Inspection on 01/11/05 for Skelton Court

This inspection was carried out on 1st 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

Skelton Court 26/10/09

Skelton Court 02/10/08

Skelton Court 09/10/07

Skelton Court 26/07/06

Skelton Court 14/06/05

Skelton Court 08/03/05

Skelton Court 25/10/04

Skelton Court 09/12/02

Similar services:

St Marys Nursing Home

Thornham Grove

Chater Lodge

Conifer Lodge

Tixover Care Home

Toynton College (Cluster Five)

Egerton Lodge Care Home

Cedar Court Nursing and Residential Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Skelton Court 41 Ryder Road Kirby Frith Leicester Leicestershire LE3 6UJ Lead Inspector Martin Hefferman Unannounced Inspection 1st November 2005 10:05 X10029.doc Version 1.40 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 Skelton Court DS0000006312.V261505.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 Older People and 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. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Skelton Court Address 41 Ryder Road Kirby Frith Leicester Leicestershire LE3 6UJ 0116 2321834 0116 2321835 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) Leicester Housing Association Lynn Dickinson Care Home 20 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (10), Mental disorder, excluding learning of places disability or dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Physical disability (10), Physical disability over 65 years of age (10) Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers in `Yellow Acre`. No person falling within categories MD, DE, MD(E) or DE(E) may be admitted in ``Yellow Acre`` when 10 persons in total of these categories/combined categories are already accommodated within `` Yellow Acre``. Service User Categories accommodated in `` Red Wood ``. No person falling within categories MD/PD or MD/E, PD/E, ie dual disability may be accommodated in `Red Wood` when 10 persons in total of these categories/combined categories are already accommodated in `Red Wood`. Categories admitted to `Redwood` No person falling within the categories PD or PD/E may be admitted to `Red Wood` unless that person also falls within category MD or MD/E I.e. dual disability Service user numbers To be able to admit the named person of category MD named in variation application number V49910 dated 7th July 2003. This person to be admitted into `Yellow Acre`. 14/06/05 2. 3. 4. Date of last inspection Brief Description of the Service: Skelton Court provides care for adults with Huntingdon’s Disease & acquired brain injury and people aged 50 years & over with mental health problems. The large purpose built building is organised in a horseshoe shape with separate accommodation for each set of residents. The home is situated on a modern housing estate, within reach of local facilities. The home has access to a minibus, which is used for visits to the surgery, shops and for outings. Residents are taken out during the day and in the evening. Activities are also provided in the home. The home provides a specialist service and staff are trained to meet the residents needs. NB During the course of this inspection, an error was identified with regard to the categories and conditions of registration outlined above. This error will be rectified in the report of the next inspection. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the establishment’s capacity to meet regulatory requirements & minimum standards of practice and focuses on aspects of service provision that need further development. This inspection took place over the course of approximately four hours. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them (where appropriate), the care staff and observation of care practices. Four residents were interviewed during the course of this visit. The assistant manager facilitated the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that procedures for the administration of medication protect residents. Fire drills must take place at the required frequency. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 6 A resident identified at the time of the inspection should be asked to sign a statement indicating that she is in agreement with a number of conditions associated with her residence at the home. The home should include policies and procedures on the protection of vulnerable adults & whistle blowing within its induction folder. Staff members should receive induction training to the standards set by Skills for Care (the Training Organisation for Personal Social Services). The home should undertake an annual audit, based on the views of residents and of other stakeholders, and publish the findings. 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. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable EVIDENCE: None of the standards within this section were inspected on this occasion. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10, 14 (Older People), 6, 9, 16, 18 & 19 Care planning practices are generally effective ensuring that staff members have the information they need to meet residents’ needs. Residents are treated with respect and their right to privacy is upheld. Arrangements for the handling of medication could be strengthened further. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 10 EVIDENCE: The individual plans that were inspected set out residents’ needs in respect of their health and social care. Records indicate that the plans have been kept under review. One of the plans that were inspected had been signed by the resident to indicate that they were in agreement with the care to be provided (a recommendation from the last inspection). The other plans related to residents who had recently moved in. Since the date of the last inspection, the home has introduced a new format for recording the outcome of risk assessment reviews. The assistant manager stated that she would ensure a risk assessment identified at the time of the inspection was completed that day. Individual plans detail the personal support residents require. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Residents stated that staff would take action to ensure that any healthcare needs were addressed. Residents stated that they were treated with respect. Several of them confirmed that staff members used their preferred form of address. They also reported that staff members were mindful of their right to privacy, for example when receiving visitors. They stated that staff members knock and wait for a response before entering their rooms. Residents stated that they could decide when to undertake the various activities of daily living and how to spend their day. Individual plans emphasise the need to respect residents’ preferences with regard to these issues. One of the residents who were chosen for the purposes of case tracking was expected to comply with a number of ‘rules’ that were felt to be necessary for her care. It is recommended that the resident sign a statement indicating that she is in agreement with these conditions. Whilst the requirements of standard 9 (Medication) were not inspected on this occasion, it was noted that a senior member of staff gave medication in unmarked pots to a number of residents at the same time. This issue was raised with the assistant manager and the member of staff at the time of the inspection. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) 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 (Older People), 12, 13 & 15 Arrangements for social activities and accessing the local community appear to be well managed. EVIDENCE: At the time of the inspection, one resident attended a day centre. Staff at the home organised daytime activities for others. On the day of the inspection, a number of residents took part in a karaoke session. One resident went out with a member of staff for coffee; a second caught a bus to the shops. A number of residents reported that they had enjoyed Halloween activities the day before. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 12 Whilst most residents stated that they enjoyed the activities that were provided, one reported that she did not feel that there was enough to do. The assistant manager stated that due to the difficulties that had been experienced trying to recruit a part-time activity organiser, a senior member of care staff had been given the responsibility of co-ordinating the activity programme and organising trips out. She also reported that specific time is allocated to enable keyworkers to undertake activities on a one-to-one basis. Residents stated that they are able to maintain contact with their families & friends and to see visitors in private if they wish. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 (Older People) & 23 Arrangements for responding to allegations of abuse appear to protect residents’ rights. EVIDENCE: Leicester Housing Association has produced policies & procedures on the protection of vulnerable adults and whistle blowing. Staff members stated that these issues had been covered as part of their induction. An induction folder and checklist available at the time of the inspection did not however contain copies of the relevant policies & procedures. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The standard of accommodation is satisfactory providing residents with comfortable surroundings in which to live. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. They appeared to be clean and free from offensive odours. Since the date of the last inspection, two rooms have been redecorated and preparations were underway regarding a third. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 30 (Older People), 35 Arrangements for training staff appear to be well managed. They could be strengthened further by the adoption of induction standards set by Skills for Care. EVIDENCE: The assistant manager stated that six of the sixteen members of care staff have completed National Vocational Qualification level two and that a further six were about to start the award. It was not possible to verify this information at the time of the inspection. New members of staff work through an induction folder and checklist. A recommendation has been made that staff members should receive induction training to the standards set by Skills for Care (the Training Organisation for Personal Social Services). Records forwarded to the CSCI following the inspection indicate that staff members have received training on a range of issues relevant to their work. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 33 (Older People), 37 & 39 Arrangements for the management of the home are satisfactory. The introduction of a formal system of Quality Assurance would strengthen those arrangements further. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 17 EVIDENCE: The registered manager has completed a level 4 National Vocational Qualification in management and care. Records faxed to the CSCI following the inspection indicate that she has attended training courses on a range of issues. A report of the registered person’s most recent monthly visit and the minutes of a residents’ meeting were also faxed to the CSCI following the inspection. A recommendation has been made that the home undertake an annual audit, based on the views of service users and of other stakeholders, and that it publish the findings. Whilst the requirements of standard 38 (Safe Working Practices) were not inspected on this occasion, it was noted that a fault with the emergency lighting system identified at the time of the last inspection had been rectified. The last fire drill for which records were available was dated May 2005. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 X 3 X 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 X 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 2 34 X 35 X 36 X 37 X 38 X Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 Requirement The registered person must ensure that procedures for the administration of medication protect residents. The registered person must ensure that fire drills take place at the required frequency. Timescale for action 01/11/05 2 OP38 23 01/11/05 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 YA16 Good Practice Recommendations It is recommended that a resident identified at the time of the inspection sign a statement indicating that she is in agreement with a number of conditions associated with her residence at the home. It is recommended that the home include policies and procedures on the protection of vulnerable adults & whistle blowing within its induction folder. It is recommended that staff members should receive induction training to the standards set by Skills for Care (the Training Organisation for Personal Social Services). It is recommended that the home undertake an annual audit, based on the views of residents and of other DS0000006312.V261505.R01.S.doc Version 5.0 Page 20 2 3 4 OP18 OP30 OP33 Skelton Court stakeholders, and that it publish the findings. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. Skelton Court DS0000006312.V261505.R01.S.doc Version 5.0 Page 22 - 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!