Inspection on 26/06/07 for Sevenfields Resource Centre

This inspection was carried out on 26th June 2007.

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

Sevenfields Resource Centre 10/06/09

Sevenfields Resource Centre 30/01/06

Sevenfields Resource Centre 14/09/05

Sevenfields Resource Centre 08/02/05

Sevenfields Resource Centre 15/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Sevenfields Resource Centre 239 Ben Lane Wisewood Sheffield S6 4SB Lead Inspector Andrea Leverett Key Unannounced Inspection 09:30 26 June – 13th July 2007 th X10015.doc Version 1.40 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 DS0000036147.V330708.R01.S.doc Version 5.2 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 Older People. 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. DS0000036147.V330708.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sevenfields Resource Centre Address 239 Ben Lane Wisewood Sheffield S6 4SB 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) 0114 234 8993 0114 231 1650 none None Sheffield City Council Mrs Janet Cann Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places DS0000036147.V330708.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Sevenfields is a care home providing rehabilitation and respite care for 27 people. Sevenfields is owned by Sheffield City Council and is situated in the Wisewood area close the shops and other local amenities and on a main bus route. The home is purpose built and has recently been completely refurbished. All bedrooms are for single occupancy none have en-suite facilities. There are lawned areas to the back of the property where residents can sit out. Although there are some permanent residents at the home no further referrals are being accepted for permanent care beds, as the home is to concentrate on specialist rehabilitation and respite care. There is no charge for the first six weeks of rehabilitation at Sevenfields. After this charges may be applicable and are means tested. Additional charges are made for hairdressing, newspapers, chiropody and toiletries. A copy of the most recent inspection report is available to read in the home and can be requested from the reception area. DS0000036147.V330708.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection under the terms of the Care Standards Act 2000 carried out by one inspector Andrea Leverett. The Site visit took place over two days on the 26th of June and13th July 2007. The registered manager was not present at these site visits, but the operational manager supported the inspection process. Documentation and records were read, including care plans. A partial tour of the premises was undertaken. The inspector spent time talking with seven service users, three relatives, four staff members and a visiting health professional. Feedback from service user, staff and health professional surveys has also been reflected in this report. The focus of the inspection was to assess the Home in accordance to the Key National Minimum Standards for older persons and to seek service users and representatives views of the Home and rehabilitation service. On the whole the service continues to provide a high standard of care and rehabilitation for service users. Feedback from service users was overwhelmingly positive about the services and staff support, although feedback from health professionals suggested that communication between themselves and the service and staff training could be improved upon. Two recommendations have been made regarding these. One requirement has also been made regarding the need to include information in the service user guide and contract about service charges. What the service does well: On the whole the environment is designed, decorated, furnished and maintained to a good standard. Service users continue to speak highly of the staff team and the way they support them. The service undertakes in depth assessments of service users prior to admission and this continues following admission. The home offers a range of activities and rehabilitation programmes aimed at supporting service users to return home. The service works hard to support service users to manage their own medication and take time to assess people’s needs in this regard. DS0000036147.V330708.R01.S.doc Version 5.2 Page 6 As part of the services integrated working with outside agencies, the service facilitates a weekly Multidisciplinary Team Meeting, which includes input from Doctors, pharmacists, Occupational therapists and physiotherapists. The service has regular input from Occupational and physiotherapists and benefits from a full time Senior Occupational Therapy assistant on site. 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. The summary of this inspection report can be made available in other formats on request. DS0000036147.V330708.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000036147.V330708.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6. People who use the service experience excellent quality outcomes in this area. More could be done to improve information given to people who use this service regarding service charges. No person who uses this service moves into the Home without having their needs assessed and been assured that these will be met. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return Home. This judgement has been made using available evidence including a visit to this service. DS0000036147.V330708.R01.S.doc Version 5.2 Page 9 EVIDENCE: Discussions with one person who uses this service and their family and an inspection of the homes service user guide and contract showed that information regarding service charges was not clearly stated. A requirement has been made that this information must be included in the service user guide and a recommendation has been made that information provided to prospective service users should also be updated to include this. Three service user assessments and care plans were inspected and discussion took place with people who use the service, staff and the unit manager to triangulate evidence. All three had detailed assessments in place, which had been compiled with health professionals and the service. This includes input from hospital and community Occupational therapists, physiotherapists and care managers. Feedback from service users receiving respite and rehabilitation was on the whole very positive about the service provided. All service users who were case tracked had care plans and O/T and Physio input as well as regular monitoring and care from the support staff. Records showed that the service has a good track record in terms of promoting independence and enabling people to go home. DS0000036147.V330708.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience excellent quality outcomes in this area. People who use this service can be confident that care plans reflect their assessed needs. People who use this service can be confident that their health care needs will be fully met. People who use this service can be confident that their right to administer their own medication will be promoted and are protected by the service procedures for administering medication. Although people who use this service feel they are treated with respect more could be done to protect their right to privacy. This judgement has been made using available evidence including a visit to this service. DS0000036147.V330708.R01.S.doc Version 5.2 Page 11 EVIDENCE: Detailed care plans were in place for rehabilitation service users and included physiotherapy and occupational Therapy plans. Good records are kept to evidence that care plans are acted upon and are reviewed regularly. Medication was inspected and showed that detailed medication assessments were in place and included medication history, known allergies, medication risk assessments. It was clear that service users right to self-administer medication was promoted and safe systems were in place for them to do so. Medication records and medication seen showed that it was administered and recorded appropriately and staff are appropriately trained to do this. Discussion with a pharmacist present during the site visit evidenced that good support is available to staff to support service users with medication and medication reviews are undertaken. The prescribing pharmacist informed the inspector that he attends Multidisciplinary team meetings and provides an out of hour’s service when needed. All service users spoken with and several relatives spoke highly of the staff team and felt that they were treated with respect and kindness. Although this view was also reflected in the professional surveys they also suggested that staff do not always respect service users confidentiality when discussing their needs and a recommendation has been made regarding this. Typical comments included: “We are all very happy with the standard of care received and the staff are wonderful.” “More care could be taken especially where confidential matters are discussed.” DS0000036147.V330708.