Inspection on 16/10/08 for Sheldon House

This inspection was carried out on 16th October 2008.

CSCI found this care home to be providing an Excellent service.

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

Sheldon House 27/12/06

Sheldon House 20/12/05

Sheldon House 21/09/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sheldon House 25 Church Street Oadby Leicestershire LE2 5DB     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anthea Richards     Date: 1 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Sheldon House 25 Church Street Oadby Leicestershire LE2 5DB 01162713520 01162711392 gailharrison@sheldonhouse.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Gail Harrison Type of registration: Number of places registered: The SENAD Group care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: No additional conditions of registration apply. Date of last inspection Brief description of the care home Sheldon House is a care home providing personal care and accommodation for upto 7 adults with a Learning Disability combined with difficult and challenging behaviour patterns. All bedrooms are single and with en-suite facilities consisting of a toilet and wash hand basin. The premise is owned by the SENAD Group Ltd. and is situated in the heart of Oadby, where local facilities and amenities can be found. Accommodation is provided over two floors, with communal areas, kitchens bathroom and bedroom facilities being on both floors. Sheldon House has a side courtyard garden, and a small rear garden, which is accessible to residents. Fee levels are dependent on complexity of service users needs and level of support required. 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we [throughout the report the use of we indicates the Commission for Social Care Inspection], spent four hours reviewing information received by the Commission for Social Care Inspection [CSCI] since the annual service review that took place on the 4th March 2008. The visit took place on the 16th October 2008 and lasted four hours. During the visit we checked all the key standards as identified in the National Minimum Standards. Care Homes for Adults (18-65 years) Page 5 of 27 This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to two of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents, although some of the communication was difficult, we managed to get feedback from them. With their permission the residents bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the surveys that had been returned to from the residents and the staff that were found to be very positive about the care and support in the home. During the visit we spoke with the manager, the staff and the residents. There were no visitors in the home on the day of the visit. We looked at the results of the homes quality audit that showed that the families were pleased with the service given. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have a thorough and complete transition process and have good information to make sure that the home is suitable for them. Evidence: All of the residents who were case tracked had been given a Statement of Purpose and terms and conditions. The Statement of Purpose and Service Users Guide gives people the information that they need to know about to help them make a decision about the home. These documents could be made available in an easy read format, which we saw, large print or in other languages. The Statement of Purpose should be updated to include the new address and telephone number for the Commission for Social Care Inspection. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: Providing a comprehensive Statement of Purpose & Service Users Guide results in good information for the residents, making sure that they they can get the most suitable care. There is a thorough transition period for prospective new residents. The staff and the manager spend time with them at their previous home and the staff from the previous home come to Sheldon House to help them to settle in. This makes sure that the resident is happy and that the staff are fully aware of their needs and routine and that they get to know the residents already in the home. This process can take several months to complete, which the home is very happy with to make sure that the resident is well settled. This process was seen in the care plans, described by the manager and staff and confirmed by the residents and families spoken with. Members of the staff spoken with said that they always knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection [CSCI] and an up to date certificate of insurance was displayed in the entrance and the latest report from the CSCI was available. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are supported in maintaining their independence and in making decisions in their daily living,giving them a good quality of life. Evidence: The care plans and records looked at contained thorough information about how the residents needs were identified and their choices made. Most of the residents in the home have communication difficulties and the staff have developed different individual methods of communicating through words, noises and gestures. The staff were seen to be communicating with residents patiently with gestures and sign language. The care plans have all the information that is needed and describe each individual residents needs and wishes. It is clear that the residents have been involved in developing their care plans, they told us that they knew about them and had in them what they wanted. The staff, with the residents have developed person centred care plans in an easy read format that describe the needs, choices and wants of the Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: individual. This helps the resident to understand what they have planned with their key worker. Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work or education needs met. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. The residents have regular meetings to discuss choices in the home such as activities and menus, but the residents with the staff make choices on a daily basis. This was seen on the day of the visit when a variety of meals and activities were being chosen. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff support the residents in maintaining their individual interest in their different educational activities and occupations. They make sure that their nutritional and spiritual needs are met. Evidence: There was evidence of daily occupation and leisure activity being provided for the residents. There were programmes of activity, each individually planned for the residents interests and abilities. Most of the residents went out on a daily basis to some educational. leisure or work activity. Those who were unable to go out to educational activity received it in the home. The home are using an education system called ASDAN that caters for all the students and is tailored to each persons needs and abilities. We saw the programme Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: and spoke with the residents and the staff about it who were all very enthusiastic about it and committed to it. On the day of the visit the residents were seen to be helping with the cooking in the kitchen and going out to the local shops for items. The residents are part of the local community, visiting local pubs, restaurants, shops and parks and were going out in the evening to the local pub to play skittles. I enjoy being able to go to the shops a resident told us. The staff were seen to be treating all of the residents as individuals and recognised their different personalities, behavioural and sexual needs. These were written in the care plans. The activities are recorded in well documented care plans which are regularly reviewed as the residents needs change. Most of the residents have close contact with their families with the majority spending week-end time with them. There are weekly meetings with the residents to discuss activities and to choose meals and go out to buy the food locally. The choice of food is good and the residents have choices every day. This was seen on the day of the visit when one resident was having a completely different meal than the others. He told us I can eat whatever I want to Meal times are flexible to suit the needs and the activities of the residents. They are encouraged to all eat together in the dining room, but may choose to have their meals where they wish to. The religious needs of the residents are met individually. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care needs of the residents are met safely, with a complete knowledge of their needs and how they wish to receive them. Evidence: The care plans that were case tracked were found to have good descriptions of the care needs of the residents. This includes a regular assessment of the residents weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. Person centred care plans have been developed so that it was clear how each individual wanted to be treated. The staff and the records confirmed that the residents received good medical care when they needed it. Two of the residents spoken with said that they were happy with the doctors. The daily record of care is up to date and fully described the residents day, which makes sure that the residents receive the right care and the staff know what has Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: happened to them and what they have done during the day or night. Medication records for the case tracked residents were in order. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were aware of the requirements for the receipt, storage and disposal of medicines. We saw the locked trolley in the home, where the medicines are stored. The manager makes a regular check of the medicines and record sheets. The above makes sure that the residents are protected with the correct medicine administration. There is a self- medicating policy in place but there were no residents responsible for their own medicines at that time. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to support and protect the residents and the staff are trained and aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. This needs to be updated to give both the Social Services contact details and the updated Commission for Social Care Inspection [CSCI] details. Provision is made to produce this in other formats such as large print and an easy read style. There have been no complaints received by the home, since the last annual service review on 04/03/08. The CSCi have not received any complaints in this time. The staff spoken with were aware of how to handle a complaint if they received one. The residents spoken with were able to tell us about their understanding of the complaints process. The staff receive training in safeguarding adults from abuse and are given a copy of the General Social Care Council [GSCC] codes of practice, which tells them what their responsibilities are in making sure that the residents are kept safe. Training in safeguarding and whistle-blowing is given during their induction period and whilst completing the National Vocational Qualification. They are given regular updated inhouse training. The manager, the records seen and the staff spoken with confirmed that they had had this training. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: The residents spoken with told us that they felt safe with the people who looked after them. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a safe, clean and homely environment and are protected by the policies and procedures in the home. Evidence: Sheldon House is a converted house in the centre of Oadby in Leicestershire. All the local amenities are within walking distance and close by are bus routes into Leicester. The home was clean and welcoming, although a little shabby in places. Comments had been made in the survey cards received by the Commission for Social Care Inspection about the maintenance and cleaning in the home. The manager told us that these problems have been resolved and they now employ a local handyman rather than only rely on the companys maintenance team. The staff and the residents were welcoming and the rest of the home was homely and well maintained. The communal bathroom was clean and free from hazards. With their permission we looked at the case tracked residents bedrooms. They Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: provided good accommodation, which had been decorated to the residents choice. They were personalised with the residents belongings and the residents spoken with told us that they could have their bedrooms how they wanted them. I am happy with my new room I can have all my own things in my room There is a lounge and a dining room on the ground floor that were comfortable and clean. The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. The fire records for testing and drills were up to date. The water temperatures had been tested and found to be within the recommended range. There were no outstanding safety or maintenance issues noted on the tour of the premises other than those that have been identified. There was a pleasant, well -maintained garden with a patio area that has tables and chairs for the residents to enjoy. The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the entrance hall. The inspection reports from the CSCI are available. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment and training of staff make sure that the residents are protected from harm and that their needs are met. Evidence: We looked at two staff files and all of the required information was complete in them. This included evidence of identification, adequately completed application forms, two written references, Criminal Records Bureau checks and Protection Of Vulnerable Adults checks. Staff spoken with confirmed that they had not started work until all the paperwork was complete. The home has a thorough induction programme in place for new members of staff that includes the specialist needs of this client group. This gives new staff good knowledge for caring for the residents. The manager and the records seen told us that all of the staff either have completed National Vocational Qualification level 2 or are currently working towards it. The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they were given by the home. These include infection control, epilepsy and speech and language therapy. There was evidence in the records that was confirmed by manager and the staff that regular staff supervision was taking place at the required frequency. This process gives the staff and their line manager the opportunity to have individual discussions about work and training needs. There had been some comments made in the survey forms about appropriate staff not being available for some of the residents. The manager and the staff told us that suitable staff had now been recruited and that the difficulties had arisen when they were using agency staff and they could not guarantee the same staff being there. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live their lives as they would wish to, with individual choices and care being given in a suitable environment. Evidence: The manager of the home has managed the home for the last year and is registered with the Commission for Social Care Inspection [CSCI], she has completed an NVQ level four and is currently working towards the Registered Managers Award. She has completed several courses for the specific needs of her residents. The company that owns the home has many years of experience with this client group particularly with the under 18s in their schools. The residents and relatives have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. The manager sees everyone individually every day when she is on duty. The manager gives the residents and their families a quality questionnaire every year, Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: which looks at all the areas of care and the general opinion of the home. The surveys received by CSCI were positive that there was good communication in the home. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 1 22 That the updated details for the Commission for Social Care Inspection is included in the Statement of Purpose. That the complaints policy is updated to include the contact details for Social services and the updated details for the Commission For Social Care Inspection. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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