints leaflet is available and has been given to each resident. In completed comment surveys 2 residents say that they do know how to make a complaint and know who to speak to if they are not happy.One resident commented ‘that staff remind them on how or who to go to’.At the two monthly resident meetings residents are reminded how to make their concerns known. All staff have undertaken vulnerable adults training at the company-training centre. Derbyshire Protection of Vulnerable Adults guidance was available at the home. Dealing with challenging behaviour is part of the ongoing training programme for staff employed at the home. No complaints have been received by the home or by the CSCI since the last inspection visit. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A homely, comfortable and personalised environment is provided that suits the needs and lifestyle of the resident. EVIDENCE: The service provides a comfortable, clean and well maintained domestic style environment that is suited to the needs of the residents. The house is situated on an estate and provides access to public transport and local amenities. The home is decorated and furnished in a way that reflects the personality and interests of the resident, with many photographs and souvenirs of holidays and outings.The residents are involved in the choosing of the colour schemes and soft furnishings, furniture and flooring. The bedrooms are tastefully decorated with input from residents where possible. Bedrooms contain personal effects of the resident such as photographs and ornaments. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 17 There is a patio and garden to the rear of the building that residents use in good weather, this provides somewhere to sit that is sheltered and is in pleasant surroundings. On touring the building the following shortfalls were found: Double-glazed units in the lounge, dining area and a bedroom require Replacing as condensation restricts the views for the residents. New flooring is required in the upstairs and downstairs toilets. One bedroom carpet requires replacing as this is becoming threadbare. The home is clean and hygienic and free from offensive odours. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current staffing levels and training arrangements are in place to meet the current dependency needs of residents accommodated within the home. EVIDENCE: Staff rotas were made available and indicated that sufficient staff are on duty at all times. A new member of staff was due to commence her induction on the day of the inspection. There are policies and procedures in place for the recruitment and employment of staff that are adhered to. Criminal record bureau checks and POVA checks are completed prior to staff commencing their work and 2 written references are sought. All records required by regulation are kept on the staff files such as proof of the persons identity, including a recent photograph. A comprehensive staff training programme is in place and staff say that this is good. Individual training profiles are in place and a commitment has been made for the achievement of National Vocational Qualification NVQ. Staff training records indicate that staff are up to date with mandatory training and Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 19 an annual training plan has been developed. Regarding (NVQ) training, the target of 50 of staff with NVQ2 has been achieved, and 3 staff have NVQ3. The Manager is currently undertaking the registered managers award. Staff confirmed that appraisals and regular supervision sessions are undertaken. The records were available at this inspection and indicated supervision takes place 2 monthly. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,42. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home has a clear system of management and staff demonstrate an understanding of their roles contributing to the smooth running of the home This benefits residents by providing them with a stable and comfortable home. EVIDENCE: The registered manager has been in post for some years and is experienced in the care of people with a learning disabilty. The manager is open and approachable to both staff and residents. In order to enable the manager to carry out her managerial duties some supernumerary is necessary as the staff rota indicated the manager is included in the staff numbers. Staff spoken to Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 21 were knowledgeable about aspects of their work and about individual residents. Residents said they enjoyed living in the home and got on well with staff. Standards of documentation seen were appropriate. The home has worked to meet outstanding requirements and invested in improvements within the home by providing the extension. Quality assurance systems are in place that include resident questionnaires, staff meetings. Feedback is actively sought from the residents in the form of regular reviews of care that involve other health care and social services professionals and family or representatives. Certificates of maintenance that were sampled indicate that the health, safety and welfare of the resident and staff are taken seriously, all were up to date. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 22 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 3 3 X 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. 2. Standard YA24 YA24 Regulation 23 (2) (b) 23 (2)(b) Requirement Flooring to be replaced in toilets. New double glazed units must be installed in windows, which are obscured by condensation Timescale for action 01/10/07 01/10/07 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 YA33 Good Practice Recommendations Sufficient supernumerary time must be allocated for the manager to perform her managerial duties. Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Amberley House (3) DS0000019919.V329895.R01.S.doc Version 5.2 Page 25 - 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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