Inspection on 03/08/07 for Paddock Hill

This inspection was carried out on 3rd August 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

Paddock Hill 10/08/06

Paddock Hill 09/11/05

Paddock Hill 11/05/05

Paddock Hill 01/03/05

Paddock Hill 15/06/04

Paddock Hill 16/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Paddock Hill 625 Gleadless Road Sheffield South Yorkshire S2 3RA Lead Inspector Janice Griffin Key Unannounced Inspection 11:10 3rd August 2007 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 Paddock Hill DS0000002997.V344950.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 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. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Paddock Hill Address 625 Gleadless Road Sheffield South Yorkshire S2 3RA 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) 0114 239 1449 0114 239 2278 www.sheffcare.co.uk Sheffcare Limited Miss Michelle Dent Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65, named on variation dated 10th November 2006, may reside at the home. 10th August 2006 Date of last inspection Brief Description of the Service: Paddock Hill is a purpose built home on three floors all serviced by a lift. The home is set in pleasant gardens in the Gleadless area of Sheffield, within easy reach of the city centre. The home provides residential care for 40 elderly people. The communal areas are spacious and the property is situated on a main road close to shops, pubs, parks and post office. Copies of the last Commission For Social care inspection report were kept in the entrance for service users and their families to read. The weekly fees range from: £318 to £352. This information was provided on the 3rd August 2007. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. The registered person makes information about the service available via the Statement of Purpose, and the Service User Guide. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over one day on the 3rd August 2007 at 11:10am and finished at 17:15. Twenty people who use the service, five relatives, one professional visitor, four staff, including the manager, were spoken to as part of the inspection process. Comment cards were sent to three people who use the service, two were returned and both made positive comments on most aspects of the service provided. One said that the food was sometimes not hot enough and that he/she was not provided with information about the home prior to admission. A number of records were examined and several areas of the building were inspected. The inspector was pleased to note that throughout the inspection staff interacted positively and sensitively with the people who use the service who were obviously comfortable and at ease in the company of staff. The inspector would like to thank the people who use the service, the manager, the professional visitor, the relatives and staff for their commitment to the inspection process. No complaints have been made to the Commission for Social Care Inspection about this service since the last key inspection undertaken in August 2007. Feedback was given to the manager at the home before the inspector left. What the service does well: The people who use the service said that they generally felt well cared for by the staff and they were treated with respect and kindness. There was a relaxed atmosphere in the home; the staff had taken care to ensure that the people who use the service were helped with all aspects of their personal care; the people who use the service were clean and well dressed. They thought that the food was the only negative aspect. The relatives, professional visitor and staff said the care provided at this home was good. Routines appeared to be relaxed, the people who use the service said that they could get up when they wished and go to bed at a time that suited them. They also confirmed that they were able to talk to the manager and staff whenever they wished if they had any ideas or concerns. Assessments had been made of the people prior to them coming into the home to ensure that their needs could be met. Healthcare records and contacts with outside professionals were documented in the care plans. The home continues to undertake a thorough assessment of peoples needs, and ensures that links with specialist agencies including hospital consultants and community nurses are maintained. Relatives and friends are encouraged to visit the home and maintain important links with the people who live there. There was an established programme of staff training and hundred per-cent of the staff team had obtained their NVQ Level 2/3. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 6 The home was clean, tidy and the staff had endeavoured to ensure that all areas were fresh smelling. 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. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 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 Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are fully assessed prior to moving into the home to ensure their needs can be met. They are able to have informal introductory visits to the home at the time of their admission; this makes them feel less anxious. Intermediate care services are not offered at this home. EVIDENCE: Detailed full needs assessments had been completed by the referring social worker before a person is admitted to the home. Families had been involved in the assessment process as appropriate. People who use the service and their relatives said at the time of their admission they were able to have informal introductory visits to the home and they had been provided with a contract containing the relevant information. