Inspection on 28/02/06 for Corbett House

This inspection was carried out on 28th February 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 no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Corbett House 01/12/08

Corbett House 30/10/07

Corbett House 20/07/06

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 08/07/2008.

CARE HOME ADULTS 18-65 Corbett House Piper Place Amblecote Stourbridge West Midlands DY8 8DF Lead Inspector Mike Kirton Unannounced Inspection 28th February 2006 09:45 Corbett House DS0000025013.V285331.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 Corbett House DS0000025013.V285331.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. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Corbett House Address Piper Place Amblecote Stourbridge West Midlands DY8 8DF 01384 441885 01384 441885 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) Mrs Jenkins Mr Anthony Hartland Billingham Mr Robert Taylor Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 25th August 2005 Brief Description of the Service: Corbett House is registered to provide residential care services for 11 people aged between 18 and 65 who are experiencing mental ill health. 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 situated in a cul-de-sac close to Brierley Hill and Stourbridge shopping centres, with good access to all local amenities and public transport networks. Accommodation is provided 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. Additionally there is a large communal lounge with kitchen area. Car parking is available at the front of the building with gardens at the rear. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and included interviews with the registered manager and informal discussions with the service users and staff members on duty. Additionally 2 service user files and records relating to health and safety were examined. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 6 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 Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 7 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): EVIDENCE: These standards were not fully assessed on this occasion but were monitored against outstanding requirements. For further information please refer to the previous report dated 25th August 2005. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 8 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, 9 The homes care plans have greatly improved and are clear about how needs can be met. Appropriate risk assessments are completed to ensure support is provided when required. EVIDENCE: Service users personal files (x2) were examined including 1 for someone recently admitted. Although the home were yet to implement their own care plan there was a detailed Care Programme Approach (CPA) plan and risk assessments completed by the social worker. This included details of what support was required to meet their needs, early warning signs, relapse plan, review date and named care co-ordinator. The second file contained a completed care plan by the home (in addition to a CPA) reviewed on a 6 monthly basis. This included appropriate risk assessments such as self-harm and/or suicide, based on their assessment. Others however were not always appropriate such as risk of falls, which was designed for an older client group. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 9 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): 16, 17 There are good opportunities for service users to become involved in activities both in the home and local community. The system for preparation of meals allows for service users to make independent choices about what and when they would like to eat. EVIDENCE: Standards 12, 13, and 15 were not fully assessed on this occasion but were monitored against outstanding requirements. For further information please refer to the previous report dated 25th August 2005. Daily routines and personal preferences were recorded along with a checklist used to monitor daily living skills and social activities. Service users were seen to be moving around the home and coming and going as they wished. While some preferred to spend most of their time in the lounge others attended day services, visited friend and relatives, or participated in daily living tasks such as shopping and cooking. They have their own keys and unrestricted access to communal areas and grounds. All feedback received was very positive and staff were seen to interact well with them. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 10 Service users are each given £29 a week to get their own shopping (excluding drinks) and additionally a main Sunday lunch is provided. The majority prepare their own meals with assistance if required while some will pool their ingredients for staff to make it for them. Dietary requirements and any personal preferences are recorded. Appropriate action is taken and advice given regarding personal health matters. Corbett House DS0000025013.V285331.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 There is a good flexible approach taken to promote independence and service user choice. Appropriate systems are in place to ensure all health care needs are monitored. EVIDENCE: Standard 20 was not fully assessed on this occasion but were monitored against outstanding requirements. For further information please refer to the previous report dated 25th August 2005. The aim of the home is to promote independence and service users are encouraged to make their own decisions. There are no set times for going to bed or getting up (unless previously agreed), medical treatment and any reviews are carried out in private, and they are able to choose their own appearance. Individual files examined contained a tracker sheet to record all appointments with professionals involved in their care i.e. GP, CPN, Consultant, Social Worker. Times and dates are entered into the homes diary to ensure attendance. Other medical needs including chiropody and opticians are also recorded on a separate log sheet. Corbett House DS0000025013.V285331.