Inspection on 08/11/05 for Putney House

This inspection was carried out on 8th November 2005.

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 8 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 06/03/06

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 8th November 2005 10.00 Putney House DS0000044926.V263171.R01.S.doc Version 5.0 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.V263171.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 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.V263171.R01.S.doc Version 5.0 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 House Limited Angela Dorothy Barber Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 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 not a 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.V263171.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over one day by two inspectors Sarah Sadler and Denise Rouse. The inspection was part of the annual inspection programme from April 1st 2005 to March 31st 2006. During the inspection a tour of the premises was undertaken, service users, and members of staff were spoken to. Time was spent with service users, observing their everyday life. Further time was spent reading service user and other records within the home. What the service does well: What has improved since the last inspection? What they could do better: Service user bathrooms are not heated; a letter of concern was issued to the home regarding this and this must be addressed as per the requirement. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 6 Staff should be trained in Learning Disability Award Framework Training enabling them to continue and improve upon the meeting of service users specialised needs. 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.V263171.R01.S.doc Version 5.0 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.V263171.R01.S.doc Version 5.0 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): 2 Service users’ individual needs were assessed prior to admission to ensure their needs can be met. EVIDENCE: Service users’ aspirations and needs were well documented prior to admission. Care plans were evident outlining these needs were met. Weekend visiting to family and friends occurs for service users who wish to do so. Arts and crafts are available within the home. Changes in service users’ risk assessments were discussed with the individual concerned and a signature gained. One service user stated “ I love it here.” Putney House DS0000044926.V263171.R01.S.doc Version 5.0 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): 6,7,9 Service users are involved and well supported in the meeting of their needs. EVIDENCE: Care plans reflect the needs of the individual service users regarding health and social care. Each individual service user has a key worker, the service user with support makes decisions and guidance from the key worker as necessary to ensure the health and safety of the service user is maintained. Service users are encouraged to develop their own personal individual lifestyle. All but one attends a “ life skills course” at St Mary’s College. Skills such as shopping cooking and cleaning are taught to the service users. One service user stated, “I enjoy college.” Supported living is encouraged within the home. Individual service users were seen to follow their own routine within the home. The staff know the individuals well. There was a happy and relaxed atmosphere within the home at the Inspection. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 10 All the service users’ files seen contained in depth care plans promoting independence. Risk assessments were in place and reviewed when service users’ needs changed. The Manager stated that “ risk assessments are reviewed weekly,” although there was no formal evidence of this. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Service users are well supported and their social and nutritional needs are met. EVIDENCE: The registered manager confirmed that service users complete ‘theme nights’, within the home, which may consist of fancy dress and a party. The records for this reflected that this had occurred in September 2004 and June 2005. Service users followed their own chosen routines within the home. Staff encouraged them to remain as independent as possible, and assisted each individual service user as necessary. Interactions between staff and service users were positive. Links within the community include the Gateway Club; service users attend twice a week and trips to the local Spotlight Theatre occur whenever a suitable production is being staged. An activities board was displayed in the home, service users were observed colouring in books and completing word games as well as relaxing watching the television. Once per month the service users pick a “ theme night” where Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 12 they dress up, food is also served in correspondence to the theme. The last theme was Halloween. Relationships within the home between service users were positive. The manager stated that service users were supported to have personal relationships should they wish to do so. Service users’ rights are respected; for example, staff knock on the door prior to entering a service users’ room. Open visiting operates at the home, one service user stated, “I love my home, I have lots of friends, I like living here, I love to do my puzzles.” The home operates a six weekly rotational menu, designed to assist service users with healthy nutrition and weight control. The food looked appetizing, a service user stated, “ I like the food here”. A choice of menu was available. Service users assist in cleaning the dining room after meal times. The manager stated, “ They enjoy doing this,” Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Support is give to each service user to meet their physical and emotional needs EVIDENCE: Care plans reflect the needs of the individual service users regarding health and social care. records are kept of all GP visits. Service user files contained highly individualized care plans to promote independence. Evidence indicated that these were reviewed regularly. Positive relationships were seen between all staff and service users. Interaction was good between all individuals within the home. Privacy and dignity was maintained by staff knocking on bedroom doors prior to entering, or being accompanied by the service user who would open the door for the member of staff to be allowed to enter. Service users’ rooms contained items brought in from their previous home; they were personalized in style to reflect that of the individual. The registered manager confirmed that no service users currently self medicate. Records are kept of all medicines received, administered and leaving the home. The pharmacist has visited in July of this year and no issues were raised. There is a medication fridge kept within the office of the home, this Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 14 fridge is not locked and no up to date temperature records were available at the inspection. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The policies and procedures in the home ensure service users are protected from abuse and are able to raise concerns, which will be acted upon. EVIDENCE: There continues to be a complaints procedure that details how complaints may be made with timescales for actions and the contact details of the local office of the CSCI. The previous name of the NCSC remains on the contact details and the registered manager was advised as to the necessity to amend this. Records of complaints are kept within the home, however the registered manager confirmed that no complaints have been received since the last inspection. There is a policy within the home for the management of any allegations of abuse and a copy of the Local Authority’s policy ‘The Protection of Vulnerable Adults’ supports this. There are further polices in the home to support staff and service users with the handling of physical and verbal aggression and service users’ finances. Service users’ finances are held within the home, with suitable locking facilities and records kept. