Inspection on 03/10/05 for Desboro House

This inspection was carried out on 3rd October 2005.

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 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

Desboro House 06/06/05

Desboro House 19/02/05

Desboro House 06/05/04

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 Desboro House Main Road Toynton All Saints Lincs PE23 5AE Lead Inspector Mrs Sue Daniells Unannounced Inspection 3rd October 2005 11:30 Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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 Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Desboro House Address Main Road Toynton All Saints Lincs PE23 5AE 01790 753049 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) simon.brown@linkage.org.uk Linkage Community Trust Mr Simon Brown Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 Brief Description of the Service: Desboro House is a care home operated by a voluntary organisation, Linkage Community Trust Care Services. The house is a two storey detached property situated in the small village of Toynton-all-Saints, which is approximately a mile and a half from the market town of Spilsby. The home stands in its own spacious grounds and gardens. Access to work, shopping and recreational facilities is via public transport or the homes minibus which is also shared with another home in the group located nearby. The home is registered to provide personal care for up to eight residents with a learning disability. All bedrooms are for single occupancy. The home is part of Linkage Trusts long-stay project and also operates a day centre facility at Scremby Grange approximately five and a half miles from Toynton. The residents are able to attend this facility and as part of their personal development, are also involved in community work experience projects. A number of residents are employed part-time and receive therapeutic earnings. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspections, which are required by law each year. It was unannounced and took three hours to complete. The main method of inspection used was “case tracking”. This involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them and the care staff and observation of care practices. Two other residents were also spoken to on this occasion. A sample of regulatory records and policies and procedures were seen and a partial tour of the premises took place which included viewing the kitchen, dining area and activities room. 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. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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 Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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: The outcome for Standard 2 was inspected during the last visit to the home. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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): EVIDENCE: The outcome for Standards 6,7 and 9 were inspected during the last visit to the home. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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 and 17 The rights of all residents are respected and responsibilities recognised. Meals are enjoyed and are nutritious and well balanced. EVIDENCE: All the residents spoken to had keys to their bedrooms and one had a front door key. One of the residents had been risk assessed to be able to stay in the house on their own for a short period of time and felt good about this achievement. All residents have the opportunity to take part in leisure activities but do not have to if that is their wish. From a discussion with one resident it was found that the Trust’s staff supports and encourages it’s residents to become more independent. The staff spoken to upheld this and it was seen during the visit that the staff had an excellent rapport with the residents. Residents feel they are all “a family” The residents are able to eat whatever and whenever they wish to. A “healthy eating” philosophy is encouraged in the home but choices are left to the individual. Residents do occasionally “eat out” and one resident stated that they “love Chinese food”. Menus were seen to be varied and nutritious. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 10 Mealtimes are generally a “family” occasion when they can catch up on each other’s activities with one resident stating that he liked the company. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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 and 20 When it is appropriate, residents are supported to self-medicate and are protected by the home’s policies and procedures. Personal support is given to residents in the way residents prefer. EVIDENCE: None of the current residents require support to undertake intimate tasks, although they do sometimes need prompting by staff to carry them out. A male resident stated that “I don’t need any personal care but I would ask a male member of staff if I did”. Residents have their own “key worker” with particular responsibility for them; the residents stated that they liked this and could change their worker at any time if they wished to. Each resident opens their own mail and the residents spoken to stated that if they need to, they take it to a member of staff. Four of the eight residents in the home are responsible for taking their own medication. This is stored in a locked tin within their wardrobes, which is also locked. The home’s policies and procedures are comprehensive and ensure that residents are not at risk and staff are protected. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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): 23 Residents are protected from abuse by trained staff and comprehensive policies and procedures. EVIDENCE: The home has policies and procedures relating to adult protection, which are linked to the most recent Lincolnshire guidance. A staff member stated that she had undertaken a two-day training session on adult protection last year and understood the process she must undertake if she suspected such an incident had occurred. The service users spoken to stated that if anything happened to them that they didn’t like or thought was wrong, they would tell a member of staff immediately. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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): 30 Residents live in a home that is clean and hygienic. EVIDENCE: On the day of the inspection the home was found to be clean and well kept. Residents have responsibilities to ensure that their rooms and communal facilities are cleaned on a regular basis, with staff helping when appropriate. Laundry facilities are available in the home in a separate area and on the day of the visit two residents were undertaking a “house” day and doing their own washing, drying and ironing. Policies and procedures are in place for the control of infection. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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: Standards 32, 34 and 35 were inspected on the last visit to the home. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 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 Residents are confident that their views and opinions are listened to and acted upon. EVIDENCE: Residents stated that they felt their feelings and views about anything relating to the home were listened to. One commented, “we can have a lot of say in what goes on here” and another “If we don’t like something we say so”. An internal audit system has been instigated by the Trust which involves all the residents from each of the homes. Regular questionnaires are handed to each resident for their reactions and views on all aspects of their lives and the results are used to make strategic decisions by the Trust. Residents are also consulted regarding choices of new furniture, carpets and wallpaper for their home; they chose colours and worktops for the refurbishment of the kitchen. A documented monthly resident progress review is undertaken by their “key worker” and which they participate in. Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Desboro House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000002351.V254145.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 Desboro House DS0000002351.V254145.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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