Inspection on 24/01/06 for Samarie

This inspection was carried out on 24th January 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Samarie 20/12/07

Samarie 17/08/06

Samarie 21/09/05

Samarie 16/03/05

Samarie 05/10/04

Samarie 02/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Samarie Dunkirk Hill Devizes Wiltshire SN10 2BD Lead Inspector Mrs Jacqui Burvill Unannounced Inspection 24th January 2006 11:30 Samarie DS0000028203.V274342.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 Samarie DS0000028203.V274342.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. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Samarie Address Dunkirk Hill Devizes Wiltshire SN10 2BD 01380 739064 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Sally Ann Jurkiewicz Tracey Dawn Brett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: Samarie is a private residential home. This is one of two homes owned by Mr and Mrs Jurkiewicz. Samarie provides care and accommodation for three service users who have a learning disability. The home is situated on the outskirts of Devizes, in a semi rural setting with panoramic views over the surrounding countryside. Samarie is an extended bungalow. Each service user has their own bedroom; one of these has an ensuite shower, toilet and hand washbasin. There is an additional bathroom. There is a large lounge, dining room and kitchen, with a utility area leading off the kitchen. At the far end of the bungalow, there is a conservatory, which can be used by service users. Access to the room is through the staff sleeping in room and office, although there is a door leading to the garden. The accommodation is light and spacious. There is a garden to the front and side of the home, with seating. There is always at least one member of staff on duty and one member of staff sleeps in at night. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 24th January and lasted from 11.30 am to 3.30 pm. One staff member, the manager, and the responsible individual were met with. Two service users were at home at the time of the inspection. They were also met with and one service user conducted a partial tour of the home with the inspector. The following areas were looked at: medication records and systems, care plans, risk assessments and daily notes, fire log sheets, staff training records. What the service does well: What has improved since the last inspection? What they could do better: Staff training records need to be more comprehensive. This is because there is insufficient evidence to show what training staff have had. These records should include either a copy of the certificate or a written record of the date and nature of the training they attended and their signature to confirm this. A report based on the quality assurance survey needs to be sent to the CSCI. The manager will need to devise a plan showing what improvements she has Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 6 already actioned and any other improvements or changes she would be making as a response to her interpretation of the survey. 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. Samarie DS0000028203.V274342.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 Samarie DS0000028203.V274342.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): 2 This standard was not assessed as no new service users have been admitted. EVIDENCE: Samarie DS0000028203.V274342.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): 6 Standards 6, 7, and 9 were assessed at the last inspection. Standards 7 and 9 were met. Service users have been involved in their own care plans, which ensure that staff respond to their needs consistently. EVIDENCE: Standard 6 was assessed again as the inspector was aware of changes to the nature of the care plan for one service user. They were also looked at to gather further information about service users social activities and choices and to see how accessible the care plans are to service users. It was clear from the plans that service users’ have been involved to a greater extent than previously. There was evidence that service users have signed sections of the care plan and been involved in making choices and setting objectives about things they would like to do. Samarie DS0000028203.V274342.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): 12, 13, 15, 16 Service users are able to make choices about a range of activities that they like to take part in, both in the home and in the community. Service users enjoy and benefit from close relationships with families that are encouraged and supported by staff. Service users’ rights are respected and they take part in certain tasks in the running of the home. Standard 17 was assessed as met at the last inspection. EVIDENCE: On the day of the inspection, one service user was at home and another was out with the manager helping to do the weekly shop. The service user at home told the inspector he was looking forward to going out that afternoon to an art session. The service user who had been helping with the shopping appeared to have enjoyed this experience, and helped to put the items away, before settling down to talk to the inspector and staff in the home, have lunch and relax in his room. Daily notes records show that service users are asked what they would like to do on a daily basis, in addition to activities that are planned and organised. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 11 One service user had been involved in setting objectives about activities he would like to take part in over the winter period and a record had been made to show how these sessions, organised by his key worker had gone. This is good practice. Activities take place in local day care centres or clubs, where service users have friends. Families are encouraged to visit the home as much as they would like to and for the service users this is an important connection that is valued and supported fully by the staff team. Both service users spoke about their families and how they had enjoyed seeing them over Christmas. One service user was looking forward to a forthcoming visit. Samarie DS0000028203.V274342.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): 18, 19 Service users receive personal care in the manner they prefer. Devising policies on same gender personal care would enhance this. Service users’ healthcare needs are met by a consistent approach within the home and the community team. Standard 20 was assessed at the last inspection with a minor shortfall. Requirements set at the previous inspection about this standard have now been met. EVIDENCE: The way service users like to receive personal care is detailed in the care plan. Some service users need more help than others and the way they need to be supported has been described well. The record shows the changes in the way personal care has had to be adapted, so as to better meet their needs. This is an all male service user group, with a mixed sex staff group, so same gender care is not provided. A policy should be developed about this, to ensure that service users are happy when a staff member of the opposite sex provides personal care. There are detailed records showing the level of medical care that has been accessed for service users. The daily records also show that any changes in medication or medical needs have been identified and cross referenced. This is good practice. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 13 The manager discussed the changes in healthcare needs for one service user. Additional knowledge and information about this condition, would give the staff team and manager more confidence when ensuring the appropriate treatment is being provided through the community team. A discussion took place regarding the positive changes in a service user’s behaviour and how this might be developed further. The consistent approach by the staff team had ensured the service user felt secure during this period of change. