Inspection on 26/02/07 for Sherwood Court

This inspection was carried out on 26th February 2007.

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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sherwood Court 09/07/08

Sherwood Court 01/08/07

Sherwood Court 08/05/06

Sherwood Court 07/10/05

Sherwood Court 14/04/05

Sherwood Court 03/11/04

Sherwood Court 28/07/04

Sherwood Court 02/03/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Sherwood Court The Common Hatfield Hertfordshire AL10 ONX Lead Inspector Mrs Alison Butler Unannounced Inspection 26th February 2007 10:00 Sherwood Court DS0000019524.V333760.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 Sherwood Court DS0000019524.V333760.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. Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood Court Address The Common Hatfield Hertfordshire AL10 ONX 01707 262 405 01707 259 563 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) www.caretech-uk.com Caretech Community Service Limited Manager post vacant Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8), Physical disability (8), of places Physical disability over 65 years of age (8) Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2006 Brief Description of the Service: Sherwood Court is a residential care home for eight service users with learning and physical disabilities. Fees for the services are £1,320.00-£1410.00 per week. (This was correct as of 26th February 2007). Additional charges are made for newspapers, toiletries etc. The Provider is CareTech Community Service Limited. The building, a bungalow, is situated in the town of Hatfield. It is within walking distance of the supermarket, local shops, and public transport. There is a small parking area in the front of the building. The communal areas are limited to the lounge and a dinning room. The fitted kitchen is of average size. The bedrooms are situated to one side of the building. The shared assisted bathrooms and toilet facilities are nearby. There is a laundry room next to the office. The corridors and rooms are all wheelchair accessible. The lounge overlooks a small courtyard that has a patio with plants. There is a garden area to the rear, which has a paved area. Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection and report has been drawn up following a visit to the home and using information received since the last key inspection in May 2006 and an additional visit, which took place 12th September 2006 (this report is available on request). The additional visit looked at compliance achieved to the requirements and recommendations that were made at the inspection in May 2006. Where compliance had not been met additional timescales were given which were looked at during this visit. Discussions were held with the manager, residents and staff on duty. Care records were also examined. What the service does well: What has improved since the last inspection? What they could do better: Care plans still need work to done to ensure they reflect the new environment in which two of the residents now live, as they have been transferred from their previous home to Sherwood Court. Where care plans refer to additional plans these should be in place. Each page of the care plan should contain the residents name and date of birth to ensure that it is returned to the right file after making any amendments etc. Risk assessments must be written to take Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 6 into account the new environment and staffing. Recruitment of staff should continue to complete the complement of staff, which would provide a more consistent care and approach for the residents. The garden still needs some colour, which would create a more pleasing atmosphere and outlook for those residents whose bedrooms overlook the garden. The manager must apply to be registered with the Commission For Social Care Inspection to comply with the regulations. Risk assessments must be put in place for the resident who uses a reclining chair, this should also include the rationale for use. 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. Sherwood Court DS0000019524.V333760.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 Sherwood Court DS0000019524.V333760.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&3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents move into the home following a full assessment to ensure their needs can be met. EVIDENCE: Two residents had been admitted since the last inspection and both had received an assessment prior to admission. Tthese could be more detailed in the what the individual needs are for example the assessments states “a decline in mobility” but not what the decline actually means or how the individual can be supported. A policy and procedure is in place for admissions to the home. From the two files examined the Service contracts did not relate to Sherwood Court as they were in the name of the previous placement Sherwood Court DS0000019524.V333760.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 adequate. This judgement has been made using available evidence including a visit to this service. Health, personal and social care needs are set out in the care plan, although some were not for the environment in which they now live. Residents are not always fully supported to take risks as part of independent living. EVIDENCE: Examination of the newly admitted residents showed the care plans had been transferred from their previous placement within Caretech and did not reflect changes in the environment, staffing etc. One referred to a communication plan that was not available. A physiotherapist had visited a resident and recommended treatment of walking exercises, but there was no evidence of a plan and if they had been happening. A dental visit gave advice of treatment but again no plan or evidence was in place. Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 10 A new care plan format is being introduced and this should detail what residents are able to do for themselves and provide the staff with details and the action required on how to meet the resident’s needs for which they need support. It is recommended that each page contain the name and date of birth of each individual to ensure that if the plan becomes detached from the folder it is clear to who it belongs. All care plans should be signed and dated by the author and where possible by the residents or their representatives. Although risk assessments have been completed from the previous home they have not been reviewed to include the new environment, staffing etc. See section on management for further details. Risk assessments must be written with details of their new environment and staffing etc. See conduct and management for further details. Sherwood Court DS0000019524.V333760.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, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff communicated with the residents in an appropriate manner, using their preferred mode of communication for the individual. Residents participate in activities in the community. EVIDENCE: Due to some of the residents complex need,s finding out all of their views was difficult, we were able to talk to some residents who were happy with their daily activities and were provided with support from the staff in a way in which they preferred. From observations of other residents they appeared happy and staff were observed spending time with the individual residents. Residents each have a programme in place detailing their activities for the week. They continue to have some difficulties with the transport and are still waiting to appoint a driver/cleaner; interviews are to be held in the near Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 12 future. The care staff who are able to drive the minibus have been covering during this time. The weekly menu is on display in the kitchen, staff members take it in turns to prepare, cook and serve the meal. Staff were sat with residents and discussing what they would like to eat. Menus are revised as necessary and input of a dietician is used as required. Sherwood Court DS0000019524.V333760.