Inspection on 29/04/05 for Sampson House

This inspection was carried out on 29th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 17/10/05

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 29 April 2005 13:00 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 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 Stationary 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 C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sampson House Address Skellingthorpe Road Lincoln Lincolnshire LN6 0PB 01522 682397 Telephone number Fax number Email 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 LD Learning Disability (12) registration, with number of places Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 17 September 2004 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 service users with a learning difficulty in the main building, with four other service users accommodated in two separate self contained 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 work with service users to help them develop their independence and personal autonomy according to their wishes, and to the maximum of their potential. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours. A tour of the premises was conducted with the manager and one resident. The main method of inspection used was called case tracking which involved selecting three 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 pre-inspection questionnaire was completed by the manager, and 8 comment cards from residents were received, which were overwhelmingly positive. Other documents were inspected. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 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 standard(s) 2 & 3. There are good procedures for introducing prospective residents to the home, ensuring that their wishes are taken into account, and that their care needs are met. EVIDENCE: There have been no new admissions since the last inspection, but there is one vacancy for which applications are currently being considered from residents within the Linkage organisation. However, existing residents said that their introduction to the home had been thorough, and that their views and wishes had fully been taken into account. They had been given information about the home, including a guide to the home, and visited on several occasions, which had helped them reach a decision to move in. Information is available in a variety of formats including symbols and audio. Residents are consulted about their care needs and aspirations, and these are documented on resident’s files to ensure that staff have clear guidelines to follow. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 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 standard(s) 6, 7, 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 make decisions which affect their lives. EVIDENCE: Care plans are detailed and comprehensive, clearly identifying individual needs and wishes, and residents said that they are fully involved in their preparation and review. Each resident who wishes, also has a ‘Person Centred Plan’ outlining their hopes and aspirations, which sets out steps for achieving these ambitions. Residents said that there were regular house meetings to discuss any issues, and that their views were listened to by staff. 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 in airing their views. Staff at the home actively encourage residents to develop their independent living skills, and residents gave many examples of how this was facilitated. A risk assessment framework is used to identify and minimise risks, and residents said that they were fully involved in this process. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 9 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 standard(s) 11, 12, 13, 14 & 17. There are excellent opportunities for personal development, leisure and social activities, and residents participate as members of the wider community. Catering arrangements reflect resident’s individual needs and choices. EVIDENCE: Residents described how they have ‘house days’ where they are involved in all aspects of household tasks. Some said that they attend Occupational Recreational Services (ORS) to develop skills such as road safety, accessing public transport, and money skills. ORS has moved from the main building to a portacabin in the garden, to enable the rooms previously occupied by them to be used as a garden room. All residents have structured timetables, which include employment opportunities, college and other educational and occupational opportunities. All said that they enjoyed their activities. At the time of the inspection, residents were deciding on activities for the bank holiday weekend, and they gave examples of numerous activities that they had participated in over the past weeks. They confirmed that they had chosen holidays and these had been Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 10 booked for the summer. One resident proudly described his achievements as a gymnast, and how he is participating in the Special Olympics in July. A cook is employed, and residents help with meal preparation, menu planning and shopping. Catering arrangements are flexible to accommodate individual likes and dislikes, and residents said that the food was good. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 11 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 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 details of any health needs and how these are met, and each resident has a Health Action Plan. Residents said that they are registered with a local doctor, and that the doctor is called promptly if they have a problem. Other services such as Psychology, Psychiatry and Speech and Language Therapy are available through the Linkage Clinical Services Team. Medication storage and administration arrangements are satisfactory, but a Pharmacist inspection in March highlighted that the medication fridge was too cold. However, this is not used at present. Residents are encouraged to selfmedicate where appropriate, and there is an excellent graduated system for assessing safety and competence. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 22 & 23. A robust complaints procedure, and policies for the prevention of adult abuse are in place, ensuring that residents are kept safe, and are able to raise concerns. EVIDENCE: A number of complaints by residents against other residents were recorded in the complaints book, and these had been acted on by staff. One complaint from parents relating to care matters had been passed directly to the Director of Care Services, and had now been resolved. Each resident has a copy of the complaints procedure, available in different formats, for reference. Those interviewed stated that they had confidence that complaints made by them would be taken seriously. Staff were clear on the procedure to follow if a resident made allegations of abuse, and all are issued with a pocket size aide-memoir, outlining the correct reporting procedures. Residents said that they felt safe at the home. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 13 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 standard(s) 24 & 30. 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 one resident described it as a “brilliant” place to live. There are three distinct living areas; the main building, and two self-contained flats for semi-independent and independent residents. One person said that he had previously lived in the semi-independent flat, but had moved out because of problems. He was however hoping to move back at some stage in the future. Some areas have been redecorated since the last inspection, providing a brighter environment. Residents said that they help with cleaning on their house days, and the home was very clean at the time of the inspection. A new tumble drier had been purchased for the independent flat, so that the residents living there do not have to use the laundry facilities in the main house. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35. There are robust recruitment and selection procedures to ensure that residents are kept safe. There are adequate numbers of staff that are well trained and motivated. EVIDENCE: Residents said that there were enough staff on duty to support them. Staff work in teams for periods of 2-3 days, including sleep-ins, to provide continuity of care. All staff files inspected contained the information necessary for the protection of residents, and these are now stored securely for data protection purposes. Linkage produces an annual training plan, and staff can nominate themselves for specialist courses that they are interested in. Most staff have completed NVQ training. Interactions observed between residents and staff were friendly and respectful. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40 & 42. The home is very well managed and organised, with documentation of a high standard. EVIDENCE: The manager has recently been approved as Registered Manager by the Commission. She is a registered nurse (learning disabilities), and holds NVQ level 4 in management. Residents and staff confirmed that regular meetings are held to consult them, and the manager has an open and inclusive management style. Linkage has a range of policies and procedures for staff guidance and to safeguard the interests of residents. Maintenance, servicing and fire documentation were up to date, ensuring that the environment is safe. A linking fire door situated between the independent flat and the house is fitted with a bolt to ensure privacy. It is required that the fire authority be contacted to ensure that this arrangement is acceptable. Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 Sampson House 4 4 4 3 x Standard No 31 32 33 34 35 36 Score x x 3 3 3 x Version 1.20 Page 17 C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc 16 17 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x 2 x Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 18 no 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 YA42 Regulation 13(4) & 23(4) Requirement The registered person must contact the fire officer to ascertain that the arrangement for bolting the door between the flat and the main building is acceptable. Timescale for action 30/6/05 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. Refer to Standard Good Practice Recommendations Sampson House C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection 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 C53-C04 S39770 SampsonHouse V223516 290405 Stage 4.doc Version 1.20 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!