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 14 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’ views are listened to and acted on. Standard 23 was assessed at the last inspection with a minor shortfall. A requirement about training was set which is to be carried forward. EVIDENCE: There is a complaints policy and procedure and this is accessible to the service users and their families. No complaints have been made to the home or the CSCI since the last inspection. Service users are encouraged to share their views at other times in the homes and take an active part in the home. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 15 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 benefit from a clean and tidy environment. Standard 24 was assessed at the last inspection. There was a minor shortfall. The requirements and recommendations set have been met. EVIDENCE: Samarie is a detached bungalow set in its own grounds, not far from Devizes town centre. There are panoramic views over the surrounding countryside. This aspect of the home is one that is enjoyed and appreciated by the service users, who made several comments to the inspector about this. They especially enjoy the garden and like to sit outside in better weather. One service user who smokes, now smokes outside with his agreement. This has enhanced the quality of accommodation as other service users and staff now have a smoke free environment. The service user showed the inspector his room and was clearly very proud of it and his personal possessions. He showed the inspector around other communal areas of the home and pointed out favourite places. The home was clean and tidy on the day of inspection. The front garden wall has been removed as it was leaning in an alarming manner. This will be replaced with shrubs and plants later in the year. The sagging seat in the lounge has been replaced. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 16 There are plans to decorate the lounge in 2006. The utility room was tidy, although some tools and cleaning equipment left there unsecured could place service users at risk. These were pointed out to the owner, who planned to remove them to a place where they can be locked away. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 17 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 Accurate training records would verify the competence of staff in caring for the service users. EVIDENCE: No new staff have been recruited since the last inspection, so standard 34 was not assessed. Staff discussed the training they have taken part in and the manager showed the inspector the range of courses that have been identified for staff. There was some concern as the home’s NVQ training provider had declared them selves bankrupt just a few days before the inspection. Staff had units of work waiting to be verified in the offices. Conversations took place during the inspection with the training office to try to get these back. Although there was some evidence about staff training, there was insufficient evidence to show the range of training staff have taken part in. A record detailing the course and the date taken with the signature of staff would be sufficient, or a copy of the certificate gained. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 18 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 are benefiting from the approach of the manager in devising ways to provide consistent and person centred care. Standard 42 was assessed at the last inspection with minor shortfalls. The recommendations set were met. EVIDENCE: The registered manager has developed in the role of manager since the last inspection. There have been positive changes to the way some records are made, and the manager has devised some forms for staff to use. Staff spoken with felt they were part of a good team and that the manager is approachable and readily available. The registered manager has completed the units for the NVQ level 4, but all of these units are with a provider who has gone bankrupt. The registered manager hopes to get these units back and find another provider as soon as possible. The manager has ensured that behavioural needs are responded to consistently and this has had a beneficial effect on the atmosphere in the home. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 19 The manager has also attended a course in Equality and Diversity. This raise questions in practice about racism, sexism and ageism, as well as describing what laws there are to prevent discrimination and discerning the meaning of prejudice and discrimination. The manager found the course interesting and thought provoking. The manager has planned training sessions for the staff throughout the year in an informal way. Creating a more structured plan and identifying and potential gaps in training needs would enhance this approach. The service users and outside professionals completed a questionnaire devised by the home in August 2005. One of the suggestions was that a photo frame is put up in the hallway of the home, informing visitors of the names of staff. This has been done in a sensitive way that fits in with the ambience of the home. One service user showed it to the inspector and was happy to demonstrate his knowledge of staff and what they were doing at the time the photographs were taken. The manager has also devised a plan to show when areas of the home are to be improved. The plan also shows when some planned refurbishments have had to be put back and when they have been carried forward. This is good practice. A report showing the outcomes of the survey and the actions taken to respond to it needs top be sent to the CSCI. Not all radiators are covered. There are warning signs in place. Some radiators in service users’ bedrooms are covered. The recent guidance provided by the HSE was discussed with the owner and the manager. It may be wise to revise the risk assessments in light of this guidance. Fire safety records were in order, although it was noticed that the sheet detailing the checks on fire extinguishers was not in place. A pack with the relevant forms will be sent to the home. There are records showing when portable electrical appliances have been tested. There have been no accidents in the home. Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 20 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 Standard No Score 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 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X 2 X X 2 X Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 21 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 YA13 Regulation YA23 Requirement Timescale for action 30/05/06 2. YA32 17(2)Sch 4.6.f 18(1)a 3. YA39 24 (2) The registered person must ensure that arrangements are made, by training or other means in prevention and risk of harm to service users. (Carried forward from last two inspections. Due to be completed by 30th December 2005) The manager has found an external training course. Training records must be held for 30/03/06 all staff who work in the home. This needs to include either a copy of the certificate, or a signed and dated record of the course attended. A copy of the quality survey 30/03/06 report must be sent to the local CSCI office. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 22 Samarie DS0000028203.V274342.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Samarie DS0000028203.V274342.R01.S.doc Version 5.1 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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