Inspection on 16/08/05 for Hascot House

This inspection was carried out on 16th August 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

Hascot House 21/09/06

Hascot House 09/02/06

Hascot House 21/03/05

Hascot House 07/10/04

Hascot House 24/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 HASCOT HOUSE 243 Gleadless Road Sheffield South Yorkshire S2 3AL Lead Inspector Rob Curr Unannounced 16 August 2005 10:00 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 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 Stationary 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. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hascot House Address 243 Gleadless Road Sheffield South Yorkshire S2 3AL 0114 258 8895 0114 258 8895 enquiries@hasothouse.co.uk Valeo Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Miss Lynne Elaine Lowe PC Care Home only 9 Category(ies) of LD Learning Disability: 9 registration, with number of places HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21 March 2005 Brief Description of the Service: Hascot House is a detached domestic, two-storey style building providing care for nine adults. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries etc). It is well decorated, with single rooms and has a suitable number of lounges and dining rooms. The gardens are landscaped and it has a car park. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between the hours of 10.00 am and 12:45 pm. The manager was not present during the inspection process. The current manager has been managing the service for a number of years. The inspector was escorted on a partial tour of the home. A variety of policies, procedures, and records were checked. The service users were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 4 residents and 2 staff members were spoken to. What the service does well: What has improved since the last inspection? The home now has a policy for assessing and reviewing the nutritional needs of the residents. This guidance is used when developing and planning meals. A number of rooms had been decorated. One resident’s room was currently undergoing refurbishment. The bathroom had been refurbished. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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 standard(s) 1,2,3 and 4. Residents needs were assessed prior to admission and they were fully involved in the assessment process, so this ensured that the home was able to meet their needs. The staff said that the manager did not offer places to any individual whose needs they could not meet. The staff training plan was on target. EVIDENCE: Copies of full needs assessments were in the service user files. All the relevant information from the assessments had been built into the care plan. One resident said that they had been invited to view the home and attend a variety of meetings prior to them moving into the home. Staff training records indicated that they had undertaken relevant training. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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 standard(s) 6,7,8,9 and 10. The information within the care plans was very clear The care planning process has empowered residents to make decisions about their lives with support from staff and others. Residents were involved in making decisions about their own lives, including holidays. Advocates were available. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. Risk assessments to minimise any risks associated with the residents lifestyles had been devised and had been regularly reviewed. Systems were in place to ensure that service users confidentiality was maintained in the home. EVIDENCE: Two risk assessments were checked these contained all of the relevant information in order to minimise risks to residents and they had been reviewed on a regular basis. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 10 Peoples likes and dislikes in relation to food was recorded in care plans to ensure the staff knew the residents personal preferences. Residents meetings are organised regularly and the residents said, “I like to go to meetings with staff”, “we talk about holidays and outings”, the staff said this gave residents the opportunity to be consulted on how the home was organised and run. The residents files were found to be stored securely and staff showed an awareness of confidentiality issues. The staff and residents said that they could see their files with staff support. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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 standard(s) 11,12,13,14,15,16 and 17. Some of the people have regular opportunities to access age, peer and culturally appropriate activities, others with higher support needs had limited opportunities. One resident regularly accessed community day services and leisure activities. They were also supported to access other community facilities, such as shops, pubs and the local country side etc. The residents were supported to have appropriate relationships with their peers and relatives. The staff showed respect for the people; in the way they spoke to and addressed them. The service users were observed to be offered choices and were supported to make everyday decisions. The meals offered a nutritious and balanced diet. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 12 EVIDENCE: Residents told the inspector that they took part in a range of leisure and daily activities on a regular basis. They said they attended college courses. One service user said “I have had art classes, “ I go out to the countryside with staff and to the pub for a drink, my key-worker takes me out”. This confirmed that residents were enabled to take part in their local community and to maintain relationships. Residents were out shopping at the time of the inspection. One person told the inspector, “I like it here, because I like (another resident), he’s my friend and we spend time together”. They went on to say, “the staff are nice, and my key-worker is my favourite person”, and he said that he missed staff that had left. Staff were observed to treat people with respect as they knocked on doors before entering, addressed people by their preferred names and spoke of them with regard. There was a supply of nutritious food in the home. The menus showed that a varied diet was offered. This enabled the people to make choices at each mealtime. The residents said they enjoyed the meals on offer at the home. One of the residents said, “I like the food here”, another person said, “I can contribute to the development of the menus”. