Inspection on 20/06/07 for Ladycroft Respite Service

This inspection was carried out on 20th June 2007.

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

Ladycroft Respite Service 04/06/09

Ladycroft Respite Service 16/12/05

Ladycroft Respite Service 15/09/05

Ladycroft Respite Service 17/11/04

Ladycroft Respite Service 29/04/04

Similar services:

Whitwood House

Whitwood Hall

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Ladycroft Respite Service Ladycroft Wath-upon-Dearne Rotherham South Yorkshire S63 6SE Lead Inspector Ashley Fawthrop Key Unannounced Inspection 20th June 2007 10:00 Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 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 Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 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. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ladycroft Respite Service Address Ladycroft Wath-upon-Dearne Rotherham South Yorkshire S63 6SE 01709 878276 P/F01709 878276 NONE http/www.milburycare.com/home.html Milbury Care Services Limited 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) Yvonne Brown Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Registered Manager, Mrs Yvonne Brown, achieves a NVQ Level 4 in Management and Care by 2005. The two separate groups of Service Users who will attend Ladycroft, those with physical and sensory needs and those with significant behaviour challenges, must access the facility separately based on dependence and risk assessment and management procedures. The Registered Manager must have at least fifty percent of her contracted hours in a supernummary capacity in order to fulfil her managerial responsibilities. This will be reviewed by the Commission after three months of registration, and the allocated time amended accordingly if required. Further reviews may take place at three monthly intervals if necessary. It has been agreed that Ladycroft can be registered without the provision of an emergency alarm system. This situation will be monitored and a call alarm system will be required if any individual Service User assessments identify that it is needed, or a need for such a system is identified through accident and incident reporting and notifications. Service Users must not commence utilising Ladycroft respite care services until a Local Authority assessment and care plan is provided and an initial assessment has been completed by the Registered Manager. 16th December 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Ladycroft offers respite services for up to six people with learning disabilities. It is a purpose built bungalow situated in a quiet area in Wath upon Dearne, near Rotherham. The accommodation consists of four single bedrooms, which are accessible to people in wheelchairs, each with an en-suite toilet facility and tracking to aid mobility. One assisted bath, and one shower are also provided. The home has two lounges, a separate dining room and a kitchen and laundry. Two self-contained flats form part of this home. These can provide accommodation for individuals for up to six months. The home has an enclosed grassed garden area to the side and rear of the home. A car park is provided. All areas of the home are accessible to people in wheelchairs. The fees levied to the 20/06/07 were £11.55 pre hour. There are no additional fees for other services. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and undertaken on the 13th June 2007 by one inspector. The inspection was undertaken in one day and included reading records, talking to service users and their visitors, the manager and the staff. Also as part of the inspection a number of people were case tracked from admission to the day of the inspection to ensure that their care plan reflected the changes in their health and well being so that their present needs were being addressed. The pre inspection information was completed by the home and returned to the Commission before the date required which shows a willingness to comply with the Standards and Regulations of the Care Standards Act 2000. The pre admission information is up to date and available to service users The care plans reflected the needs documented in the pre admission assessment this made a good foundation for staff to build the care plan and is good practice. The activities are meaningful and reflect the individual needs of the people. The manager and the staff were open in their responses to the inspection and service users said that the staff were very helpful and there was evidence of good relationships between staff and people who live in the home. Staff addressed service users with respect and there was humorous banter between them and staff were not patronising at any time. There are good risk assessments that reflect the abilities of the individual and staff assist to the level required to allow the service user to maintain the maximum of independence. What the service does well: The service continues to offer respite care to people who benefit from different activities that are based on their assessed need and preferences. The personalities of the people are considered to help maximise the benefit they get from their stay, by maintaining a similar resident group for each stay who get on well together. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 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 Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 People using the service experienced excellent quality outcomes. We made this judgement using a range of evidence including a visit to the service. There is good information available to people wishing to use the service and their needs are fully assessed before their first stay. EVIDENCE: There is a statement and service users guide that gives good information on the purpose of the service and what the home offers. This is made available to people before they decide to use the service. This is good practice because it gives people sufficient information as to whether the home can meet their needs or not. There are detailed assessments of how people wanted to spend their time during their respite stays. The assessments were carried out in detail and were available on the individual care files. There was evidence that people can visit the home before they decide to use the service. This is good practice as it gives the staff a chance to assess the person’s needs before a care package is agreed. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 9 People who use the service had been involved in the decision to use the service. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to the service. The care plans reflected the changing needs of people, there was evidence that they have the opportunity to make decisions about their lives. These are supported by the assessment of risk. EVIDENCE: The care plans of the people who had just received service and those who were due to come into the home that day were checked and found to be accurate and up to date. There was evidence in then care plans that people were supported by the staff and through risk assessment to maintain and active and independent lifestyle. There was evidence that there were different methods of communication this is good practice and enabled staff to interpret the wishes of people as much choice as possible. