Inspection on 30/12/05 for Olcote

This inspection was carried out on 30th December 2005.

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 24/05/07

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 HOMES FOR OLDER PEOPLE Olcote 142 High Lane Burslem Stoke-on-trent Staffordshire ST6 7BT Lead Inspector Peter Dawson Unannounced Inspection 30 December 2005 09:00 X10015.doc Version 1.40 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.V273071.R02.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 Older People. 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.V273071.R02.S.doc Version 5.0 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.V273071.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2005 Brief Description of the Service: Olcote House is a small home, registered to accommodate one person within the Mental Disorder category, less than 65 years of age. 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. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out immediately following the Christmas period. The Registered Manager and the sole resident were present throughout the inspection and involved in all discussions. The resident was spoken to separately and confirmed that he was highly satisfied with the care provided for him at Olcote. He understood fully the inspections process and was happily involved in it. The home presented a comfortable and homely environment and Christmas decorations adorned the various parts of the home, resembling normal family life. There is only one resident in this home but all National Minimum Standards apply and the Manager has taken great care to ensure that all standards are met with no exceptions expected because of the size of the home. In fact most standards equalled and in some instances, exceeded the standards expected on a scale for large homes. What the service does well: The home provides an exceptional model of care for one person - living within a family and having the continuity and security of a normal family group. There are exceptionally close, friendly and warm relationships between the resident and providers. The resident is involved in all decisions relating to the home. His views solicited and actioned. He is encouraged to be involved in community based activities wherever possible. There is particularly high standard of record keeping – including care planning and personal information and all records required by statue. Care planning information and daily notes are particularly detailed and relevant. Risk assessments can only be described as excellent too. Contacts with relatives are promoted actively and their views sought. They are kept informed of any changes in care need. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 6 The Manager is very experienced. She has studied for and obtained the required qualification as prescribed in the Standards, by 2005. She seeks opportunities for further training. There is a high standard homely environment which is well maintained. 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. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1–5 The statement of purpose and service users guide contain all relevant information available for the only resident in the home and the information is given in detail and form in just the same way as would be expected from a large home. All standards relating to Choice of Home are met. EVIDENCE: A detailed statement of purpose and service users guide is provided by the home and the resident has a copy for his own use/reference. All required information is contained in the information and they were reviewed in May this year. The one resident has been in the care of the proprietors for 18 years, there are no plans to extend the number of places within the home. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 Health, personal and social care needs are clearly defined in care planning information and also the steps required to meet those needs. The outcome is that all Health and Personal Care standards are met. The standards of recording and required detail is to an excellent standard and to the credit of the Manager. EVIDENCE: Care records contained all required information concerning the total needs of the resident. The home uses the British Institute of Learning Disability (BILD) recording system for recording and reviewing care needs. The resident is also subject to regular multi-disciplinary review as part of CPA requirements. He is involved in all reviews within and outside the home. Care planning information was inspected and contained very detailed and impressive standard of information concerning the health, social, educational and recreational needs of the resident. Risk assessments were in place and contained similarly detailed information. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 10 Daily notes were very detailed containing descriptive information concerning the activities and events of the day, including food provision etc. The resident reads and signs the recorded information at the end of each month indicating agreement or otherwise. There is a clear, concise 24 hour plan of care detailing the required actions to meet needs. Discussions with the resident during the inspection confirmed that he fully understood and was satisfied with the systems in place to ensure his health and well-being. Health care needs are clearly defined. Medication prescribed by Consultant Psychiatrist is regularly reviewed by him and the resident attends local mental health specialist group nearby where he is seen regularly both formally and informally by the Consultant. The Manager is aware of the need to closely monitor medication to ensure good management of the residents mental health needs. The resident attends local GP surgery for the usual well-man clinic facilities and has regular annual eye tests (wears glasses). Medication is kept in a locked cupboard on the first floor. MAR sheets were accurate and completed in required detail. Records of medication received and returned to the pharmacy were examined and found to be similarly recorded in detail. Both proprietors have had training in medication administration. There is a safe system of medication administration in place in the home. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 The resident has an excellent varied programme of activities with the majority accessed outside the home. He confirms his chosen lifestyle matches expectations and that he is quite happy with his life with Mr & Mrs Hodges as part of the family. Contact is maintained with relatives and the resident is highly satisfied with food provision. Standards relating to Daily Life & Social Activities are met. EVIDENCE: The resident has a long-established routine with the providers having lived with them for 18 years, initially prior to them moving to this area. He is clearly part of the family group living as a member of the family with Mr & Mrs Hodges, he has his own spacious bedroom and has use of all parts of the home alongside the proprietors. The resident confirmed that his chosen lifestyle is understood and accommodated and he feels part of the family and says he is totally happy with his life with Mr & Mrs Hodges. He has a varied social routine: Attends a horticultural group one day a Computer group on another day and he is part of a social group at local church he attends for half a day each week. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 12 He attends a day service group 2-3 times per week at The American Club – a local support group for people with mental health needs -where he engages in art and music which are his particular interests. Discussions with the resident confirmed that his social life is full and in accordance with his choices and interests. He has a keen interest in sport which he watches regularly and shares this interest with Mr Hodges. He keeps fit by cycling to the various groups he attends throughout the week. Contact is maintained with the residents family by means of regular phone call, letters and occasional visits. His family are kept informed of his progress and welfare and are involved in reviews and questionnaires to assess satisfaction with quality of care. The resident was highly satisfied with food provision, indicating his preferences were sought and that his diet was adequate in quantity and quality. Decisions about food are made on a normal family basis daily but are recorded in the daily notes of the resident. Records of fridge/freezer temperatures are recorded daily. Mrs Hodges has a current food hygiene certificate and there are plans to provide Mr Hodges with similar training. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 - 18 There is a comprehensive and concise complaints procedure in place which is quite satisfactory. The procedures for reporting abuse are equally well documented and clear. Standards relating to Complaints & Protection were met. EVIDENCE: Mrs Hodges has provided a detailed and adequate complaints procedure which is included in the service users guide, on display in the home and the resident has a copy. The procedure gives clear instructions for contacting outside agencies in the event of a complaint needing to be made. There are details of CSCI, Mental Health Unit, Local Authority and names and contact numbers of CPN/Consultant in the event of a complaint needing to be made. The resident clearly understands the procedures and contact points for making complaints which is particularly important in this home where the proprietors are the only persons providing care. The complaints procedure is adequately detailed and concise and known and understood by the resident. There is a policy relating to abuse and instructions for reporting abuse. This includes the information above relating to external points of contacts with other professionals. This is quite adequate. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 – 26` The environment resembles a comfortable and well maintained family home, providing the resident with a homely, clean and attractive place to live. EVIDENCE: All parts of the home were inspected. A comfortable and attractive home is provided where the resident and proprietors share the facilities. The resident has is own spacious bedroom with is bright and reflects his particular choices and interests. There is ample storage space for his belongings including musical instruments etc. He is free to use his bedroom as he wishes, but chooses to spend time with the providers. There are 2 lounge areas on the ground floor, a kitchen/diner and toilet. There is a bathroom and toilet on the first floor. A “third” bedroom – used for guests also doubles as a small office, where records, medication etc are safely stored. The resident has access to this area including records if he wishes. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 15 This inspection was carried out immediately after Christmas and the home was well decorated with Christmas decorations presenting a typical family scene. The providers grandchildren were present and also joining in the family routines with providers and resident. Standards of cleanliness and hygiene throughout the home were observed to be high. A building extension to the rear of the property is nearing completion and will provide new toilet facilities for the family and a single bedroom for future family use. A risk assessment was carried out following the last inspection due to work on the extension being halted. The work has continued and now nears completion. The area is quite safe. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 20 The providers provide total care for the resident. There are contingency plans in the event of an emergency which are well documented and known to the resident. Telephone numbers etc. are provided for this purpose. Standards relating to staffing in this small home are met. EVIDENCE: The service is family run business. The providers are Mr & Mrs Hodges. Mrs Hodges is the Registered Manager and she and her husband provide the daily care for the one resident. There are established relationships/friendships between providers and resident. The resident is clearly part of the family and confirms he is happy in his home with Mr & Mrs Hodges. Outings for whatever purpose are as a family group. - Recently the Manager went to Shropshire to collect her grandchildren – the resident went also without question – he was also able to visit former friends in the Shropshire area. Any holidays are taken as a family. Training records are in place and certificates of proof hang on the walls in the hallway. Both providers attended first aid course in June 2005 and some joint training shared with provider of another small home – this has included self harm, fire training and other courses. Mr Hodges with access a course on food hygiene in the near future and both will access course on Health & Safety. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 17 The providers are enrolled for Infection Control course at local college commencing January 2006. There are arrangements in place for any emergency which may mean an interruption to care. This includes a qualified carer who would take on responsibility for the resident in such an emergency. This is the “contingency plan” to protect the resident in any unforeseen circumstances. The carer has been subject to a CRB check. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-33 and 36 – 38. There is a competent, experienced and qualified Manager in the home. There is an open family atmosphere ensuring the home is run in the best interests of the service user. The Health and Safety of the resident is assured by good risk assessments, regularly reviewed and regular fire safety checks and drills. There is a safe environment. EVIDENCE: The Manager has considerable experience in providing care for people with mental health needs. She previously provided a home for several residents in another area prior to moving to Stoke on Trent. Olcote DS0000008322.V273071.R02.S.doc Version 5.0 Page 19 Care is provided for one resident who has lived with the Manager for 18 years and there are no plans to increase the number of residents. The Manager has completed the NVQ4 in Care & Management leading to the Registered Managers award. Additionally the Manager chooses to access a course for the Certificate in Mental Health (NVQ3 level), simply to further her knowledge. She provides a positive lead in the home from her experience. The resident is involved in all decision making affecting life at Olcote. There was evidence that his views were sought and acted upon. Financial records were not inspected on this visit, but the resident has the usual weekly allowance plus DLA payment for his sole use. Records, policies and procedures were sampled and inspected. All were in place as required and were to a very high standard: this included care planning and personal information, recording systems and policies/procedures. The standard certainly equalled (and is some instances - exceeded) what would be expected in a large home. Quality assurance is monitored through in house-questionnaires to resident and relatives every 6 months – both completed prior to the 6 monthly CPA meeting fed into that meeting. Relatives and resident are of course, invited to attend the meeting. Excellent risk assessments are in place relating to the activity of the resident. These include for example: cycling, smoking, walking the family dog etc. All are reviewed on a regular basis. There is a risk assessment in place relating to fire and the environment. Training is recommended for Mr Hodges in Food Hygiene and for both providers in Health & Safety. Fire records were seen with evidence of regular checks and servicing of equipment. Both providers have undergone first aid training recently. The accident book was seen and there were no recorded entries. The Manager is aware of all required notifications under Regulation 37. Olcote DS0000008322.V273071.R02.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 x x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 x x x 3 3 Olcote DS0000008322.V273071.R02.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. 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 Refer to Standard OP30 Good Practice Recommendations Proposed training in Food Hygiene and Health & Safety is recommended. 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