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 outcome in this area is good. The judgement has been made using the available evidence, including a visit to the home. Residents are treated with respect and dignity. They are able to receive personal support in the way they prefer, within the constraints of health and safety for both themselves and staff. Health needs are taken care of and are recorded within their plans. Medication has been handled in accordance with policies and procedures EVIDENCE: The action required by staff to support the resident’s health care needs is recorded within their care plans. Staff are knowledgeable about the needs of the residents and how they prefer to be supported. There is a key worker system in place, which enables there to be a goodcontinuity of care. A check was carried out on the medication which found itto be in good order and well kept with dates of opening on bottles and packets, the temperature of the storage is monitored and recorded to ensure it remains within the correct levels. The company have introduced an auditing system, which is carried out on a regular basis by the manager. A record is made which ensures a full Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 14 audit trial for all medication entering and exiting the home. No residents are able to administer their own medication. Appropriate risk assessments are in place for residents whose relatives take responsibility for medication away from the home. Where medication is carried over from the previous month a bring forward system is in place to allow for reconciliation at any point in time. Sherwood Court DS0000019524.V333760.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 adequate. This judgement has been made using available evidence including a visit to this service. A complaints policy is in place, although not all residents would be able to access it due to their complex needs. Staff receive training in Safeguarding Adults and ensure the residents are protected from abuse. EVIDENCE: A copy of the complaints procedure is available and contains the required information and timescales to meet this standard, although it is difficult for all residents to understand it due to their complex needs. The manager and her team should look to investigate how the residents are able to express their views about the care they receive. They have had no complaints since the last inspection. The residents that were able to communicate with the inspector felt that the care they received was good and the staff were very nice. The home are not yet fully staffed and further interviews have been arranged to ensure that residents are offered continuity of care. See section on staffing for further information. A copy of the Hertfordshire County Council Safeguarding Adults is available, staff were aware of the procedure to follow. Sherwood Court DS0000019524.V333760.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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, environment although some areas are in need of improvement. EVIDENCE: The home has been improved in regards to the redecoration of resident’s room. The bathrooms are currently out of action as two new baths are on order, the residents are having to shower until they have been installed and are fully operational. The garden sheds are now in place and has provided much needed storage. Although they have not yet recruited a cleaner/driver, interviews are due to take place at the beginning of March. The home was seen to be cleaned to a reasonable standard, which has to be due to the commitment of staff. The garden is still in need of some colour and vegetation and is in need of some attention due to weeds etc. this would provide nicer outlook and more Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 17 pleasant surroundings when the better weather comes for the residents to access. Sherwood Court DS0000019524.V333760.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 adequate. This judgement has been made using available evidence including a visit to this service. The home is showing improvement in the management and leadership with the recruitment of the home manager. They are actively seeking additional staff to improve the outcomes for the residents and a consistent approach. EVIDENCE: A manger has been in post although not yet registered - see conduct and management section for further details. Examination of three staff files showed that all the required information had been obtained prior to them commencing employment at Sherwood Court. They have interviewed and offered a senior care worker post, 2 support worker posts and are waiting for the all the paperwork to be completed. They will then have 4 whole time equivalent support worker vacancies and hope to re-advertise in the near future. They currently use an agency to provide cover at the home and where possible use the same people to provide consistency to the residents. The manager has received information from the agency that they have received relevant training and a criminal records bureau check. Recent training has included medication, fire safety and moving and handling. A discussion took place with the manager about putting a matrix in place, to provide an overview of training to be Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 19 completed and training undertaken with dates on which it was carried out, as it was difficult to understand what training had been done and when it needed to be renewed from the current system. Sherwood Court DS0000019524.V333760.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 quality of the service is improving now a manager has been employed and the resident’s needs are being met. Staff are receiving regular supervision and support. EVIDENCE: The manager is not yet registered with the Commission For Social Care Inspection and stated that she is in the process of completing the application form. Residents spoken to appeared happy at Sherwood Court. A newly admitted resident was happy to talk to the inspector and has settled in well. The manager and her team should look at ways to demonstrate that residents are able to express themselves and have a say in how the home is run, as some residents have complex needs. The staff were happy that a manager had Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 21 been appointed and changes were being made. They felt supported and regular supervision has commenced and the manager will put a matrix in place to enable her to see at a glance that staff have had regular supervision. Previous inspections have shown that resident’s financial interests are safeguarded with policies and procedures in place. Risk assessments for the new residents must be completed as those in place have been written for their last home and do not take into account the environment at Sherwood Court or the staffing arrangements. They must be signed by dated and signed by the author. A risk assessment must be put in place for the resident who has a reclining chair to ensure it eliminates any risk i.e. the positioning of the the remote control. The rationale for use of the chair should also be recorded. Where risk assessments are written and are no longer required these should be archived including, for example, bed rails. Sherwood Court DS0000019524.V333760.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 2 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 2 X X 2 X Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 23 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 YA9 YA42 Regulation 13(3) Requirement All risk assessments must be reviewed to ensure they are up to date and protect the residents at all times. A risk assessments must be in place for the residents who uses a reclining chair Timescale for action 30/04/07 This has been brought forward and a new timescale set. Further failure may result in further action being taken. 2 YA32 18 3 YA37 8 The provider must continue the recruitment process to provide appropriate staff to meet the needs of the residents. The provider must put forward a manager for registration 31/08/07 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations More information should be gathered at the initial assessment to ensure they are able to meet the needs of DS0000019524.V333760.R01.S.doc Version 5.2 Page 24 Sherwood Court 2 3 YA6 YA22 4 5 YA24 YA35 the individual. All care plans should be person centred. They should be written for the environment in which the resident now lives. The manager and her team should investigate and demonstrate how they ensure all residents views are listened to and they are able to contribute to the running of the home The garden needs some attention to include some colour to make for a more pleasant environment, in which the resident can enjoy A training matrix should be put in place to identify the training needs for individuals. Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Sherwood Court DS0000019524.V333760.R01.S.doc Version 5.2 Page 26 - 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!