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 11 There is a staffing ratio that enables the residents to receive support at a level that they need to facilitate both care in the home and trips out. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 People using the service experienced excellent quality outcomes. We made this judgement using a range of evidence including a visit to the service. People maintain their normal lifestyle. People have the opportunity to be involved in appropriate activities and to be part of the community. Relationships with family and friends are respected, as are their rights as individuals. EVIDENCE: The care plans continue to contained details of the activities that the service users liked doing and there was evidence that appropriate activities had been achieved. The staff use community facilities wherever possible and people continue to be members of the same community where the home is based. The families of people maintain contact with the home and information about the welfare of their relative is always available. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 13 People continue to be involved in the housekeeping duties of the home at an appropriate level for their development. This may include going shopping, tidying their rooms of making drinks and snacks with assistance. Because of the multi agency approach to the care of individual people’s rights as a citizen are maintained between the different carers. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experienced excellent outcomes. We made this judgement using a range of evidence including a visit to the service. People receive personal care in a private environment without drawing attention to the fact that they need help. There physical and emotional needs are met. The policies and procedures regarding medications are safe. EVIDENCE: There was evidence in the files to demonstrate that people continue to visit healthcare professionals at regular intervals, e.g. general practitioner, dentist chiropodist and psychiatrist. Detailed records of healthcare checks and appointments continue to be maintained. Care plans had been reviewed on a regular basis with the involvement of the people who they are written for. The care plans that were case tracked were checked were well organised and information easy to track. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 15 Records were kept of medication received, administered and disposed of. Continue to be encouraged to self-administer their own medication within a risk management framework. Lockable facilities were provided for people to store their medication. Appropriate facilities were provided and procedures were in place for if needed in the future. People’s medications were reviewed on a regular basis and evidence to support this was recorded in people’s files. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to the service. The views of people continue to be taken into account along with those of their main carers when designing the care package for them. There is an Adult Protection Procedure within the home and the staff are aware of how to use it. EVIDENCE: No complaints have been received about the service since the last inspection. There is a complaints procedure available that is easy to understand and there a re complaints forms freely available if people do have concerns. The staff knew the different the people in the home and the way they used to communicate. There was a good understanding from the staff of what the people were saying. There are policies and procedures available to staff relating to the protection of vulnerable people. Staff have also received training in this and receive regular updates. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30 People using the service experienced good outcomes. We made this judgement using a range of evidence including a visit to the service. The home offers a friendly environment where people can express themselves with the safety of staff supervision. EVIDENCE: The home is purpose built and meets the needs of the people from both an emotional and physical perspective. Generally there is adequate equipment to ensure that the physical needs of the people using the service can be met without physical risk to staff. The bedrooms are appropriate and met the needs of people but due to them being used by possibly more than one person in a week they do not reflect the personality of the person living there. The area in front of the shed needs to be made level and safe. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experienced excellent quality outcomes. We made this judgement using a range of evidence including a visit to the service. The staff receive a comprehensive range of training to enable them to meet the needs of the people using the service. EVIDENCE: There was evidence that the staff are offered different training courses and we were informed as to how they implemented this knowledge into the care of the people using the service. The records of the training each member of staff is well recorded and a comprehensive list of training taken and future training was available. The recruitment and selection procedures consist t of application forms where information for two references is recorded. Staff are interviewed and if successful a check by the Criminal Records Bureau is done before they start work. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experienced excellent quality outcomes. We made this judgement using a range of evidence including a visit to the service. The manager has the skills and experience to manage the home effectively and the home is run in the best interests of the people using the service. EVIDENCE: The manager has the skills and qualification to run the home and achieves this to a high standard. Staff said that the receive excellent support on a daily basis and through regular supervision. Staff had received regular training appropriate to their role including fire safety, first aid, health and safety and food hygiene. Detailed risk assessments had been carried out for service users individual needs. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 20 Communal areas were observed to be safe, homely and comfortable. Safety posters were on display. Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 21 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 4 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 x Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ladycroft Respite Service DS0000056502.V330379.R01.S.doc Version 5.2 Page 24 - 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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