CARE HOME ADULTS 18-65
Shipley House 10 Station Road Ilminster Somerset TA19 9BD Lead Inspector
Belinda Heginworth Unannounced Inspection 14 February 2006 16:45
th Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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 Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Shipley House Address 10 Station Road Ilminster Somerset TA19 9BD 01460 55628 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) Mrs Leah Manders Mr Matthew Manders Miss Amanda Jane Barthorpe Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Shipley House is registered to provide support and some personal care for up to four people with moderate independent living skills, who have a learning disability. It is one of two small homes owned by Mr and Mrs Mathew Manders and is situated in the town of Ilminster. Miss Amanda Barthorpe is the registered manager of this home and has responsibility for the day to day care of the residents in both homes supported by Mr Manders the proprietor who oversees work placements, day services, and runs the business. The staff team work across both houses. Staff support residents in this house, although there are regular times when they are left at home without a staff member for brief periods. The main aim of Shipley House is for residents to develop the full extent of their abilities and have full and happy lives. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector would like to thank the residents and manager for the warm welcome and help throughout the inspection. This unannounced inspection took place over two and quarter hours. The time was spent between Shipley House and 2 Speke Court. Not all Key Standards were inspected on this occasion. Only those Key Standards not inspected during the last visit were inspected. The manager of Shipley House was present throughout the inspection. The provider joined the inspection for a short time with staff recruitment files. All residents living in the two homes were consulted and their views on the homes discussed. The inspector looked around parts of the buildings and some records were read. The provider completed a questionnaire prior to the inspection. This document provides information about residents and staff and evidence that necessary policies and procedures are in place. The CSCI received some feedback cards, prior to the inspection, from residents and relatives. All feedback was very positive and expressed great satisfaction with the quality of services at both homes. What the service does well:
The home is well managed. Residents are consulted about all aspects of their lives and are supported and encouraged to live as independently as possible. Residents expressed complete satisfaction with the care and support they received. The atmosphere during the inspection was friendly and fun with some residents taking part throughout. The environment is homely, clean, comfortable and decorated and furnished to a good standard. The staff team work hard to ensure residents’ communication needs are understood. Residents’ records provide good information to staff about residents’ needs, likes, dislikes and so on. This helps the team provide a consistent approach. Health needs are recorded and well met. Residents are protected from various types of abuse through staff training and staff awareness of Abuse and alerting policies. Financial records are clear and accurate, with good financial procedures in place to protect residents from financial abuse.
Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 6 Residents’ activities and educational pursuits are encouraged and supported by staff. 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. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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 Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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 There are good systems in place that ensure the home is able to meet residents’ needs. EVIDENCE: Residents have been living at the home for a number of years. Some talked about how they visited and had trial periods before deciding to stay long-term. The manager completes a detailed assessment that provides information to ensure the home is able to meet residents’ needs safely. From this assessment, plans of care are completed and risks are highlighted, with detailed actions on how to reduce any risks. Residents confirmed the assessments were completed with them. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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): 0 No Key Standards were inspected on this occasion but were fully met during the last inspection. EVIDENCE: Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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): 17 Residents benefit from a varied diet and healthy diet. EVIDENCE: Residents showed the inspector the menus and explained that they all take turns in choosing the meals for the week. They said they all got involved in planning, shopping and cooking. The menus were varied and showed a healthy and nutritious diet was offered with plenty of fresh fruit and vegetables. Residents confirmed that snacks and drinks were readily available and bowls of fruit were seen in both houses. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 11 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): 0 No Key Standards were inspected on this occasion but were fully met during the last visit. EVIDENCE: Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 12 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): 23 Residents are protected from abuse and neglect. EVIDENCE: Residents said they felt safe living at Shipley House. They said staff cared for them well and were caring, kind and respectful. All staff have received in-house training on abuse Awareness through obtaining an Abuse Awareness DVD. The home has the necessary Abuse Awareness policies from the Department of Health and the local “alertors” guide. This ensures that staff are fully aware of the various types of abuse and what they should do if they suspect any. Residents have their own bank accounts. Residents explained that they use a card to go into the bank to withdraw money. The cards do not have a pin number; the only way that money can be taken from their accounts is if the resident goes into the bank with their card, therefore they are protected well from financial abuse. Residents said that they keep any money they withdraw in their own purses or wallets, or in cash tins they keep in their rooms. The home keeps bank statement records and receipts. The statements show benefits being paid into the accounts and standing orders set up to withdraw the home’s fees. All residents contribute financially towards the home’s transport. The contributions are agreed at the time of admission and are clearly explained in the home’s Statement of Purpose. This ensure residents, relatives and funding authorities are well aware of any extra charges to the home’s fees. The manager maintains a record of the use of the transport to ensure there is equitable use.
Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 13 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): 30 Residents live in a pleasant environment. EVIDENCE: The house is bright, spacious, clean and decorated and furnished to a good standard. Residents said they took turns in household chores. On the day of the inspection they said they it had been one of the cleaning days and said they enjoyed making it look nice. The home received a good report from a recent visit from the Environmental Health Department. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 14 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): 32, 34 & 35 Residents benefit from a competent staff team with recruitment practices that protect residents. EVIDENCE: The home provides one staff on duty per day and evening and one staff sleeping in at night. Residents said they felt this was enough staff to meet their needs. The same staff is responsible for helping and supporting residents at Speke Court. Residents at Shipley House are left alone for short periods while staff go to Speke Court. Residents were able to use the telephone if an emergency cropped up while they were alone. The manager has completed risk assessment to ensure that risks are kept to a minimum. Residents also said that they go out with staff on a one to one when requested or when necessary. For example, for individual shopping. All staff have completed NVQ qualifications and receive Health & Safety training. This ensures residents’ safety and welfare is well protected and staff are suitably trained to meet residents’ needs. The manager intends to look into further training that will help staff to keep up to date and continue to meet residents’ needs well. Staff files showed that residents are well protected with the home’s recruitment practices. This includes taking up of references and police checks.
Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 15 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): 37, 39 & 42 Residents benefit from a well run home that includes systems that ensure good quality of care is received. EVIDENCE: Residents spoke highly of the manager, who has many years of experience in care and has obtained NVQ level 4 in care and the Registered Manager’s Award. This means that residents and staff benefit from a well run home. The manager has a variety of methods that ensures the quality of care delivered to residents is a high standard. These range from staff training and supervision, residents’ & staff meetings, resident & relatives’ satisfaction surveys, care plan reviews, environmental checks and many more. The manager has produced these standards into a document with time scales. This means that all staff are aware of what should be completed and when. The manager intends to include residents and relatives’ surveys in this document. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 16 The manager completed a questionnaire prior to the inspection. This provided the CSCI with information about residents & staff and evidence that policies and procedures that protect residents and staff were in place. Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 18 N/A 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 Shipley House DS0000016219.V266919.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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