Inspection on 06/07/05 for Burgess Care Limited

This inspection was carried out on 6th 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

Burgess Care Limited 15/07/09

Burgess Care Limited 21/08/07

Burgess Care Limited 26/07/06

Burgess Care Limited 02/11/05

Burgess Care Limited 02/03/05

Burgess Care Limited 19/10/04

Burgess Care Limited 03/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 SHARMER FIELDS HOUSE Fosse Way Radford Semele Leamington Spa CV31 1XH Lead Inspector Martin Brown Unannounced 06 July 2005 12:00 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. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sharmer Fields House Address Fosse Way Radford Semele Leamington Spa Warwickshire CV31 1XH 01926 614048 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) Burgess Care Mrs Maxine Jane Forman CRH Care Home 16 Category(ies) of LD Learning Disability registration, with number of places SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Mrs Forman successfully completes the NVQ Registered Managers Award by 1 April 2006 2. That Mrs Forman successfully completes the NVQ in Care at Level 4 ( or whichever new title that the General Social Care Council may give to this award in its review of 2005) by 1 April 2006. 3. That Mrs Forman notifies the Commission for Social Care Inspection if she fails to achieve these Awards or does not complete them for any reason. Date of last inspection 2 March 2005 Brief Description of the Service: Sharmer Fields registered premises consists of 3 five-bedded self-contained facilities. Each unit is individually identified as the Meadows, Sharmer Fields House and the Paddocks. Each unit is home for up to five people with learning disability. Burgess Care provides 24 hours support to the people living in the home. The home is set in a rural area, 300 yards off the Fosse Way at the end of a shared drive. There are extensive grounds to the property. Shared facilities in all units consist of lounge, quiet room, kitchen and laundry. Shared facilities are on the ground floor of each unit; there are also office facilities in each unit. Available also is a converted stable, which offers day-care facilities for the service users. There are well-maintained lawns as well as an allotment area maintained with the assistance of the residents. Two of the units are not suitable for access by wheelchair users. However the provision of another fivebedded self-contained unit on the premises has full facilities to enable wheelchair access. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 6th July, at 12.30pm and lasted for approximately five and a half hours. The inspector was made welcome by staff and management. Service users who felt able to be so were helpful and cooperative. 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. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4 Service users are greatly assisted in their personal development within the service by a careful and well-managed assessments and introductions. EVIDENCE: One recently arrived service user had been introduced to the home over a prolonged period, to ensure that the home was able to meet needs appropriately. Assessments were seen; these were being regularly revised to reflect the rapid progress being made. The service user had her own userfriendly guide to the home. Staff and management advised that the needs of all service users are carefully considered during the assessment and introduction of new service users. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 Service users are supported by staff and by individual plans in having their needs met and in moving towards a more independent lifestyle. More serviceorientated plans outlining achievements and objectives, in a user-friendly way, with for example, lots of photographs and written simply in the first person, might provide a useful tool for service users and the home. Person-centred plans for all might also help to focus long-term aims for service users. EVIDENCE: Risk assessments are in place, and continue to be reviewed regularly. Individual assessments are regularly reviewed and updated as necessary. Plans for newer arrivals, such as in the Meadows, were continually being updated and formulated in response to personal changes and development. Staff were following agreed plans in response to identified service user need, and consulting service users on all aspects of their day-to-day lives. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 standard(s) 11,12,15,16,17 Service users continue to be supported to take part in a variety of activities that help their personal development. Activities, and diet, and social contacts, all form part of a therapeutic whole that assists people using the service to develop their personal living skills. EVIDENCE: Most service users were out at some point in the day, taking part in a variety of activities. One staff member was very enthusiastic and positive about a picnic just enjoyed by two service users. One service user was able to tell me about his work at a local day service centred around a plant nursery. One service user was looking forward to attending a music event with his girlfriend. The home offers a varied and healthy diet. With advice and support from dieticians, the home is offering, as far as possible, a caffeine and addictive– free diet, supplemented with nutrients. One service user made sure that he came to request his vitamin tablets, the administration and recording of which is dealt with in a similar manner to homely remedies. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 standard(s) 18,19,20,21 Service users benefit from an environment in which their physical and emotional needs continue to be supported and met, and where their health needs are met, with the support, where appropriate, of outside professionals. EVIDENCE: The home has a No Restraint policy, which is followed by all staff, and was seen to be adhered to particularly in the case of one service user whose sudden desire for drinks is now not hindered, but catered for. Staff spoken to were enthusiastic about the policy, whilst in some instances admitting initial reservations, and were now positive about the calming effects it has had in lowering anxieties in many service users. There is extensive use of outside professionals in helping understand and managing behaviours. One relatively new user of the service had not yet had the benefit of input of a speech and language specialist; the home was now considering whether the time was right for this to start. An epilepsy protocol was in place, staff advised that this was in the process of being re-written, with the aim of simplifying it. A team leader currently provides epilepsy training to other staff, based on the particular needs of service users. This is all backed up by an outside professional, who will give guidance and training as a whole and on specific issues. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 11 The administration and recording of medication was looked at in the Meadows, and was satisfactory. One service user was in hospital at the time of the inspection, and was being supported by staff there. Another service user, having had recently visited him, was concerned about his well-being, and wished to visit him again, soon. Concern about this person’s well-being was heightened by the death of a service user fairly recently. This death had obviously affected staff and service users, several of whom talked about him. Bereavement counselling had been made available to all. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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) 22,23 Policies and the ethos within the home engender an atmosphere in which service users views are heeded and in which they are protected from abuse, neglect, and self-harm. EVIDENCE: There had been no complaints in the past twelve months; extensive quality assurance responses indicated a high level of satisfaction with the service from relatives and significant others. One service user announced to me that was waiting to leave, and was having a review to this effect. Staff and management felt that this view had been formed owing to a misunderstanding, but was nevertheless being respected. It was hoped by the home that the organisation of a person-centred plan by an outside agency would clarify this matter. There is a No Restraint policy in operation in the home. All staff spoken were clear how this operated and interactions within the home demonstrated how a tolerant and respectful atmosphere minimised the risk of abusive situations. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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) 24,25,26,27,28,30 Service users’ needs are met in a spacious, comfortable and safe environment. EVIDENCE: The home continues to be spacious, airy, and meets service users’ needs, with plenty of safe outdoor space and communal spaces, as well as individual bedrooms, giving people living at the home lots of options for having space to themselves as well as being in company. These options were exercised throughout, with some people opting to be by themselves, with others wanting the company of staff and others. The Meadows, in particular, was particularly well-maintained and spacious; there being currently two service users in this relatively new part of the complex, out of a possible five. The needs of the service users result in fairly robust treatment of the fabric of the building at times. There was a hole in the wall by the stairs in Sharmer Fields House; this had been recorded and scheduled for repair. Cracked tiles in the bathroom in the Paddocks require attention. One service user’s bedroom continues to be sparsely furnished; staff and records explained how this related to his particular needs and the management SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 14 of them. By contrast, a nearby room is very well-equipped, with a computer, and lots of shelving, in accordance with the service users’ wishes. There is not a wash basin in the Paddocks laundry. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 15 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) 31,32,33,34,35. Service users benefit from a well-trained, and enthusiastic staff team who work towards common goals. EVIDENCE: Staff and service users interact positively; staff are respectful of service users’ wishes, and react positively to their needs. Staff spoken to demonstrated clarity concerning their roles and the aims of the service. Staff were enthusiastic about the progress being made, particularly by recently-arrived service users. Staff training continues to be well-organised and aimed at meeting specific service user need as well as covering core areas. Induction training is linked in with LDAF training. Recruitment policies for staff were examined and were sound. Staffing ratios were sufficient, allowing for individual activities for service users to take place. Staff and management advised, and rotas confirmed, that agency staff are not used. Regular bank staff, who are familiar with service users and their needs, are used if and when necessary. Pro-active recruitment has helped the service maintain a good standard of permanent staffing. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 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) 37,38,39,40,41,42 Service users benefit from a service in which the quality of life is not unduly compromised by the need for a safe environment. The approach of the home is perhaps typified in the simple matter of the provision of safe, but acceptable and good quality cups for everyday use. EVIDENCE: The registered manager was not present on the day of the inspection, but other members of the management team, as well as team leaders, were available and helpful and informative. Staff were all enthusiastic about the running and ethos of the home, and the benefits to the service users of the environment provided. Service users spoken to expressed satisfaction with the care provided, and the opportunities within the home. Satisfactory policies and procedures are in place. These are also crossreferenced to the National Minimum Standards and the Care Homes Regulations, to further show how these are met. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 17 Risk assessments and guidance were in place concerning aspects of general risk, and identified issues were being managed appropriately. Fire procedures were seen to be appropriate, except that a shoe rack in the Paddocks was a potential hazard, being sited by a fire exit. An upstairs bathroom window in the Paddocks was found to open sufficiently wide to constitute a possible risk. Two observed windows had some internal condensation. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SHARMER FIELDS HOUSE Score 3 3 3 4 Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 4 2 x E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 19 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. 1. Standard 42 Regulation 23(4) Requirement Shoes on a rack by the fire exit in the paddocks are a potential hazard in an emergency and must be moved. It is required that broken bathroom tiles in the Paddocks are repaired/replaced. It is required that all upstairs windows are risk assessed for safety, and openings limited where appropriate. Timescale for action 21/7/05 2. 3. 27 42 23(2)(b) 13(4)(c) 21/8/05 21/7/05 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. 2. 3. 4. Refer to Standard 24 24 6 6 Good Practice Recommendations It is recommended that double glazing seals are checked where condensation appears to be a problem. It is recommended that the airing cupboard in the Paddocks is tidied up, and some items moved to more suitable storage. It is recommended that person-centred plans be considered for all service users. it is recommended that the home considers clearer, userfriendly ways of recording and demonstrating ways in which service users have, and continue to, develop skills. E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 20 SHARMER FIELDS HOUSE 5. 27 6. 30 It is recommended that the home considers the advisability of removing pipes in the paddocks bathroom that may no longer be in use, and that the staff shower nearby be removed if it is no longer used. It is recommended that a washbasin is installed in the laundry in the Paddocks. SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 SHARMER FIELDS HOUSE E53 S4296 Sharmer Fields House V237417 060705 Stage 4.doc Version 1.40 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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