Inspection on 29/09/05 for Prospect House

This inspection was carried out on 29th September 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

Prospect House 12/01/09

Prospect House 06/02/07

Prospect House 23/02/06

Prospect House 06/01/05

Prospect House 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Prospect House Prospect Street Cudworth Barnsley South Yorkshire S72 8HE Lead Inspector Mr Steven Vessey Unannounced Inspection 28th September 2005 10:15 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 Prospect House DS0000018267.V251157.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 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. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prospect House Address Prospect Street Cudworth Barnsley South Yorkshire S72 8HE 01226 780 197 01226 780 197 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) Amocura Limited Miss Donna Louise Wood Care Home 34 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (16) of places Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The DE(E) is a separate unit on the first floor The DE(E) unit may accommodate service users aged 60 years and above. Staffing levels must be maintained at, at least the minimum levels required by the April 2002 published Residential Forum, Care Staffing in Care Homes for Older People. The registered manager will work four days a week supernumerary. 4. Date of last inspection 6th January 2005 Brief Description of the Service: Prospect House is a purpose built care home providing accommodation and personal care. There are 16 resident places for old age and 18 places for old age with a mental disorder accommodated in a separate first floor unit. Accommodation is on two floors, served with a passenger lift. The home is situated in the centre of Cudworth village, four miles from Barnsley. Within a short walk of the home, there is a busy High Street with a full range of amenities, which include a post office, supermarkets, cafes, an optician, a pharmacy, the local health centre, places of worship and a park. Car parking is provided at the front and rear of the home. There is an enclosed patio sitting area at the back of the home, which has benches and garden furniture with pots of bedding out plants for users to enjoy. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately four and a half hours from 10:10 to 14:50. The inspection process included a partial inspection of the premises, inspection of a sample of records and policies, discussions with staff, residents and relatives and observation of staff carrying out their duties. The majority of residents and staff were seen during the inspection and the inspector had the opportunity to speak to five staff, five residents and relatives in some detail. What the service does well: What has improved since the last inspection? The ground floor lounge and dining room carpet had been replaced, blinds had been fitted in the conservatory and the first floor lounge and dining room, the kitchen, the first floor bathrooms and one of the staircases had been redecorated. The manager had registered with the Commission for Social Care Inspection. The requirements made following the last inspection had all been met. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 6 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. Prospect House DS0000018267.V251157.R01.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 Prospect House DS0000018267.V251157.R01.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): 3, standard 6 was not applicable at the home. Resident’s needs had been assessed prior to admission to the home. EVIDENCE: Four care plans included a pre – admission assessment completed by someone from the home and an assessment completed on admission. Some care plans also included information from the placing authority. Prospect House DS0000018267.V251157.R01.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, 8 and 9. Residents and their representatives had been involved in formulating some care plans, which reflected the assessed needs of residents. Resident’s health care needs were met. Medication was well managed. EVIDENCE: Four care plans included detailed information as to the actions required by staff to meet the needs of residents. Care plans were reviewed and updated regularly. Relatives stated that they were consulted regularly about the care needs of residents and residents or relatives had signed care plans. Care plans included risk assessments for the administration of medication, the development of pressure areas, falls, moving and handling and nutrition. Residents seen were well cared for, they were clean, their hair and nails had been attended to and male residents had been shaved. There were records of medication coming into and leaving the home. There were medication administration records for residents, which were completed appropriately, maintaining resident’s health safety and welfare. Appropriately trained staff administered medication and medication including controlled drugs was stored safely. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 10 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, 13 and 15. Residents were able to make choices about many aspects of daily life, allowing them to maintain their independence, however they would like more activities to be offered and the opportunity to go out more. Relatives were encouraged to visit and be involved in resident care. Residents received a choice of food, which was of good quality. EVIDENCE: Residents and staff stated that residents could make choices about many aspects of their daily lives. An activities coordinator provided some activities for residents and care staff were observed interacting with residents. A resident was encouraged to play a game of dominoes in the lounge after lunch and some residents said that they enjoyed the weekly bingo session. Staff and relatives stated that the activities worked mainly with residents on the ground floor and that activities are limited for residents living on the first floor. However staff stated that some residents living on the first floor are involved in outings. Residents stated that there were not enough activities offered during the day and that more outings would improve the quality of the service they receive. Comments included “ The problem is boredom”, “ I would like to get out more, I get fed up of sitting around”, “They are long days and “There used to be more to do”. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 11 Residents did state that they were looking forward to planned trips out for Christmas shopping and Christmas lunch in November and December and had some ideas for activities they would be interested in, comments included “A beetle drive would be good fun”. Relatives stated that a number of residents on the first floor were regularly asleep in the lounge in the afternoon. Relatives were seen visiting throughout the day and stated that they could visit any time and were welcomed into the home. Residents were happy with the quality and the quantity of food offered, comments included “the food is good” and “If I didn’t like what was on the menu I would be given an alternative”. Residents confirmed that there was a choice of meals at teatime and that they were offered supper. Relatives confirmed that the food they had seen was good quality. