Inspection on 17/10/05 for Sampson House

This inspection was carried out on 17th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sampson House 30/08/06

Sampson House 29/04/05

Sampson House 17/09/04

Sampson House 14/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Sampson House Skellingthorpe Road Lincoln Lincolnshire LN6 0PB Lead Inspector Mick Walklin Unannounced Inspection 17th October 2005 11:00 Sampson House DS0000039770.V258159.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 Sampson House DS0000039770.V258159.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. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sampson House Address Skellingthorpe Road Lincoln Lincolnshire LN6 0PB 01522 682397 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) Linkage Community Trust Mrs Susan Clare Kennedy Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: Sampson House is situated in a residential area on the outskirts of Lincoln. It is owned by Linkage Community Trust and was previously used as a college of further education. The home was registered as a care home in January 2003. The home can accommodate eight residents with a learning difficulty in the main building, with four other residents accommodated in two separate selfcontained flats situated at either end of the property. The home has good access to local amenities with a shop and pub situated a quarter of a mile away, and good public transport links to the city centre. The aim of the home is to help and support residents to develop their independence, confidence and self-esteem. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a seven-hour period. The main method of inspection used was called case tracking which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises took place and records were also examined. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 6 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 Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 7 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 & 4. There are good procedures for introducing new residents to the home, and ensuring that staff have sufficient information to meet their needs. EVIDENCE: One resident has been admitted since the last inspection. She had originally worked through the three programmes at Linkage College to develop independent living skills, and decided that she would like to stay with Linkage. She was therefore placed on the waiting list for residential accommodation, and successful in getting a place some time later. She had visited Sampson House on three occasions to enable her to make a decision on whether she wanted to live at the home. A large amount of assessment information was available from Linkage College, which was transferred to the home, ensuring that staff had enough information to support her. She said that she loves living at the home, and is very happy. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 8 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, 8 & 9. There is excellent care planning, ensuring that resident’s needs are fully met. They are fully consulted and participate in the running of the home, and encouraged to take responsibility for decisions which affect their lives. EVIDENCE: Care plans are of a high standard, and residents displayed a clear ownership of the contents. They said that they are fully involved and consulted in the preparation and review of the care plan, which clearly set out support needs for staff to follow. They also provide clear information about preferences and lifestyle choices. All residents have also been offered the opportunity to develop a person centred plan to identify their hopes and aspirations for the future. A pre-arranged house meeting was held at the time of the inspection, and residents said that these are held regularly. There was a discussion about household issues including consulting residents about plans for the garden to include a pond and water feature. There was also a discussion about forthcoming activities and outings, where residents were invited to express and interest, and organise tickets. Each resident was also given the opportunity to Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 9 raise any issues or contribute ideas to the group. There is also a ‘Pointers Committee’, which has representatives from across the organisation, and gives residents a voice on how Linkage is run. An advocate visits residents at the home regularly, to support them if they wish. All residents have risk assessments on file to help them develop independence within a safe framework. Residents gave examples of ‘ground rules’ that they follow if they are accessing community facilities independently, and confirmed that they understood the reason for these, and had agreed them. Staff were clear on their roles and responsibilities in promoting independence, whilst at the same time minimising risks as far as possible. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 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, 14 & 17. The opportunities for residents to pursue education, work experience, and individual hobbies and interests are excellent, ensuring that residents have a varied and enjoyable timetable which helps prepare them for independent living. EVIDENCE: Residents proudly outlined their educational and vocational achievements. All residents have structured timetables, which include employment opportunities, college and other educational and occupational opportunities. Some attend Employment Services on site, where they develop skills such as road safety, accessing public transport, and money skills. Six residents have work placements including horse care, gardening, catering and retail. One resident described how she was studying towards NVQ level 1 in hair and beauty, but had recently lost her work placement, so she was writing to other employers. Other residents are studying animal care and catering at college, and one is participating in the Princes Trust Team Challenge. Weekly meetings are held to discuss leisure activities, with residents encouraged to take responsibility for planning and organising events. For Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 11 example, Christmas arrangements were being discussed, and residents were given the responsibility of liaising with their relatives about arrangements for visiting. Ideas for activities outings and holidays were discussed at the house meeting held during the inspection. Residents gave many examples of how they pursued their hobbies and interests. Residents in the two flats are responsible for their own menu planning and shopping, and both have their own domestic kitchens. Residents in the main building help with food preparation and other tasks on a rota basis, and a cook is employed to prepare the midday meal with residents. Catering arrangements are flexible, which enables residents to make individual choices about meals, and all said that the standard of food is very good. Healthy eating is encouraged, and this was discussed at the house meeting. