Inspection on 03/02/06 for Sandhills

This inspection was carried out on 3rd February 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 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

Sandhills 25/10/06

Sandhills 24/10/05

Sandhills 21/03/05

Sandhills 07/02/05

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 Sandhills Lower Road Stalbridge Sturminster Newton Dorset DT10 2NJ Lead Inspector Marion Hurley Unannounced Inspection 3rd February 2006 10:00 Sandhills DS0000020490.V279208.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 Sandhills DS0000020490.V279208.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. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sandhills Address Lower Road Stalbridge Sturminster Newton Dorset DT10 2NJ 01963 362247 01305 252001 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) Dorset Residential Homes Mrs Margaret Cooper Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: Sandhills is located on the outskirts of Stalbridge in North Dorset, and is a registered care home providing nursing and personal care to 10 learning disabled adults, (nine long term beds and one short term bed), some of whom have additional physical and/or sensory impairments. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care services across Dorset. The home is a detached property that has been extended and converted to meet the needs of service users. Sandhills is registered to provide nursing care specific to learning disability, and there is therefore a registered nurse on duty at all times. The age range that the home can accommodate are adults aged 18 - 65 years; some of the current service users are now over the age of 65. However, their needs continue to be met appropriately within the home. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Sandhills was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of seven hours, three of which were spent at the home with four residents and staff. During the inspection records related to the specific standards assessed were checked. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made following this inspection. The home continues to offer a good standard of care to the residents living at Sandhills. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 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. Sandhills DS0000020490.V279208.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 Sandhills DS0000020490.V279208.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 • The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. • All prospective residents are assessed prior to moving into the home. EVIDENCE: No residents have moved to Sandhills since 2004. However, the Registered Manager with the Liaison Officer discussed the principles of good practice, which would be followed if a prospective resident, considers a move to Sandhills. The example of the last resident to move to Sandhills also illustrated the procedures. Referrals are generally received from Community Nurses or Health & Social care workers who initially discuss the needs and abilities of the prospective resident presenting the most recent assessments and care plans to the Home. The prospective resident is invited with their representative to visit Sandhills or if this is not practical the Registered Manager will meet the resident in their current home to establish the first contact. Generally a series of phased visits to Sandhills will follow and this may include the prospective resident having a “sleep over”. An assessment of their personal needs, abilities, their likes and dislikes are completed with the resident and other significant people. This information forms the basis of the person’s Life and Support Plan. The assessment process continues throughout the induction phase which may take up to three months depending on the individual. Sandhills DS0000020490.V279208.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): The key standards were assessed and met at the previous inspection. EVIDENCE: Sandhills DS0000020490.V279208.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): 15,16, & 17 • Residents are supported to maintain contact with family and friends and to exercise choice and control over their lives. • Meals are healthy and mealtimes flexible to suit residents lives. EVIDENCE: Staff described how residents have varying degrees of contact with relatives and friends and where necessary staff will support the contact by providing transport to the family home. One resident with the encouragement of staff makes weekly phone calls to their family, another writes letters. Most of the residents’ social contacts are through the network of other services either statutory or voluntary i.e. Day Services, Gateway Club. Residents when asked consider staff to be their friends. Regular social events are organised and family and friends are always invited and the Manager said these events are well supported. Residents are supported to help in the dining room and generally around the home. Residents, with support and to varying degrees chose their own meals particularly at breakfast and for snacks later in the day. One resident was asked their opinion of the meals and replied by telling the inspector that they Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 11 “were good” and then teased the staff about their cooking. Stored in the kitchen is a large file containing the menus, records of each resident’s preferences, any foods that may cause difficulties i.e. additives; special equipment i.e. crockery, cutlery; a record of food consumed; information on food hygiene and the record of the temperatures of appliances. Sandhills DS0000020490.V279208.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): 20 • The systems for ensuring the safe handling and administration of the residents’ medication are thorough. EVIDENCE: Medication administration sheets (MAR sheets) were examined and found to be in order. DRH has comprehensive policies and procedures for the management of residents’ medication and it was clear from checking the records and storage that the procedures were being carefully followed and implemented at the home. Two staff always check the medication when the order is delivered and only qualified staff administer medication. Each resident has a medication profile, which is reviewed quarterly. The home completes a self-audit and the supplying Pharmacist (Boots the Chemist) completes an annual audit. Photographs of all the residents are contained on file plus a sample of staff signatures. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 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 and their relatives have their views listened to and taken seriously and action is appropriately taken to resolve any issues. EVIDENCE: One resident said he would talk to the staff about any concerns and if he was upset he knew staff would help him. There are monthly staff meetings and individual supervision every six weeks. All meetings are documented and staff unable to attend are expected to read the minutes. On-going training and supervision for staff indicated that support networks were in place for the staff. House meetings are held approximately every six weeks and this is an opportunity for all residents whether they observe or participate to share ideas and opinions about the past six weeks and to make plans for the next six weeks. A skittle evening is being planned for all families and friends. Residents communicate their ideas and feelings in many different ways some people have good use of language, others have good comprehension of the spoken word and others use Makaton. Staff are very experienced and spoke very clearly of being able “to read” a resident’s feelings and their likes and dislikes. Further evidence of this knowledge and ability to communicate effectively is well documented in the detail in the residents’ Life & Support Plans. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 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): The key standards were assessed and met at the previous inspection. EVIDENCE: Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 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 • Trained and supervised staff support the residents. • The Registered Manager ensures there are enough staff on duty in order to meet the needs of the residents. EVIDENCE: All staff receive induction training and then progress to LDAF and NVQ training courses. Records of Mandatory training included health & safety food hygiene and fire safety. Specialist training is also encouraged; and qualified nurses are encouraged to maintain their professional training. Staff rotas showed that there is always one qualified and at least two support workers on duty at any given time. 8 qualified staff are employed and 12 support workers plus a leisure companion. 3 staff have successfully completed LDAF training and 2 have NVQ. These staff have progressed to studying for NVQ level 3. A staff personnel file was inspected and included the required information for effective recruitment of staff. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 16 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 • The home is well managed. The interest of the residents are seen as most important aspect of the home’s function and the manager and staff endeavour to safeguard them at all times. EVIDENCE: The manager has many years experience and is well qualified and has completed NVQ 4 in care management. The home is well run and organised and staff spoken with on the day of the inspection said they felt supported in their work. The building is safely maintained and is a reflection of the managers and staff commitment to the home and quality of life achieved with and for the residents. Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 17 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 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 23 x 3 x x x 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000020490.V279208.R01.S.doc LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sandhills Score x x 3 x 3 x 3 x x x x Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 Sandhills DS0000020490.V279208.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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