Inspection on 30/08/06 for Sampson House

This inspection was carried out on 30th August 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sampson House 17/10/05

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 Key Unannounced Inspection 30th August 2006 09:30 Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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.V308747.R01.S.doc Version 5.2 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.V308747.R01.S.doc Version 5.2 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.V308747.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 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.V308747.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information available to the inspector regarding the service history of Sampson House, and through undertaking a visit to the home. The fieldwork visit took place over 6 hours. The main method of inspection used was called case tracking which involved selecting three residents and tracking the support they receive through the checking of their records, discussion with them, the care staff and observation of care practices. Two of the residents showed the inspector around their bedrooms, and a tour of the communal areas was undertaken with the manager. Documents connected with the running of the care home were also inspected. Twelve comment cards were received from residents, and all contained positive feedback. The manager had completed a Pre-Inspection Questionnaire. This provided information that the range of fees charged was from £502 - £529 per week. What the service does well: What has improved since the last inspection? The manager now has a list to check that new staff have all the correct documents before they start working at the home. This helps keep residents safe. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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 Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good procedures for introducing new residents to Sampson House, and a thorough assessment is conducted to ensure that residents support needs can be met. EVIDENCE: People who move into Sampson House have usually attended one of the two colleges run by Linkage Community Trust. At the end of their college course, students are given the opportunity to visit a range of Linkage care homes, to enable them to chose where they want to live. One person had moved in since the last inspection, who had previously attended the Grimsby college. The manager had gathered assessment information to make sure that his support needs could be met. He had visited Sampson House on four occasions to introduce him to residents and staff, and his parents had also visited. Although he had only moved into Sampson House recently, his care plan provided detailed information about him. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans accurately describe residents support needs. Residents make decisions and choices about their lifestyle, and develop independent living skills whilst risks are minimised. EVIDENCE: Care plans are well organised, and each has a wide range of information about residents daily support needs. They contain good personal information, which documents likes, dislikes and preferred routines. There is excellent crossreferencing between assessments, care plans and risk assessments. Residents confirmed that they are fully consulted about their care plans, which are reviewed with them on a monthly basis. One resident with visual impairment, has his care plan written on yellow paper to aid his vision. Each resident has an annual review, which includes parents and placing authorities. A parent commented that her daughter is always fully involved in the review, and records from reviews demonstrate that residents are asked how they want their review to progress. All residents have also been offered the opportunity to develop a person centred plan to identify their hopes and aspirations for the future. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 10 Throughout the visit, staff were observed to be encouraging residents to make choices about their lifestyles, and offering discrete support when required. Meetings are held on a weekly basis, where residents decide forthcoming activities, and house meetings are held every two weeks to discuss domestic arrangements. There is a ‘Pointers Committee’, which has residents 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 interviewed gave examples of how they have developed skills whist living at Sampson House. One person described how he had travelled to Skegness by bus independently, and he was proud of his achievement. Another said, “Since living at Sampson House, I can now get a bus to work on my own – not something that I had done before”. Staff are clear on their responsibilities to help residents develop independent living skills, whilst at the same time ensuring their safety as far as possible. Each resident has a range of risk assessments, and they confirmed that any restrictions for safety reasons are discussed and agreed with them. A parent commented, “The staff know what they are doing – they are trained, and I have confidence in them, and know that my daughter is safe. She has come on such a lot since moving here. She has definitely progressed as far as her independence is concerned. She is much more confident”. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from a wide range of educational, vocational and leisure opportunities, which assist them in increasing their independence. Catering arrangements reflect individual choice. EVIDENCE: Residents have a weekly timetable which combines educational, vocational and leisure opportunities. All residents have home days when they focus on housekeeping skills. One said, “I do cooking, washing, ironing and cleaning, and this helps be become more independent”. Some attend Employment Services on site, or access local college courses. Two described work opportunities that they have working in catering. A parent commented, “My daughter is just so busy – there are so many learning opportunities, and staff pick up on her individual needs and hobbies”. Three residents said that they chose their own leisure activities, and another commented, “I sometimes don’t like my timetable, but when I am in house, I can do what I want, once I have done my room care”. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 12 One resident described his achievements in participating in the Duke of Edinburgh Award. He has achieved the Bronzed and Silver Award, and is working towards the Gold Award. He said, “It has helped me a lot – made me more confident and got me out and about much more”. Another resident has completed the Princes Trust Team Challenge, which involved a community project, an activity week, preparation for employment, a work placement, and a team challenge. Many residents access community facilities independently, and gave examples of the wide range of leisure activities and hobbies that they participate in. They were all preparing for their holidays the following week, with groups going to Scarborough, Great Yarmouth and Paris Disneyland. 