Inspection on 27/07/05 for Ivymead

This inspection was carried out on 27th July 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

Ivymead 10/10/06

Ivymead 16/03/06

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 S71 5RG Lead Inspector Sue Stephens Unannounced 27 July 2005 14:00pm-18:45pm 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. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ivymead Address Littleworth Lane Lundwood Barnsley S71 5RG 01226 288 277 01226 321 658 None Ivy Cottage (Ackton) 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) Miss Claire Michelle Procter PC Care home only 19 Category(ies) of LD Learning Disability (19) registration, with number of places Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 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. Date of last inspection 25 January 2005 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 togeather 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 J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4¾ hours, between 14:00pm and 18:45pm. The manager was unavailable and senior care staff from the morning and afternoon shifts assisted with the inspection. Consultation with residents and staff took place. Samples of the homes records, including three residents’ records, were checked. Seven service users were consulted, either individually or in small groups; and observations were made of the resident’s daily routines, and their relationship with staff. Staff were consulted, and observed carrying out their duties and a partial inspection of the premises was carried out. The service users and staff are thanked for their welcome and assistance during this inspection. What the service does well: Ivy Mead provided good information about the home; the information was in the Statement of Purpose, and service users contracts; these were available to new and existing service users. Their needs had been assessed and regularly reviewed and good support was provided to access specialist services including mental health services. Plans of care were in place, one care plan was commended for the good information about the service users needs and how to care for them. Service users were supported to make positive choices and staff were trained to deal with crisis situations (for example service users who may become distressed or at risk of self harm). Staff were sensitive and understanding towards service users who had complex needs. The complaints procedure was available for service users to use and staff had received training in adult protection. Service users said they were satisfied with the homes environment, and they were comfortable. Staff received support and supervision and were professional and positive in their approach. Records and policies and procedures were in good order. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 6 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. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 1,2,3, 4 and 5 Ivy Mead provided good information, introductions and support to prospective and existing service users, this enables them to make informed choices about the home. EVIDENCE: Service users had been given a copy of the Statement of Purpose and a contract; the contract included the terms and conditions, and had been signed by the service user. Both documents were kept in the care plan for service users to access. Needs assessments had been carried out and these were regularly reviewed. A new service user had been introduced to the home in a way that suited the service users needs; staff consulted had a good awareness of this and were mindful about allowing time and space to settle in. Services and facilities were provided which met the needs of the service users, for example support to access clinical specialists, and staff trained to deal with complex needs. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 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 standard(s) 6,7 and 9. Individual plans reflected service users needs; this provided staff and service users with good detail about the individuals care needs; and service users were enabled to make choices. Some care plans need to be reviewed to ensure risks are identified and ensure staff are informed of potential risks and hazards. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 10 EVIDENCE: Three care plans were checked, the plans were developed from identified needs and service users had signed their plans. The plans were regularly reviewed and good records of this were in place. One of the plans checked set out the specialist needs of a service user in a clear and concise manner; this followed good practice guidelines which staff had been trained in. The recorded action staff were to take was clear, consistent and thorough, this plan was commended; advice was given that all plans should be written to this standard. The plans contained information about restriction on freedom and choice and details about action staff may need to take to keep the service user safe or from harm, the service user had signed this. The plans were consistent in focussing on positive behaviour and staff had a good understanding of individuals’ plans, staff were noted to refer to plans for information they were not sure about. The previous report recommended the introduction of person centred principles for the reviewing and planning of care; the manager was seeking suitable training. Staff were positive and encouraged service users to make choices; where choices needed to be limited, for example access to unreasonable amounts of snacks and drinks, the reasons were explained and an alternative activity was offered. Service users ability to manage their own finance had been assessed and the support they required was recorded. Support systems were in place to prevent situations of self harm or harm to others, this involved service users agreements, trained staff, recording systems and reflective practice. Staff said they felt well supported when dealing with crisis situations. Risk assessments in two of the care plans checked were insufficient in comparison to the service users needs, the third plan had good risk assessments and they reflected the needs and potential risks concerning the service user. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: This section was not assessed. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 12 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 Personal and healthcare needs were well supported, enabling individuals to maintain good health and wellbeing. EVIDENCE: Staff spoke positively about service users; they had a good understanding of individuals needs, and consulted each other to check service users progress and needs. Staff were noted to be sensitive and understanding about complex needs and were firm and confident in their approach to supporting individuals. Flexibility on times for getting up and going to bed was limited during weekdays, this information was provided prior to admission and was aimed at encouraging good routines and meaningful activities; the service user consulted confirmed they understood this. Health care needs were recorded and monitored and support was provided for service users to attend appointments. Staff consulted had a good understanding of individuals health needs, the effect it had on the service user, and how to monitor and manage their physical and mental health conditions. Medication systems were in order, and staff had received training. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 13 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) 22 and 23 Service users were able to express their views and systems were in place to support staff in protecting service users from risk of abuse. EVIDENCE: Complaints procedures were in place and these were on display. Staff consulted said service users were open about expressing their concerns, and service users said they could and did complain or express any concerns to staff. Adult protection guidance had been provided to staff through induction, learning disabilities award framework and in-house training; the manager confirmed that some staff had also received training from the local authority and staff who had not yet received this would be nominated as further training became available. Staff consulted were aware of the adult protection policies and procedures. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 14 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, 25 and 28. The home environment was comfortable, well maintained and suitable for the service users. EVIDENCE: Shared rooms including dining areas, lounges, quiet rooms and activity rooms were well maintained. The home was clean and service users said they were comfortable and happy with the furniture and fittings provided. Good space was provided for relaxation and activity including a well-maintained garden area. Close circuit television was provided outside for security and safety. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 15 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) 31,33,35 and 36 The staff team were effective and confident in their roles, this provided service users with good standards of care, support and attention. EVIDENCE: Staff were consulted and observed carrying out their duties; they were responsive to service users, including those who needed a lot of attention and support. The staff were professional, energetic and motivated in their approach; they received clear direction at the start of the shift, this included service users welfare and tasks that needed completing. There were sufficient staff on duty, including care and activity workers and male and female staff were available. The handover period was thorough, and focused on service users needs; staff said regular meetings also took place. One staff training record was checked, this contained frequent and relevant training events, for example dealing with violence and aggression, communication and epilepsy. The staff member said she felt training opportunities were good and suitable for her to carry out her role well. Staff consulted said they received good support and supervision. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 16 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) 40 and 41 The maintenance of good policies and procedures, and record keeping demonstrated that Ivy Mead was a well run home; and this benefits service users care, safety and welfare. EVIDENCE: Policies and procedures were accessible and staff had a good knowledge of these. Records checked were in the main well maintained, care plans were securely stored and service users could access their records if they wished. See standard 9 for information about risk assessment documentation. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ivymead Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 2 x x J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 18 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. 1. Standard 9 and 41 Regulation 13 and 15 Requirement Risk assessments must be developed with the service user. Risk assessments must be based on the needs of the service user and include how to minimise the risk. Timescale for action 30.09.05 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 6 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-escilation, and should focus on empowerment and participation of service users in drewing up agreed interventions. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 19 (this was a previous recommendation, see standard 6 for information on progress) All care plans be based on the standard of the plan which was commended. Ivymead J51 50058 Ivymead 240639 27.7.05 UI Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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. 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