Inspection on 27/01/06 for CARE Shangton

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

CARE Shangton 05/11/08

CARE Shangton 16/01/08

CARE Shangton 15/03/07

CARE Shangton 15/06/05

CARE Shangton 21/10/04

CARE Shangton 10/06/04

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 CARE Shangton Melton Road Shangton Leicester LE8 0PS Lead Inspector Judith Roan Unannounced Inspection 27th January 2006 09:15 CARE Shangton DS0000001656.V280567.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 CARE Shangton DS0000001656.V280567.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. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service CARE Shangton Address Melton Road Shangton Leicester LE8 0PS 01858 545401 01858 545777 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Mr Leonard John Walker Care Home 56 Category(ies) of Learning disability (56) registration, with number of places CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To be able to admit one named Resident in category LD/PD (dual disability) as agreed in correspondence with with the previous registration authority dated 8/4/92 To be able to admit a named Service User in category LD/SI (learning disabilities and sensory impairment) subject of variation application number V8014 That by the 1st November 2006 the home will revert to the previous maximum number of Service Users i.e. 51. The additional 5 persons as per variation number V10120, accommodated by the home, must have moved to alternative accommodation by that date. The original application to vary the homes registration was to provide accommodation within the CARE Shangton site for a further 5 Service Users whilst they are being supported to develop the skills necessary to move into independent living. 4. Date of last inspection 15th June 2005 Brief Description of the Service: The CARE Community provides accommodation for 56 adults with learning disabilities in five cottages and three flats that have been adapted and staffed according to individual need.The village is situated in a rural area and is isolated from mainstream communities, but service users attend a variety of community facilities and the organisation provides an excellent variety of meaningful day service activities, supported employment opportunities and access to colleges. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 3 service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspection took place during the late morning and afternoon, over a period of 5.5 hours and was carried out on an unannounced basis. What the service does well: What has improved since the last inspection? Risks assessments have been completed. Advice has been sort from the Environmental Health Officer about the frequency of temperature check to fridges and freezers. The gardens have been maintained to a good standard. CARE Shangton DS0000001656.V280567.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. CARE Shangton DS0000001656.V280567.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 CARE Shangton DS0000001656.V280567.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): 2,3,4 Good information and planning with service users enable them to make informed decisions and choices about the home. EVIDENCE: There have been no new admissions since the last inspection. However the inspector did discuss with a service user their move to another house within CARE Shangton. They informed the inspector that they had been fully consulted about the move and that their needs were being fully met. The service user was happy with this move and had spent time with service users at the house so that they could make an informed choice. The residential manager was able to confirm that staff had worked with several service users who are to move within CARE Shangton creating vacancies at several houses. Another service user was due to move to one of CARE’s other homes as part of their plan to be more independent. They confirmed that staff had been supporting them in their preparation to enable them to make a choice. CARE Shangton DS0000001656.V280567.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): 6,7,8,9,10 Service users are fully consulted and involved in the development of clear care plans supported by associated risk assessments. Care practices do not always protect service users confidentiality. EVIDENCE: Care plans are written well and clearly indicate how service users needs are to be supported. Plans are written in accessible formats with evidence that service users have been involved in their development. In tracking service users plan of care the inspector was able to observe that their needs were being met. However, the inspector was concerned about how a service user was spoken to by a support worker & with a disregard for confidentiality in order to meet their needs. See also standard 18. In discussion with the house manager and the residential manager the issue will be addressed with the staff member. It will also be raised with the internal training team to ensure that training addresses the issue with all staff. As the service develops at CARE service users are being consulted along with families or their representatives. An advocacy agency has been engaged to CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 10 work with individuals to ensure their views are heard and inform the developments. Work continues with individual service users in developing person centred plans. All staff are to undergo training. Risk assessments identified at the last inspection have been completed. Service user files inspected confirmed that all associated risk assessments had been completed to support care plans and minimise the risks to service users. Written information held about service users is kept securely in the offices located within the houses. CARE Shangton DS0000001656.V280567.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): 12,16 Service users have a choice of development opportunities to meet identified goals. The rights of service users are always recognised. EVIDENCE: CARE provides a range of educational and work opportunities to develop the skills and needs identified in service users care plans. A service user informed the inspector that they had worked with staff to develop their home management skills, which has helped them to become experienced and reach their goal of moving into a more independent setting. Work is continuing with the group of service users who had moved into CARE Shangton for a period of time so they could develop skills to move into supported living. In discussion with the residential manager the timescale for this had not been achievable but solutions had been sort and service users were involved in the arrangements to move into appropriate accommodation within the site as vacancies arose. Advocacy was provided so that individual rights were protected within the decision making process. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 12 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 Service users do not always receive the personal support in the way they prefer. EVIDENCE: Generally service users confirmed that the support they receive as indicated within their care plan is how they prefer. The care plans are detailed and inform support workers of actions to take to support service users. The inspector was concerned about the verbal and written communication used for one service user case tracked. In discussion with the house manager action was agreed to change the negative way a care plan had been written and discuss with staff how they supported service users with their personal care so that dignity, respect and confidentiality was maintained. See also standard 10. A recommendation is made. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 13 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 The complaints policy and procedures ensures that service users and their representatives are listened to and acted upon. EVIDENCE: CARE has a clear policy of dealing with complaints. The inspector noted that there had been one complaint since the last inspection that had been fully investigated with agreed outcomes. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 14 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): 24,25,26,29,30 The homes environments provide homely and comfortable environment. CARE has not fully achieved the refurbishment required and some area of the home need to be maintained to a higher standard. EVIDENCE: There has been considerable work completed since the last inspection with internal decoration and refurbishment. Rosedale is however in need of urgent work to bring the home up to required standards. It was identified that the ground floor bathroom needs to be decorated and carpets/flooring replaced. In touring Cheremy Grange the inspector noted that the bathroom floors are heavily stained and paintwork needs to be addressed. In discussion with the residential manager it was agreed advice would be sort of how to remove the build up of lime scale in all the bathroom areas. There was also clutter that blocked fire exit routes. The residential manager did address this during the visit and agreed that staff needed to be reminded of potential hazards of where items are stored and whilst carrying out furniture moves. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 15 The registered manager needs to complete the programme agreed with CSCI by the end of March 2006. Service users case tracked were happy to show the inspector their rooms. Rooms were found to be personalised and decorated in the service users choice of colour scheme. Service users used their rooms to carry out their hobbies and lifestyle. Service users confirmed that they were supported to maintain their own rooms and other areas of the home taking into account their abilities. Ashgrove had been refurbished and the environment had been changed to meet the needs of the service user group. Coloured doors indicated bathrooms and every attempt had been made to make the home work for the benefit of service users. Care had been taken to make the home free from hazards and bathrooms had been adapted to provide specialist equipment to support individuals’ needs. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 16 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): 32,35 Access to training is good with service users benefiting from a trained and competent staff team. EVIDENCE: CARE has a team of trainers on site to meet the needs of the large workforce. All staff complete the induction training facilitated by the training team with input from the house managers. All staff have completed the required basic training set by the care sectors workforce guidelines and the home has central records to confirm this. All staff at CARE undertake the LDAF (Learning Disability Award Framework) training. Of the 93 staff all but 15 have completed the induction LDAF. Of the 37 residential care staff 6 have NVQ 2 or above in care and 17 are working towards the qualification. Staff confirmed that CARE offers good training opportunities. Five managers are working to complete the Registered Managers Award and NVQ level 4 in care. The training section has been working with Edinburgh University on a research project to promote skills of staff working with those service users who have developed a dementia. The DAPPER (Dementia Action Plan Practice Evaluation & Research) pack is presently being tested at CARE. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 17 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): 37,42 The management team ensures that service users benefit from a well run home. EVIDENCE: A structured management team that meet on a regular basis supports the registered manager. At these meetings the minutes of house meetings with service users and staff are discussed. The manager also keeps himself informed by meeting with service user representatives from each house. Communication systems established within the home enable important issues to be acted upon appropriately. Service users and staff spoken with confirmed that meetings take place and felt that issues raised were heard. There was written evidence of meetings taking place within all the houses inspected on this visit. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 18 In addition the registered manager and the management team meet with relatives and representatives throughout the year to discuss developments and address any common issues about the service provided. In discussion with the residential manager regarding the clutter blocking a fire exit, noted during the tour of the houses, it was agreed that the issue would be raised at management level for discussion within house meetings to remind all staff of health & safety hazards. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 19 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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 X 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 X X X 3 X X X X 2 X CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? YES 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 23 Requirement The registered manager is required to ensure the care home is kept in a good state of repair internally. The programme submitted to the commission must be completed. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA101 AD18 YA42 Good Practice Recommendations Staff need to be reminded on how to speak with and record information that respects the service user and maintains confidentiality. Staff need to be reminded within training that personal care needs to be undertaken respectfully and preserves service users dignity and right to confidentiality. Staff need to be reminded of their duty to maintain a safe environment. CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 CARE Shangton DS0000001656.V280567.R01.S.doc Version 5.1 Page 22 - 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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