Inspection on 10/05/06 for Buckwood View

This inspection was carried out on 10th May 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

Buckwood View 14/12/05

Buckwood View 27/07/05

Buckwood View 09/11/04

Buckwood View 20/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Buckwood View 6 Buckwood View off Gleadless Road Sheffield South Yorkshire S14 1LX Lead Inspector Stuart Hannay Key Unannounced Inspection 10th May 2006 09:00 Buckwood View DS0000041058.V293877.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 Buckwood View DS0000041058.V293877.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. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Buckwood View Address 6 Buckwood View off Gleadless Road Sheffield South Yorkshire S14 1LX 0114 253 0400 0114 253 1220 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) Northern Counties Housing Association Ltd Mrs Michelle Taylor Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum staffing levels must be maintained as stated in the documents entitled `Buck Wood View Approved Staffing Levels` faxed to the NCSC on 8 April 2003. The five named wheelchair users can be admitted to the home at the time of first registration. No other persons whose main source of independent mobility is a wheelchair may be admitted. Nine specific service users over the age of 65, named on variation dated 11th August 2004, may reside at the home. 14th December 2005 2. 3. Date of last inspection Brief Description of the Service: Buckwood View Nursing home is a purpose built home opened in April 2003. Eighteen people with learning disabilities live at the service which is based in the community. The home is owned by Northern Counties Housing Association. The care staff who work at the home are employed by the Sheffield Care Trust. There are six houses at the service, an office building and a day service base, which are all based in a small cul-de-sac. All of the houses have gardens to the rear. The home is based near to community facilities, shops and bus stops. The fees paid range from £365.00 to £420.00 per week. Information has been made available in a format which would help some of the service users to understand how to make complaints and what they can expect from the service. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 9.00 a.m. and lasted for about six hours. Service users were not able to describe how they felt about the service but time was spent with them, observing care practice and talking with them. Two support staff, one nurse and the manager were interviewed. One relative was also interviewed. A range of records was checked: three service users’ plans, staff training records, fire safety records and the recruitment records of two recently recruited staff members. The medication storage and administration records were checked. A tour was made of the premises to check the environment and décor in the communal areas and in some of the service users’ private space. What the service does well: What has improved since the last inspection? What they could do better: Some areas of statutory training, including food hygiene and moving and handling needed to be updated for some staff. The home needs to obtain staff records from their Human Resources department as soon as the recruitment process is finished. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 6 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. Buckwood View DS0000041058.V293877.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 Buckwood View DS0000041058.V293877.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users’ plans, the care observed and the interviews with staff and relatives indicated that the service users’ needs are met by the home. EVIDENCE: The service users interviewed were not able to verbally express their feelings about living at the home or about where they lived before. The three service users’ plans checked recorded details of their care needs, their health needs and their personal aspirations. The staff members interviewed felt that they could meet the needs of the current service users and that the home was suitable for them. One relative interviewed felt that her daughter was living in a suitable environment and was well looked after. Buckwood View DS0000041058.V293877.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 and 9. Quality in this outcome area is good . This judgement has been made using available evidence including a visit to this service. The staff had used their knowledge of the service users and a range of other information to produce a ‘person centred plan’ which identified how they would wish to live and how their healthcare needs should be met. This ensures that the needs and wishes of the service users are clearly spelled out and staff can take appropriate action to meet these. EVIDENCE: Three care plans were examined in detail. The care plans seen were comprehensive and described in clear detail how the service users would wish to live their lives and what action staff needed to take to enable them to do this. The plans recorded that the service users had not been able to directly contribute to the document. Their health and personal care needs had been assessed and any contacts with health professionals were recorded, including any prescribed treatments. Weight charts and skin integrity charts were in place where relevant. The plans also focussed on how the service users communicate their needs and identified triggers to challenging behaviours. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 10 Risk assessments were completed for every area of activity and the plans had been regularly reviewed. One of the three plans checked had not been fully reviewed on a monthly basis in line with the home’s guidance, however there had been reviews done within the previous two months. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A variety of activities are provided at the home, with certain staff having a dedicated role in their provision. This means that service users are able to take part in activities which they enjoy. Links with families are encouraged and supported so that service users can maintain important relationships. Dietary needs and preferences are recorded in care plans to ensure well - balanced diets are provided. EVIDENCE: Service users’ plans included leisure and social activities and identified specific things that they enjoyed doing. As well as informal activities, such as shopping trips, restaurant and pub visits, there were a number of organised activities. Some took place in the home such as chair aerobics, art classes and luncheon clubs. The home links into the local community by hosting a luncheon club attended by people with learning disabilities who do not live at the home. Good use is made of the home’s minibus. Activities were tailored to the individual Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 12 needs of service users and staff ensured that service users with higher levels of need did not miss out on trips – staff interviewed said that the good staffing levels enabled them to do this. Service users also go on an annual holiday. The care plans checked included information about maintaining and encouraging links with the families in line with what service users wanted. The plans also included information about how people choose to express their sexuality and included strategies for ensuring this was done in a socially acceptable way. Dietary likes and dislikes were recorded in the care plans as well as information pertaining to health issues around diets. The inspector ate lunch with 2 service users – the atmosphere was pleasant and unhurried and the service users both appeared to enjoy their lunch. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users plans identify clearly how personal care should be provided in live with their preferences, showing that their views are taken into account. There is a focus on the well-being of the service users which includes their physical and emotional health. The medication system was well managed ensuring that medication is safely stored and administered to service users. EVIDENCE: Information about how service users would like personal care to be provided to them is recorded in a detailed and sensitive way – identifying the gender of person providing the care and other ways of ensuring that the care can be provided successfully. The plans are reviewed regularly to ensure that health and personal care needs are being met effectively. Service users have been assessed as to whether they can look after their own medication but it was felt that there were no service users at present who could safely do this. The medication storage system was checked in 2 of the houses and medication was securely stored. All the prescription information was clearly visible on bottles and boxes and the Team Leader on duty said the home’s pharmacist has checked the system. The records of administration were fully completed with Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 14 no gaps on the recording sheets. Any handwritten entries had been checked and countersigned by a witness. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 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 this service. The home had a complaints procedure that is clear and accessible and includes all the required information to allow service users and their advocates to raise concerns. Adult protection policies and procedures are in place and staff receive regular training in identifying and reporting any issues; this reduces the risk to vulnerable service users. EVIDENCE: The home’s complaints procedures had been checked on previous inspections and identified that service users, staff and relatives had access to a clear procedure which enables them to make complaints. The procedures themselves were not checked during this inspection but staff interviewed said that they had not changed. One relative said that she had raised a concern with the manager about a building issue – this was being addressed. No complaints had been received about the service, either to the home or to the Commission For Social Care Inspection . Previous inspections have identified that the home has good Adult Protection procedures. The procedures themselves were not checked on the day. Staff interviewed were able to clearly describe any action they would need to take to report concerns and had undertaken training in this area. Senior staff within the home had undertaken training in this area and are able to provide in-house training for staff on the recognition and reporting of abusive practice. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 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 this service. The home was clean, comfortable and well maintained enabling service users to live in a pleasant environment. Service users have access to a good range of communal and private space allowing for a homely, non-institutional atmosphere. EVIDENCE: All areas of the home were clean and tidy on the day of the inspection. Service users’ bedrooms were highly personalised and well decorated. Service users can have access to their rooms whenever they wish. They had been involved in deciding how the rooms would be decorated, choosing colours or wallpapers. There are a variety of areas in the individual flats where service users can sit and relax, as well as communal areas which they can use. The landscaped gardens were secure, attractive and easily accessible to service users, who were taking advantage of the good weather on the day. One of the houses had less furnishings and fittings than the others. This is due to the challenging behaviour of some of the service users at some times. Some Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 17 service users preferred a less stimulating environment and staff said that loose items might often be thrown by the service users when they are upset. Despite this, the staff had made efforts to provide a homely environment and portable items such as stereos and televisions had been boxed in or situated out of reach of service users. There are some pictures that can be quickly removed and replaced if necessary. Individual rooms in this house varied significantly, again in line with the service users’ choice, some had a wide range of furnishings and fittings whilst others had little. There were areas in this part of the home that had been damaged by the service users, in particular walls in certain areas. A maintenance plan was seen for these areas and staff who worked in this part of the home said that there are regular repairs and redecorations. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were well trained and deployed in numbers which supported the service users in leading a fulfilling life. Checks were made on staff before they started work at the home to ensure that vulnerable people were protected. Staff receive regular professional supervision to ensure that they have the skills, training and aptitude to provide support to service users. EVIDENCE: Staff at the home had received a range of statutory training and training related to the specific needs of service users. Those interviewed were knowledgeable, not only about the specific needs of the service users, but also their individual personalities. Four staff were spoken with and they all stressed that they felt they worked well as a team. The recruitment records of two employees were checked and these contained the required information: application forms, employment histories, references, CRB and POVA checks. All staff interviewed had received regular professional supervision from their line managers. Some statutory training for staff was out of date. This included manual handling and food hygiene training. It was noted that this training had been Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 19 planned for these staff to attend in the near future and that there are senior staff within the home who are trained to provide ‘moving and handling’ training. Whilst the recruitment records checked were of a good standard, the manager said that the records for the most recently recruited staff member were still with the Human Resources department and that these sometimes took a long time to be sent to the home after the process was completed. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had effective management systems in place and the service users care and lifestyle needs were considered as a priority. Effective health and safety systems were in place to minimise the risk to service users and staff. The building was safe without any obvious risks to service users. EVIDENCE: The new manager, who is in the process of being registered, is a qualified nurse with significant experience in care and management roles. She has also completed NVQ level IV in the management of care. Three staff members and one relative confirmed that the manager is very approachable and supportive, taking their views and concerns seriously. Although the service users were not able to express their views verbally, from observation of the care, the care plans and interviews with staff and relatives, it would appear that their needs are considered as paramount in the provision of the service. The fire training Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 Page 21 was up-to-date and alarm testing records were fully completed. Fire drills had been carried out at regular frequencies and one staff member interviewed was able to explain the procedure to be followed in the event of a fire. Recent recommendations made by the Fire Officer had been addressed and the system had been checked by outside contractors. Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 2 36 3 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 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X Buckwood View DS0000041058.V293877.R01.S.doc Version 5.1 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. Standard YA35 Regulation 13 (5) & 18 (c) (i) Timescale for action All staff must have updated 01/09/06 moving and handling and food hygiene training. Requirement 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 YA34 Good Practice Recommendations Recruitment records should be obtained from the home’s Human Resources department as soon as the process is completed. 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