Inspection on 01/07/05 for Shallcott Hall

This inspection was carried out on 1st July 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

Shallcott Hall 17/04/07

Shallcott Hall 01/03/06

Shallcott Hall 18/01/05

Shallcott Hall 16/04/04

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

CARE HOME ADULTS 18-65 Shallcott Hall 1 Ellenborough Crescent Weston-Super-Mare North Somerset BS23 1XL Lead Inspector Paul Grey Announced 1st July 2005 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. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shallcott Hall Address 1 Ellenborough Crescent, Weston-Super-Mare, North Somerset, BS23 1XL 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) 01934 620611 Mr Ian Hall-Scott Mr Ian Hall-Scott PC Care home only 9 Category(ies) of Mental Disorder (9) registration, with number Mental Disorder - over 65 (9) of places Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Shallcott Hall provides care and support for nine adults with mental health needs. The support offered is based on providing space for the service users to make their own choices and decisions in an environment of respect and trust to reduce needs for ‘expressed emotions’.The building is part of a Victorian crescent, opposite a park and within easy walking distance of the town centre. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted in the presence of Ian Scott-Hall, the homes manager. The inspector found a well run service with developed infrastructure, an established team and satisfied service users. The home was subject to no requirements. What the service does well: What has improved since the last inspection? What they could do better: The inspector notes consistent positive inspections and has seen no significant shortfalls in the service. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 standard(s) 2,5 Service users were fully assessed prior to admission by an appropriately trained person. All service users are supplied with a written and costed agreement making clear the terms and conditions within the home. EVIDENCE: The inspector noted detailed pre admission assessments. In the three files sampled the inspector was able to identify assessed needs and observe how the service met that need. This was good practice. Service users sign an agreement which meets the requirements of the nation minimum standards. In addition the service makes explicitly clear its expectations around behaviour and support available in the event of the placement breaking down. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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) 6,9 Service users have a plan drawn up from the initial assessment. This is re evaluated and updated regularly meeting National Minimum Standards. The home supports service users to take reasonable risks to enable them to participate in normal life where possible. EVIDENCE: A particular strength of the home is the assessment and care planning process. The inspector noted clear and comprehensive assessments leading to appropriately planned care. In 3 files sampled the inspector was easily able to track identified needs and any interventions planned by the home. All files had appropriate risk assessment and planning. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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) 11, 12, 16 The Home encourages service users to participate in activities both in and out of the home that are appropriate to their age and culture. Service users are supported in their independence and individual choice by the home. EVIDENCE: Service users are encouraged by staff to maintain or developed a life outside the home. This often results in trips to college, sheltered work placements, (should the service users choose to do sheltered work). Service users were content that they had sufficient opportunity to access training or education outside of the home. Service users informed the inspector staff supported them in their choices. Staff respected service users bedrooms as a private area and did not enter without knocking. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 The home meets service users assessed needs and plans care accordingly. Service users are protected by the homes policies and procedures for the administration of medicines. EVIDENCE: The manager informed the inspector that service users are registered with a local GP and additional clinical support would be obtained should the service user need it. The inspector noted evidence of this in the records. Medication was appropriately stored, all medication was signed for, there were no crossings out or omissions. Prescriptions were clear, a service user photo was present to help identify the individual service user for each prescription sheet. This was good practice. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 Service users feel their views are listened to and acted on. EVIDENCE: Service users informed the inspector that they felt staff did listen to them and would take into account their views over their care. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 Shallcott is a pleasant homely environment with safe comfortable communal and bedroom spaces. The home was clean and free from offensive odours throughout. EVIDENCE: The inspector toured the premises. The home was safe, well maintained and appropriate for the service users needs. The home was clean and free from offensive odours throughout. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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) 31,34 The home has clear job descriptions and clarity of roles for staff. The homes recruitment policies and procedures ensure service users are protected at all times. EVIDENCE: The inspector noted clear job descriptions for staff. The manager is also the owner with the consequent increase in overall responsibilities. Documentation met national minimum standards. The homes employment records fully met National Minimum Standards with all employees having a CRB, photograph, 2 forms of ID and POVA check. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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, 38, 43 Shallcott offers service users the benefits of a well established, well run home. The existing owner/manager has developed a climate of supportive, client centred care exceeding the requirements of the National Minimum Standards. Service users benefit from the management style of the management team. The home exceeds National Minimum Standards. EVIDENCE: The manager is a Registered Psychiatric Nurse and holds qualifications in excess of requirements. He has managed the home for over 8 years. The inspector notes the environment at Shallcott is generally relaxed but supportive and low key. The team work well to produce a small family community with a calm but positive and expressive atmosphere. This is good practice. The manager informed the inspector home is financially viable. Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 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 x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x x x 3 x Standard No 31 32 33 34 35 36 Score 3 x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shallcott Hall Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 x x x x 3 D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 Page 17 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 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 Shallcott Hall D53-D02 S8126 Shallcott Hall V227574 010705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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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