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 9 One person said in his/ her questionnaire that she/he had not be provided with enough information at the time of his/her admission, this comment was not supported by the twenty people seen by the inspector on the day of the inspection. Records checked and discussion with twenty people who use the service and two relatives confirmed that their families had been involved in decisions regarding the arrangements. An up to date contract/statement of terms and conditions had been provided to the people who use the service and signed copies were retained on individual files. These clearly detailed the services and facilities provided by the home. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service receive care and support to meet their physical and emotional needs, this allows them to achieve their individual preferences and personal goals. The care plans had been reviewed on a monthly basis. This allows staff to meet the changing needs of the people who use the service. The systems for the safe administration of medication was good, this protects the wellbeing of people living at the home. EVIDENCE: The inspector observed staff interacting in a friendly and positive way towards the people who use the service. Bathroom, toilet and bedroom doors were noted to be closed if people were receiving personal care and staff knocked on doors before entering peoples bedrooms or the bathrooms. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 11 Three peoples plans of care were checked. Each set out individual needs and the action required and taken by staff to ensure the needs were met. Discussion with four staff identified that a range of health care professionals visited the home to assist in maintaining health care needs. The people who use the service were being weighed on a regular basis. A range of aids to assist them with mobility problems was provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. The care plans had been reviewed on a monthly basis. All care plans detailed the gender of staff that the person wished to support them with their personal care; they also contained details of their religious and cultural needs. People who use the service and their relatives have been involved with production of the care plans and reviews. There were systems in place for the safe custody and administration of medication; the containers were all clearly labelled, with prescription information fully legible. All items were for named individuals. There were medication administration (MAR) sheets for each service user; these recorded the type of medication, the dosage and how it was to be administered. There were reasonable stock levels of medication kept in the home. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good range of activities from which people who use the service may choose, for their particular lifestyles. This promotes the wellbeing of service users. People who use the service were supported with maintaining and developing contact with their family and friends, and they said that visitors were always welcome at the home. Which creates a home that people want to visit. A choice of food was offered at breakfast and lunchtime. Some of the people who use the service were being offered special diets on a regular basis. This promotes their rights and choices. Several service users said that the hot food was sometimes served cold and some foods were dry when served. EVIDENCE: The aims and objectives of this home reinforced the importance of treating people with respect. The people who use the service and two relatives confirmed that staff were extremely supportive. Staff confirmed that they were Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 13 encouraged to support the people who use the service with discovering how to enjoy social situations and activities. The people spoken with said that they could have visitors whenever they wished. There are a number of lounges and small quiet sitting areas if the people who use the service wish to see their visitors outside of their rooms. The files contained information about any special dietary needs and the people who use the service had been weighed on a regular basis if this was felt to be necessary. Several people who use the service were critical of the quality of some of the hot meals provided, they said most of the hot food was prepared in the central kitchen off site and when it arrived at the home is was often dried up and served warm. Sheffcare has completed a comprehensive review of the central kitchen that provides hot meals to this home. People who use the service were consulted with; this ensuring they had an opportunity to influence the outcome. Eight people were receiving special diets. Special cutlery and crockery was provided for those service users who had difficulty using knives and forks. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service and relatives were confident that their views are listened to and acted upon. Policies, procedures and staff training were in place to protect people who use the service from abuse and harm. EVIDENCE: The complaints procedure was available for people who use the service, visitors, relatives and staff. The manager confirmed that this would be available in alternative formats and languages should this be requested. The people who use the service and four relatives spoken to said that they knew that they could complain if they were not happy about anything and that they felt able to discuss any issues or concerns that they may have with the manager and staff. They also said that staff were always available and that they were encouraged to talk about anything that troubled them or caused them anxiety. Since the last random inspection one complaint has been made to the manager about this home. The manager investigated the concerns and they were partially upheld. The staff had received training on recognising and dealing with abuse. Staff had been made aware of the action to take in dealing with third party information. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service live in a spacious, clean and comfortable home with furniture and equipment available, both communally and individually, to meet their needs. This creates a home that people like to live in. The organisation has redecorated many parts of the home. This has improved the quality of the environment for the people who use the service. The hygiene standards were sufficient to protect the health of the people who use the service. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 16 EVIDENCE: All the people interviewed said that the rooms were very clean. At least three bedrooms were checked, all were very homely, highly personalised and contained a range of furniture, including chairs, bedside tables and suitable storage. Most had photos and ornaments. The lounge areas were spacious and there was a quiet lounge for those who preferred not to sit in the area with the TV on. One of the TV’s was noted to have a very poor picture. There were other areas around the home where people who use the service could sit or take visitors if they did not wish to use their rooms. Each floor had a number of toilets and bathrooms and assisted baths were provided for those people with mobility problems. Toilets were easily accessible as they were close to lounge and dining areas. All the toilets had been adapted for people who use the service with physical disabilities and a good supply of equipment was also available for those people. The appropriate seating had been provided in the garden for those wishing to sit outdoors whenever the weather permitted. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team were experienced with a good knowledge of the needs of the people who use the service, enabling them to support the people in maintaining their independence. Staff and the people who use the service said that the staffing levels were always good. Appropriate checks had been made on all the staff; this ensures that vulnerable people are protected. The home had a training and development plan and all staff had completed a range of training relevant to their role. 100 of the staff are trained to NVQ level 2/3. This shows the provider’s commitments to ensuring staff are appropriately trained. EVIDENCE: All the people who use the service who were able to clearly express themselves said that they felt that they were well looked after by the staff and that there were ‘always’ enough people on duty. They said that the staff worked very hard and described them as “very caring, kind and understanding”. Staff were approachable and sensitive to the needs of the people who use the service and were able to communicate effectively with each person. Three staff files were checked; the files demonstrated that the recruitment processes had Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 18 been followed as required by the Care Homes Regulations. Criminal record checks had been done for all three staff. Two references had been obtained and no gaps were noted in staff’s employment history. Staff spoken to had an understanding of the home’s fire procedures; they had received training on moving and handling, fire, food safety and infection control. Staff files checked and discussions with four staff and the manager confirmed that all staff had completed detailed induction training. 100 of the staff team were qualified to NVQ level 2/3. Staff were being formally supervised at the frequency required to fully ensure individual staff development and the monitoring of care practices Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who use the service benefit from a well run home with an effective staffing structure where quality monitoring is ongoing to ensure that people who use the service views underpin the running of the home. Records were in the main up to date and well ordered to ensure the best interests of the people who use the service. All records were available for inspection up to date and securely stored. A safe environment was provided in all parts of the home. This protects the health and welfare of the people who use the service. Paddock Hill DS0000002997.V344950.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager and staff work hard to ensure that the service provided is of good quality, which improves the quality of life for the people who use the service. The manager has a job description that clearly defines her roles and responsibilities and staff were aware of her role. Staff said she was committed to ensuring that the home provides a high standards of care, she completes regular internal audits on all aspects of the service provided by the home. Staff spoken to had an understanding of the home’s fire procedures; they had received training on moving and handling, fire, food safety and infection control. There was a quality assurance system, which sought the views of of the people who use the service and relatives. The responsible individual visits the home on a regular basis. No fire exits were blocked and hazardous substances were securely stored. The staff handle money on behalf of some service users, account sheets were kept, receipts were available for all transactions and a second individual witnesses financial transactions. All records were available for inspection up to date and securely stored. Paddock Hill DS0000002997.V344950.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 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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X 3 3 Paddock Hill DS0000002997.V344950.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. 1. 2 Refer to Standard OP15 OP19 Good Practice Recommendations Management should continue to talk to the people who use the service about ways they can improve the quality of some of the meals provided. The TV with poor reception should be repaired. Paddock Hill DS0000002997.V344950.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 Paddock Hill DS0000002997.V344950.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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