Inspection on 30/01/06 for Innes House

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Innes House 24/02/09

Innes House 27/02/07

Innes House 23/06/05

Innes House 04/08/04

Innes 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 09/07/2008.

CARE HOME ADULTS 18-65 Innes House Flora Innes House 16 High Street Byfield Northants NN11 6XH Lead Inspector Mrs Sheila Smith Unannounced Inspection 30th January 2006 02:00 Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Innes House Address Flora Innes House 16 High Street Byfield Northants NN11 6XH 01327 260234 01327 263840 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) Solden Hill House Limited Ms Ann-Marie Patricia Rose Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 23/06/05 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, although visitors may find the journey difficult, as public transport is infrequent. The home has its own transport, and residents can access the community facilities in the village or in the nearby towns of Daventry and Banbury. Residents 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 residents of both sexes with Learning Disabilities. The premises consist of a large detached House set back from the main road providing all residents with single bedrooms. There are two lounges, a large kitchen/dining room and a music room. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Residents, and upon their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 1 resident and tracking the care they receive through review of their records, discussions with them, and with the care staff, and observations of care practices. The inspection took place during a weekday over a period of 2 hours and was carried out on an unannounced basis. Residents were not in the house but were spoken to at Solden House during the day as part of the inspection process. Communal areas, and one bedroom was visited. A selection of care records, and essential records of the home were reviewed. The Registered Manager Miss Ann Marie Rose was available throughout the inspection. The Commission had received a number of comment cards from relatives prior to the inspection. The comments recorded were positive and praised the home and the staff for the way in which the care is provided. What the service does well: This small family type home, situated in the centre of the village of Byfield, offers a good standard of care to the residents and their families. Everyone spoke highly of the staff and found them kind and helpful. The residents are very much involved in the running of the home and staff supervise and assist residents with the domestic duties required within the home. There have been no new admissions to this home for some time, but the Registered Manager, prior to admission, assesses all prospective residents. The admission process is taken at the pace suitable for the resident and their families. The care planning system gives a comprehensive picture of each person. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 6 There is a wide range of activities provided both at local colleges and at Solden House. There was evidence that residents are consulted regarding activities and that they can be altered to suit residents requests. 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. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 the following standard(s): 2,4, The assessment process was thorough and holistic, and individual needs were assessed and recorded, so that prospective residents and their families can be assured that the home is able to meet individual needs, with the support of staff, who would help residents to reach their goals. EVIDENCE: There have been no new admissions since the last inspection. The company has developed a full pre-admission assessment tool, and the Registered Manager said that she would visit any prospective resident, and their families, to begin the process of admission. The Registered Manager said that other professionals would be contacted to contribute their assessments to the process. Prospective residents are given opportunities to visit and view the Home prior to a placement. They may meet the staff and existing residents, take a meal, view the accommodation, and discuss care needs. The Registered Manager evidenced that she recognises that the actual process of admission varies from resident to resident and stated that the pace for each individual can be adjusted and extended according to their needs. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 the following standard(s): 6,7,9. The current practice within the home ensures that residents are encouraged to make decisions and to take risks that enable them to control their own lives. EVIDENCE: The care plan, examined contained full information about the resident. Account was taken of the residents preferred lifestyle routines, and likes and dislikes. The Registered Manager said that care plans were reviewed regularly; however there was no evidence of this, or that residents had been involved in the process. The Registered Manager stated that routines were relaxed and in accordance with residents wishes. There was evidence that a planned activity for the day before had been altered because residents had requested a different one. Residents commented that they were informed about the choice of activities, and during the morning were observed to be engaged in painting, that they said they had chosen to do. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 10 There was evidence that risks are assessed and that strategies are in place for the management of risks. An assessment had been included of the risk of having a lock on the bedroom door. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 the following standard(s): 12,13,16,17. Residents are supported to enjoy as far as possible, a normal lifestyle, and to access a good range of leisure and social activities. EVIDENCE: The home has its own transport, and from Monday to Friday residents take part in the activities organised from Solden Hill House. At weekends the flexible routine provides opportunities for activities at home or at the main house. There was evidence, in the resident’s file of a wide variety of planned activities such as craft, swimming, horse riding, gym, dancing and that she attends a local Gateway club. During the morning of the inspection residents were seen to be involved in a painting class at Solden Hill. Opportunities were available for individual choice within the activity programme, and on the day of the inspection one resident had chosen a shopping trip rather than the planned activity. The home is based in the centre of the village and has a positive relationship with the immediate local community. Local amenities, such as the village shop Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 12 and pub are available and used by residents. The residents are welcomed at church services and other church social events, and the vicar visits the home once a month. The staff are able to give equal support to residents both within and out of the home. The timings for residents to rise, eat, attend to personal hygiene, retire etc. is as flexible as can be reasonably attained/expected in a shared community such as this. Residents mail is only opened by staff if that is the explicit wish of the resident. The preferred form of address for each resident is ascertained at the time of admission to the home and used on all occasions. Residents confirmed that they could receive their visitors where they wish, whether this was in their own rooms or the communal lounges. The Registered Manager said that visiting needed to be by appointment as residents may be out. The Home has a policy on Sexuality and staff take account of protection, education and medical issues. Residents eat their mid-day meal at Solden Hill House or at college, whilst breakfast and an evening meal are provided at the home. Weekend meals are generally provided at the home dependent on the activity and choice of the residents. The menu seen consisted of nutritious meals suitable for the age range of adults currently living at the home and is produced following consultation with the residents. On the day of the inspection the residents were served a mid day meal at Solden Hill House, consisting of cauliflower cheese, potatoes, and vegetables followed by fresh fruit. . Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 the following standard(s): 18,19. The arrangements for planning care in this home are good ensuring that health personal and social care needs of people living in the home are fully met. EVIDENCE: From discussion with the members of staff and the Registered Manager, about how the residents needs are met, it was evident that the staff have a sensitive approach to the provision of personal care, and are aware of privacy, dignity and independence issues. Records demonstrated that the formulating of care plans takes into account residents preferred routines and preferences on support and assistance Residents confirmed that they were assisted with personal care in the privacy of their own rooms or bathrooms, and that staff knock at their doors before entering. The Registered Manager stated that that the home has good support from the local medical centre and from Sno Doc (Out of hours). Any visits from health care professionals are recorded on the contact sheet within the resident’s file, where there was evidence that other professionals were involved when required. Chiropodists and Dentists visit the residents on a regular basis. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The complaint process within this home is adequate and sufficient to protect residents. EVIDENCE: Residents confirmed that they felt confident that their concerns would be taken seriously and responded to should they wish to raise a concern or make a complaint. There is a clear procedure for making complaints. Written information on how to complain, or raise concerns, and other pertinent information such as the local office address and telephone of the National Care Standards Commission, are readily to hand and also set out in the Statement of Purpose. Feedback forms from relatives confirmed that they were aware of the complaints procedure, but only one said that they had made a complaint. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Current problems with the ground floor caused by flooding in 2004 means that people living in the home are not provided with pleasing surroundings in which to relax, and eat their meals. EVIDENCE: As a result of a flood in 2004, the downstairs floor of the home was damaged. Floor covering has now had to removed to allow the home to completely dry out. Kitchen units have been removed from the kitchen and stored in the residents second lounge, meaning that residents do not have the use of the lounge and the kitchen looks unwelcoming, and in need of decoration. The Registered Manager said that work was due to commence the day following the inspection to replace the flooring, and that other re- decoration would then follow, with residents contributing to the colour scheme. A limited tour of the remainder of the premises was conducted and it was seen to be suitable for its stated purpose providing accessible, safe and wellmaintained facilities to meet the individual and collective needs of the residents. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 16 Residents were not present in the home, so bedrooms were not visited, however a vacant room was seen, which was found to be decorated to a reasonable standard Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 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): 32,34 Staff morale appeared to be high, resulting in an enthusiastic well-trained team that works with the residents to improve their quality of life. EVIDENCE: Staff are appointed through Solden Hill House and work between the three houses. More than 50 of staff are working towards, or have achieved a National Vocational Qualification. The Registered Manager demonstrates a commitment to providing appropriate training for the staff team. Training facilitated, since the last inspection includes: Infection control, Basic food hygiene, Care of Medicines, Health and Safety, Fire Awareness, Breakaway techniques and First Aid. The recruitment process was discussed with the Registered Manager. There is a robust system in place to ensure that appointments are made on the basis of equal opportunity legislation and satisfactory checks are completed prior to appointment. A staff file was examined and seen to evidence a thorough recruitment process with appropriate references and clearances. There was a comprehensive induction plan for new staff. The Registered Manager said that all staff have supervisions and an annual appraisal. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 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 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): 37,39,42 The Registered Manager is experienced and well qualified to run the home. EVIDENCE: The Manager appeared to be competent, has considerable knowledge in working with the residents, and had a relaxed supportative attitude. Through discussion she demonstrated enthusiasm and commitment regarding the care of adults with learning disabilities. The Registered Manager is in the process of taking the Registered Managers award; every effort should now be made to complete this award. The Registered Manager is in the process of developing a comprehensive quality assurance system. Questionnaires for residents have been developed, and residents meetings are held on a weekly basis, to discuss issues affecting the home. Through discussion the Registered Manager demonstrated that she was aware of her responsibility regarding health and safety in the home. During the Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 19 inspection the fire book was examined and found to be satisfactory. Coshh policies and procedures, and risk assessments were in place. There was evidence that visits by the Health and Safety Department and Environmental health officer had taken place in the last two years, and that the Gas, central heating and electricity had been serviced during the last 12 months. Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 X 2 X X 3 X Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 21 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. 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. 1 Refer to Standard YA6 Good Practice Recommendations Records should be kept to evidence that care plans are reviewed and updated regularly and that they have been agreed with the residents. The repairs to the ground floor should be completed soon so that residents can have the use of the second lounge. The Registered Manager should aim to complete the Registered Managers award. A comprehensive quality assurance system should be developed. 2 3 4 YA24 YA37 YA39 Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st 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 © 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 Innes House DS0000012825.V277140.R01.S.doc Version 5.1 Page 23 - 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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