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Inspection on 06/02/09 for Jenny Chapman House

Also see our care home review for Jenny Chapman House for more information

This inspection was carried out on 6th February 2009.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home cares well for the people who live there. We saw some very good interaction between the staff and the people who live there. Care is person centered by this we mean that staff focus on the person they are caring for rather than the task they are endeavoring to complete. Activities and useful occupation are available to the residents to ensure their quality of life. The home is pleasant and is domestic in style and a comfortable place for the residents to live.

What has improved since the last inspection?

The last inspection was positive. No requirement were left.

What the care home could do better:

The home cares for the people who live there well. This would be improved if the home focuses on the diversity of some of the people who live there.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Jenny Chapman House 167 Shephall View Stevenage Hertfordshire SG1 1RR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Marian Byrne     Date: 0 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 18 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 18 Information about the care home Name of care home: Address: Jenny Chapman House 167 Shephall View Stevenage Hertfordshire SG1 1RR 01438749013 01438750308 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Sense, The National Deafblind and Rubella Association Name of registered manager (if applicable) Miss Helen Rickards Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: The home may accommodate people with physical disability and/or learning disability when associated with sensory impairment Date of last inspection Brief description of the care home 7 7 7 Over 65 0 0 0 care home 7 Care Homes for Older People Page 4 of 18 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out by one inspector over one day. We spoke to people who use the service, staff and a Senior Manager. We sent out surveys to ask people for their opinion of the service. Care Homes for Older People Page 5 of 18 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 6 of 18 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 18 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that their needs will be identified and will be met. Evidence: We looked at three care plans they all contained good assessment with person centered information. By this we mean that there was information about the person and how they wanted their care delivered. When there is a proposal to admit a new person and the home feels they can meet that persons needs the person is invited to stay in the home overnight. If this is successful the person would be offered the place and the transition to staying in the home would be over a longer period and monitored. Care Homes for Older People Page 8 of 18 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be assured that their health and personal care will be administered in a manner that promotes dignity, independence and their good health. Evidence: The care plans show us that they people who live in the home are involved in drawing up their own care plans. This is important because it shows staff what is important to the person. By involving the person it means that staff care for the person themselves and not just carry out the personal care task. All of the people who live in the home have regular assess to health care professionals and are registered with local GP surgeries. Medication was found to be stored, administered and recorded appropriately. We observed staff to be very kind and caring to residents and saw some very good interaction between the staff and the residents. Care Homes for Older People Page 9 of 18 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that their daily needs will be recognised and met. Evidence: Residents take part in different activities including attending various college courses and activities that they are interested in. Residents are supported to stay in touch with their families and friends. They are part of the local community. The location of the home facilitates a good connection with the locality. The home is domestic in layout and the kitchen and dining area promotes this domestic feel. Food is freshly prepared with, where possible, input from the residents. We observed staff to assist residents with eating in a kind, caring and unhurried manner. Care Homes for Older People Page 10 of 18 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that their complaints will be listened to and that they will be protected from all aspects of abuse. Evidence: The home has a complaints procedure that will be followed in the event of a complaint being made. The home is proactive in ensuring that any dissatisfaction is recognised and resolved before it becomes a complaint. All staff were aware of Safeguarding Adults and were trained in all aspects of recognising and reporting abuse. Care Homes for Older People Page 11 of 18 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home can be sure that it will meet their needs. Evidence: On the day of the inspection the home was fresh and odour free. The day we visited was very cold and the home was heated to a good temperature. However, the home would benefit from a spring clean. We were told that there plans to get this done in the coming weeks. The environment is suited to the people who are cared for in the home. Care Homes for Older People Page 12 of 18 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that staff will recognise and meet their needs. Evidence: We looked at the recruitment of three staff and we found that they were recruited appropriately. The files had evidence that security, identity and Criminal Record Bureau check had been carried out. All files had at least two references on them. We saw training records and evidence that staff had been trained to meet the needs of the residents. One resident needs to staff to assist them to move. Staff had been trained to meet his needs but hadnt had routine moving and handling training. This routine training has now been carried out. It should be noted that none of the residents were at risk from this lack of training. Staff who spoke with us were knowledgeable and were keen to impress on us how much they enjoyed their work. Care Homes for Older People Page 13 of 18 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that it will be run in their best interests. Evidence: The Manger of the home was not present on the day of the inspection, however there was a senior manager there for the duration of the inspection. We found the home to be well managed. It is run in the best interests of the people who live there. Staff stated that the Manager was easy to talk to and approachable. Records were kept in good order and staff were able to access them for us. All policies and procedures are in place and are reviewed regularly. While we were there some of the residents came into the office for a chat. The Manager and staff of the home need to pay more attention to issues of the diversity of the people who live in the home and be sure that if they had diversity issues that staff would recognise and where possible meet them. Monies where checked were in order. Health and safety checks had been carried out on all aspects of life in the home. Care Homes for Older People Page 14 of 18 Care Homes for Older People Page 15 of 18 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 16 of 18 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 17 of 18 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 18 of 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!