Inspection on 21/09/05 for Sheldon House

This inspection was carried out on 21st September 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

Sheldon House 16/10/08

Sheldon House 27/12/06

Sheldon House 20/12/05

Similar services:

Hillside

Applegarth

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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 09/07/2008.

CARE HOME ADULTS 18-65 Sheldon House 25 Church Street Oadby Leicestershire LE2 5DB Lead Inspector Linda Clarke Announced 21 September 2005 10:00am 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. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sheldon House Address 25 Church Street Oadby Leicestershire LE2 5DB 0116 2713520 0116 711392 None The SENAD Group 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) Ms Deborah Lynn Kramer Care Home 7 Category(ies) of Learning Disability (7) registration, with number of places Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration apply. Date of last inspection Brief Description of the Service: Sheldon House is a care home providing personal care and accommodation for 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. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As a newly registered home this is the first inspection, which has taken place. This was an Announced Inspection, which took place over two days. The first day between the hours of 10.00am and 3.00pm, this day was spent speaking with the Registered Manager, viewing resident and staff records, and looking around parts of the home. The following day the Inspection took place from 3.30pm to 4.45pm opportunity was taken to speak with residents and staff. What the service does well: What has improved since the last inspection? What they could do better: Care plans need to be further developed to encompass in detail specialist techniques employed for the management of behaviour. Recruitment practices need to be supported by a POVA first check consistent with good practice and the promotion of resident’s welfare. Residents and their relatives need to be given opportunities to contribute and affect the development of the home, which includes their views as to the service offered. Information recorded with regards to individual residents, needs to be recorded separately consistent with confidentiality and the Data Protection Act. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 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. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 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 Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 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) 1, 2, 3, 4 and 5. The assessment process is well managed with information being provided, and residents having a comprehensive assessment of need undertaken. EVIDENCE: A Statement of Purpose and Residents Handbook is available to prospective residents, the document contains information about the service the home provides, roles and responsibilities including the training of care staff and the management team. Environmental information is detailed within the document, along with details of record keeping and safety. Information as to the policies and procedures is also highlighted; this includes the Complaints Procedure, which details as to how complaints can be made, and information as to how to contact the Commission for Social Care Inspection. The Statement of Purpose details information with regards to the admission process, which includes the assessment and introductory period to Sheldon House, and the initial review process which takes place after six weeks, three months, six months and then annually or as required. The admission process is adequate in that social care professionals carry out assessments of individuals, as part of the referral process. The records of two residents were viewed both contained a comprehensive assessment undertaken by a Social Worker. The records of residents viewed contained a contract between Sheldon House of the SENAD Group Ltd and the funding authority. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 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, 7 and 9. Care planning is not effective in respect of challenging needs, which may lead to an inconsistent approach being adopted by staff. EVIDENCE: The Inspector viewed the records of two of the three residents currently residing at Sheldon House; care plans are in the early stages of development as individuals have recently moved into the home. Care plans have been generated from the Social Workers Comprehensive Assessment and information transferred from previous residential placements and information supplied by relatives. Care plans are divided into six sections, which include Medical and Health Information, Communication, Support and Self Care, Physical-Social-CulturalEthnic and Spiritual Needs, Personal Safety and Risks, Education and Training. Risk assessments have been undertaken consistent with promoting independence and resident choices. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 10 Care plans need to be further developed to encompass in detail specialist techniques employed for the management of behaviour. This information would ensure that care staff are following a consistent practices and that all parties including the resident, funding authority and relatives are fully aware of the measures adopted and are agreed. Records viewed evidenced that residents are making decisions on a daily basis, these include the participation in activities, meals and getting up and going to bed. The Registered Manager confirmed that financial arrangements with regards to the residential placement are managed by the SENAD Group Ltd and the funding authority, the spending money of residents is currently provided by relatives of individuals and managed by care staff on their behalf. Records are in place detailing expenditures with records kept. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 11 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, 13, 14, 15, 16 and 17. Residents educational, recreational and leisure needs are met. EVIDENCE: The residents, who have recently moved into Sheldon House, are currently spending their day based at Sheldon House, this is to support residents with the process of ‘settling in’, all are currently involved in both educational and recreational pursuits. Educational aspects are consistent with daily living skills, such as cooking and maintenance of the home, whilst recreational pursuits are including visits into Oadby, Botanical Gardens, Picnics at Bradgate Park, visits to the Library, Swimming and Bosworth Battlefield. On the day of the Inspection residents had gone to Drayton Manor Park and Zoo. The Registered Manager confirmed that one resident would be undertaking a part time agricultural and cookery course at College. The Inspector spoke with a resident the following day that confirmed that she was looking to undertake a course in Cookery. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 12 Residents have regular contact with relatives, visiting overnight and for weekends. Communication processes have been set up to ensure information between staff at Sheldon House and resident relatives is maintained. Bedrooms within the home are lockable, with residents having the opportunity to lock their door and maintain their key, of the three residents currently in residence; one has chosen to have responsibility for their key. The residents spoke of their trip to Drayton Manor Park and Zoo, with particular reference to the water rides. One resident was sitting in the lounge area watching television, whilst another resident, supported by a member of staff was taking part in household tasks. A member of staff sat outside with a resident who was involved in an art and craft activity. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 13 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 and 20. