Inspection on 28/06/05 for Sherbutt House

This inspection was carried out on 28th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Sherbutt House 01/08/08

Sherbutt House 06/09/06

Sherbutt House 17/11/05

Sherbutt House 08/03/05

Sherbutt House 07/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Sherbutt House 106 Yapham Road Pocklington East Riding YO42 2DX Lead Inspector Rob Padwick Unannounced 28 June 2005 at 2.00 pm th 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. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sherbutt House Address 106 Yapham Road Pocklington East Riding YO42 2DX 01759 304149 01759 828336 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) Mrs Linda Woodhead Mrs Gillian Lilley Care Home 15 Category(ies) of LD Learning Disability (15) registration, with number of places Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: To include one service user with a physical disability. Date of last inspection 8/3/05 Brief Description of the Service: The registration for Sherbutt House now includes the Coach House, which was extended last year. Apart from one shared room, accommodation is for single occupancy including some with en suite facilities. There is no lift in either buildings and the accommodation in the original house is on three floors. The premises, located on the outskirts of Pocklington, is registered for 15 people with a learning disability. There is a large, lawned garden, which is safe for the service users to enjoy. The home well furnished, domestic in style and in keeping with the local community. The centre of Pocklington is near by with all its amenities, including shops, cafes, restaurants, church, market, leisure facilities etc. The home operates two people carrier vehicles for transporting residents to day centres and for trips out. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and lasted from 2.00 am until 6.30 pm with a previous half day of preparation time. During the inspection, a tour of the premises was undertaken, and the inspector spent time talking with the service users in the communal areas of the home and observing their daily lives. Further time was spent reading care plans and files and talking to staff. What the service does well: What has improved since the last inspection? What they could do better: The recommendations from a recent visit from the Fire Officer needed to be completed in order to ensure the safety of service users. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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 Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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) None None of these standards were assessed. EVIDENCE: Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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, 9 Service users were supported to be as independent as possible in order that their individual and joint needs were met. EVIDENCE: Discussion with service users and Information contained within the three service user files inspected confirmed that their needs had been thoroughly assessed. Care plans had been developed to a high standard and these included areas of physical, emotional, spiritual and social need. Evidence of regular monitoring and reviewing of care plans was seen, together with verification that service users or their representatives were in agreement with them. Examination of the resident meeting minutes and discussion with service users confirmed that they were consulted in decisions about their lives and developments within the home. Service user suggestions were included within the resident meeting minutes and evidence was seen that these and any complaints were taken seriously and acted upon by staff. Staff were observed supporting service users to be as independent as possible throughout the inspection. Individual service users’ progress towards agreed goals were included in the files examined and the inspector was proudly shown Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 10 the achievements made by service users in this regard. Elements of identified risk were included within the care plans examined, together with guidance for staff in the management strategies of these. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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) None None of these standards were assessed. EVIDENCE: Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 The service users personal and healthcare needs were supported by staff who had received appropriate training. EVIDENCE: Discussion with service users indicated they were happy with the way that care was given to them. Information within the care plans examined included guidance and information to staff on the personal care needs of service users and the way that care should be delivered. Regular “key worker” entries documented evidence of quality time spent with service users and discussion with staff members indicated that they were familiar with the individual needs of the service users. Service users told the inspector of how their physical and emotional needs were met and information included within their files documented medication taken, the monitoring of any condition and regular recordings to indicate weight, GP and hospital appointments and other related aspects. Staff files contained evidence of appropriate training in this regard and discussion with staff indicated the home had good links with the Local Community Learning Disability Service. Evidence was seen of ongoing staff training in the safe handling of medication and inspection of files and discussion with service users indicated that they Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 13 were supported by the homes medication policies. A random check of the medication supplies in the home was satisfactory. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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) 23 Service users were safeguarded from abuse and staff were sensitive to their needs. EVIDENCE: The home had policies and procedures to safeguard service users from abuse. The manager indicated that she had attended a course on the protection of vulnerable adults and cascaded information about this down to staff, who had also received training in this area of practice. Documentation in the service user files confirmed that this area of practice was being sensitively managed and that any concerns were being appropriately acted upon. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.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 The home was comfortable and clean, but the recommendations of the fire officer needed to be completed in order to ensure that the welfare of the service users is safeguarded. EVIDENCE: The home was accessible and well maintained and inspection of the building confirmed that bedrooms were clean, bright and individually decorated to meet the service users wishes and needs. Discussion with the manager indicated that a recent visit from a Fire Officer had resulted in some recommendations to the home and a phone call to a electrical contractor confirmed that arrangements had been made to undertake this work. It is required that this work be undertaken and completed by 31st August 2005. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 Appropriately recruited and trained staff supported the individual and joint needs of service users. EVIDENCE: The home had a recruitment policy and inspection of a sample of staff files indicated that the registered person was following this appropriately in order to ensure that service users were supported and protected. Copies of relevant identity, health and police checks were contained within the staff files together with a record of the individual staff member’s qualifications and past training. A staff training programme had been developed by the manager, in order to ensure that service users individual and joint needs were met. Inspection of files and discussion with individual staff members confirmed that the manager had undertaken an individual staff training needs analysis and that they had attended courses on a variety of topics relevant to the needs of the service users. Evidence of this was seen by ongoing training in the safe use and handling of medication and a recent training session in epilepsy. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 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 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) 42 The health and safety of service users were being addressed but the Fire Offices recommendations needed to be completed. EVIDENCE: Inspection of the records indicated that the health and safety of service users was being promoted. Up to date certificates relating to electrical, gas, water and fire were seen and as previously indicated, confirmation was obtained that the recommendations stemming from a recent visit from a Fire Officer were in the process of being completed. These must be fully addressed by 31st August 2005. Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 18 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 x x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sherbutt House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 19 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 24, 42 Regulation 23(4) Requirement The registered person must ensure that the recommendations of the fire officer are completed by 31st August 2005 Timescale for action 31/8/05 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 Good Practice Recommendations Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Sherbutt House J53_s19724_Sherbutt House_v228565_280605_Stage 4.doc Version 1.40 Page 21 - 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. 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