Inspection on 06/03/06 for Putney House

This inspection was carried out on 6th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Putney House 12/01/07

Putney House 08/11/05

Putney House 09/02/05

Putney House 14/10/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Putney House 47 Scarborough Road Bridington East Yorkshire YO16 7PE Lead Inspector Sarah Sadler Unannounced Inspection 6th March 2006 10.00 Putney House DS0000044926.V285900.R01.S.doc Version 5.1 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 Putney House DS0000044926.V285900.R01.S.doc Version 5.1 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. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Putney House Address 47 Scarborough Road Bridington East Yorkshire YO16 7PE 01262 674818 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) putney@learningdisabilitiesprovider.co.uk Putney House Limited Angela Dorothy Barber Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Putney House occupies two premises on the one site and is situated on the outskirts of Bridlington, with local amenities that are accessed readily by service users. Accommodation is provided over two floors, with wheelchair access at the rear of the building. There is no passenger lift. The home has a private garden for service users and there are car-parking facilities. A mini-bus is provided for service users who contribute towards the cost of this facility. Putney House Limited owns the home. The home is registered to provide support for a maximum of eighteen residents with a learning disability. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over three hours by one inspector, with a previous one hours preparation time. The inspection was part of the annual inspection programme from April 1st 2005 to March 31st 2006. As all of the key standards were assessed at the last inspection, the inspection concentrated on addressing any requirements and recommendations of the last inspection and seeking the views of service users. During the inspection a tour of the premises was undertaken, and service users, care staff and the registered manager were spoken to. Some time was spent with service users, observing their everyday life. Service user files and other records within the home were read. What the service does well: What has improved since the last inspection? The bathrooms all now have thermostatically controlled heating in place, ensuring that service users personal hygiene needs can be met in comfortable facilities. Policies and procedures are regularly reviewed and service users now have some access to these. This provides them with information as to the standards provided in their home. Risks assessments to support service users to undertake active lifestyles are now reviewed and up to date. Written records are kept of service users involvement in the home. This reflects that service users are involved in the homes development. Service users are now formally involved in the recruitment of staff. This offers service users the opportunity to be involved in the decision making process. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 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. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 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 Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 Service users are supported to take risks and be involved in the running of the home. EVIDENCE: Service user individual files include a variety of information, including confidential or personal information and an individual plan of care. They also include copies of some of the key policies and procedures held within the home. However these are only available in written English. The care plans continue to cover several areas of need and include; hair care, dental, sleep, communication and emotional needs. Risk assessments are completed and kept up to date. The recruitment policy now includes a section for the service users’ questions, and the registered manager confirmed that this is standard practice for any interview held within the home. Service users’ meetings are held with records kept. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15,17 Service users are supported to maintain relationships. Service users’ dietary needs are on the whole well met. EVIDENCE: Service users were relaxing in the lounge and dining areas of the home, watching TV and completing jigsaws. Service users confirmed that they are supported to be in regular contact with their family, stating; “ I just ring them”, “ Yes they can come anytime to see me.” Service user care plans include a section to support service users with any emotional needs they may have. Service users when questioned responded with positive comments regarding the food in the home, these included; “ The food – it’s good.” “ I like it, Yes, nice food”. And “ I like the food, yes I do”. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 11 The registered manager informed the inspector that the chef had recently left the home and that a replacement was being sought; it was believed that a temporary person would commence in the next 24 hours. The registered manager is currently developing new menus and recipes for the service users’ meals. There are records kept of the fridge and freezer temperatures, however there had been no records completed for two weeks. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Service users’ medication needs are not always well met. EVIDENCE: The registered manager confirmed that the fridge for the storage of medicines had recently broken and that a new fridge is on order. When this is in place daily temperatures will be kept. Medicines continue to be stored securely and records are kept of all medicines entering and leaving the home. There continues to be a list of staff names and signatures for all staff that administer medicines and a policy for the ordering and administering of medicines. Some of the records that confirm that medicines have been administered were not up to date, with gaps in the recording of such. This was discussed with the registered manager at the inspection. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users are confident they can complain and that this will be acted upon. EVIDENCE: One service user confirmed that if they were unhappy and wanted to complain that they could tell “ Angie” (the registered manager) and “yes” that she would sort the problem out. Another service user confirmed that they had raised a complaint and that the home had sorted this for them. All felt confident that the home would support them with any complaints that they had. There continues to be a complaints policy, which details the timescales for action, and the contact details of the CSCI. The registered person had dealt with one complaint and the details were recorded appropriately. However the complaint was of a type required to be notified to the CSCI and this had not been undertaken. The registered manager confirmed that no complaints or concerns had been raised that might need to be referred within the guidelines of the Protection of Vulnerable Adults (POVA). Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Service users live in a home that is comfortable and clean and, on the whole, hygienic. EVIDENCE: The home remains comfortable and clean. Service users continue to have individual rooms, which they personalise to their own taste. Thermostatically controlled heating is now in place in the bathrooms. The registered manager confirmed that she had accessed information regarding the Water Supply (Water Fittings 1999) Regulations and that she is to arrange to have the home assessed as to how they meet these regulations. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35 Service users are supported by a staff team who have undertaken some training, but who are not yet fully trained. EVIDENCE: The registered manager confirmed that 6 staff are currently undertaking a skills award course, which is an introductory course enabling people to later undertake the Learning Disability Award Framework (LDAF) training. 6 staff currently hold a National Vocational Qualification (NVQ) at level 2 or equivalent, with a further 7 staff planning to undertake this course. There is no evidence that the training meets the Skills for Care requirements. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 Service users live in a safe home that is on the whole well managed. Service users are not fully supported to be able to make changes in the home. EVIDENCE: The registered manager confirmed that she is continuing to develop the quality assurance system. And that there is a template being developed for including relatives in the quality assurance. However this is not yet in use. Records are kept of service users’ meetings. These take place on a monthly basis and include details about the decisions in the home, for example, the purchase of a new minibus. The registered manager confirmed that she is continuing to work on the COSHH details held within the home. The registered manager has developed a time plan for her duties and this includes a procedure for regularly checking the polices and procedures within Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 17 the home to ensure that they remain up to date with current practice and legislation. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 18 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 Stand Score Ard No 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 23 1 X X 3 2 X X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000044926.V285900.R01.S.doc LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 2 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Putney House Score X X 1 X X X 1 X X 1 X Version 5.1 Page 19 Yes 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. 1. Standard YA20 Regulation 13 Requirement Timescale for action 06/04/06 2 YA22 37 3. YA30 13 The registered person must ensure that • There is a secure fridge for the storage of medicines, which require to be kept at a low temperature. • Daily checks of the temperature of the fridge are taken, with written records kept. The registered person 06/03/06 must ensure that the CSCI is informed of all notifications as required by regulation 37 of the Care homes Regulations 2001. The registered provider 06/04/06 must ensure that the home meets the requirements of the Water Supply (Water Fittings) Regulations 1999. This requirement has been bought forward DS0000044926.V285900.R01.S.doc Version 5.1 Page 20 Putney House with a previous compliance date of 14/11/04. 4. YA35 4,10,12,17,18,19,24 NMS 35.8. The registered person must ensure staff use Learning Disability Award Framework-accredited training to provide underpinning knowledge for progress towards achieving NVQ’s. This requirement has been bought forward with a previous compliance date of 1.5.04. 24 The registered person must ensure that the quality assurance system seeks the views of representatives/relatives of the service users. The registered person must ensure that the systems to ensure the safe control of substances hazardous to health are kept up to date and accurate. This is an ongoing requirement with a previous compliance date of 30/11/05. 06/05/06 5. YA39 06/05/06 6. YA42 13 06/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 21 No. 1. 2 3 4. Refer to Standard YA8 YA17 YA32 YA32 Good Practice Recommendations The registered provider should ensure that policies and procedures are in accessible formats for service users. The registered person should ensure that records for the temperatures of the fridge and freezer used for the storage of food are kept up to date. The registered person should ensure that 50 of the staff team are qualified to NVQ level 2 or equivalent by 2005. The registered person should evidence that the staff induction and foundation training meets the Skills for Care requirements. Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Putney House DS0000044926.V285900.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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