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans detail the personal support residents require, with regards to their personal care. Residents have been registered with a local General Practitioner, whilst some individual having chosen to remain with their existing Dentist. Records evidenced that residents are accessing Chiropody services as required, and specialist hospital appointments supported by relatives at their request. Medication administration records of two residents were viewed and found to be in good order. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 14 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 and 23. Polices and procedures detail as how complaints will be handled and the protection of individuals from abuse. EVIDENCE: Sheldon House has a complaints procedure, which states that complaints will be fully investigated by the Registered Manager, with an initial response being given within two working days followed by a full report within five working days. Sheldon House Complaints Procedure is incorporated within the Statement of Purpose, and gives information and contact details for the referring of complaints to The Commission for Social Care Inspection. Neither Sheldon House nor the Commission for Social Care Inspection have received any complaints since the registration of the home. Staff training records evidence that staff have undergone training in the Protection of Vulnerable Adults. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 15 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, 29 and 30. The décor of the home is of a good standard providing a homely, comfortable and safe environment. EVIDENCE: Sheldon House has a separate lounge, dining room and kitchen on the ground floor, with an additional lounge and kitchen on the first floor. Bedrooms all have en-suite facilities consisting of a wash hand basin and toilets, which are located on the ground and first floor. The ground floor provides two separate toilets and a bathroom incorporating a bath and overhead shower and toilet. The first floor of the property gives access to a separate bathroom. The home does not provide any specialist equipment as such equipment is not require by residents currently living at Sheldon House Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 16 The bedrooms of two residents were viewed; both have been decorated to reflect individual preferences, and incorporate furniture for the storage of clothing and personal items, bedrooms are lockable with residents having the choice of maintaining their key in order to lock their room. Laundry facilities are provided, to which residents as part of promoting independence are encouraged to use with the laundering of their personal clothing, are reflected within individual care plans. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 17 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) 32, 33, 34, 35 and 36. Staff at Sheldon House are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Sheldon House employs twelve members of care staff; some as yet are to commence their employment, as the home is not up to full occupancy. There is a shift leader on all times, who will be supported by three Residential Support Workers. All care staff are currently undertaking Learning Disability Award Framework induction and foundation training, and since commencement of employment at Sheldon House have received training in moving and handling, health and safety, basic food hygiene, fire safety, protection of vulnerable adults and first aid. The Registered Manager confirmed that five of the twelve care staff commenced their employment already having attained a National Vocational Qualification at level 2 in Care, with two having attained level 3 in Care. The Registered Manager advised that all staff upon completion of their induction and foundation training would undertake a National Vocational Qualification level 3 in Autism through Sheffield University. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 18 The Inspector viewed the minutes of staff meetings, which evidences that staff are being consulted and kept up date on the development of Sheldon House, individual residents, supervision arrangements, and aspects pertaining to health and safety. Records also reflected that all will receive a formal supervision monthly, and developmental review bi-annually. The recruitment records of four members of staff were viewed, all contained a completed application form, record of the interview process, references, relevant certificates and a Criminal Record Bureau check. The Registered Person to ensure that a POVA first check is also obtained. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 19 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, 39, 40, 41, 42 and 43. Residents and staff benefit from a strong and inclusive management approach. EVIDENCE: The Registered Manager has been in post since the Commission for Social Care Inspection registered the home on the 19th April 2005. The Registered Manager has various qualifications attained in the United States of America, which include Certified Instruction Non-violent Crisis Intervention and a National Vocational Qualification at level 3 in the Preventing the Abuse of Vulnerable Adults by Managing Challenging Behaviour. The Registered Manager is currently registered with the Open University and working towards a National Vocational Qualification at level 4 in Care and the Registered Managers Award. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 20 One resident meeting has been held with minutes taken, such meetings provide an opportunity for residents to contribute and affect the way in which the home is run and managed. The Registered Manager confirmed that residents meetings would be held on a monthly basis. It is recommended that staff meetings incorporate issues discussed within resident meetings. Policies and procedures are in place to which residents and staff have access, some polices and procedures have been developed using symbols and pictures to assist residents understanding. Records are kept centrally and are stored within a lockable facility, the system currently adopted for the recording of some information, is not consistent with Data Protection and the promotion of confidentiality, all records pertaining to an individual should be recorded separately. An Environmental Health Officer and Fire Safety Officer inspected Sheldon House as part of the registration process. Staff have received training in safe working practices and records evidence fire drills and practices. Sheldon House has a business and financial plan and Insurance cover, which were viewed by the Inspector during the registration process of the home. Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 21 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 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sheldon House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 3 3 3 3 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 22 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 6 Regulation 15 Requirement Care plans are to include detailed information as to behavioural techniques used, which is to be agreed by the resident, funding authority and relatives. The Registered Person to ensure a POVA first check is obtained as part of the recruitment process. The Registered Person to develop a quality assurance system which seeks the to views of residents and their relatives, and is used to continually develop the service. . Timescale for action 1st December 2005 2. 3. 34 39 19 24 1st November 2005 1st February 2005 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. Refer to Standard 39 41 Good Practice Recommendations It is recommended that issues raised by residents in meetings are then discussed as part of staff meetings. It is recommended that information pertaining to individual residents is recorded seperately, consistent with Data Protection. 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 23 Sheldon House Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Sheldon House 20050921 Sheldon House X00023 AN Stage 4 S62716 V231673 C51.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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