Inspection on 16/03/06 for Ivymead

This inspection was carried out on 16th March 2006.

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

Ivymead 10/10/06

Ivymead 27/07/05

Ivymead 25/01/05

Ivymead 24/08/04

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 Ivymead Littleworth Lane Lundwood Barnsley S Yorks S71 5RG Lead Inspector Jayne Barnett-Middleton. Unannounced Inspection 16th March 2006 09:15 Ivymead DS0000050058.V276052.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 Ivymead DS0000050058.V276052.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. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ivymead Address Littleworth Lane Lundwood Barnsley S Yorks S71 5RG 01226 288 277 01226 321 658 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) Ivy Cottage (Ackton) Limited Miss Claire Michelle Procter Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum staffing levels must be maintained at least the levels required by the publication `Residential Forum = Care Staffing in Care Homes for Younger Adults`, published April 2002. 27th July 2005 Date of last inspection Brief Description of the Service: Ivy mead is a care home for younger adults with learning disabilities; it provides personal care and accommodation for 19 service users. Ivy Cottage (Ackton) limited provides the care and accommodation. Ivy Mead consists of two houses situated close together in shared grounds; the houses are named house one and house two. House one accommodates ten service users and has disabled facilities on the ground floor; and house two accommodates nine service users. Access to the upper level of both houses is by stairs only. Ivy Mead is set in its own grounds with gardens and parking space. The home is situated within easy reach of Barnsley town centre, a bus route provides access to the town and the home has its own transport. Medical and community centres, and shops are situated within walking distance from the home. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.15 am to 2.00 pm. Six residents, five staff, and the registered manager were spoken to. A sample of records was examined and a partial inspection of the building was carried out. The inspector wishes to thank the registered manager, staff and service users for their time and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? Service users files contained risk assessments relating to all aspects of their lives both inside and outside the home. They were detailed and identified the individual risks that were presented to service users on a daily basis and the action required to reduce the risk, enabling service users to live an independent lifestyle. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ivymead DS0000050058.V276052.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 Ivymead DS0000050058.V276052.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 Needs assessments were available on the service users files checked. They contained appropriate information about the service users needs. EVIDENCE: A full needs assessment was carried out for service users prior to their admission. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. Two service users files checked demonstrated that regular reviews had taken place to reflect the changing needs of the service user and a clear plan of care was in place with the action that was required from staff, to ensure that their individual needs were met. Ivymead DS0000050058.V276052.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 and 9. Service users had individual care plans, which contained detailed information about their care and support needs. Risk assessments, which supported service users to lead full lifestyles, minimised risks for the individual had been devised and reviewed regularly. EVIDENCE: Two care plans checked set out in detail the action that was required by staff to ensure that all aspects of the service users personal, social support and healthcare needs were met. The plans were regularly reviewed and good records of this were in place. The previous report recommended the introduction of person centred principles for the reviewing and planning of care; the manager was seeking suitable training. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 10 Service users files contained risk assessments relating to all aspects of their lives both inside and outside the home. They were detailed and identified the individual risks that were presented to service users on a daily basis and the action required to reduce the risk, enabling service users to live an independent lifestyle. Ivymead DS0000050058.V276052.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): 11,12,13,14 and 15. Service users had regular opportunities to access age, peer and culturally appropriate activities. Service users regularly accessed community day services and leisure activities. Opportunities were provided for service users to engage in activities within the home and maintain links within the local community. Residents were supported to have appropriate relationships with their peers and relatives. EVIDENCE: Service users had regular opportunities to access appropriate activities. Activities coordinators were employed and regular activities were available at the home, which included crafts and baking. Regular ‘ theme nights’ were organised. An Italian night had proved successful to celebrate Valentines Day and service users said that they had thoroughly enjoyed a recent ‘ Grease Night’. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 12 Service users were supported to lead an independent and structured lifestyle. One service user spoke in detail about how they spent their week which included swimming, attending day centres, accessing local amenities and voluntary work. Staff said that training and educational opportunities were available and that they would assist and support service users should they wish to undertake further education. Service users were encouraged and supported to maintain positive relationships with their families and friends. One service user confirmed that they visited their family on a regular basis. On the day one service was celebrating their birthday and family and friends had been invited to a surprise party. Care plans detailed how service users were encouraged to maintain family contact as an example by telephone or letter writing. Staff spoke in detail of how they had worked closely with a community forum prior to the home opening. They said that this had proved to be successful in that service users were very much accepted as part of the community. Service users regularly accessed a local ‘drop in’ centre and the staff said that other community groups regularly visited the home. Ivymead DS0000050058.V276052.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): 19. Service users physical and emotional needs were met. The Care plans contained detailed information about how the service users personal support should be met by staff in order to meet their individual needs. EVIDENCE: Detailed healthcare records were maintained, which demonstrated that the health of service users was monitored and appropriate action taken should there be any concerns in relation to their health. The staff had a good understanding of service users individual needs and spoke in detail about service users and how they managed their physical and mental health conditions. Ivymead DS0000050058.V276052.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): 23 There was an adult protection procedure, which promoted the protection of service users. EVIDENCE: There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Staff had received Adult Protection training enabling them to identify and report any allegations or incidents of abuse to service users. Ivymead DS0000050058.V276052.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 and 30. The home was clean, comfortable and well maintained. Service users were provided with an environment that met their individual needs and lifestyles EVIDENCE: The home was very clean, tidy and odour free. All areas seen were well maintained and pleasantly decorated. Service users appeared relaxed in their environment and were eager to show the inspector around the home and the facilities that were provided. All areas seen were very clean and a good standard of cleanliness was observed. The grounds were safe, tidy and very well maintained. Close circuit television was provided outside for security and safety. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 16 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): 34 and 35. Staff received training to meet the service users general and specific needs. A good range of training was available for staff. The home operated a recruitment policy and procedure that promoted the protection of service users. EVIDENCE: The Staff and manager were professional, approachable and spoke enthusiastically about the service that they provided. Positive and appropriate relationships were observed between staff and service users. A recruitment policy and procedure was in place. Two files checked contained a range of information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level to promote the protection of residents. The Staff had received training appropriate to their role to ensure that they were conversant with changing legislation and safe working practices. Staff said that a good range of training was offered and that any individual training needs were also considered. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 17 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 and 42. Service users and staff benefited from the ethos, leadership and management approach. The homes policies and procedures promoted the health, safety and welfare of service users and staff. EVIDENCE: The manager has recently commenced employment at the home. She has previous management experience enabling her to contribute to the care of service users and communicate a clear sense of leadership to staff. Staff spoke positively about the manager and said that she had “settled very well”. Service users and staff are regularly surveyed, enabling them to comment on the quality of service that is provided and to suggest ideas for improvement. The outcome of surveys conducted are sent to the CSCI. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 18 The home was well maintained and all areas seen were very clean, well maintained and safe. The staff had received regular training to promote the health, safety and welfare of service users and their colleagues. Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X 3 X X 3 X Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No. 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 Person centred planning principles in line with the government white paper Valuing People and associated guidance should be implemented. Care plans should be developed using the person centred approach. The person centred approach should be applied where service users need support to manage their behaviours, including de-escalation, and should focus on empowerment and participation of service users in drawing up agreed interventions. (This was a previous recommendation, see standard 6 for information on progress) Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ivymead DS0000050058.V276052.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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