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21. Staff were supportive and helped residents to choose their daily routines. Health needs were met and monitored and people were helped to identify their own needs through their involvement in care planning. This ensured the wellbeing of the residents The organisation had a medication policy. This was not consistently implemented. There was some confusion about what to record when medication had not been administered. Resident’s wishes regarding dying and death were addressed. A range of health care professionals visited the home to assist in meeting the needs of the residents. EVIDENCE: Staff provided sensitive and flexible personal support. Residents said they were encouraged to choose what time to get up and go to bed. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 14 The files checked had a section to record visits, treatment and identified future needs relating to healthcare professionals. Access to Psychologists etc, had been provided where there was an identified need. In the medication recording sheets, the record for a person not having taken their medication was inconsistent and recorded in different ways. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Residents were aware of how to make a complaint and were confident that they would be listened to. An adult protection procedure was in place to ensure peoples safety was promoted. EVIDENCE: The complaints procedure was available, which contained relevant information and provided the reader with details of who to contact outside the home, to ensure complaints were taken seriously. The home kept a record of complaints. Staff training in adult abuse had been identified within the training plan and a number of staff had already undertaking this training. The residents and staff stated that they had confidence in the homes manager. They said that she would listen and respond to any concerns they raised. One person said that he was positively encouraged to speak out at meetings. All the residents spoken to said they felt safe at the home. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30. The home was generally well maintained, well decorated and homely. The service users bedrooms were comfortable, individually personalised and furnished to meet their needs. The patio areas and the garden were generally well maintained and attractive. The laundry area was appropriately equipped to meet the residents needs. EVIDENCE: An inspection of the environment showed that generally the home was clean, well maintained and provided homely and comfortable accommodation to meet the residents needs. A number of bedrooms were checked. They had all been decorated to meet the individual persons needs and reflected their individual tastes. The refurbishment taking place at his time was improving the environment for one resident. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32 and 35. Sufficient staff were provided to meet the needs of the residents. The recommendation that 50 of the care staff team are qualified to National Vocational Qualifications (NVQ) level 2 in care had not yet been achieved. The manager had clearly identified the training needs of the staff group. There were staff vacancies at the time of the inspection. EVIDENCE: The residents felt that there were enough staff on duty during the day and night to care for their needs. Two residents said that the staff were ‘very good’ and ‘nothing was too much trouble’ Some of the care staff had completed the National Vocation Qualification (NVQ level 2) in direct care. A further group of staff are currently on the course and some have registered to commence the training. Staff confirmed that they received more than 3 days paid training each year. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41 and 42. The manager does not yet hold a recognised management qualification. Quality assurance systems ensured that residents and their representative’s views, on all aspects of the home were included in developments and changes. The organisation carry out monitoring visits and informs the CSCI of the outcome. A health and safety policy was in place. Staff had received appropriate training, and appropriate recording of accidents and risk assessments were in place. EVIDENCE: The manager was still on target to complete her management qualification. Residents and staff confirmed that monthly monitoring visits took place. The residents said that there was a regular fire drill. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 x x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 HASCOT HOUSE Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 2 3 x 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 20 No 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 20,41. Regulation 13 Timescale for action All staff administering medication 18.10.05 mus be aware of what to record when medication is not administered. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 16 32 32 Good Practice Recommendations Consideration should continue in respect of the manager having a separate office to conduct private and confidential business. 50 of care staff must achieve a NVQ level 2 inc care. Recruitment to the current vacancies must continue. HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 Page 21 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street, Sheffield S9 2LR 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 HASCOT HOUSE 20050913 Hascot House X00023 UN Stage 4 V233000 J55.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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