Inspection on 02/04/08 for Ingleby House

This inspection was carried out on 2nd April 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ingleby House 10/03/09

Similar services:

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Ingleby House Leicester Road Bedworth Warwickshire CV12 8BU Lead Inspector Julie Preston Key Unannounced Inspection 2nd April 2008 09:45 Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 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 Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 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. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ingleby House Address Leicester Road Bedworth Warwickshire CV12 8BU 02476 319909 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) Ingleby House Ltd Mr Paul James Gittins Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning Disability (LD) 6 The maximum number of service users to be accommodated is 6. Date of last inspection New service Brief Description of the Service: Ingleby House is situated on a main road near to Bedworth Town centre, close to places of worship, shops, pubs, cafes and public transport services. The home provides care for up to six people with a learning disability and there are two vacancies at the time of writing this report. The current group of service users are male. Each person has their own bedroom with either en suite facilities or use of a private bathroom. Shared space consists of a large dining room, lounge, kitchen, utility room and sensory area on the ground floor with an additional smaller lounge on the first floor. There is a large, well-maintained garden with space for people to house their caged pets. The cost of living at the home ranges from £1475 to £2400 per week. People make a contribution to the cost of their care based on the amount they receive in welfare benefit. There are no extra charges made. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and a questionnaire about the home. The questionnaire is called the Annual Quality Assurance Assessment (AQAA) and is referred to in this report. The visit took place over one day by two inspectors and staff and people who live at the home did not know that we were coming. Two service users were “case tracked” and this involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. The inspectors looked around the building to make sure that it was warm, clean and comfortable. There were no immediate requirements after this visit. This means that there was nothing urgent that needed to be done to make sure people stayed safe and well. What the service does well: There are lots of opportunities for people to make decisions about their lives so that they do things for themselves, go out often and have a chance to practice their skills and stay as independent as possible. People are supported to keep in touch with their families and friends so that they do not lose relationships that are important to them. Staff receive support and training to do their job so that they can meet the needs of the people who live there. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 6 There are good procedures to listen to people and keep them safe from possible harm. The home is well furnished and homely which means that people have a comfortable place to live. The home listens to the views of the people who live there and acts upon what they have to say. The staff are friendly and have good relationships with people who live in the home. People said, the staff are, “good” and “very nice”. 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. The summary of this inspection report can be made available in other formats on request. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information is not available to prospective service users in a way that can be easily understood so that they can be confident that their needs would be met in the home on admission. EVIDENCE: The home has a statement of purpose and service user guide, which were looked at during this visit. The service user guide should provide information about the home and the services provided to enable people to make an informed choice about whether to move in. The guide was only available in writing and would not be accessible to anyone who had difficulty reading. We were told that this would apply to people currently living at Ingleby House. The statement of purpose included information about the home’s admission procedure and stated that people could visit the home and have “trial stays” to see if it was suitable to meet the person’s needs. The files of two people who had moved into the home were looked at. Both contained information about Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 9 their trial visits, such as observations of their skills and needs, personal care routines and sleep patterns, which had been incorporated into their plans of care. Staff commented that the visits helped them get to know the person and enabled the person to “get a feel” for the home. The two files showed that social workers had made assessments of people’s needs before referring them to Ingleby House. Staff had also completed their own assessment however there was no assessment of individuals health needs within the two files that were looked at. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans are not always completed in detail to describe people’s individual needs so that they receive the care and support that they require. People that live in the home receive good support to make choices and decisions about their lifestyles. EVIDENCE: Care plans were sampled for two people who live at the home. There was some comprehensive detail about how staff should support people with their daily routines, which were linked to risk assessments so that people had opportunities to maintain their independence without compromising their personal safety. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 11 There were some parts of care plans that had not been dated, which made it difficult to establish whether the plans had been reviewed so that they remained relevant to people’s current needs. The two care plans looked at did not always provide sufficient information to enable staff to understand how to meet people’s needs. In one case a person was described as “needing assistance” at night and another needing to be checked several times during the night. There was no further detail to explain the type of assistance needed in either case so that the individuals’ needs could be understood and met. The staff that we spoke to did, however confirm that they were aware of each person’s care and support needs at night, despite the lack of information in the care plans. From discussion with staff and people who live in the home it was evident that people are encouraged to maintain and develop their independence. One person said, “I like going to the market to buy our vegetables. I make a list”. People told us that they made drinks and meals for themselves, did their own laundry and used public transport as part of their daily routines. Some people who live at Ingleby House need help to manage their money. Two records were looked at which described people’s income and expenditure, however neither record matched the amount of cash held by the home for each person. We were told the errors had occurred, as staff had not recorded amounts that remained unspent following a shopping trip and therefore had been returned to the person’s cash box. The differences had not been identified during the auditing process, which does not indicate that a thorough and robust system of recording people’s finances is in place. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home experience a meaningful lifestyle that promotes their independence and is reflective of their individual needs. EVIDENCE: We were told that each person has an activity planner, which are drawn up in consultation with individuals and from information gathered during the assessment period when the person first moves into the home. Activity planners were seen in the office and showed that people do different things each day either in small groups or on a 1:1 basis with staff. From looking at the information in the care plans of the two people “case tracked” it was evident that the activity planners reflected their leisure choices. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 13 One person said, “I like to go shopping. I go out a lot.” Another said, “I go to the car boot at Hinckley on Sundays”. Daily records were looked at which showed that people had access to a range of activities such as going out to places of interest, including the local gym, shopping, bowling, going out for meals, to work experience and gardening. We were told that people had recently taken part in the Bedworth Fun Run and were shown a newspaper article that featured the participation of people at Ingleby House. People said they had enjoyed the day and were proud to join in. During this visit we saw people engaged in many different tasks within the home, such as feeding their pets, preparing hot drinks and snacks, sorting their laundry and planning a shopping list. This indicates that people are included in the day to day running of the home. One person said, “I live here so I like to do jobs”. The home has a visitor’s policy and the manager commented that relatives have regular contact either by telephone or in person. There was evidence in care plans that people’s needs with regard to keeping in touch with friends and relatives had been recorded. One person said, “I phone my mum when I like”. Menus and records of food consumed by individuals were sampled to establish that a balanced and varied diet is provided that meets peoples’ needs and preferences. A range of food had been offered including Sunday roasts and other traditional English dishes that reflect the cultural needs of people living in the home. We had lunch with one of the people who live at the home who told us, “The food is very, very good”. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Records that describe individual’s health and medication needs are not always completed in detail to describe how those needs should be met, however staff have a good understanding of how to offer care and support to each person. EVIDENCE: Two personal and health care plans were looked at. There was some comprehensive information about people’s personal care needs which stressed the importance of enabling the individual to make choices, such as choosing clothing and toiletries, using the local barbers and deciding when to get up and go to bed. Staff told us that they are aware of the need to protect people’s privacy and dignity when supporting them with personal care and when possible offer “same gender” support. The rota looked at showed that a number of male staff are employed at the home, which is reflective of the gender of people who live there. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 15 Staff showed us pictures that are used to promote choices to people who do not use speech to communicate and explained that the pictures were helpful to explain personal care routines such as getting a bath, shower or hair wash. This report has identified (in Standards 1-5) that people’s health care needs had not been clearly recorded during the assessment process. A number of healthcare reports written by external professionals were found within the two files sampled. It was necessary to read through each report to establish what the person’s needs were. One health care plan had not been completed and the person’s record of health care appointments was blank. An entry in the person’s daily records stated that a dental appointment had been made in March 2008, however there was no description of the outcome of the appointment so that staff would have up to date information about the person’s health. It was however, evident that staff were aware of people’s health care needs. In discussion we were told that there was involvement from community nurses, chiropodists, opticians and doctors although there was a lack of detail about the outcome of this contact in the records we looked at. The system of storing, administering and recording medicines kept in the home was looked at to establish that people are protected by robust procedures. Medicines were securely stored in a locked cabinet. We noted that some recording errors had occurred that had not been identified by staff at the home. A supply of paracetamol did not match the number that had been entered onto the medication record as remaining in stock; five tablets could not be accounted for. This record did not state how many tablets had been administered, stating only the date of administration. There was no written procedure for giving this “as required” medication so that staff would be aware of the circumstances in which to safely do so. This does not evidence that medicines are being effectively managed for the ongoing protection of people who live in the home. The manager did state that staff were due to receive training in the safe handling of medicines which he felt would reduce the risk of potential errors so that people receive their medication safely. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are appropriate procedures in place to listen and respond to peoples’ concerns and complaints and safeguard them from the risk of harm. EVIDENCE: The AQAA and records seen during this visit showed that there had been no complaints made about the home since registration in October 2007. There is a complaints procedure that is referred to in the home’s statement of purpose and service user guide. A log of complaints is maintained that records the nature of the complaint and the action taken in response, in the event that complaints are received. People living in the home told us that they knew they could speak to staff if they were unhappy about anything but had had no reason to do so. Staff development records showed that the majority had completed National Vocational Qualifications (NVQ) or Learning Disability Award Framework (LDAF) training, which includes sessions in safeguarding vulnerable adults. The home has a safeguarding policy and the staff that we spoke to were aware of the action they must take in the event of allegation or suspicion of abuse. There have been no safeguarding referrals made on behalf of anyone living at the home since registration in October 2007. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 17 Some people who live at Ingleby House demonstrate behaviour that may challenge and therefore require a specific response from staff to reduce the risk of this happening and manage the behaviour in the event it occurs. We looked at written strategies that describe how to support individuals in the event that challenges take place, which had been written by community nurses. It was evident from discussion with staff during this visit that they were aware of the guidance. One member of staff told us that new risk assessments had been implemented after challenging incidents had taken place for the protection of people who live in the home. Within one file risks had been identified with regard to a person making inappropriate gestures and/or touching others. There was no written guidance to instruct staff how to manage this behaviour for people’s ongoing protection. Staff did tell us that they were no longer sure that the person demonstrated the behaviour as they had not seen it, however this was not reflected in the records seen and had not been reviewed. Property lists had been completed for some people who live in the home, but not for all, so that staff can keep track if anything goes missing and look after peoples’ possessions. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a clean, safe and comfortable environment that meets their individual needs. EVIDENCE: Ingleby House is situated in the centre of Bedworth, with good access to local amenities such as shops, places of worship, cafes, pubs, parks and restaurants. This is important to the people who live there as they make regular use of these facilities. There is a large lounge with comfortable seating, which leads to a games/activity room that is well stocked with arts and crafts material and also has a pool table and computer. People who live at the home have clearly made good use of this room as their artwork was seen displayed around the building. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 19 There is a sensory room, on the ground floor, which is fitted with noise activated ceiling lights, musical instruments and textured rugs. We were told that people enjoy using this space to relax in. The dining room has sufficient space for people to eat together and is well decorated and furnished. People have their own bedroom with en suite shower or separate private bathroom. We were invited to look in two people’s bedrooms; both were well decorated and furnished. People told us that they had chosen colour schemes and had been helped by the staff team to personalise their rooms. On the first floor, there is a second lounge, which has a television and comfortable seating on order. One of the people who live in the home said that he had chosen the sofa cushions in colours that he likes. There are separate toilet facilities for staff so that they do not impose on the bathrooms used by people who live in the home. There is a large rear garden, which has furniture for use in the summer months. The building was clean and there were no unpleasant odours, which indicates that effective cleaning routines are in place. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by a well-trained and competent team of established staff who have good understanding of their individual needs. The home operates a robust system of recruiting staff for the protection of the people who live there. EVIDENCE: People told us that staff at the home are, “Good” and “Very nice”. It was evident from watching staff at work that they have formed meaningful relationships with the people who live at Ingleby House. Recruitment records sampled showed that appropriate checks had been made to make sure that staff were suitably experienced and qualified to work with vulnerable adults. Criminal Records Bureau checks had been made and written references received before the employee began work so that people were protected from the risk of having unsuitable staff work in the home with them. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 21 Staff have an induction to work within the home and complete a workbook that introduces the principles of care, equality and diversity, health and safety practice and staff roles and responsibilities. We were shown completed workbooks and staff told us that they found the eight-week induction period “useful as a means of getting to know the home and the residents”. Staff present during this visit were able to answer our questions about meeting the needs of people who live in the home and have clearly got to know them well. The AQAA stated that all staff, with the exception of two, have completed or commenced training at NVQ level 3 in care. Two senior staff have begun their NVQ level 4. This should contribute to the provision of a skilled and competent staff team for the benefit of people who live in the home. From looking at staff training records and talking to staff it was evident that a range of training opportunities are available to assist them to care for and support people who live in the home safely and effectively. Diabetes training had not been offered to staff, which was being considered so that the staff team could have access to further knowledge to help them care for people with specific healthcare needs. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is being managed in a way that listens to and acts upon the views of the people who live there. The management of some areas of health and safety practice is not sufficient to ensure people are protected from potential risk of harm. EVIDENCE: The home has a registered manager who has over twenty years experience working within social care. The manager has completed his NVQ level 4 and registered managers award and has previously worked as a manager within learning disability services. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 23 People who live and work at the home made positive comments about the manager, saying that he “worked hard” and was “a fair person”. During this visit the manager’s office door remained open and people came in frequently to talk to him. This indicates that the manager makes himself accessible to listen to people who live and work at Ingleby House. Quality assurance systems are in place. A representative of the registered provider visits Ingleby House on a regular basis to report on the standard of care provided of which reports are made available within the home. From looking at the most recent report and discussion with the staff team it was evident that the views of people who live in the home had been actively sought with regard to the way in which the service is being run. We were told that there are regular house meetings so that people have an opportunity to discuss issues that are important to them, such as planning activities and menus. People said, “I like it here” and “I can use the phone when I like”. A number of checks are made by staff to make sure that peoples’ health and safety is maintained. Records showed that the fire alarm system had been regularly tested and serviced to make sure that it was working properly. Fire drills had taken place within the last three months so that people had an opportunity to practice evacuation in the event of an emergency. The names of the participants had not been recorded which makes it difficult to establish who has practiced evacuation and who has not. There is a fire procedure that is displayed around the home, however it was not specific to Ingleby House and therefore not clear in describing what to do in the event of a fire. People who live in the home were able to tell us what they would do in the event of a fire, which staff said was the correct procedure. Some staff did not know that there was a fire assembly point in the rear garden and had not taken part in a fire drill in the seven months they had worked at the home. The staff training matrix did not specify that training in fire safety had been provided although staff did confirm that they had covered some aspects of fire safety as part of their induction. Other health and safety checks had been made such as the testing of water temperatures so that the risk of accidental scalding was reduced and the testing of electrical appliances to ensure safety of use. Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 24 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 3 2 2 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 4 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 3 3 X X 2 X Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 25 First Inspection 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 YA6 Regulation 14(1-2) Timescale for action Each person who moves in to the 30/07/08 home must have an assessment of need so that it can be determined that the home is suitable to meet their individual needs. Each person must have a plan of 30/07/08 care that clearly describes their individual needs with regard to health and welfare so that they receive the care and support that they require. There must be a system of 30/07/08 recording people’s finances so that potential errors are identified and rectified for the ongoing protection of those who live in the home. There must be written and 30/07/08 agreed procedures for people who take medication “as required” so that they receive their medicines safely. There must be a system of 30/07/08 recording medication which accounts for each medicine that is received and dispensed so that auditing can take place for people’s ongoing protection. Staff must receive fire safety 30/07/08 DS0000070721.V361763.R01.S.doc Version 5.2 Page 26 Requirement 2 YA6 YA19 15(1-2) 3 YA7 17(2) 4 YA20 13(2) 5 YA20 13(2) 6 YA42 24(4)(d) Ingleby House training for the ongoing protection of people who live in the home. 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 Refer to Standard YA1 Good Practice Recommendations The service user guide should be presented in a format that is accessible to people who may wish to live in the home so that they can make an informed choice about whether or not to move in. Care plans should be dated to aid the process of review in order to determine that they remain relevant to people’s assessed needs and to provide consistent care and support to people who live in the home. The outcomes of appointments with health care professionals should be clearly recorded so that staff have up to date information about people’s health. Property lists should be completed for each person that lives in the home so that staff can keep track of individual’s belongings and look after peoples’ possessions. Records that identify risks of behaviours that are challenging should be reviewed so that they reflect the care and support that is needed by each person. Training in the care of people with diabetes should be offered to staff to help them care for people more effectively. The names of participants in fire drills should be recorded so that it is clear that all staff and people who live in the home have had an opportunity to practice evacuation in an emergency. The fire procedure should be reviewed so that it clearly describes what to do in the event of a fire at Ingleby House. 2 YA6 3 4 5 6 7 YA19 YA23 YA23 YA35 YA42 8 YA42 Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: 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 © 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 Ingleby House DS0000070721.V361763.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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