Inspection on 15/11/05 for Loppington House

This inspection was carried out on 15th November 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

Loppington House 15/09/09

Loppington House 08/04/09

Loppington House 22/04/08

Loppington House 23/01/07

Loppington House 14/02/05

Loppington House 16/11/04

Loppington House 09/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Loppington House Wem Shrewsbury Shropshire SY4 5NF Lead Inspector Janet Oxley Announced Inspection 15th November 2005 09:30 Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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 Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Loppington House Address Wem Shrewsbury Shropshire SY4 5NF 01939 233926 01939 235255 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) Loppington House Limited Peter James Warburton Care Home 36 Category(ies) of Learning disability (36) registration, with number of places Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Loppington House is a further education unit and adult centre established in 1983. The establishment is situated in the rural North Shropshire countryside close to the small market town of Wem and just 14 miles away from the historic town of Shrewsbury. Loppington House is registered with the Commission of Social Care Inspection (CSCI) to provide accommodation and care for a maximum of thirty six people with a learning disability. The accommodation comprises of a main house, which provides the education resources on the ground floor and residential accommodation on the first floor, two detached houses in the grounds and two bungalows. In addition there is a small swimming pool, an office and a separate flat that accommodates up to six visitors. Loppington House Ltd owns the home and the Registered Provider is its Director, Mr Paul Harris. Mr Peter Warburton is the Registered Manager. The company own and manage two additional registered care homes for people with a learning disability in Whittington and in Wem. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed key standards only as the establishment is currently considered to be performing satisfactorily and thus warrants the application of a reduced methodology. This inspection was announced, commenced at 9.45am and lasted around 4.5 hours. It included observing activity within the home, inspecting accommodation in the main house, looking at records and case tracking and talking to 14 staff. The Registered Provider, Manager and staff on duty were welcoming and helpful throughout the inspection. It was found that the National Minimum Standards assessed had been met with only minor exceptions and that the overall quality of care provided was satisfactory. All service users appeared happy, content and well cared for and those who were able expressed satisfaction with their quality of life at the home. Visitors, relatives and visiting professionals have also expressed satisfaction with the service and care the service users are receiving and continue to be complimentary regarding the management and care practices at the home. What the service does well: What has improved since the last inspection? Loppington House continues to develop programmes for each individual along with all relevant staff training. This aspect has included the organisation commissioning the services of an external speech and language team to compile individual assessments and train the staff in the use of Makaton to improve communication skills. This arrangement is ongoing. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 6 The fabric of the building continues to be improved, a number of bathrooms have been refurbished and a number of areas have had replacement carpets and have been redecorated. It has to be noted that the management and staff continue to review all aspects of the service to achieve best practice and maintain a high quality service. 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. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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 Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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): 1, 2, 4, 5. The policies and procedures that are in place, and have been professionally followed, ensure that the home undertakes all necessary assessments for successful and satisfactory admissions to take place. EVIDENCE: The Statement of Purpose and Service User Guide are kept up to date and provide all necessary information. Inspection of the files of the 2 service users, who have been admitted since the last inspection, indicated that full and comprehensive pre-admission assessments are undertaken by the Registered Manager and the Head of Education. These assessments include education reports, social reports and health and community reports and include input from all relevant persons. Prospective service users have a number of opportunities to visit the home prior to admission, with their relatives and carers, and each admission is ‘tailor made’ to suit individual needs and the transition to living at Loppington House is sensitively and professionally undertaken. Each service user has an individual written contract, which is retained on individual files. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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 Each service user has a comprehensive and updated care plan, which includes aspects of daily living and care they require. Staff evidently respect service users rights and there is a constant monitoring and review process to ensure their identified needs are being met and individualised care given. EVIDENCE: Individual care plans continue to be improved and the Manager has attended training in Personal Centred Planning. These plans are regularly reviewed and all significant professionals are involved. The organisation, some months ago, commissioned an external speech and language team to develop individual skills and all the staff have now been trained in the use of Makaton. Work continues to take place with this team who visit twice each week. A ‘signing’ club now takes place each week and a ‘word of the week’ theme has been most successful. At the time of the last inspection it had been identified that the home could no longer meet the needs of one service user, whose health had significantly deteriorated. Since that time the home has worked sensitively and professionally with the placing authority and an alternative and satisfactory Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 10 placement for the individual, who had lived at Loppington House for many years, has been found. Advocacy services continue to be well used and the registered provider is the Chairman of the PCAS advocacy service. Risk assessments are undertaken prior to admission and are ongoing. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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): 13, 15 and 17. The lifestyle of the service users living at this home is good and through a framework of activities, independence, personal and social skills they are encouraged to develop. Family ties are maintained and regular visits home and meetings with relatives are encouraged and supported. EVIDENCE: Loppington House provides an educational centre on site that is inspected by the Office for Standards in Education (Ofsted). Service users were seen to be actively engaged in a number of activities and skill groups. A number of service users’ attend educational courses at Walford College and the organisation has a retail shop and workshop based in Wem. Transport is provided by the home and the service users have access to two minibuses and two people carriers for visits and participating in the local community. Observation and discussions indicated that the routines in the home continue to promote independence and individual choices as far as possible. The menus and the meal seen indicated that the catering provided in the home Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 12 continues to be excellent, a healthy eating award has been obtained and fresh produce from the garden, attended to by the service users, is used. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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): 18, 19 and 20. The health and personal needs of service users are well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: Service user’s records and discussions with staff indicated that the staff continue to carefully monitor health needs, make appropriate referrals and appointments to health care professionals under the guidance of the full time Medical Liaison Officer at Loppington. Visiting Heath Professionals have been most complimentary regarding this aspect of the service users lives at the home. The Management and staff have, in recent months, engaged the help and advice of a number of Health Care Professionals for a service user whose health has significantly deteriorated The support of Doctors and Consultants for all service users is ongoing Behavioural changes of service users are also carefully monitored, recorded and cross referenced and appropriate action taken when necessary. Plans and risk assessments for activities are in place. At the time of this inspection it appeared that all aspects of the administration, recording and securing of medication was satisfactory. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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): 22 and 23 Loppinton House has appropriate policies and procedures in place for the protection of service users. EVIDENCE: No complaints have been received since the last inspection. A full complaints procedure is available and given that a number of the current service users would have some difficulty understanding the concept of a complaint it was evident that staff are sensitive and have developed methods to identify what service users like, dislike or object to and explore new avenues in efforts to overcome the difficulties. With the help of self-advocacy groups and input from speech and language therapist the service users are supported and enabled to express themselves further. Robust procedures are in place to protect service users from abuse and are included in all aspects of staff training. A number of staff have received accredited training on The Protection Of Vulnerable Adults and it is recommended that written evidence be made available to indicate that the remainder of staff have received and understood the relevant in house training that they have recieved. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 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 standard of the environment within the home is generally satisfactory, providing the service users with a good place to live. Necessary improvements have been identified and are in hand. EVIDENCE: The standards above were not fully assessed as only the accommodation in the main house was inspected at the time of this inspection. Although the accommodation provided overall is satisfactory, the main house is in need of some refurbishment and a full environmental audit of the premises took place on 15.02.05 by senior managers of the organisation. A number of areas have already been refurbished and there is an ongoing maintenance, redecoration and replacement carpet and furniture plan. The standard of hygiene and cleanliness in the main house at the time of this inspection was very good. It was acknowledged that the use of service users own soaps in communal areas should be reviewed and that all WC;s should be provided with soap and towel dispensers. The laundry is also in need of refurbishment and this is planned to take place during the Christmas holidays when many of the service users are at home with their families. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 16 Grounds are accessible and well maintained. Many of the service users are involved in horticultural projects and use part of the grounds for this purpose. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 17 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): 32, 34 and 35. Service users are supported by a well trained and committed staff group who appear to be meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: A variety of training has been undertaken and staff on duty indicated that they are sensitive to the service users complex needs and that their attitudes and practice were monitored and supervised by the management. 88 of staff have now completed NVQ2 and all team leaders are to commence NVQ3 in the near future. Full training profiles are maintained. Annual appraisals take place, regular recorded supervision sessions are undertaken and staff meetings are held on a regular basis. Generally the recruitment practices are satisfactory with all necessary records and checks being maintained on file. It was recommended however that to improve practice a more robust approach be taken to obtaining professional and satisfactory references. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 18 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, 38, 39 and 42. There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the service users benefit. The home regularly reviews aspects of its performance and meets the requirements of the Fire Officer and Health and Safety Officer, promoting the health, safety and welfare of the service users. EVIDENCE: The Manager is fully quailfied and experienced. The manner in which Mr Harris, the Manager, service users and staff responded to this inspection indicated that a sound management approach is in place and that staff are committed to achieving best practice and to developing equal opportunities. Health and Safety matters appeared generally satisfactory. All necessary records required are maintained and an external organisation carried out Health and Safety inspections on 21/03/05 and 13/10/05. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 19 Staff training in Health and Safety matters is on going and professional training records are maintained. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 20 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 4 x 4 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 2 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Loppington House Score 3 4 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x DS0000020698.V253295.R01.S.doc Version 5.0 Page 21 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 30.4 Regulation 13(3) Requirement That the laundry be refurbished to comply with regulations. Timescale for action 01/01/06 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 2 3 Refer to Standard 23 30 34 Good Practice Recommendations That written evidence be made available to indicate that all staff have received and understood training on the Protection Of Vulnerable Adults. That the use of service user’s personal soap in communal bathrooms be reviewed to prevent cross infection. That a more robust approach be taken, when recruiting staff, to obtaining 2 satisfactory references. Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Loppington House DS0000020698.V253295.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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