Inspection on 27/12/06 for Sheldon House

This inspection was carried out on 27th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sheldon House 16/10/08

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 09/07/2008.

CARE HOME ADULTS 18-65 Sheldon House 25 Church Street Oadby Leicestershire LE2 5DB Lead Inspector Judith Roan Unannounced Inspection 27th December 2006 10:30 27/12/06 10:30 Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sheldon House Address 25 Church Street Oadby Leicestershire LE2 5DB 0116 2713520 0116 2711392 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The SENAD Group Ms Deborah Lynn Kramer Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 20th December 2005 Brief Description of the Service: 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. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 3 service users and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. Several service users were away from the home on the day of the inspection on a Christmas break with families and were due to return later in the day. The inspection took place during the late morning and afternoon, over a period of 6 hours and was carried out on an unannounced basis. What the service does well: What has improved since the last inspection? What they could do better: The registered manager needs to review how service users are supported to access leisure and community activities. A requirement is made. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 6 The quality assurance report needs to be accessible within the home for inspection and for families and representatives to view. A requirement is made Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust admission practices ensure that service users needs are fully assessed to meet their needs. EVIDENCE: The statement of purpose document is available within the home and gives clear information to enable prospective service users and/or their families to make an informed choice about moving into the home. In discussion the inspector established that all prospective residents are met prior to any offer of care within their current accommodation. At this time a full assessment of their needs is completed. They are invited to look around the home, have a meal with current residents and have the opportunity to stay over night. Prospective residents are encouraged to try out the home for several weeks on admission before a final decision to remain at the home is made. During this time care workers check out on a daily basis how the new service user is settling into the home. During the admission process the Registered Manager and care workers work closely with other professionals involved in the prospective service users care to ensure all care and support needs are identified and met. Thorough assessments were evidenced in service users care files inspected. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user plans ensure that care needs are met and that they are fully involved within their development. EVIDENCE: Comprehensive care plans are in place and those seen had recently been reviewed. Comprehensive information is obtained from service users, relatives and other professionals involved in their care to ensure that the care plan is relevant, up to date and identifies care and support needs. There are good intervention plans to support service users that may challenge. Issues that arise are discussed on a daily basis at hand over meetings. Any changes in support needs are discussed with the service users and or their family/representatives. Service user meetings are held at regular intervals, enabling the service users to be involved in the day-to-day running of the home. It was evident that service users within their ability assisted staff at the home in meal preparation, shopping and domestic tasks around the home. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 10 Service users that had good communication skills were well supported to be involved with the decisions about their lives. It was noticeable that staff especially agency workers struggled to have positive communication with two service users with more complex needs and minimal communication skills. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Conflicting and competing needs of service users mean that not all programmed activities can be fully supported. EVIDENCE: At the time of the inspection several of the service users were away with families but were due to return later in the evening. There was evidence both on file and with discussion with service users and staff that they are enabled to access and take part in range of activities of their choice if there were sufficient care workers to do so. These would include, Accessing local leisure facilities, shopping, swimming and visiting the library. The needs of two new service users was impacting on the activities of others due to level of the support needed and had changed the opportunities available. A requirement is made for the registered manager to review how identified needs of individual service users can be met within present staffing levels. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 12 One service user spoken with explained that they enjoyed being helpful around the home and assisting care workers with household tasks. They also liked to do the shopping and felt a valuable member of the house. Service users are supported to maintain contact with their families through telephone and visits. The menu offers a variety and choice of meal on a daily basis. The menu is developed after consultation with service users. It was observed that service user who are able to safely do so assist with in the meal preparation. The meal seen on the day of the inspection looked appetising and was well presented. The service users that could comment said that the meals were always good. Care workers are available throughout mealtime to assist as and when needed. