Inspection on 07/11/05 for Shepherds Corner

This inspection was carried out on 7th November 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 20/07/05

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 Shepherds Corner 132-134 St James Road Croydon Surrey CR0 2UY Lead Inspector Mohammad Peerbux Unannounced Inspection 7th November 2005 9:30 Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 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 Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 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. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shepherds Corner Address Shepherds Corner 132-134 St James Road Croydon Surrey CR0 2UY 020 8689 5709 020 8683 2263 shepherdscorner2003@yahoo.co.uk 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) Glen Care Group Mr Terence Michael Smith Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th and 22nd of July 2005 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 DS0000063517.V257227.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection for the year 2005/06. It was an unannounced inspection and took place over two hours. Some times were spent looking at the policies and procedures, talking to the manager and staff and to three of the service users. A tour of the building was also carried out. Service user spoken to stated that they were happy with the care being provided. Requirements and recommendations from the previous inspection were also discussed with the manager. Overall the home continues to provide a good standard of care. They are all thanked for their time and assistance. What the service does well: What has improved since the last inspection? Confidential information relating service users are now stored safely and confidentially and access should be limited to only those who need to know. The complaints procedure has been amended to include the stages and timescales for response. The home has further developed its quality assurance processes so as to include the views of visiting professionals and other stakeholders. The hot water temperature is now within the recommended level. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 6 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 DS0000063517.V257227.R01.S.doc Version 5.0 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 Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 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 the following standard(s): 1 and 5 The Statement of Purpose, and Service User Guides’ provide prospective service users with details of the services the home offers. This enables them to make an informed decision about admission to the home. 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 are on display in each bedroom. It was previously recommended that a review date is included the Statement of Purpose and Service Users Guide. This is now in place. The manager stated that all service users have a costed contract/statement of terms and conditions of occupancy in place between the placing authority and the home. Some of the service users’ contracts were sampled during inspection. The manager also informed that all service users are being issued with new “Resident’s Agreement” that have been developed by the Glen Care Group Limited. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 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 the following standard(s): 6,8 and 10 Service user’s care plans are comprehensive and include detailed information about their needs and personal goals. This will help staff know the service users’ needs and how to meet them. Choice and decision making for service users is promoted to a high standard enabling their involvement and opportunities to contribute to the operation of the home. Generally staff 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. EVIDENCE: The files for three of the service users were randomly selected for inspection. Each one was very well organised and contained a detailed service user plan. The plans were being reviewed on a six-monthly basis. Documentary evidence was available to show that the annual review included the care manager and/or other professionals from the placing authority. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 10 Regular house meetings are held and service users are invited to make a contribution. They are enabled to accompany staff to the supermarket for example, so that they can choose what food to buy. While none are able to contribute to, for example, the development of policies and procedures, staff ensure that they do consult the service users with regard to the day-to-day functioning of the home – such as the shopping as mentioned above. 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. It was previously required that the registered provider must ensure that confidential information relating service users- is not openly displayed on notice boards at the office. These information are now stored safely and confidentially and access are limited to only those who need to know. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 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 the following standard(s): 12 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. EVIDENCE: Two of the service users attend day centres and these are thoroughly enjoyed. The remainder are able to participate in the in-house day care programme. All service users have very active day activities, some are designed specifically for people with learning disability; others are generic and open to all members of the local communities. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 20 Service users’ medication is also well managed to ensure maximised good health. EVIDENCE: 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. One of the current service users is able to maintain their own medication. There is a risk assessment in place for the service user who self-medicate. The manager informed that six staff are currently undertaking the medication training. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 22 Complaints are generally managed well, which should ensure that service users’ and relatives’ concerns are listened to. EVIDENCE: It was previously required that the complaints procedure is amended to include the stages and timescales for response. This is now in place. There have not been any complaints made to the home since the last inspection. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 25,27,28 and 29 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. All rooms are for single occupancy. There are a sufficient number of toilets, bathrooms and showers in the home, with a bathroom/WC and an assisted shower/WC on the ground floor, a bathroom and a shower/WC on the first floor and a separate WC, also on the first floor. The home has a number of communal areas, all of which lead off one another. There is a large, well furnished and decorated lounge, a small dining area and a large activity/therapy room, which also doubles as the dining room in the Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 15 evening. There is no garden as such but there is a paved, covered patio area and a paved rear yard. As has been mentioned, the home has an assisted shower, but at present there are no other specific aids/adaptations that are needed. Two service users use wheelchairs when they go out on outings only not within the home. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed during this inspection. EVIDENCE: Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 41,42 and 43 Record keeping is very well organised and the home’s policies and procedures and are well written and accessible to ensure that service users’ rights and best interests are safeguarded. The health, safety and welfare of service users is overall promoted and protected. EVIDENCE: The records inspected were found to be up to date and accurate. The manager stated that all the policies and procedures have been updated. Staff are signing them to say that they have read and understood these policies and procedures. The home ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. It was previously required that the manager must ensure that the temperature of the hot water supply is neither too low or to high. Temperature records were checked and they were within recommended level. The laundry room door has been adjusted so that it closes properly in line with requirement made at the last inspection. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 18 No business and financial plan was available at the time of inspection to demonstrate that the home is financially viable for the purpose of achieving its aims and objectives set out in the Statement of Purpose. The manager stated that it is in the process of being completed. The manager is requested to forward a copy of the business plan to the Commission for Social Care Inspection. Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 19 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 X X X 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shepherds Corner Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X 3 3 3 DS0000063517.V257227.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement Timescale for action 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 Shepherds Corner DS0000063517.V257227.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 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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