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. People who use this service find the lifestyle experienced in the service matches their expectations and preferences and they can maintain contact with family and friends and contact with the local community as they wish. People who use this service receive a wholesome appealing balanced diet in pleasing surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A range of activities are available to service users including rehabilitation exercise, crafts, reminiscence, cooking, outings and shopping trips. The services pre inspection questionnaire also states that outings include pub outings and a yearly holiday to Butlins. Service users stated that family and friends are welcomed in the Home and discussion with two relatives during the inspection confirmed that they were able to visit at any time. DS0000036147.V330708.R01.S.doc Version 5.2 Page 13 Feedback regarding food was positive and it was evident that a choice of good quality food was provided in a clean and welcoming environment. Service users felt their preferences were respected and special dietary needs catered for. An option of a full cooked breakfast was also available once a week and fresh fruit and vegetables were prominent on the homes menus. DS0000036147.V330708.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. People whom use this service can be confident that their complaints will be listened to, taken seriously and acted upon and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaints procedure, which includes all the information required by this standard and information seen during the inspected showed that concerns and complaints were managed effectively. Service users spoken to felt able to rise concern with staff and were confident that action would be taken to resolve any issues. The homes pre inspection questionnaire states that the service has had two complaints in the last year, which were responded to within appropriate timescales. Staff records showed that staff undergo adult protection training and discussion with staff demonstrated a good understanding of adult protection issues and the procedures to follow. The Home has an appropriate adult protection policy and procedure, which includes whistle Blowing. DS0000036147.V330708.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience excellent quality outcomes in this area. Overall the Home is decorated, furnished and maintained to a good standard and is clean and free from offensive odours throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the Home was undertaken and the environment was decorated and furnished to a good standard and equipment and facilities were maintained appropriately. Overall the Home has ample well-planned communal spaces including a maintained accessible garden area. Bedrooms and bathrooms have appropriate DS0000036147.V330708.R01.S.doc Version 5.2 Page 16 furnishings and specialist equipment needed and the Home also has a rehabilitation room and training kitchen. Information taken from the homes pre inspection questionnaire and observation during the site visit showed that the homes facilities and equipment are maintained appropriately. Feedback from people who use this service and their relatives showed that they liked the Home and thought that it was clean. DS0000036147.V330708.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience excellent quality outcomes in this area. The needs of people who use this service are met by appropriate numbers of staff and skills mix of staff. On the whole People who use this service can be confident that staff that are trained and competent to do their job will support them but more could be done to improve service specific training in one area identified. People who use this service can be confident that they are supported and protected by the homes recruitment policy and practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation on the day of the site visit, an inspection of the homes rota’s and feedback from service users and staff demonstrated that staffing levels are appropriate to meet service users needs. In addition to support staff the Home has input from Physio and occupational therapists and a full time senior occupational therapy assistant. The Home also has a dedicated team of ancillary and kitchen staff. DS0000036147.V330708.R01.S.doc Version 5.2 Page 18 It was clear from staff records and discussion with staff that training was given a high priority in the Home. A sample of staff records demonstrated that comprehensive training was provided, which included rehabilitation and other service specific training. However feedback from health professionals suggested that staff would benefit from more training to improve their skills when working with service users with challenging needs. Over 50 of staff have NVQ level 2 or above and there is a rolling programmes to ensure that all staff can undertake this training. A sample of staff files were inspected including the most recently employed person. Records showed that recruitment practices were to a good standard, with files including all the appropriate checks and information to ensure the safety of service users. DS0000036147.V330708.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience excellent quality outcomes in this area. People who use this service live in a Home that is run in their best interest, with good leadership and management. The health, safety and welfare of people who use this service and staff are promoted and protected. People who use this service can be confident that their financial interests will be safeguarded. This judgement has been made using available evidence including a visit to this service. DS0000036147.V330708.R01.S.doc Version 5.2 Page 20 EVIDENCE: The Manager has NVQ 4 and the registered managers award and undertakes a range of short courses to update her skills and knowledge. The homes operations manager is also currently undertaking the NVQ 4 in care. The inspector is satisfied that there are clear lines of accountability within the Home and external management. Discussion with staff and people who use the service showed that the management team communicate a clear sense of direction and leadership. Quality assurance systems are in place including regular meetings for people who use the service. Discussion with staff evidenced that formal staff supervision was being undertaken every 2 months and staff spoken to felt supported by the management team. Records viewed, a tour of the premises and information taken from the homes pre inspection questionnaire evidenced that the homes facilities and equipment were appropriately maintained. Service users finances were not case tracked on this occasion although information provided showed that appropriate systems and facilities are in place to safeguard service users finances. DS0000036147.V330708.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 DS0000036147.V330708.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP2 Regulation Reg 5 Requirement Information provided to prospective service users regarding service charges must be included in the service user guide and contract. Timescale for action 20/09/07 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 OP27 Good Practice Recommendations It is recommended that training be provided to improve staff’s ability to work with service users with challenging behaviour. 2. OP10 It is recommended that the service ensure that staff discuss confidential information about people who use the service in private. 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