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and protecting by the care practices. EVIDENCE: During the inspection it was noted that care and support is offered in a sensitive and flexible manner. Comments received during the inspection included: “ I like living at the home” “ The staff help me with my personal care and I enjoy being with them. Through inspection of daily records it was evident that residents are assisted to access healthcare services when needed. Key medical events are noted in individual care files and at handover meetings care workers are informed of any changes. Services contacted on the service users behalf included GP’s, Community Nurses, and specialist services provided by the local Learning disability health Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 14 care team. It was evident that the service users receive good support from health care professionals. The administration of medication was checked during the inspection and all records had been completed appropriately. Trained staff administers all medication within the home. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by policies and practices within the home. EVIDENCE: Records confirm that care workers have completed training on abuse awareness Systems within the home ensure that any abuse disclosure would be acted upon and dealt with professionally. The complaints procedure was seen and was found to include all the necessary information. A copy of this procedure is available to service users and their families within the service users guide. On discussion with service users that could communicate they all knew how to complain and raise a concern, indicating that they would speak with the manager or a family member. No complaints have been received since the last inspection. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe and homely environment meets service users lifestyles. EVIDENCE: Service users were eager to show the inspector around the home. Bedrooms seen were clean, decorated to service users choice of colour and well maintained. Rooms contained personal belongings and were homely. The communal areas within the home provide space for service users to spend time together in comfort. These include a lounges and a dining room. There is also a quiet/activity area on the first floor. In discussion with the senior member of staff on duty during the inspection the home is well maintained and made safe by the systems operating in the home. Recording systems confirmed this to be the case. Furnishings and fittings in the communal areas are comfortable and domestic in character. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 17 All areas of the home seen on this occasion were clean, fresh and hygienically maintained. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent staff and protected by recruitment procedures and care practices. EVIDENCE: Four care workers were on duty to meet the needs of service users of which two needed at times one to one support. One service user was working alongside one care worker undertaking daily household duties within the home. However not all service users were at home and in discussion with care workers the inspector was informed that at times there is insufficient levels of staff to meet the needs of all of the service users with outside activities. The registered manager needs to review staffing levels at key times to ensure that service users planned needs are met. A recommendation is made. At the time of the inspection a new agency worker was being inducted within the home. They spent time with the senior care worker on shift and were always supported by a team member. Job descriptions are in place and evidence was seen to confirm that care workers have been made aware of the GSCC (General Social Care Council) Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 19 codes of conduct as part of their induction training. There was evidence in care workers files that induction and basic training had been completed. Two care worker files were inspected. Both included two references and full CRB (Criminal Record Bureau) check. The acting manager explained that all care workers receive the relevant training including moving and handling, fire safety, food hygiene. All care workers have received training on intervention skills to manage behaviours that challenge and are developing their skills in supporting service users with complex needs The care workers files reviewed confirmed that training had been undertaken. Care workers have supported access to qualifying training through regular supervision within the home. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 20 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The home in managed in the best interests of service users. EVIDENCE: It was evident from observation and discussions with service users and staff that the home is managed in the best interests of service users. Management arrangements whilst the Registered manager was on leave were well planned and supported service users and staff. Good documentation was seen in managing health and safety issues within the home ensuring that service users were protected. All required health checks in relation to the safety of the premises were undertaken and up to date. In the absence of the Registered manager the acting manager was not able to supply a copy of the last quality assurance report. A quality assurance system Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 21 was required from the last inspection to be implemented. A requirement is made for the Registered manager to supply a copy of the last report to CSCI. Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA12YA13 YA14 Regulation 16(2) Requirement The registered manager needs to review staffing levels to ensure that there is sufficient levels of care staff to meet the personal development needs of service users and to have supported access to community/leisure activities as set out in their care plans The Registered Person needs to supply a copy of the last quality assurance report to CSCI. This report needs to confirm the views of residents and their relatives, and demonstrates how these will be used to continually develop the service. Outstanding Requirement 31/03/06 Timescale for action 31/03/07 2. YA39 24 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sheldon House DS0000062716.V314851.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 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 © 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 DS0000062716.V314851.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!