CARE HOME ADULTS 18-65
Flora Innes House 16 High Street Byfield Northants NN11 6XH Lead Inspector
Steve Hunnybun Unannounced 23 June 2005 @ 17:00 P.M. 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. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Flora Innes House Address 16 High Street Byfield Northants NN11 6XH 01327 260234 01327 263840 theoffice@soldenhill.org.uk Solden Hill House 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) Ms Ann-Marie Patricia Rose Care Home 9 Category(ies) of LD Learning disability 9 registration, with number of places Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: All service users have a learning disability and up to 1 person with an associated mental disorder To include 1 existing named service user over the age of 65. Date of last inspection 4/8/04 Brief Description of the Service: Flora Innes House is situated in the village of Byfield to the south west of Northamptonshire. The Village is accessible by Public Transport and offers shopping and community facilities. Service users may access the facilities of nearby Daventry and Banbury. The Home has it’s own transport. Service users are provided with day care at the nearby Solden Hill House. The Home is one of two owned by Solden Hill House Limited and is managed by Miss A-M Rose. The Home provides accommodation, meals, personal care and support for up to 9 service users of both sexes with Learning Disabilities. The premises consist of a large detached House set back from the main road providing all service users with single bedrooms. There are two lounges, a large kitchen/dining room and a music room. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first statutory unannounced inspection this year and took place over approximately three hours. Three residents cases were tracked. This process would usually involve reading care plans but on this occasion the files were at the sister home as they were in the process of being reviewed. The staff present reassured the inspector that the team are familiar with residents’ care plans. The inspector spoke with two residents who also gave him a guided tour of the building. A care worker and a senior care worker also spoke with the inspector. 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. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 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 standard(s) 2 New residents’ needs are assessed prior to admission to ensure that the placement is right for them. EVIDENCE: It was not possible to examine individual files as they were at the sister home undergoing a review process. Staff stated that the manager or other senior member of staff assesses prospective residents needs prior to admission. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 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 standard(s) 6, 7 and 9 Residents have care plans that reflect their needs and staff follow these. Residents are supported to contribute to the running of the home and to take reasonable risks. EVIDENCE: Although it was not possible for the inspector to look at any care plans or risk assessments these were discussed with staff. Risk assessments are completed generically and for specific activities such as horse riding. Staff were observed working positively with residents regarding specific areas included in their care plans. Residents who spoke with the inspector reported that they are enabled to take an active part in decision making regarding the running of the home. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 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 standard(s) 12, 13, 15, and 17 Residents are able to take part in suitable activities and are part of the local community. Relationships with friends and families are supported. The food is healthy and varied. EVIDENCE: In discussion with residents and staff it was clear that a comprehensive package of day care is offered. Some residents attend external activities while others use the day care facility at the sister home. The activities available there include weaving, pottery, swimming and music. Examples of residents’ work are on display within the home. Residents who spoke with the inspector stated that they are able to be part of the community using local shops and pubs. The senior carer stated that the home was opened because the sister home was felt to be remote from the local community. Residents who spoke with the inspector stated that they are enabled to maintain contact with friends and families. The inspector examined menu records that indicated a varied nutritious diet. One resident needs a low-fat diet following surgery. This was recorded in a separate folder. The inspector was present during supper; all residents appeared to enjoy their meal.
Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 10 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, and 20, Residents’ personal and healthcare needs are met and they are protected by the home’s medication policy. EVIDENCE: There are male and female staff employed at the home to enable residents to choose the gender of carers. Residents who spoke with the inspector stated that they are ‘well looked after’ by staff. The home has good links with the local health centre residents are all registered with a GP and are supported to access this and other health care services. All residents have recently had a medical. The health centre also dispenses all residents’ medication. The senior member of staff on duty was involved in the development of the medication policy and was happy to discuss this with the inspector. Medication was stored, administered and recorded appropriately. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 11 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) 23 Residents are protected from abuse. EVIDENCE: All staff undertake comprehensive adult protection training as part of their induction package. This is also covered within regular training at which the topics discussed are related to specific residents and situations. No staff can work at the home until they have a clear CRB check. This includes oversees volunteers who are not permitted to have any contact with residents until clearance is received. Staff who spoke with the inspector demonstrated a keen awareness of adult protection issues. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 12 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 and 30 Residents live in a home that is comfortable, safe and clean and meets their needs. EVIDENCE: The home has a lounge, dining kitchen and music room. All residents have their own bedrooms. Two residents showed the inspector round the building and both spoke very positively about their home bedrooms were pleasantly decorated and personalised to a high standard. The home was decorated throughout with pieces of art that had been produced by residents. The home is clean and tidy throughout. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 13 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) 35 Resident’s needs are met by a well-trained staff team. EVIDENCE: Staff training was discussed with the staff who were on duty. All staff are currently completing appropriate NVQ courses and were very positive about this. Staff at the home are offered a comprehensive programme of training that will support them in meeting residents’ needs. Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 14 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) None of the standards in this section were examined on this occasion. EVIDENCE: Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 15 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 3 x x x Standard No 22 23
ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Flora Innes House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 16 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 Regulation none 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. 1. Refer to Standard none Good Practice Recommendations Flora Innes House C51 C08 S12825 Innes House V235099 Stage 4 230605.doc Version 1.40 Page 17 Commission for Social Care Inspection First Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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