Inspection on 24/01/06 for Scotter House

This inspection was carried out on 24th January 2006.

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

Scotter House 12/06/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Scotter House Scotter House West Common Lane Scunthorpe North Lincolnshire DN17 1DS Lead Inspector Janet Lamb Unannounced Inspection 24th January 2006 10:00 Scotter House DS0000066544.V280297.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 Scotter House DS0000066544.V280297.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. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Scotter House Address Scotter House West Common Lane Scunthorpe North Lincolnshire DN17 1DS 01724 855051 01724872070 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) North Lincolnshire Council Karen Whitby Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08/08/05 Brief Description of the Service: Scotter House is a purpose built care home in the west of Scunthorpe, accommodating 9 respite service users, on two floors, which includes a flat for 5 people, and the main house for 4 people. There are also 5 rooms within the Intensive Support Unit, on two floors, which has very recently combined its registration with Scotter House. All rooms are single and three have en-suite shower/bath and toilet. There are spaceous communal areas throughout the home, a passenger lift and a newly built conservatory with decking garden area off, in the main part of the house and a loung/dining room, a kitchenette and a shower room and toilet in the unit. Alterations are to be made to make the unit kitchen bigger. Improvement has already been made to bathing facilities in this part of the building. A large kitchen serves all of the Scotter complex. Since the combined registration all staff have been working across the home, under one manager. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Scotter House, the second required in each inspection year, took approximately four and a half hours to complete. The inspection involved talking to service users, staff and a visiting officer of North Lincolnshire Council, the Contract Manager. It also involved observing relationships between service users and staff, inspecting documents within the home and viewing some of the rooms. Scotter House Respite Unit and Intensive Support Unit have recently merged and the whole facility was 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. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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 Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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): 1, 4 and 5. Service users have good information about the home and can sample the care before they decide to take up a programme of respite stays. EVIDENCE: One service user spoken to remembers visiting the home, staying for tea and then finally spending the night there before he chose to have respite stays. He also remembered seeing the home’s statement of purpose, service user guide, service user agreement and contract of terms and conditions when shown them on the day of inspection. One of the senior support officers spoken with explained what had been arranged for a prospective service user very recently. He has already taken tea three times with other service users in the home, visited in the evening only yesterday, and has been asking when he can spend an overnight stay. Evidence of these visits was seen in the home’s diary. An overnight stay is to be arranged. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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): These standards were not assessed at this inspection. EVIDENCE: Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 10 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): These standards were not assessed at this inspection. EVIDENCE: Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 11 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): These standards were not assessed at this inspection. EVIDENCE: Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 12 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): 30 only. Service users benefit from a clean and hygienic environment. EVIDENCE: Parts of the home were viewed, either accompanied by service users and staff, or just by staff. Two service users expressed a wish to show their rooms to the Inspector and this was done. The home was considered to be clean, comfortable and fresh. Some areas have been redecorated since the last inspection and the installation of a garden decking and patio area and the refurbishment of the independent unit have been completed. Other parts of the upper floor have been refurbished, and a new bathroom with shower, toilet and hand basin has been created. Work is yet to be completed improving the kitchen facility in the upper unit. A domestic staff member was cleaning the home at the time of the inspection. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 13 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 and 34. Service users are supported by a competent, qualified staff team, and are protected by robust recruitment procedures and practice. EVIDENCE: Discussions with one senior support officer revealed all staff are either doing NVQ Level 3 In Care, or as in line with the new award, Health and Social Care. Five staff are registered under the Learning Disability Award Framework, while twelve are doing the old or new style NVQ. Only one staff has completed NVQ Level 3, but one has completed Level 4 and another is still doing Level 4. By the summer of 2005 there should be more than 50 of care staff with the award. Interviews with staff revealed they are recruited according to the council’s recruitment procedures and protocols. Two staff files inspected at the previous inspection contained evidence of all details obtained in line with schedule 2 of the regulations. Discussions with staff confirmed the process and level of checks. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 14 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 and 42. Service users benefit from a well-run home, have their views listened to and have their health, safety and welfare appropriately promoted and protected. EVIDENCE: The Manager of the home is soon to complete NVQ Level 4 Registered Manager’s Award. She already has NVQ Level 4 In Care, a Diploma in Counselling and an NVQ Assessors Award. She has many years experience working with adults with learning disability. One of the home’s senior support officers is responsible for ensuring the home is quality assured and does this by using a general tool for evaluating surveys undertaken within the home. This involves surveying service users at the moment, and is to extend to their family carers and other stakeholders shortly. Staff are also consulted in staff meetings, via a ‘points of view’ survey, and questionnaires. There are also checks on service user case files, time and its quality spent with service users, and service user support programmes. The quality assurance system also checks on the success of recording and Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 15 monitoring finances and medicines. An annual report is produced for informing the service of its future targets and plans. Health safety and welfare of service users and staff are satisfactorily promoted and protected. Equipment is maintained, fire and other safety checks are completed, training is provided and done, safety certificates are obtained, practice follows guidelines, and risk assessments are undertaken etc. All of these are completed within the relevant legislations and are recorded appropriately. Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 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 Scotter House DS0000066544.V280297.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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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