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Inspection on 15/11/05 for Shieling The - Coach House The

Also see our care home review for Shieling The - Coach House The for more information

This inspection was carried out on 15th November 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It provides a clean and pleasant environment for the residents to live. It offers a range of activities for the residents to develop their skills. It provides opportunities for residents to become more independent.

What has improved since the last inspection?

All staff have had training in the Protection of Vulnerable Adults Procedure which helps to safeguard the welfare of the residents.

CARE HOME ADULTS 18-65 Shieling The/ Coach House The 58 Harlow Moor Drive Harrogate North Yorkshire HG2 0LE Lead Inspector Terry Downey Unannounced Inspection 15th November 2005 07:00 Shieling The/ Coach House The DS0000007909.V260955.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 Shieling The/ Coach House The DS0000007909.V260955.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. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shieling The/ Coach House The Address 58 Harlow Moor Drive Harrogate North Yorkshire HG2 0LE 01423 508948 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) Parkcare Homes (No. 2) Limited Miss Joanne Metcalfe Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: The Shieling provides residential personal and social care for 11 adults aged between 18 and 65 years old who have learning disabilities and may present other complex needs. The home is a large semi detached property situated close to Harrogate town centre and with good access to its services and amenities. The registered provider is Parkcare Homes Ltd a subsuduary of Craegmoor Healthcare UK Ltd. The registered manager is Miss Joanne Metcalfe. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 15th November. The inspection was timed for 7am to meet the night care staff and also to witness the home’s morning routine. The manager was not available but it was possible to speak to three staff members and nine residents. The inspection also involved a check on the requirements and recommendations from the previous inspection, and a check on some of the records. The inspection took 4 hours which includes preparation time. The residents all said they liked living in the home but there was evidence that they were not a compatible group. The staff were well trained and aware of their duties. The inspection showed that generally the home was well organised and managed and that the staff were aware of their duties, and the residents were well cared for. What the service does well: What has improved since the last inspection? All staff have had training in the Protection of Vulnerable Adults Procedure which helps to safeguard the welfare of the residents. Shieling The/ Coach House The DS0000007909.V260955.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. Shieling The/ Coach House The DS0000007909.V260955.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 Shieling The/ Coach House The DS0000007909.V260955.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): 2,3,4,5. Residents know that if they choose to live in the home they will be well cared for. EVIDENCE: The individual assessments of the residents are very good but there was evidence during the inspection that they are not a very compatible group. The behaviour of two of the residents was having an adverse effect on other residents who found it very annoying. The group also seem to be very noisy and said the neighbours are always complaining. Staff said they have had some complaints but these have been dealt with. All residents have an individual contract and reasonable steps have taken to ensure that it is explained to them. Shieling The/ Coach House The DS0000007909.V260955.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): 6,7,9.10 The residents’ health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: All residents have good care plans and they said they were involved with compiling them with a key worker. They felt satisfied that they could amend them as they wished. The staff have regular meetings to discuss the changing needs of the residents and review the care plans. This ensures that staff are kept up to date and a consistent approach is achieved. There was a problem with recording these meetings to maintain confidentiality and at the previous inspection a safer method was recommended but this has not yet been implemented. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 10 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): 12,13,15,16,17. The residents enjoy a wide range of activities both inside and outside the home and are part of the local community. EVIDENCE: All but one of the residents attends the Vocational Skills Centre (VSC) which is run by Craegmoor and provides a good range of activities. The residents were preparing to attend the Centre. Some travel in a mini bus and others go on public transport supported by a staff member which encourages independence. All the residents use the local facilities in Harrogate and feel part of the community. Food is an important part of the residents lives and they help to choose the menus weekly and each resident will take part in helping with the shopping. At the previous inspection it was recommended that staff be trained in how to prepare meals for 10 people but this has not been implemented. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 11 During the inspection the residents had breakfast which was very informal and individual. The residents came down in their own time, chose their breakfast and ate it where they wanted. Some sat at table, some stood up, and one resident took it upstairs. Shieling The/ Coach House The DS0000007909.V260955.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): This section was not assessed EVIDENCE: N/A Shieling The/ Coach House The DS0000007909.V260955.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): 22,23. Residents are protected from abuse, neglect and self harm. EVIDENCE: Following previous incidents in other Craegmoor homes the Regional Director had instigated a training programme for all staff on the Adult Protection Procedure. Two staff spoken to during this inspection were aware of the procedure but one had difficulty trying to explain it and needed lots of prompts from a colleague. Residents said they felt safe in the home. The residents also go out regularly and meet different people who could advocate for them if they were not being cared for properly. The home has a detailed complaints procedure which residents knew about and said they would be happy to talk to the manager if they had a problem. Shieling The/ Coach House The DS0000007909.V260955.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): This section was not assessed. EVIDENCE: N/A Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 15 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): 31,32,33. The home has a settled staff team and this ensures that the residents feel supported and the staff are aware of their duties. EVIDENCE: There have been no changes to the staff team in two years and residents said it was good to have the same people looking after them because they knew them well. The home operates a key worker system which residents felt helped them to communicate their care needs better. Language and literacy skills continues to be a problem for some of the staff. One member of staff informed the inspector that she was not confident about writing records and her comprehension was not good which raised concerns about the level of understanding of the training being given. A relative visiting the home also said that on occasions she had concerns about being understood when she telephoned the home. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 16 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): 42 The health and safety of the residents is promoted by the manager and staff team. EVIDENCE: All the records inspected relating to health and safety were well maintained and up to date. One of the residents insists that the lounge door is kept open which is a safety concern and at the previous inspection it was recommended that an automatic door closer be fitted. This has not been carried out. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 17 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 3 2 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 2 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shieling The/ Coach House The Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X 2 X DS0000007909.V260955.R01.S.doc Version 5.0 Page 18 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. 1 2 3 3 4 Refer to Standard YA3 YA10 YA17 YA23YA32 YA42 Good Practice Recommendations The home should re assess the compatibility of the residents’ which may help to reduce the number of incidents in the home. The minutes of meetings about residents must not contain any personal details. These should be confined to the residents own file. Staff should be trained in the nutritional content of food and also how to prepare meals for 10 people. The levels of comprehension of the staff should be assessed to ensure that the training being provided is being understood. The lounge door should be fitted with an automatic door closer linked to the fire alarm to ensure safety. Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Shieling The/ Coach House The DS0000007909.V260955.R01.S.doc Version 5.0 Page 20 - 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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