Inspection on 14/06/05 for Skelton Court

This inspection was carried out on 14th June 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.

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 01/11/05

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 LE3 6UJ Lead Inspector Martin Hefferman Unannounced 14 June 2005 09.05 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Skelton Court Address 41 Ryder Road Kirby Frith Leicester LE3 6UJ 0116 232 1834 0116 232 1835 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Leicester Housing Association Lynn Dickinson Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Physical disability (20) Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within categories MD(E) or DE(E) may be admitted to “Yellow Acre” when 10 persons in total of these categories / combined categories are already accommodated within “Yellow Acre”. No more than 10 persons may be accommodated in “Yellow Acre”. No person falling within the category PD may be admitted to “Red Wood” unless that person also falls within category MD i.e. dual disability. “Red wood” may accommodate no more than 10 persons who fall within the categories MD / PD, i.e. dual disability. Date of last inspection 08/03/05 Brief Description of the Service: Skelton Court provides care for younger adults with Huntingdon’s Disease and older people 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 a mini-bus, 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. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focussed primarily on the National Minimum Standards relating to older people. The next inspection will focus on the standards for adults aged 18 to 65. It took place over the course of six hours forty minutes. 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, the care staff and observation of care practices. Five residents were interviewed during the course of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home should ask residents to sign their individual plans to indicate that they are in agreement with the care to be provided. The home must ensure that risk assessments are kept under review to ensure that they reflect any changes in need. A recommendation has been made that the home redecorate a resident’s room identified at the time of the inspection. The home must take action to rectify a fault associated with the emergency lighting system to ensure that residents’ safety is fully protected. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 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 Standards 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 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 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. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. 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. 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 standard(s) 3, 6 (OP) & 2 Assessment practices are effective ensuring that residents’ needs are identified prior to their admission. EVIDENCE: A copy of a Care Programme Approach assessment was available for a resident who had recently moved to the home. Records indicate that the resident had been involved in the assessment process. The registered manager stated that she would not accept anyone whose needs could not be met by the home. The home does not provide intermediate care. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) are: 7. 8. 9. 10. 11. • • • • • • The service user’s health, personal and social care needs are set out in an individual plan of care. Including their physical and emotional health needs. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 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 standard(s) 7, 9 (OP), 6, 9 & 20 Individual plans are clear and comprehensive, providing staff with the information they need to satisfactorily meet residents’ needs. Residents are protected by the home’s practices regarding the handling of medication. 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 Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 10 under review. A recommendation has been made that the home should ask residents to sign their individual plans to indicate that they are in agreement with the care to be provided. The home has completed risk assessments on a range of areas relevant to individual residents. Some of them did not appear to have been reviewed (see requirement 1). Medication administration records met relevant requirements. A senior member of care staff stated that the contract pharmacist had inspected medication arrangements at the home on 13th June 2005 and that no problems had been identified. A record of his visit was not available to enable the inspector to verify this. Records indicate that staff members have received medication training. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 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 standard(s) 12, 15 (OP) & 17 Arrangements for social activities and the provision of meals appear to be well managed. The recent appointment of an activity organiser will enhance the home’s ability to meet residents’ expectations. EVIDENCE: On the day of the inspection, a number of residents took part in a gardening session, planting up hanging baskets. A couple of others went out for lunch. Residents stated that they enjoy the activities that are provided. One resident stated that she would like more activities and more opportunities to go out. The registered manager stated that the recent appointment of a part-time activity organiser should enable the home to increase the amount and range of activities available. Progress regarding this issue will be checked at the next inspection. Residents stated that they enjoy the meals that are provided. The day’s menu is displayed on a notice board in the dining room. Records indicate that residents receive a varied and nutritious diet. Individual plans contain details Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 12 of any assistance or equipment needed, particular dietary requirements or likes and dislikes. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 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’ legal rights are protected. Service users are protected from abuse. Including neglect and selfharm. 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 standard(s) 16 (OP) & 22 Arrangements for dealing with complaints support the protection of residents’ rights. EVIDENCE: Residents stated that they felt able to approach the manager or members of staff if they had any concerns and that their views would be listened to and acted upon. The home’s complaints procedure is set out within the Service User Guide. Records indicate that regular residents’ meetings take place at which a range of issues are discussed. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 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 have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. 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 standard(s) 19, 26 (OP), 24 & 30 The standard of accommodation is satisfactory providing residents with comfortable surroundings in which to live. EVIDENCE: The majority of residents stated that they were happy with the accommodation provided. Most of the areas that were inspected were decorated and furnished to a satisfactory standard. A recommendation has been made that the home redecorate a resident’s room identified at the time of the inspection. The home appeared to be clean and free from offensive odours. Residents have access to two sitting rooms (both of which have kitchenettes), a dining room, a dining room / lounge and a well-maintained garden. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 (OP), 32 & 34 Staff members are deployed in sufficient numbers to meet residents’ needs. Recruitment practices support the protection of residents. EVIDENCE: Staffing levels on the day of the inspection complied with the requirements set by the previous regulatory authority. Residents stated that in general they felt there were enough members of staff on duty although one person commented that occasionally she was not able to go to the local shops. The registered manager stated that the latter would only be prevented from going out if staff were busy with other residents and that arrangements would normally be made for her to go out later in the day. Records relating to two staff members were inspected. One contained two references and confirmation that a satisfactory Criminal Records Bureau disclosure had been obtained. The second contained a CRB disclosure but no references. The registered manager stated that she had received recruitment records relating to all staff members and that she was in the process of filing them. Progress regarding this issue will be checked at the next inspection. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 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 and from competent and accountable management of the service. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 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 standard(s) 35, 38 (OP) & 42 The home’s current working practices mostly support the protection of residents’ interests. EVIDENCE: The home maintains records of any money it handles on behalf of residents. The records that were inspected had been signed by the resident and two members of staff. The members of care staff whose records were inspected had received training in first aid, fire safety, health & safety and moving & handling. Records indicate that fire tests and drills have been completed at the required frequency. The Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 17 home had not however taken action to rectify a fault associated with the emergency lighting system, which had first been identified during November 2004 (see requirement 2). Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 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 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x x x x x x 3 Score Standard No 7 8 9 10 11 Score 2 x 3 x x Standard No 27 28 29 30 3 x 3 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x 37 x 38 2 Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 7&9 38 Regulation 15 23 Requirement The registered person must ensure that risk assessments are kept under review. The registered person must ensure that a fault associated with the emergency lighting system is rectified. Timescale for action 31/08/05 31/07/05 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. 2. Refer to Standard 7 19 Good Practice Recommendations It is recommended that the home ask residents to sign their individual plans to indicate that they are in agreement with the care to be provided. It is recommended that the home redecorate a resident’s room identified at the time of the inspection. Skelton Court C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 20 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire 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 C51 S6312 Skelton Court V232390 140605.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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