Inspection on 20/07/05 for Shepherds Corner

This inspection was carried out on 20th 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

Shepherds Corner 26/09/07

Shepherds Corner 21/08/06

Shepherds Corner 07/11/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Shepherds Corner 132-134 St James Road Croydon Surrey CR0 2UY Lead Inspector Mohammad Peerbux Unannounced Inspection 20 and 22 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shepherds Corner Address 132-134 St James Road, Croydon, Surrey, CR0 2UY 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) 020 8689 5709 020 8683 2263 Glen Care Group Mr Terence Smith Care Home 13 Category(ies) of Learning Disability (13) registration, with number of places Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A variation has been granted to allow one specified service user over the age of 65 to be accommodated subject to (a) annual review (b) staff have the training and skills to work with the service user and (c) that there are no significant changes to the service user`s health/care needs. Date of last inspection 24 November 2004 Brief Description of the Service: Shepherds Corner is an establishment in the heart of West Croydon and provides accommodation for 13 people with varying degrees of learning disability. Each service user has their own bedroom, situated on either the ground or first floor of the building. As there is no lift, the home is ideally suited to ambulant service users, particularly as its domestic size does not lend itself to wheelchair users. The home is well situated to allow service users to engage within the local community. The transport links are excellent and the main shopping centre of Croydon is within reasonable walking distance. The home provides an in-house daycare programme, which is used by the majority of the current service users. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2005/06. It took place over two days .The first day of the inspection was unannounced. The inspection was carried out with the support of a senior support staff as the manager was on a study day. Some times were spent looking at the policies and procedures, talking to staff and to service users. A tour of the building was also carried out. Service users spoken to stated that they were happy with the care being provided. The second day was pre-arranged with the manager to check on staffs’ files, staffs’ training and supervision and to discuss health and safety issues. The home has recently changed ownership to Glen Care Group. What the service does well: The home encourages service users to make decisions about all aspects of their lives; this includes what to eat, where to go on holiday, for days out, and what clothes to buy. Service users spoken to felt that the staff have built a good relationship with them. Comprehensive information about the home and the services offered are available, and potential service users (and their relatives) are encouraged to visit the home, enabling an informed choice regarding the suitability of the home to be made. A sample of service user files was examined. The home was evidenced to have appropriate assessments and care plans in place. Service users’ care and support needs had been properly assessed, and the range of health, care and social needs presented were evidenced as being met. Service users were observed to be treated with respect by staff and to have their privacy and dignity respected. Comments from service users were generally positive, with indication that staff are kind and helpful in meeting their care needs. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 6 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. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 and 4 The home is able to demonstrate that service users needs are being properly assessed, and that the range of needs presented is being appropriately met. The necessary information and opportunity to visit the home is being made available to service users, enabling an informed choice regarding the suitability of the home to be made. EVIDENCE: The home has a comprehensive Statement of Purpose that has recently been reviewed. The Service User Guide has been personalised for each service users, and were on display in each bedroom. It is recommended that a review date is included on both documents. Service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for individuals referred through Care Management, involving the prospective service user/recognised representative. It was noted that the home also carries out a very comprehensive needs assessment. It was clear from care plans sampled at random that service user’s needs are being met. Records revealed that service users are in regular contact with other health and social care professionals. From observation of the interaction Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 9 between staff and service users it was evident that the staff team had managed to achieve good verbal and non-verbal communication with all the service users and that the home was providing more than adequate care. Prospective service users would always be invited to visit the home prior to a placement being agreed. They may also undertake overnight stays before a final decision is made. Once a service user has accepted an offer of a place, they would move in for an initial four-week trial. The home does not take emergency admissions. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 10 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 and 10 Care plans are comprehensive and include detailed information about service users’ needs, personal goals, wishes and risk assessments. Service users are involved in decision making about their lives, they participate and can take some risks so that they live as normal a life as possible. Generally staff respect information given by service users in confidence, and handle information about service users in accordance with the home’s written policies and procedures and the Data Protection Act 1998, and in the best interests of the service user. However there was a list displayed on the notice board, which give details of all service users’ birthdays and this could be seen by anyone as there is a window in the office where people can see from outside. EVIDENCE: Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 11 Three service user care plans were sampled, it was noted that they were all up to date and well maintained. Overall, the plans demonstrated a thorough needs assessment, which clearly set out how current and anticipated needs would be met. The plans checked established individualised procedures for service users likely to challenge the service, focusing on positive management