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 most said that the standard of food is very good. However, one resident commented that food prepared by staff was sometimes over cooked, and agreed to discuss this with the manager. Healthy eating is encouraged, and one resident said that she had been successful in losing a lot of weight, which her mother said had increased her self-esteem. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive support according to their individual needs. There are good arrangements to ensure that their health needs are met, and medication storage and administration is safe. EVIDENCE: Residents said that they get good support from staff, but that they are encouraged to be as independent as possible. One said, “The staff will always help us if we need it, but they try to get us to sort any problems out ourselves. A parent commented, “They provide a very good service. My daughter is very happy, and I am always well received by staff”. Several months ago, there was a problem with one resident accessing the room of a visually impaired resident, who had difficulty locking his door with a key. A new keyless electronic lock has been installed on the bedroom door, which enables him to lock and unlock the door with ease. 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. A record of medical consultations Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 14 is kept on individual files. All residents have ‘Health Action Plans’ to identify health needs and interventions. All but three residents self-medicate. There is a graduated self-medication programme, which residents can progress through if they are happy and confident, but which ensures that they are administering their medication safely. There are clear guidelines for staff as to which stage of the programme individual residents are at, and what level of support they require. Medication storage is satisfactory, and the administration of ‘as required’ emergency medication requires the authorisation of a senior manager. A recent pharmacy inspection highlighted that some medication was out of date, but this was brought in by a resident following a stay with her parents, and expiry dates are now checked by staff. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have confidence that staff will take complaints and concerns seriously, and feel safe living at the home. EVIDENCE: All residents are given a copy of the complaints procedure, both in written and symbols format, which is filed in their care plan. They said that staff had explained the procedure to them, and that they have confidence in staff to take action to resolve issues. Details of advocacy services are also displayed. There have been a number of complaints, mainly about domestic issues, and there was clear evidence that the manager had taken action to resolve these problems, with outcomes recorded. One resident commented, “I would speak to Sue (the manager) if I had a problem, and also Rex (Director of Care Services), Louise (Care Services Manager) and Bridget (previously Acting Care Services Manager). If I have a complaint, I tell a member of staff to put it in the complaints book. Staff listen if I have problems at Sampson House”. Another said, “I always speak to staff if I’m unhappy”. Staff demonstrated a thorough knowledge of the procedures for reporting actual or suspected abuse, and were aware of the location of the relevant policies and procedures. They confirmed that adult protection is covered during induction, and that they have received subsequent update training, which occurs every two years. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable well-decorated and maintained environment for residents to enjoy. EVIDENCE: The home is well maintained, furnished and decorated, and all residents interviewed said that they are very happy with the standard of their accommodation. One of the bedrooms inspected required redecoration, and the resident said that this was being arranged, and he had been consulted about the colour scheme. There are three distinct living areas; the main building, and two self-contained flats for semi-independent and independent residents (which were not inspected). There are two living rooms in the main building, a large dining room and a garden room, equipped with a table tennis table and exercise equipment. The main kitchen has been refurbished, together with a kitchen in one flat, and the bathroom in the other. Some redecoration has also occurred since the last inspection. Residents are responsible for cleaning their bedrooms, and a domestic is employed for 15 hours a week to clean communal areas. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, supported and motivated. Recruitment and selection procedures protect residents. 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. In answer to the question “Do the staff treat you well”, one resident said “Yes – and with respect”. A checklist has now been introduced to check that all the necessary documentation for the protection of residents is obtained for new staff. No new staff have been employed since the last inspection, so it was not possible to assess this standard. Staff described training opportunities as good. One said, “Courses tend to be well presented and informative”. Staff confirmed that they are up to date with mandatory training, and the training plan outlines a range of more specialist courses. The pre-inspection questionnaire provided information that 62 of Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 18 staff have completed a National Vocational Qualification (NVQ) at level 2 or above. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 19 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well managed and organised, and provides a safe environment for residents. There are good systems to monitor quality, and obtain the views of residents about how support is provided. EVIDENCE: Residents, staff and parents praised the performance of the manager. One said, “She is brilliant at her job, and the home is very well managed”. Staff said that there is good teamwork and morale, and praised the support they receive from senior staff. There is good communication between staff. There are excellent systems in place for ensuring that the views of residents and relatives are taken into account. Linkage Trust has a ‘Pointers Committee’, with resident representatives from each home. They devise up to three questionnaires a year, and collate feedback and feedback to the Directors and Chief Executive. Questionnaires are also sent out with copies of the Linkage Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 20 Trust newsletter, to parents, professionals and placing authorities. The Trust is also participating in a business excellence award, and is introducing selfassessments for managers, backed up by a team of assessors. Health and safety documentation was not inspected in depth, but there was evidence of regular health, safety and fire checks being conducted. Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 21 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 3 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 3 x x 3 x Sampson House DS0000039770.V308747.R01.S.doc Version 5.2 Page 22 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 Timescale for action 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.V308747.R01.S.doc Version 5.2 Page 23 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. 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