Inspection on 01/12/08 for Corbett House

This inspection was carried out on 1st December 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Corbett House 30/10/07

Corbett House 20/07/06

Corbett House 28/02/06

Corbett House 25/08/05

Corbett House 25/02/05

Corbett House 06/09/04

Corbett House 22/03/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Corbett House Piper Place Amblecote Stourbridge West Midlands DY8 4DF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Corbett House Piper Place Amblecote Stourbridge West Midlands DY8 4DF 01384441885 F/P01384441885 corbett@carltoncaregroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Anthony Hartland Billingham,Mrs Carole Jenkins care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Corbett House is registered to provide residential care services for 11 people aged between 18 and 65 who are need support due to mental health needs. The home aims to enable its service users to return to living independently in the community whilst recognising that some may require longer-term care. Originally built in the 1960s as nurses accommodation it was converted in the mid 1980s and has been managed by the Carlton Care Group since 1993. The home is in a cul-de-sac close to Brierley Hill and Stourbridge shopping centres, with good access to all local amenities and public transport. Accommodation is in 3 units, over 3 floors, each consisting of 3 bedrooms, a dining kitchen, lounge, bathroom and toilet. A further unit designed for greater independence provides two bedrooms with en-suite facilities, lounge and kitchen. There is also a large communal lounge with kitchen area. Car parking is available at the front of the building with gardens at the rear. 11 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We visited the home on a weekday and did not tell anyone that we would be visiting. Before the inspection the manager had completed a questionnaire about how the home is run and we used this information to plan the inspection. On the day of the inspection we looked at a range of records, including a sample of peoples files, medication records, health and safety checks and staff recruitment and training to make sure that peoples needs are being met in a safe way. We also spoke with the manager and some of the staff and people who live in the home, to find out what it is like to live and work there. We used all of this information to write the report and make judgements about how people are supported. Care Homes for Adults (18-65 years) Page 6 of 27 Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 27 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and aspirations are fully assessed prior to coming to this home. Evidence: We saw that the Statement of Purpose and service user guide to the home had been updated in July 2008. They provide useful information about the home for people considering moving in and people who may be helping them to make a decision. We looked at the files for two people who live in the home. We saw that they contained the necessary assessments before the person was admitted and copies of letters offering a place and saying that the home would be able to meet their needs. The information from the assessments was used to form the basis of the care plans which help staff to know what support to provide to each person. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We looked at sampled files and found that care plans have been developed using the information gained through the assessments. These are detailed and provide staff with clear information about how to support individuals. The plans contain evidence that people have been involved in forming thier own plans and have been consulted when changes have been made. The manager plans to introduce new plans which are more centred on how people want to be supported. Staff provide people with choices about their lives and decisions are recorded in files. There are written agreements about various aspects of peoples lives such as the management of their money and medication, the admission of certain visitors and Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: holding door keys. People have signed to indicate whether or not they want support from staff in these areas. We saw risk assessments on files and these show how people are supported to take reasonable risks so that their ability to have new experiences is not restricted unnecessarily. There are records of the measures taken in various circumstances, such as when there are trips outside the home, to minimise the risks to each person. Staff demonstrated a commitment to enabling people to participate in a range of activities of their choice. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: We sampled the files and found that people are suppported to take part in a variety of activities, including jobs in the community. People told us about activities which they had enjoyed such as shopping trips, a firework display and a visit to a garden centre. We saw feedback sheets which had been completed after activities and these are used to plan future activities. Popular trips included a visit to a play and one person had written, made me feel happy. One person has saved money for the air ambulance and staff were arranging for this person to go to hand over the money to the charity. The home has a quarterly newsletter which contains details of activities and plans. People Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: who live in the home are encouraged to contribute to this. People are encouraged to maintain friendships and relationships with family members and other people in the community. The files contain details of people who are important to each person and staff explained how people are supported to have visitors. There is a pet bird in the living room and one person told us about the pets who live in her room. Staff make sure that each person follows a routine of their own choice. They provide support when this is needed but they also respect peoples privacy and encourage people to develop skills so that they can be as independent as possible. We saw that the files contain details of peoples religious choices and staff respect these. There are celebrations of various religious festivals throughout the year, such as a buffet for Eid. People choose and cook their own meals with varying amounts of support from staff. Staff are aware of the need to promote healthy eating in the home and a tutor has been used to help people in this area. People have also undertaken a cookery course. The individual records show that staff are aware of the need to encourage some people to change their weight so that they are more healthy and use has been made of community groups to support people in this task. People enjoy the weekly meal which is shared. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are supported to retain and administer their own medication where appropriate and protected by the homes practices in dealing with medicines. Evidence: We saw records in the daily notes which show that staff provide personal care when needed and prompt people who do not need physical assistance in this area. People are supported to choose their own clothes and style of presentation and their cultural and religious preferences are respected. The files contain details of peoples health needs and how these need to be met. There are records of involvement with various health professionals and staff are aware that when people have missed appointments they may need support to attend at a later date. There was a medical incident on the day of the inspection and staff dealt with this in a calm and controlled way, minimising the disruption to other people in the home and making sure that the person concerned received the correct attention. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: There are suitable arrangements for the storage of medication and people are supported to administer their own items where a risk assessment has shown that this is a safe arrangement. Staff are trained to administer medication and the records are appropriately completed. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home has systems to ensure that the views of the people who live there are listened to and acted upon, giving assurance that people are well protected. Evidence: There is complaints procedure and details of how to complain are included in the Statement of Purpose and service user guide. All people in the home are provided with copies of these. People are also reminded at regular intervals on an individual basis and at residents meetings about how to make a complaint. We saw a good record of complaints received by the home and this showed the details of the complaint and the action taken as well as the time taken to respond. There are 16 entries since February 2008 and these are mainly minor issues, such as complaints from people in the home that others are playing music too loudly. They have all been resolved. There are procedures for protecting people from abuse and whistleblowing and we saw that staff have been trained in this area. Additional abuse awareness training is planned for early in 2009. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at this home live in a homely, clean, safe and comfortable environment. Evidence: We toured the building and found that it is divided so that each group of two or three people shares a kitchen and bathroom. Each person has a single room with a wash basin. There are living rooms on each floor. One is used as a smoking facility and is sparsely furnished so that people are not encouraged to spend time there. On the ground floor there is a larger living room which is used by all the people in the home. This was decorated with Christmas trees on the day of the inspection. All areas looked clean and people told us that they do chores and staff help to keep the home in good order. The manager told us that the corridors, stairwells and living rooms have recently been decorated. Handrails have been fitted on the stairs and in barthrooms for additional safety There are plans to have bethrooms and kitchens decorated after Christmas. Staff receive training in infection control and there are suitable policies and procedures in this area. Care Homes for Adults (18-65 years) Page 19 of 27 Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are suported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: We looked at two sampled care staff files and saw that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau and the Protection of Vulnerable Adults list. New staff receive induction training in basic areas such as first aid and infction control. Checklists show what subjects have been covered. The training records for the home show that 60 per cent of staff have NVQ level 2, 2 staff have level 3 and one has level 4. The manager told us that she plans to make sure that all staff are trained to at least level 2 by 2010. In addition, staff have attended training in basic skills and additional training so that they can continue to meet the specific needs of the people who live there. For example, mental health training is planned for January 2009. The rotas show that there are sufficient numbers of staff on duty at all times. We saw minutes which show that staff are supported by regular supervision and team meetings. Care Homes for Adults (18-65 years) Page 21 of 27 Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected Evidence: The manager has now completed the Registered Managers Award and is putting her training into practice. She is well supported by a recently appointed deputy manager. There are good systems for monitoring the quality of care at the home and for identifying areas in which further development is needed. This includes a check against National Minimum Standards, monitoring of accidents, training, health and safety and maintenance work. There are also questionnaires for people living in the home, visitors and professionals working with the home. We saw examples of action which had been taken as a result of feedback from people in the home, such as additional information provided at a residents meeting after questionnaire results had shown that some people were not aware of the complaints process. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Before the inspection, the manager provided us with information about the servicing of equipment in the home and the safety checks such as those on fire detection systems. We checked a sample of these against the records of the home and found that there are good arrangements for making sure that all people who use the building are kept safe. Staff receive training in safe working practices and there is a good system for reporting accidents. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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