Inspection on 20/04/05 for Sansigra

This inspection was carried out on 20th 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 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

Sansigra 14/08/08

Sansigra 10/03/08

Sansigra 19/03/07

Sansigra 24/10/05

Sansigra 06/12/04

Sansigra 19/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Sansigra High Road Zelah Truro Cornwall TR4 9HN Lead Inspector Ian Wright Announced 20 April 2005 1400 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. Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sansigra Address High Road Zelah Truro Cornwall Tr4 9HN 01872 540363 01872 540363 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) Mrs Ann Penellum & Mr Alan Graham Penellum Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include one named person outside of the normal age range of the Home Total number of service users not to exceed a maximum of 8 Date of last inspection 6.12.04 Brief Description of the Service: Sansigra is situated in the village of Zelah with easy access off the main dual carriageway to Truro or Penzance. The village has suitable facilites such as a public house. The home has suitable parking, and spacious and pleasant gardens. The property is a large house that has been extended to accommodate eight service users, with the owners also living in the home. The home is well maintained and suitably furnished. Each bedroom in the home is single occupancy with a hand basin provided. Three bedrooms are available on the ground floor, with a walk in shower facility also available on this level.The home has suitable policies and procedures available. Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over three and a half hours. This was the first inspection of this home carried out by this inspector. The inspector had opportunity to meet all service users, the registered provider and one of the carers. The majority of the National Minimum Standards were assessed. A tour of the premises took place, and staff and care records 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. Sansigra D52-D04 S9166 Sansigra V212371 200405 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 Sansigra D52-D04 S9166 Sansigra V212371 200405 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) 1-3 People living in the home and their relatives have suitable information regarding the service provided so service users are aware of their rights and responsibilities. The home has suitable assessment procedures and links with external professionals so service users needs and aspirations can be met. EVIDENCE: The home has suitable information service users need to make an informed choice about where they wish to live. For example there is a suitable statement of purpose and service user guide. Relatives of service users are supplied with a copy of the service user guide, and a copy is displayed in the hallway of the home. A copy of the complaints procedure is included in the service user guide, and this includes information regarding how to contact the Commission of Social Care Inspection. A copy of the last report inspection report is also displayed in the hallway. Information regarding advocacy services is also displayed. Service users have limited literacy skills- however the registered provider said appropriate policies are discussed in the monthly residents meetings. Service users are placed in the home on a long-term basis, and the home is considered ‘a home for life’ if service users wish to remain there. However when vacancies do arise the home has an appropriate admissions procedure, and existing service users are involved in the decision regarding new people moving in. Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 Page 8 The home has appropriate links with external professionals such as GP’s, district nurses and social services. The home also has links with other medical services such as the dietician. Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 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 standard(s) 6,7 and 9 Individual care plans contain suitable information so service users needs can be met appropriately. Staff encourage service users to make decisions about their lives enabling service users to increase their self-esteem and autonomy. Appropriate support is given so service users are not placed in situations of risk. EVIDENCE: Individual plans of care are available and contain suitable information to ensure staff can meet the needs of service users. These are reviewed on a monthly basis. The home has monthly residents’ meetings where service users are involved in decisions regarding life in the home. Some service users said they attend a self-advocacy group. Service users have suitable risk assessments, which are reviewed appropriately. Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 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 standard(s) 12, 13 14, 15,17 The home provides suitable support for service users so they can live a full and varied lifestyle, and mix with others in the community. EVIDENCE: Service users said they had suitable opportunities to participate in the local community. These include attendance of the day centre and college. Service users said they enjoyed a range of suitable leisure activities such as going out on trips with staff, and attending the local Gateway club. Service users said they visited their relatives and friends when they wished, and were able to receive visitors in the home. Service users said they enjoyed food provided in the home. The registered provider said assistance was provided so service users diets were healthy and varied. Suitable records are kept of meals provided. Sansigra D52-D04 S9166 Sansigra V212371 200405 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 Personal and healthcare needs of service users are appropriately met. Policies, procedures and practices regarding medication are appropriate ensuring any risk to service users is minimised. EVIDENCE: Service user records contain appropriate information outlining how service users physical and emotional health care needs are met. There is also suitable records regarding visits to/from GP’s and other healthcare professionals. Service users felt they received appropriate support regarding their health care needs. The registered providers seem very caring and outlined appropriate approaches to the care of service users living in the home. There is a suitable policy regarding the storage and administration of medication. The storage and recording of medication is appropriate. There is evidence that staff have received appropriate training regarding medication. Sansigra D52-D04 S9166 Sansigra V212371 200405 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 The home has suitable complaints and adult protection policies available to service users and their relatives. EVIDENCE: The home has appropriate complaints and adult protection procedures. A summary of the complaints procedure is incorporated in the Service User Guide. A copy of this is displayed in the hall, and copies have been given to relatives. An anonymous complaint was made in March 2005, which was partly substantiated. The registered provider in regard to this has taken appropriate action. Information regarding this is available from the Commission for Social Care Inspection-St Austell office. Sansigra D52-D04 S9166 Sansigra V212371 200405 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 is well maintained and furnished. The home is decorated and had a very comfortable ambiance. There is suitable space to meet service user needs. The home was clean and hygienic on the day of inspection. EVIDENCE: The registered provider said there was an ongoing programme of decoration and maintenance, and this was evident in the décor of the home. Service users felt the home was comfortable and homely. The inspector was impressed by the cleanliness and décor, when he walked around the building and grounds. Service users currently do not require any adaptations due to level of disability. The registered providers stated they planned to extend the home by building a conservatory on the rear of the home. Sansigra D52-D04 S9166 Sansigra V212371 200405 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) 31-36 Staff met are caring and committed to meeting the care needs of service users living in the home. Appropriate documentation as required by regulation is kept in the home; evidencing that staff have been appropriately vetted and trained to meet service users needs. EVIDENCE: A small staff team consisting of the registered providers, their daughter, another carer and a housekeeper support service users living in the home. Suitable records are kept regarding job descriptions, recruitment, supervision and training information. Copies of staff qualifications were also available (e.g. all staff possess at least an NVQ 2 qualification). Service users stated they were happy with the support provided by staff. Sansigra D52-D04 S9166 Sansigra V212371 200405 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) 37-42 The registered providers appear to be committed to providing a good quality service for the service users accommodated in the home. They demonstrate suitable knowledge and experience to manage the home. Suitable policies and procedures are in place to ensure good quality care and a safe environment. EVIDENCE: There is appropriate documentation evidencing the registered provider has satisfactory qualifications to manage the home. During meetings with the inspector, the registered provider and staff demonstrated a caring attitude and suitable experience to work with the service user group. Service users spoke positively about the attitude of staff and the registered providers. Suitable policies and procedures, and service user records were inspected. There is suitable evidence that a survey of relatives has been completed as part of the home’s quality assurance approach. Suitable records are maintained regarding health and safety checks e.g. testing of fire equipment, servicing of gas and electrical equipment. Sansigra D52-D04 S9166 Sansigra V212371 200405 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 3 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 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 Sansigra x 3 3 Standard No 31 32 33 34 35 Score 3 3 3 3 3 Version 1.20 Page 17 D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc 14 15 16 17 3 3 x 3 36 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 3 3 3 3 x Sansigra D52-D04 S9166 Sansigra V212371 200405 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 Regulation Requirement None on this inspection 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. 1. Refer to Standard Good Practice Recommendations None on this inspection Sansigra D52-D04 S9166 Sansigra V212371 200405 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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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