strategies. The home reviews the care plan of the service user every six months. Documentary evidence was available to show that the annual review included the care manager and/or other professionals from the placing authority. The rights of service users to make decisions about their own lives is central to the ethos of the home, support and guidance is given in all areas to ensure that service users are making decisions which are in their best interests. Each service user has a skills assessment. These assessments ensure that the staff team are aware of the decision-making ability of each resident, and they could therefore respect, within identified limits, the service user’s right to make their own decisions. A risk assessment is in place for each service user. Potential risks are identified all aspects of their daily living both inside and outside the home. The home is able to demonstrate that this standard is met as individualised care plans were in place for each service user that referred to action required to minimise identified risks and hazards. General service user documentation (i.e. service user plan, medical appointments and reviews) is held in the staff office on the ground floor of the home, the door to which is locked when no staff are present. However there was a list displayed on the notice board, which give details of all service users’ birthdays and this could be seen by anyone as there is a window in the office where people can see from outside. The registered provider must ensure that confidential information relating service users- is not openly displayed on notice boards at the office. These documents must be stored safely and confidentially and access should be limited to only those who need to know. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 12 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 Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. The daily routines and house rules promote service users’ rights, and ensure equality and that all rights are enjoyed by service users. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 13 EVIDENCE: The inspection findings indicated staff work very closely with the service users to develop independent living skills at the home. It was observed staff assisting users with making decisions about tasks, activities inside and out of the home. Evidence recorded in individual care plans also indicated staff assigned as key workers to service users, offer support, advice and other input that help to enhance and develop independent living skills. The evidence examined plus discussions held with service users and staff, indicated each service users is supported to access a range of community events. Some are designed specifically for people with learning disability; others are generic and open to all members of the local communities. The service users are clearly all able to express their social / leisure needs and interests. Staff support service users in pursuing these activities if and when necessary / requested. Service users take part in a range of local leisure activities. The home has an ‘open’ visitor’s policy and simply recommends that visitor’s telephone to say they are coming to ensure there loved one will be available. Service users, who were at home at the time of this inspection, appeared to enjoy a high level of independence at the home. They moved about the home freely, helped themselves to facilities and provisions, knew what the house rules and boundaries were, plus the significance of having private space and bedrooms. The home had adequate setting where meals are consumed. The staff stated that service users are asked to choose the meals they want to eat before the food is purchased. However the service users are encouraged to choose food that are healthy and of nutritional value. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 14 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 and 21 Service users’ personal, physical and emotional health needs are being appropriately met and reviewed. This ensures that the service users’ physical and emotional health is well maintained and therefore the quality of life experienced is also maximised. Service users’ medication is also well managed to ensure maximised good health. EVIDENCE: The findings indicated most service users are able to exercise some level of independence in their personal care needs with appropriate support from staff where needed. The overall impression gained from observing how service users live at the home, indicated a good culture of semi-independent living, with most users have reasonable control over their lives and support from staff where needed. The recorded information on case notes and medical records indicated staff and the manager carry out assessment of each user’s health care needs. The evidence also indicated that appropriate medical links are maintained, with information and reminders about medical appointments. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 15 In general, medication records, including medicines received, administered and returned were all being appropriately maintained. Medication profiles in respect of each service user were also available. The home has a comprehensive list of policies and procedures dealing with matters relating to the dying and the death. The staff stated that the wishes regarding arrangements after death are discussed and recorded in individual care plans. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 16 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 The home has policies and procedures in place to deal with concerns, complaints however it must be amended to include the stages and timescales for response. Service users are protected from abuse and are living in a safe environment as the home has appropriate adult protection policies and procedures in place. EVIDENCE: The current complaints procedure is a good and gives clear step-by-step guide of how to make a complaint. However it does not give the stages and timescales for response. The manager is required to review the complaints procedure to include the stages and timescales for response. The home has a copy of London Borough of Croydon adult protection procedures. Most of the staff have attended the Abuse Awareness Training. There have not been any adult protection concerns raised since the last inspection. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 17 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) 24,26 and 30 The home is generally hygienic and clean, homely and comfortable; this environment therefore facilitates the service users’ health and emotional wellbeing. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet service users’ individual and collective needs in a comfortable and homely way. Service users’ bedroom are personalised to reflect their individual needs, and personalities. Overall the home was decorated to a reasonably good standard throughout and appeared to be very comfortable, bright and warm. The inspection findings indicated the home provides adequate living and bedroom spaces for each service user. Some of the bedrooms were checked. They were decorated to a good standard. The rooms contained a variety of personal furniture and fittings that reflected the individual’s personality. It was previously required that the ceiling in rooms 10 and 11 needed repainting. This has been done however the watermarks are still slightly visible. The manager was advised to buy a special paint that will cover those watermarks. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 18 The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 19 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 and 36 The home was evidenced to have the numbers and skill mix of staff sufficient to meet service users’ needs and ensure their safety. The home’s recruitment procedures protect the service users through vigorous staff vetting. Care staff are receiving supervision on a regular basis, which contributes to the standards of care being provided to service users. EVIDENCE: The manager stated that all staff have a job description in place. The job descriptions contain the main purpose, tasks, including household and administrative tasks staff are expected to perform and be responsible for. The home arranges for a least four members of staff to be on duty in the morning, three in the afternoon and one awake plus one sleep-in at night. Current staffing levels are consistent with minimum standards. There is a staff training and development programme in place. The manager is very proactive in respect of staff training. All staff are offered a wide variety of Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 20 training appropriate to the needs of the service users. The manager stated that most of the staff are up to date with their mandatory training. Presently the home has six staff with NVQ level 2 qualifications and one with NVQ level 3. Four staff are undertaking the course in NVQ level 3 and two staff will be starting in November 2005. As part of the inspection process staff files were sampled at random and found to contain photographs, application forms, references, criminal record checks, application forms and copies of identification. The manager advised that all the homes care staff receive at least six supervisions a year covering good care practices and career development. From staff files sampled at random there were evidence that staff are being supervised on a regular basis. They also have an annual appraisal to review their performances against their job descriptions and to agree career development plans. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 21 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 and 42 The home is generally managed well however the health, safety and welfare of service users and staff are not being promoted/protected and this potentially places them at risk. EVIDENCE: Throughout the course of the inspection the manager demonstrated a good competent management skills and appears to have created a skilled, positive and enthusiastic workforce. He has many years experience of working with this client group and displayed an insight into the relevant issues. It was obvious that service users choices were catered for and respected in the home and that the home was run to the needs of the service user. Service users spoken to on the day of the inspection seemed happy, confident and comfortable in their surroundings. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 22 The staff informed that there are regular service users’ meeting where the service users have an opportunity to discuss about the service they are being provided. There is also an annual quality assurance audit that is carried out to measure the home success in achieving its aims and objectives. However the home must further develop its quality assurance processes so as to include the views of visiting professionals and other stakeholders. The home appears to be well organised and record keeping very competently managed. Administration in this home is to a good standard. All statutory record keeping checked were satisfactory; this included medication, food, statement of purpose, service user case files, accidents, incidents, complaints, fire records and so forth. Two health and safety issues arose during this inspection. The laundry room door, which is also a fire door, was not closing properly. The manager must ensure the door is adjusted. The records of hot water temperature were checked and it was noticed some of the recordings were in excess of the maximum recommended temperature of (43C). The manager must ensure that the water temperature is neither too low nor too high. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 23 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 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 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 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shepherds Corner Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 x 2 x G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 24 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 10 Regulation 17 (1) (b) Requirement Timescale for action 22/07/05 2. 22 22(4) The registered provider must ensure that confidential information relating service users- are not openly displayed on notice boards at the office. These documents must be stored safely and confidentially and access should be limited to only those who need to know. The manager is required to 30/09/05 review the complaints procedure to include the stages and timescales for response. The home needs to further develop its quality assurance processes so as to include the views of visiting professionals and other stakeholders. The manager must ensure that the laundry room door is adjusted so that it closes properly. The manager must ensure that the temperature of the hot water supply is neither too low or to high. 31/10/05 3. 39 24(1)(a) & (b) 4. 42 13 22/07/05 5. 42 13 22/07/05 Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 1 Good Practice Recommendations It is recommended that a review date is included the Statement of Purpose and Service Users Guide. Shepherds Corner G53 S63517 ShephedsCorner V229655 200705 Stage4.doc Version 1.30 Page 26 Commission for Social Care Inspection 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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