Inspection on 09/08/05 for Ivy Cottage

This inspection was carried out on 9th 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

Ivy Cottage 03/02/09

Ivy Cottage 11/10/06

Ivy Cottage 23/01/06

Ivy Cottage 08/11/04

Ivy Cottage 12/07/04

Ivy Cottage 02/03/04

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 09/07/2008.

CARE HOME ADULTS 18-65 IVY COTTAGE Ackton Lane Ackton Featherstone WF7 6HP Lead Inspector Mavis Pickard Unannounced 9 August 2005 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. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ivy Cottage Address Ackton Lane Ackton Featherstone WF7 6HP 01977 701370 01977 795707 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) Ivy Cottage (Ackton) Limited vacant post Care Home - Personal Care only 10 Category(ies) of Learning Disability registration, with number of places IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 8/11/04 Brief Description of the Service: Ivy Cottage is a care home providing personal care and accommodation for 10 younger adults who have a learning disability. Many of the service users present with complex needs including the management of challenging behaviour. The home is situated in Ackton, a small residential suburb of Featherstone, and is some distance from local amenities. It is privately owned and has two sister homes which also accommodate this category of service user. The premises, that are not purpose built, have service user accommodation arranged on two floors. All bedrooms are designed for single occupation and there is adequate communal space. The home has a small open garden to the front of the house and a pleasant secure courtyard to the rear along with car parking facilities. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home which has been without a registered manager for some time, is presently being managed by the registered manager of its sister home, Ivydene. This situation, although agreed with the Commission, is not ideal. Staff on duty during this two and a half hour unannounced inspection said that they will be pleased when a new manager is appointed and told the Inspector that interviews had taken place for the vacant post. Overall, the service is running well and all residents seen were relaxed and comfortable in their home. 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. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.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 IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.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) 1,3 & 5 Prospective residents and/or their representative are given detailed information about the service, know that the home will meet their needs and are provided with a detailed contract of residence. EVIDENCE: Records show, and staff said, that prior to admission, any prospective service user and/or their representative are provided with all the information they require to enable them to make an informed choice about the services provided. The case file of the most recently admitted resident was examined where it was found that they had a written contract setting out in details the terms and conditions of residence at the home. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.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 & 9 Residents have their needs assessed and are supported to be as independent as possible. EVIDENCE: A range of care plans were examined, all plans seen reflect the changing needs of residents. Care plans are regularly reviewed, a process to which the residents and, where applicable, their relative/representative is party. From direct observation, from the examination of records and from speaking with staff, it is clear that residents are supported to take reasonable risks as part of their daily living programme. Detailed written risk assessments are undertaken by the resident’s key worker and with the cooperation where possible of the resident and/or representative. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.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 & 16 Residents take part in appropriate activities in the local community and within the home. People living and working in the home are respected. Residents keep in contact with friends and family. EVIDENCE: Records show and residents were observed to take part in activities appropriate to age and gender. During the visit, a group of residents returned home from a shopping trip with staff, they all seemed to have enjoyed buying their shopping and being able to shop for residents who had not joined them. Residents were observed to be taking part in craft activities, two residents making necklaces and one enjoying artwork. The home employs an activities coordinator who not only leads home based activities but organises outdoor leisure pursuits and residents’ holidays. Records show that residents are encouraged to maintain links with their families and with friends made in the community, by interaction with the organisation’s other group home residents and by attending The Gateway club. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 10 From direct observation, and from reading records, it is clear that residents’ rights are respected and that the home fosters an environment of mutual respect. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Residents receive appropriate personal support. EVIDENCE: From speaking with staff, and from speaking with residents previously, it was found that, although the home employs male and female carers, people receive personal/intimate care from carers of the same gender. People receive personal/intimate care in their own bedrooms where possible or if required, a bathroom which is near to their bedroom. Male and female residents have separate areas of the home with respect to sleeping, bathing and showering. Records show, and staff says, that residents are encouraged to be as independent as possible in respect to personal hygiene and in respect to any other form of personal support. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Residents are protected from abuse. EVIDENCE: The home has detailed information provided in accessible forms to residents and staff in respect to all forms of protection. Staff and residents know who to go to in the first instance should feel that an incident of abuse has taken place or if they feel that a resident or staff member is vulnerable to abuse. The home takes steps through appropriate recruitment methods to ensure, as far as possible, that residents are protected and all people proposing to work in the home have to undertake CRB clearance. Staff are mindful of the possibility of self-harm by residents and of the possible exploitation of vulnerable residents with respect to activities or leisure pursuits inside or outside the home. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 & 30 Sufficient toilets and bathing areas are provided. Appropriate private and shared spaces are provided. Arrangements for the prevention of the spread of infection is not made in bathing/shower facilities. EVIDENCE: A short tour of the home was undertaken which showed that residents have appropriate toilet and bathing/showering facilities. Male and female residents do not share bathing/showering facilities. Although residents may require staff assistance with bathing/showering and with intimate care, it was found that not all bathrooms have liquid soap or disposable towels for staff use, nor do they have a foot operated disposal bins. All residents have single occupancy bedrooms and are provided with spacious well-furnished communal spaces in the home, designed for a range of domestic or leisure facilities. In general the home is clean. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 & 35 Residents are supported by appropriately trained staff and understand staff roles in the home. EVIDENCE: It was clear from direct observation that residents know what staff roles are in the home. During this visit, residents were seen to be interacting appropriately with staff and knew whom to approach with respect to personal care, leisure activities and snacks/drinks etc. Staff on duty were observed to support residents in all aspects of their daily living. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 & 40 The home is well run. Residents’ best interests are safeguarded. EVIDENCE: Although the home presently does not have a registered manager, it is clearly well run. The registered manager from Ivy Cottage’s sister home, Ivydene, is presently overseeing the running of the home and is available by telephone should she not be on the premises. Staff said that, although they are satisfied that the home is being managed, they will be happier when a manager is appointed to Ivy Cottage. The Commission looks to an early appointment and thereafter an application for registration. It was observed that residents’ personal finances are maintained appropriately. Staff said that residents’ accounts are checked on each shift, twice each day IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 16 and when any money is spent by or on behalf of residents. Detailed written records are maintained. IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 17 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 x 3 x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 3 x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score 3 x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 IVY COTTAGE Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x x x J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 18 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 30 Regulation 13(3) Requirement The registered person must make suitable arrangements for the prevention of the spread of infection by the provision of liquid soap, disposible towels and foot operated disposal bins in all areas where residents are supported with their personal or intimate care. Timescale for action with immediate effect [9/8/05] 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 Good Practice Recommendations IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 IVY COTTAGE J51J01_S6269_Ivy Cottage_V224632_090805.doc Version 1.40 Page 20 - 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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