Inspection on 24/05/07 for Olcote

This inspection was carried out on 24th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Olcote 02/07/09

Olcote 30/12/05

Olcote 26/09/05

Olcote 23/03/05

Olcote 20/10/04

Olcote 24/03/04

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

CARE HOME ADULTS 18-65 Olcote 142 High Lane Burslem Stoke-on-trent Staffordshire ST6 7BT Lead Inspector Ms Jane Capron Key Unannounced Inspection 24 May 2007 10:00 Olcote DS0000008322.V335168.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 Olcote DS0000008322.V335168.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. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Olcote Address 142 High Lane Burslem Stoke-on-trent Staffordshire ST6 7BT 01782 766204 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) Mrs Dellah Anne Hodges Mr David Hodges Mrs Dellah Anne Hodges Care Home 1 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1) of places Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th December 2005 Brief Description of the Service: Olcote House is a small home, registered to accommodate one person within the Mental Disorder category. The proprietors Mr and Mrs Hodges, have provided care and accommodation for one resident user for the past eighteen years The home provides a single bedroom on the first floor for the personal use of the resident with accessibility to all other areas of the home. The standard of physical environment is high throughout and its ambience is warm and welcoming. The current fees are £333 (April 2007) and this includes toiletries, some clothing and costs towards some activities. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We were at the service for four and a half hours and we talked to the person that lived at the home and both of the proprietors. We looked at the lifestyle enjoyed by the person that lived at the home including seeing whether their health and personal care needs were being met. We also looked at the activities that were provided and whether the home was responding to the individual needs of the person that lived there. We looked at the arrangements in place to store and administer medication. We also looked at all the accommodation and whether the home was providing a safe place for the person that lived there. The arrangements for monitoring and reviewing the service were looked at as well as how far the service was responding to the person preferences and whether there were good procedures in place to deal with any concerns the person may have. Prior to the inspection we gained the views of the person that lived at the home and their relative through a written survey. What the service does well: The service provides an individualised service and is flexible to meet the needs of the person that lives there. The home supports the person to have a varied and active lifestyle that is based on their likes and dislikes. The person has a very positive relationship with the proprietors that provide the care and is very much part of their family. Relatives of the person described the service as providing ‘outstanding care’. Their comments included ‘My relative is well cared for, understood and his relationships to staff is second to none’. Comments from the person that lived there included: It is a ‘Happy set up’ and ‘We feel like family’. The home promoted the person’s choices and listened to his views. Comments made included: ‘they ‘listen to me about my wants’ ‘I say what food I like and when I want it’ and ‘ ‘They alter their life to fit in’ with me. The home supported and encouraged the person to take part in a wide range of activities both in and out of the service. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 6 The service had developed good support plans and risk assessments and the person that lived at the home was fully involved in developing these and in making sure they were kept up to date. The service was meeting the health, personal care and medication needs of the person that lived there. The person that lived at the service was provided with good quality communal and private accommodation. Their bedroom was well furnished and was lockable. The service was well led. The proprietors were well trained, systems were in place to review and monitor the service and Health and Safety procedures were providing the person that lived there with a safe environment. 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. Olcote DS0000008322.V335168.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 Olcote DS0000008322.V335168.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. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home provided all the required information for a prospective person to know what the home offered and whether it could meet their needs. EVIDENCE: Although the home was registered for one person and the current person had been there many years the home had developed a Statement of Purpose and service user guide. This contained all the necessary information. The person that lived at the home confirmed that they had been given a copy. They also confirmed that they had been given the choice of whether to move to the home and had visited and met the Care Manager before moving to the home. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home ensures that the person that lives at the home are involved in making decisions about their live and plays an active role in planning the care and support they need. EVIDENCE: The home had developed a detailed and comprehensive support plan that covered the areas of health, personal care, social and leisure needs. Plans were reviewed regularly with the full involvement of the person that lived at the home. A range of risk assessments were in place and the person that lived at the home was fully involved in their development and had copies of them. Discussions with the person that lived at the home confirmed that he was supported to make decisions about their life. These included for example how and where they spent their time, going out to buy clothes and choosing what they wanted to eat. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 10 The home encouraged the person that lived at the home to participate in aspects of running the home. They were included in developing policies and procedures and the home regularly sought their views through monthly questionnaires. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home ensured that the person that lived at the home was able to make choices about their lifestyle. The person’s lifestyle was meeting their expectations. The home provided a varied menu that was based on the preferences of the person that lived at the home. EVIDENCE: The person that lived at the home was supported to have a very varied programme of activities both in and out of the home. He said that he was supported to take part in activities of his choice and that he was very happy with his life with Mr and Mrs Hodges. Most of these activities were out in the community. He regularly went to a drop in centre and took the service’s dog out for walks most days. He was a season ticket holder at a local football club and went with one of the proprietors to watch cricket and to the races. He said Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 12 that he was treated as a member of their family. He maintained contact with his own family by telephone and letter. Relatives reported that they felt the service provided ‘outstanding care’. The person reported that the home provided excellent meals and that he was always asked what he wanted. The records of meals confirmed that the home provided a varied menu and that the home provided a wide range of home baked food. Fruit was available. Mealtimes were flexible. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home supported the person that lived at the home to have their health, personal care and medications needs met. EVIDENCE: Health and personal care needs were clearly shown in the support plan. The plan also showed how these were to be met and also identified how the person at the home liked to complete these tasks. Good records were kept of all health contacts and of all health treatment received. This included having an annual health check, nail care, having an eye check and going to the dentist. The person living at the home confirmed that they attended for health checks. The manager was aware of the need to monitor health care needs. The home kept medication locked in a cupboard. The home had MAR sheets in place and examination of these showed no gaps. The home managed the medication and this was in line with the wishes of the person that lived at the home. A consent form for the proprietors to medicate was completed. Both Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 14 proprietors had been trained in administering medication and they were planning to have updating training this year. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 15 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People that use the service are encouraged to express their views and have access to a complaints procedure. People are safeguarded from abuse. EVIDENCE: The service had a complaints procedure in place and this was available to the person that lived at the home. They confirmed that they knew how to make a complaint and if necessary knew of people outside of the service they could raise issues with. A relative that responded to a survey reported that they know how to make a complaint but stated that they had never needed to due to the good level of formal and informal contact between themselves and the service. The service had not received any complaints. The service had adult protection procedures in place and the proprietors had received training in this area. The service supported the person that lived at the home to manage their money and it is recommended that records are kept of the expenditure of large amounts of money. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 16 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): 24,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides good quality accommodation that is well maintained and provides the person that lives there with good communal and private accommodation. EVIDENCE: The service is a traditional family home that is of a good standard, with good quality decoration and furnishings. The person that lives at the service has a large bedroom that is lockable and provides good private accommodation. The bedroom is well personalised with the person’s belongings and reflects their interests. The person has TV and facilities for playing music in their bedroom. There is good storage and there is an armchair. The person said that they liked their bedroom and enjoyed spending time there watching TV, listening to music and writing. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 17 The home was observed to be clean and hygienic and this was confirmed to always be the case by the person’s response to the pre inspection survey. Olcote DS0000008322.V335168.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): 31,32,33,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person that lives at the home is supported by carers that are trained and who provide a service based on the person’s needs. EVIDENCE: The service did not employ staff with the care being provided by the proprietors. The person that lived there described having excellent relationships with the proprietors having been there for many years. The proprietors were fully aware of the needs of the person that lived there. The service did not employ staff with the care being provided by the proprietors. The person that lived there described having excellent relationships with the proprietors having been there for many years. A relative reported that the service provided ’outstanding care’ and that the carers were remarkable people. The providers were well trained and numerous certificates were displayed in the entrance hall. They had completed training in Food Hygiene and health and safety since the last inspection. Mrs Hodges had completed a course on Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 19 mental health and they were in the process f completing training in Infection Control. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well run and has systems for reviewing and monitoring the service that are based on the views of the person that lives there. The service’s Health and Safety practices were providing a safe environment. EVIDENCE: The service was being well run. The Care Manager/proprietor was experienced, qualified and competent to provide a good service to the person that lived there. The home had systems in place to monitor and review the service. The person that lived there completed regular surveys that the home used to review the Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 21 service and to ascertain whether any changes should be made. The person that lived at the home stated that his views were always taken into account. The home had suitable Health and Safety procedures in place. The proprietors had received the necessary training in Health and Safety issues including Food Hygiene, First Aid and moving and handling. The fire training they had received was some time ago and it is recommended that they undertake up to date fire training. The home had undertaken the necessary checks on equipment including fire safety equipment, electricity and gas appliances. Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 22 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 4 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 4 25 X 26 3 27 3 28 3 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA23 YA42 Good Practice Recommendations To maintain records of large amounts of expenditure. To have yearly fire training Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Olcote DS0000008322.V335168.R01.S.doc Version 5.2 Page 25 - 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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