CARE HOME ADULTS 18-65
Amberley House (3) Cedar Close Eckington Sheffield Derbyshire S21 4BA Lead Inspector
Denise Bate Unannounced Inspection 18th January 2006 03:00 Amberley House (3) DS0000019919.V278172.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 Amberley House (3) DS0000019919.V278172.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. Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 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) Derbyshire 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.V278172.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th October 2005 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. Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. On this unannounced inspection a tour of the building took place. Discussions were held with one member of staff and the manager, and conversations were held with three residents. Care plans for two residents were examined (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents). No additional visits had been undertaken since the last inspection in October 2005 and no complaints had been received about the service. At the time of the inspection there were five residents living at the home. An extension to the building has been built and several outstanding requirements have been met following the completion of the extension. What the service does well: What has improved since the last inspection?
The extension has provided office space which can also serve as a meeting area. A medication cupboard is situated in the office providing appropriate arrangements for the storage of medication. There is a designated area for staff to store personal belongings and lockers have been provided. These matters were requirements at the last inspection and have now been met An additional ‘quiet room’ has been created in the extension and the home plan to use it as a snoozlen.
Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 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. Amberley House (3) DS0000019919.V278172.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 Amberley House (3) DS0000019919.V278172.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): None. No standards were inspected on this occasion. EVIDENCE: Amberley House (3) DS0000019919.V278172.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): 6,7,8 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: Care plans examined as part of case tracking 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 includes daily routines and also covers any behavioural issues. Records of contact with outside professionals are kept, as are details of communication with relatives/significant others. Risk assessments were in place. Residents are consulted on day to day aspects of running the home, e.g. choosing new dining room furniture, menus. Amberley House (3) DS0000019919.V278172.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): 11,12,14 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: Three residents showed the inspector their bedrooms, which were highly individualised and, as well as being very comfortable, showed their interests and enthusiasms. All three residents said that they enjoyed living at the home and got on well with staff. All were lively, enthusiastic and communicative. Individual choices, interests and routines are clear on care planning 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.
Amberley House (3) DS0000019919.V278172.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): 18,19,20 Routines are flexible and based around the wishes of the residents, with preferences respected. The healthcare needs of residents are assessed and residents are supported to exercise as much control over their lives as possible. The medication storage facilities have been improved with the building of the new extension. 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. GP visits are documented, with specific outcomes noted. A number of issues related to individual residents were 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.
Amberley House (3) DS0000019919.V278172.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): None No standards were inspected on this occasion. EVIDENCE: Amberley House (3) DS0000019919.V278172.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): 24 The standard of the environment within this home is generally good providing residents with an attractive and homely place to live in. EVIDENCE: The new extension provides an appropriate office with sufficient space to allow meetings to take place or to be used by residents if they wish or need to see visitors in private. The quiet room will also be of benefit to residents when it is furnished. There is access to the patio and garden from the new extension. The three bedrooms seen were comfortably furnished and decorated to a high standard, as well as being highly personalised. There are two outstanding requirements regarding dining room furniture and sluicing facilities. Amberley House (3) DS0000019919.V278172.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 Current staffing levels and training arrangements in place would appear 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. It was noted that there is currently a vacancy which is being covered by the home’s staff working extra shifts, and that these arrangements were working satisfactorily. This vacancy will be advertised in the near future. Staff training records indicate that staff are up to date with mandatory training and an annual training plan has been developed. The target of 50 of staff with NVQ2 has been achieved, and 2 staff have NVQ3. The Manager is currently undertaking the registered managers award. Amberley House (3) DS0000019919.V278172.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, 38 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 manager has experience and is open and approachable to both staff and residents. Staff spoken to 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. Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 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 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 2 25 X 26 X 27 X 28 X 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X x LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 X X x 2 x Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 Page 17 yes 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 YA24 Regulation 16 (2) © Requirement The registered persons must develop a programme to replace dining furniture. (Previous timescale of 30 June 2005 not met – timescale extended) The registered persons must ensure that appropriate sluicing facilities are provided. (Previous timescale of 31 July 2004 not met – timescale extended) The registered persons must ensure that the home has a valid certificate of electrical wiring. (Previous timescales of 31 October 2004 and 31 December 2005 not met – timescale extended) Timescale for action 31/05/06 2 YA30 23 (2) (k) 31/05/06 3 YA42 23 (2) (b) 28/04/06 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 Amberley House (3) DS0000019919.V278172.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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