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 12 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 and 18 Residents and relatives were aware how to complain and thought that their complaints would be listened to and dealt with. Staff were aware of the policies and procedures in place to protect residents from abuse and had received training. EVIDENCE: Residents stated that they would speak to the manager if they were unhappy; they felt that the manager would listen to them and that she would try and sort out any problems. Relatives stated that they had received information about how to complain and confirmed that the manager would listen and act on any complaints. The complaints log contained the required information; no complaints had been recorded recently. Residents and relatives stated that they felt the home was safe. Staff were aware of the policies and procedures relating to abuse and had received adult protection training. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 13 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, 24 and 26 The home was in the main well maintained. Residents were happy and comfortable in their rooms. The home was clean and free from unpleasant odours. EVIDENCE: In the main the environment was well maintained. The manager stated that the ground floor lounge and dining room carpet had been replaced and blinds had been provided in the conservatory. The first floor lounge and dining room, the kitchen, some bathrooms and one of the staircases had been redecorated, improving the living environment for residents. In the main residents were happy with their rooms stating that they were comfortable and had everything that they need. Residents and relatives stated that the home was always kept clean and that there were no unpleasant odours around the home. Staff stated that they had received training in infection control. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 14 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, 29 and 30. Sufficient staff with an appropriate mix of skills was on duty to meet the needs of residents. Recruitment policies and procedures need to be more robust to improve the level of protection for residents. Staff receive induction training and other opportunities for training are available. EVIDENCE: On the morning of the inspection the manager and a senior care assistant were on duty on the ground floor and three care staff were on duty on the first floor. In addition to this there was a laundry assistant, a domestic, a cook, a kitchen assistant and the activities coordinator working at the home. Staff stated that there was usually enough staff on duty to meet the needs of residents. The manager stated that in the main she had four days when she is supernummary. The Responsible Individual stated that the manager had been informed that she could use extra care staff to ensure that her supernumerary time was maintained. Residents were not fully protected by the recruitment procedures as one staff file only had one written reference; one staff member had commenced employment before their CRB check had been returned and had not had a POVA first check. There were gaps in employment history on some application forms, the manager stated that she did ask applicants about gaps in employment at interview but did not record this. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 15 Residents stated that staff knew how to look after them; comments included “we are very satisfied with the care that we get” and “staff are friendly, good and helpful”. Records in staff files showed that they had received induction training and staff stated that they had opportunities for further training. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 16 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, 35 and 38 The manager is experienced and competent to run the home, however she needs to continue with her management qualification. Residents and relatives were asked their views about the home. Systems in place safeguard the financial interests of residents. The health safety and welfare of residents and staff were protected. EVIDENCE: The manager was experienced and competent to manage the home and is currently working towards an NVQ 4 in management and care. Residents and staff stated that representatives of the organisation asked them their views about the home. Relatives stated that they had been given questionnaires to complete. Residents stated that they were happy with the arrangements they had relating to the management of their finances and had no concerns about the money that was in the safe. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 17 Written transactions kept for individual residents whose money was kept in the safe included two signatures, the reason for the transaction and a receipt for each transaction safeguarding resident’s financial interests. Staff spoken to were aware of the policies and procedures relating to residents money. The safety of residents and staff was promoted as regular fire drills were carried out and staff stated that they had received health and safety training, fire training, first aid, food hygiene and moving and handling training. The fire officer had visited on the day before the inspection and the manager stated that plans were in place to meet the recommendations made following this visit. The servicing of fire extinguishers, fire systems, electrical systems, portable appliances and gas appliances had been carried out, the manager stated that the annual inspection of the lift, and the servicing of the hoists had also been done although some of the certificates were not available for inspection. Some of these certificates were forwarded to the Commission for Social Care Inspection office the following day. The hot water temperature tested was around 43 degrees centigrade, maintaining the health safety and welfare of residents and staff. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 18 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 19 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 2 Standard OP12 OP29 Regulation 16 19, Schedule 2 Requirement Residents must be consulted about activities and outings they wish to undertake. Staff must not commence employment without the receipt of a satisfactory CRB, POVA check and the receipt of two written references. Timescale for action 28/01/06 28/10/05 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 OP29 OP31 Good Practice Recommendations Information relating to gaps in employment should be recorded in staff members files. The manager should achieve NVQ level 4 in care and management by 2005. Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Prospect House DS0000018267.V251157.R01.S.doc Version 5.0 Page 21 - 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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