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): 22, 23 Whilst the home adult protection procedures are satisfactory their complaints procedure is poor and does not encourage feedback or provide sufficient information. EVIDENCE: The complaints procedure is not clearly displayed and does not contain the contact address and phone number for the Commission. It also states that they should only be approached if they are not satisfied with the investigation made by the home. Copies of the homes adult protection procedures were available and had been signed and dated by the manager. Dudley Social Services Multi-Disciplinary Procedures and the Department of Health guidance whistle blowing was also kept in the main office. The manager has recently undergone training (Jan 06) and the issues are covered during staff induction and those undertaking NVQ 2 in care qualifications. Corbett House DS0000025013.V285331.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, 30 Corbett House provides a comfortable and relaxed environment, which promotes independence. The home is maintained to a reasonable standard and has a good range of facilities available to service users. EVIDENCE: A tour of the premises took place. The home benefits from being divided into smaller units, which allows for greater independence. Each unit has it’s own kitchen/dinner with washing machine, and lounge, shower and toilet facilities. These are appropriate to the size of each unit and the current needs of the service users. The large communal lounge and kitchenette provided further communal space. All areas were found to be clean and tidy and furnished to an appropriate standard. Some repairs are still required and a maintenance and renewal programme should be implemented. Work required to the building is sometimes delayed by the owners of the property and not by the care home group. Corbett House DS0000025013.V285331.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): EVIDENCE: These standards were not fully assessed on this occasion but were monitored against outstanding requirements. For further information please refer to the previous report dated 25th August 2005. Corbett House DS0000025013.V285331.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): 39, 42 The home needs to improve their quality assurance system to bring it up to the required standard. Sufficient information was not available to demonstrate that all the necessary health and safety checks were being undertaken. EVIDENCE: Standard 37 was not fully assessed on this occasion but were monitored against outstanding requirements. For further information please refer to the previous report dated 25th August 2005. The home has a quality assurance system based on the environment using a checklist. Questionnaires have also been sent to service users, relatives, social workers and community psychiatric nurses. The process needs to be developed further with the results published on an annual basis and an action plan implemented for further improvements. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 16 Records required to ensure the health and safety of staff and service users were inspected. Fridge, freezer, and cooked meat temperatures were recorded. The homes gas landlords certificate, 5-year electrical wiring test was not available and water temperature checks were not being made. Risk assessments on the building and staff/service users activities was completed and reviewed every 12 months, and public liability insurance was in place. A fire risk assessment and evacuation plan is in place, and all equipment is regularly serviced and tested as required including portable electrical equipment. All Staff however had not been involved in a fire drill at least twice a year. Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 17 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 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 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 X 3 x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X X 2 X X 2 X Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 18 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 YA20 Regulation 13 Timescale for action The homes medication policy and 01/03/06 procedures must be updated to reflect current practice. All staff responsible for administering medication must receive accredited training. The date must be recorded for all medications not administered from the medic-packs. Staff must follow the correct procedures for administering medication and there must be nor gaps in the records. This is an outstanding requirement from the 25th February 2005. The complaints procedure must 01/04/06 be updated, displayed appropriately, and include details on how to contact the Commission at any time. This is an outstanding requirement from the 25th February 2005. A planned maintenance and 01/04/06 renewal programme needs to be introduced for the fabric, decoration, and furnishing of the property. This must prioritise the replacement and/or repair of DS0000025013.V285331.R01.S.doc Version 5.1 Page 19 Requirement 2. YA22 22 3. YA24 16,23 Corbett House 4. YA35 18 5. YA37 18,19 6. YA39 24 7. YA40 12,13,18 the windows and work required by the fire officer’s report. This is an outstanding requirement from the 25th February 2005. All staff must have an individual training plan showing exactly what qualifications they have, when training was undertaken and when updates are required. The home must have a training and development plan. All staff must have 5 days paid training each year and any training needs met including food hygiene, moving and handling, health and safety, violence and aggression, fire safety, and mental ill health. A staff induction policy and procedure must be implemented. This is an outstanding requirement from the 25th August 2005. The Manager obtains NVQ level 4 in management. This is an outstanding requirement from the 25th February 2005. The home must publish the results of their quality assurance questionnaires. This is an outstanding requirement from the 25th February 2005. Policies and procedures relevant to Corbett House covering the topics set out in Appendix 3 are implemented, signed and dated by the manager, with records kept to demonstrate that they have been read and understood by staff. This is an outstanding requirement from the 25th February 2005. 01/05/06 01/05/06 01/05/06 01/05/06 Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 20 8. YA42 12,13,23 The homes gas landlords certificate, 5-year electrical wiring test must be made available. Water temperature checks must be taken and recorded. All Staff however must be involved in a fire drill at least twice a year. 01/04/05 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 Corbett House DS0000025013.V285331.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Corbett House DS0000025013.V285331.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. 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