Inspection on 24/10/05 for Sansigra

This inspection was carried out on 24th October 2005.

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

The inspector 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 20/04/05

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 Unannounced Inspection 24th October 2005 15:00 Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 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) Mrs Ann Penellum Mr Alan Graham Penellum Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 20th April 2005 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. The ground floor is accessible to wheelchair users. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three and a quarter hours. The inspector had opportunity to meet all service users and the registered providers. A tour of the premises took place, and business 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Appropriate pre-admission procedures are in place so service users can be assured their needs will be met by the registered provider. Service users receive a suitable contact / statement of terms and conditions of residency on admission. EVIDENCE: The registered providers said prospective service users are fully assessed and can visit the home before they make a decision to live there. There is appropriate evidence on service user files that pre admission assessments are completed. The registered provider said service users are issued with a written contract / statement of terms and conditions of residency when they come to live in the home. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8 and 10 Individual care plans contain suitable information so service users needs can be met appropriately. Service users are consulted about major decisions regarding life in the home. EVIDENCE: All service users have appropriate care plans which are regularly reviewed. Residents meetings occur every month and these are documented. Service users are encouraged to participate in some domestic tasks such as laying the table, and keeping their bedrooms clean and tidy. All information regarding service users is stored securely in the office. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 14, 16 Service users have the opportunity to participate in a range of suitable work, education and leisure activities. Service users have appropriate opportunities for personal development. Service users rights are respected. EVIDENCE: The registered providers said service users have access to appropriate professionals to assist them with their personal development. This includes behavioural nurses, dieticians and speech therapists. Service users are able to go to religious services if they wish. Service users participate in a variety of activities such as day centres, sheltered work placements and adult education. Service users are able to participate in a range of leisure pursuits accompanied by the registered providers. Service users rights are respected. Times for getting up and going to bed are flexible-although service users participate in some activities (e.g. going to the day centre) which require an early morning start. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 10 There are no locks on bedroom doors. This issue has been discussed at service user meetings and current service users have said they do not want these. Any new service user must be offered a lock on their bedroom door if they have the capacity to use this. Toilet and bathroom facilities are however lockable. Service users receive appropriate assistance with their mail. Service users are able to access any part of the home or its grounds. Service users are addressed by the name of their choice. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 the following standard(s): 18, 21 The registered persons provide suitable personal care for service users. The registered providers have an excellent approach regarding the care of the dying. EVIDENCE: Care plans outline service users personal care needs and these are regularly reviewed. The registered provider has an appropriate policy regarding death and dying. The registered providers have recently provided care for a service user who was terminally ill and has since died. The care provided included appropriate links with external professionals such as Macmillan nurses and district nurses. The care provided seemed to an excellent standard. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 the following standard(s): The registered persons provide a suitable complaints procedure and this is appropriately publicised. EVIDENCE: The registered providers have a suitable complaints policy. Service users receive information regarding how to make a complaint in service user meetings, and in the service user guide. Since the last inspection, the registered providers or Commission for Social Care Inspection have not received any complaints. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 the following standard(s): The registered persons provide suitable accommodation to meet the needs of service users. EVIDENCE: The inspector inspected the building. The home is well maintained, decorated and very homely. The building was clean and tidy on the day of the inspection. Communal areas and service users bedrooms are of suitable size to meet the needs of service users. The registered providers are currently building a conservatory for service users use. All service user bedrooms are personalised according to individual tastes. Bathrooms and toilets are clean. There is one walk in shower facility (wet room). Facilities are currently suitable to meet the physical needs of service users, although the registered provider is going to discuss the changing needs of one service user with the occupational therapist. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 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): 31 Staffing levels are satisfactory to meet the needs of service users currently accommodated. EVIDENCE: The registered providers provide the majority of care. Two care assistants are also employed to assist. Staffing levels appear to be appropriate to meet the current needs of service users accommodated. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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 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, 42, 43 Service users benefit from a well managed service by registered providers who have suitable experience, knowledge and skills. EVIDENCE: The registered providers appear to have appropriate knowledge, skills and experience to manage the home. They both appear to have the best interests of service users living in the home at heart. Mrs Penellum has achieved the Registered Manager’s Award and wishes to complete an NVQ 5. Suitable health and safety precautions are maintained. These include the regular testing of fire, gas and electrical equipment. Appropriate health and safety risk assessments are also completed. The building appears to be clean and well maintained. Fire safety training and evacuations are completed at regular intervals. Although financial accounts were not inspected, the service appears to be well resourced and there is no reason to question the financial viability of the business. The registered provider said audited accounts are maintained. Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 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. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sansigra Score 3 x x 4 Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 3 DS0000009166.V258869.R01.S.doc Version 5.0 Page 17 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. 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 Sansigra DS0000009166.V258869.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection St Austell Office 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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