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected 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 homely environment that is on the whole safe, but is not heated consistently throughout. EVIDENCE: The home remains comfortable and homely, offering service users individual rooms and communal space that allows them to be either on their own or with others. Service users have access to two bathrooms and two showers. However it was found that there is no heating in these rooms and the temperature in one was 15 degrees centigrade. The registered manager confirmed that the local fire authority had visited that year, with no recommendations being made. However no evidence confirming this visit was available. The local Environmental Health Officer visited in 2004 and again no recommendations were made. There are laundry facilities within the home and the laundry room is well maintained. There are policies for the control of infection, which include the handling of clinical waste and the user of personal protective clothing when required. Tests have been completed to ensure that the home is free from the risk of Legionella. The registered manager confirmed that the home has yet to be Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 17 assessed to ascertain that it meets the requirements if the Water supply (Water Fittings 1999) Regulations. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Service users are supported by adequate numbers of appropriately recruited staff who are on the whole well trained. EVIDENCE: The registered manager confirmed that the majority of day shifts allow for 3 staff to support 9 service users. On the days when a number of service users are out of the home this number decreases to two. With the waking night staff this allows for 413 care hours per week. Staff files reflected that all staff had completed an application form detailing their qualifications and experience. This form included a check that the staff were physically fit for the role, and details of referees. Staff have all had a Criminal records Bureau check (CRB) undertaken on them and the registered manager confirmed that new checks are currently being undertaken to ensure that all staff have also been checked against the Protection of Vulnerable adults (POVA) list. All staff files include copies of the homes policies on confidentiality and fire. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 19 There is an induction package in place that new staff complete, however no evidence was available that this meets the requirements of the Skills for care training. Staff files included details of different courses that staff have attended which includes; fire, confidentiality, first aid, food hygiene and policies and procedures. The registered manager confirmed that staff have not yet completed Learning Disability Award Framework training as they are continuing to have problems accessing a course specific to the needs of the staff. It was also confirmed that five of the eighteen staff have completed NVQ level 2 in care and that some staff have already commenced NVQ level 3 in care. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 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 manager has completed the fit person process and is now registered with the commission. There is a quality assurance system, which seeks the views of service users. The information received is utilised to produce a report and action plan. However the system does not seek the views of relatives or others involved with the home. This was discussed with the registered manager. The registered manager confirmed that staff and service user meetings take place regularly, however no record was available of the service user meetings. Portable Appliance (PAT) testing has been completed, and a Control of Substances Hazardous to Health (COSHH) file is in place, however this has not been reviewed since 2003. The fire alarm system, including the emergency lighting has been serviced. Certificates that details that the gas and electrical Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 21 systems are maintained and safe were forwarded to the commission. A letter from the Local fire Authority confirming that the home is satisfactory was received. A certificate that staff have undertaken fire training and an insurance certificate were on display in the home. Records are kept of any accidents. Service users’ finances are handled individually with separate up to date records kept. Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 1 2 1 X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X X X X 1 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 1 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Putney House Score 2 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 1 X X 1 X DS0000044926.V263171.R01.S.doc Version 5.0 Page 23 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. Standard Regulation Requirement The registered person must ensure that the assessments relating to the prevention of risks to service users are kept up to date at all times. The registered person must ensure that daily records of the temperatures of the refrigerator used for the storage of medicines are kept. The registered person must ensure that the medication is stored securely. The registered person must ensure that the home is suitably heated in all areas accessed by service users. The registered provider must ensure that the home meets the requirements of the Water Supply (Water Fittings) Regulations 1999. This requirement has been Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 24 Timescale for action 1 YA7 30/11/05 2 YA9 08/12/05 3 YA9 30/11/05 4 YA24 30/11/05 5 YA30 13 08/04/05 bought forward with a previous compliance date of 14/11/04. NMS 35.8. The registered person must ensure staff use Learning Disability Award Frameworkaccredited training to provide underpinning 4,10,12,17,18,19,24 knowledge for progress towards achieving NVQ’s. This requirement has been bought forward with a previous compliance date of 1.5.04. The registered person must ensure that the quality assurance system seeks the views of 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. 6 YA35 08/05/05 7 YA39 24 08/01/06 8 YA42 13 30/11/05 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 3 YA8 Refer to Standard Good Practice Recommendations The registered provider should ensure that policies and procedures are accessible and in accessible formats for service users. The registered provider should ensure that written records are kept of service users involvement in the meetings in the home. The registered provider should formalise the practice of involvement of the service users in the recruitment of staff. DS0000044926.V263171.R01.S.doc Version 5.0 Page 25 Putney House 4 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 ensure evidence that the staff induction and foundation training meets the Skills for Care requirements. YA39 Policies and procedures should be regularly reviewed with evidence of this kept. 5 6 Putney House DS0000044926.V263171.R01.S.doc Version 5.0 Page 26 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.V263171.R01.S.doc Version 5.0 Page 27 - 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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