Inspection on 08/12/05 for Scott House

This inspection was carried out on 8th December 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Scott House 16/10/07

Scott House 17/10/06

Scott House 18/07/05

Scott House 10/01/05

Scott House 16/08/04

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

CARE HOME ADULTS 18-65 Scott House 7 Warham Road South Croydon Surrey CR2 6LE Lead Inspector Margaret Lynes Unannounced Inspection 8th December 2005 10:30 Scott House DS0000025834.V271107.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 Scott House DS0000025834.V271107.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. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Scott House Address 7 Warham Road South Croydon Surrey CR2 6LE 020 8686 9312 020 8668 3212 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) Laurel Residential Homes Limited Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow one specified service user over the age of 65 to be accommodated. 18th July 2005 Date of last inspection Brief Description of the Service: Scott House is a large traditional brick built property situated to the south of Croydon, but close to the town’s many community facilities. The house consists of a large lounge with open plan dining area and a conservatory. There are 15 single bedrooms and 3 double – none has en-suite facilities other than wash hand basins. There are 8 toilets, 3 bathrooms and 2 showers. There is a garden to the rear and off-road parking to the front. The stated aim of the home is to provide care for people with long term mental health problems. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this visit was to determine if the requirements that were made following the last inspection had been dealt with. The visit itself was conducted over the course of several hours, and included talking with residents and staff, examination of records and a brief tour of parts of the home. The last visit resulted in seven new requirements, while there were a further three requirements that remained outstanding from previous inspection visits. This visit indicated that a great majority of these have now been met. For some time this home had been without a manager. The proprietors have recently opted to bring to Scott House one of their other home’s managers, (and have recruited a new manager to replace her) and she has had an immediate and very positive effect on the home. What the service does well: What has improved since the last inspection? What they could do better: Just three requirements still need further work. These relate to staff recruitment (the most recently recruited member of staff needs to provide a recent photograph of themselves and a full work history); staff supervision, which needs to be more frequently carried out; while the quality assurance system needs to be further developed. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 6 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. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 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 Scott House DS0000025834.V271107.R01.S.doc Version 5.0 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): Not assessed on this visit. EVIDENCE: Scott House DS0000025834.V271107.R01.S.doc Version 5.0 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): 9 As on previous visits staff were able to discuss potential risks to individual service users. What has improved however, since that last visit, is the recording of these risks. The Inspector was satisfied, therefore, that service users were being both risk assessed, and being supported to take risks as part of an independent lifestyle. EVIDENCE: A number of service user files were examined. The recording of risk assessments in them was much improved, and not only focused on smoking risks, but also on potential risks to service users when going out in the community for example. The assessments are kept with the daily progress notes, which makes them much more easily accessible to staff, and much more likely to be used perused on a regular basis. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 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): Not assessed on this visit. EVIDENCE: Scott House DS0000025834.V271107.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): Not assessed on this visit. EVIDENCE: Scott House DS0000025834.V271107.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): Not assessed on this visit. EVIDENCE: Scott House DS0000025834.V271107.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): 24 and 26 A tour was made of the areas of the home that had been previously identified as needing attention. Steps had been taken to meet the four requirements that were in the last report, so that in this respect, the Inspector felt that the home was providing a safe and well-maintained environment. EVIDENCE: It was pleasing to note that action had been taken with regard to the previous requirements, and the improvements made to the environment were noticeable. The requirements that have been met include replacing an armchair in one of the bedrooms, making safe (albeit on a temporary measure) the hot pipes and exposed earth leads in some of the bedrooms and continuing with a rolling programme to replace the old and worn furniture with more quality pieces. Scott House DS0000025834.V271107.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): 34, 35 and 36 Although the recruitment procedure had improved, two gaps were still found in recruitment documentation, which means that new staff are not properly vetted before being appointed. This places the service users at unnecessary risk. Further progress had been made with regard to staff training. This should have a positive impact on service users. Staff were not being supervised to the level recommended in the Standards, albeit improvements had been made. This means that there is more possibility that the quality of care being provided is not always as it should be. EVIDENCE: The file of the one new member of staff employed since the last inspection was examined. While it contained most of the information required in the Regulations, it did not contain a recent photograph or a full work history. The requirement made re staff training has been dealt with. Training made available since the last inspection includes setting personal boundaries, care plans, equal opportunities, basic values, managing aggression, communication, schizophrenia and NVQ level II awards. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 15 The proprietors have recently moved one of their managers from another of their homes to Scott House. This manager has made an immediate impact amongst the residents and has noticeably improved the ambience of the home. She has only been at Scott House for a matter of weeks, and acknowledged that regular supervision for her staff was still an issue that she had to deal with. Once all members of the care staff team are receiving regular supervision the home will meet the good practice outlined in the Standards, and the requirements of the Regulations. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 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): 39 and 42 The Inspector was not fully satisfied that the home was being run in the best interests of the service users as the quality assurance system had not yet been implemented, albeit it was now in place. Examination of the fire alarm records showed that of late, staff were testing the alarms weekly. In this respect, therefore, it was felt that the home was being maintained to an appropriate level of safety. EVIDENCE: For some time now, the home has had in place a quality assurance system, but it has yet to become fully operational. There is still a need for the manager (or for her to delegate) to carry out regular audits of the various systems in the home (i.e. keyworking, record keeping, medication, catering, housekeeping) and to evidence these audits. At the time of the last inspection visit it was identified that staff were not checking the fire alarm system on a weekly basis, and a requirement was Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 17 made to this effect. On this visit the records showed that while initially, after that last visit, the frequency of tests had not significantly improved, over the course of the last month prior to this visit, weekly checks had been carried out. At the fire officer’s recommendation, the day of the test is changed each week. Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 18 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Scott House Score X X X x Standard No 37 38 39 40 41 42 43 Score X X 2 X X 3 X DS0000025834.V271107.R01.S.doc Version 5.0 Page 19 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 YA34 Regulation 19 Requirement Timescale for action 10/12/05 2 YA36 19 3 YA39 24 New staff must supply all of the documentation listed in the Regulations prior to commencing work at the home. The previously set timescale has not been fully met. All care staff must receive 31/01/06 supervision on a regular, formal basis and this should be recorded. The previously set timescale has not been fully met. An appropriate quality assurance 31/01/06 system must be implemented in the home. The previously set timescale for this requirement has not been fully met. 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 Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Scott House DS0000025834.V271107.R01.S.doc Version 5.0 Page 21 - 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. 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