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 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): 19 & 20. The health needs of residents are met, with good liaison with healthcare services. There are safe procedures for the storage and administration of medication. EVIDENCE: Care plans contain detailed Health Action Plans, which outline health needs. All residents are registered with a local GP practice, and other services such as Psychology, Psychiatry and Speech and Language Therapy are available through the Linkage Clinical Services Team. Medical needs form part of the care plan, and there are medical information sheets for staff reference. There is an excellent 7-stage self-medication procedure, where residents are assessed in stages for safety and competence. Seven residents currently self medicate to some degree, ranging from single doses, to one months supply. Medication storage and administration is satisfactory. A Pharmacist inspection in March highlighted that the medication fridge was too cold. Although this is not used at present for the storage of medication, it is still running too cold for medication storage. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 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 & 23. Residents know that staff will take their concerns and complaints seriously, and act on them. There are good policies and procedures for ensuring that residents are safe. EVIDENCE: All residents have a copy of the complaints procedure in written and symbols format contained in their care plan. There had been one complaint since the last inspection, relating to residents arriving late for college. This had been due to public transport difficulties, and had now been resolved. The home also has a book for recording minor issues and disagreements within the home. Residents said that they felt confident that any issues would be dealt with by staff. A newly recruited member of staff confirmed that adult protection had been covered during induction, and she was able to describe the correct procedure for reporting allegations. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 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 The home provides a comfortable and homely environment for residents to live in, which is of a high standard. EVIDENCE: The home is very well maintained, furnished and decorated, and all residents interviewed said that they are very happy with the standard of the accommodation. There are three distinct living areas; the main building, and two self-contained flats for semi-independent and independent residents. There are two living rooms in the main building, and a table tennis table has been installed in the garden room. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 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): 33, 34, 35 & 36. The staff team is well trained and motivated, but the recruitment of one member of staff should have been more thorough. EVIDENCE: Staff work in teams of three for periods of 2-3 days, including sleep-ins, to provide continuity of care. One resident also receives 62 hours per week of 1-1 support. Residents said that there are enough staff to meet their support needs. Three staff have been employed since the last inspection, including a new deputy manager, and the home is fully staffed. The manager had not been provided with complete sets of employment documentation by the Personnel Department for two of these staff. Consequently, one person, who had started two months ago, had been recruited with only one written reference. The manager had not been made aware of this, and a written reference has still not been obtained. Staff have attended a wide range of training, but there were complaints about the location of some courses in Grimsby, and that some course are already full when the training plan is released. Staff said that there are good training opportunities within the organisation. Most staff have completed, or are working towards National Vocational Qualifications. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 16 Staff said that they are very well supported, and there was evidence that formal supervision is occurring every two months. Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 17 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): 38 & 42 The home has excellent management and organisation, ensuring that residents needs are paramount. EVIDENCE: Residents and staff confirmed that regular meetings are held to consult them, and the manager has an open and inclusive management style. Staff feel valued and included, and a member of staff said that the manager and deputies offer ‘brilliant’ support. Policies and health and safety documentation were inspected in detail during the last inspection, and found to be well organised. A linking fire door situated between the independent flat and the house is fitted with a bolt to ensure privacy. The fire authority has been contacted and confirmed that this arrangement is acceptable. Sampson House DS0000039770.V258159.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 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 x 3 x Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 x 4 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 4 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sampson House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 4 x x x 3 x DS0000039770.V258159.R01.S.doc Version 5.0 Page 19 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 YA34 Regulation 19 Schedule 2. Requirement The registered person must ensure that a person is not employed to work in the care home unless the documents outlined in Schedule 2 have been obtained. Timescale for action 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. Refer to Standard Good Practice Recommendations Sampson House DS0000039770.V258159.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Sampson House DS0000039770.V258159.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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