Inspection on 31/05/07 for Sparrowfields

This inspection was carried out on 31st May 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sparrowfields 05/07/06

Sparrowfields 13/12/05

Sparrowfields 01/07/05

Sparrowfields 16/12/04

Sparrowfields 05/08/04

Sparrowfields 03/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Sparrowfields 17-19 Alwold Road Weoley Castle Birmingham B29 5RR Lead Inspector Sarah Bennett Key Unannounced Inspection 31st May 2007 10:00 Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sparrowfields Address 17-19 Alwold Road Weoley Castle Birmingham B29 5RR 0121 428 2848 0121 428 2849 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) Shaw Healthcare (Specialist Services) Ltd Jacqueline Bernadette Rush Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate 6 Service Users with a learning disability aged 18- 65. 5th July 2006 Date of last inspection Brief Description of the Service: Sparrowfields is a purpose built care home. The home accommodates six men, who all have a learning disability, and some additional needs regards challenging behaviour. The home is not suitable for people who have mobility difficulties. The accommodation comprises of a kitchen, laundry room, main lounge with access to the garden, a quiet lounge, and a dining room on the ground floor. On the ground floor are two toilets, for staff and visitors use. On the first floor, are six single bedrooms, all with en suite, a communal bathroom, and a room used by staff for medicines storage. The home has a small garden to the rear, which includes a shelter for smokers. At the front of the home is parking for several cars. The home is located in Weoley Castle, and is close to main transport links. Shopping and leisure facilities are available in Weoley Castle, Northfield and Birmingham would be accessible. The pre-inspection questionnaire completed by the manager states that the fees are £1,740 per week. The latest CSCI inspection report is available in the home for visitors who wish to read it. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the fieldwork visit took place a range of information was gathered that included notifications received from the home, a completed pre-inspection questionnaire and CSCI surveys completed by people living in the home and their relatives. One inspector carried out the unannounced fieldwork visit over one day. This was the homes key inspection for the inspection year 2007 to 2008. The people living in the home, the staff on duty and the Area Manager were spoken to. Time was spent observing care practices, interactions and support from staff. A tour of the premises took place. Care, staff and health and safety records were looked at. What the service does well: Staff support the people living in the home to go to the places they want to go to and do the things they want to do. One person living there said, “I always make decisions about what I do each day and can do what I want to do”. Staff support the people living in the home to do the cleaning, cooking their meals and do their washing so they can be as independent as possible. A relative said, “ He is well looked after and learning things for himself with support.” If people want to go on holiday they are supported to go but if they prefer not to but go out on day trips instead staff support them to do this so their choices are respected. One relative said, “ Staff are caring, helpful and well trained. There is a happy, relaxed atmosphere.” The people living in the home are supported to keep in contact with their family and friends so that they do not lose relationships that are important to them. One person living in the home said, “As I am independent, I make a lot of choices myself. I regularly visit my parent at the weekend”. The people living in the home and their family if this is appropriate are involved in their care plans so they are supported in the way they want to be. A relative said, “ I am part of reviews and informed well and person centred plans are in place.” Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 6 The home is well decorated and the furniture is modern so that it is a homely and comfortable place to live. One person living there said, “The home is always fresh and clean”. A relative said, “Staff are trained and experienced.” 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. The summary of this inspection report can be made available in other formats on request. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information is available so that people deciding whether or not they want to live at the home know what is provided so they can make an informed choice. It is not clear whether the people living in the home know the terms and conditions of their stay as their contracts were not available. EVIDENCE: Two people had moved out of the home since the last inspection, as their needs had changed and could no longer be met at the home. There had been nobody admitted since the last inspection so there were four people living there. The standard relating to assessment was not looked at during this inspection, as there had been no people admitted. The service users guide was produced using pictures from CHANGE picture bank (a computer software program developed by people who have a learning disability) making it easier to understand. The service users guide stated that it included a contract with Shaw Healthcare but this was not included in the guide seen. At the last inspection the Manager said that each person had a contract but they were held at Shaw Healthcare Head Office and she would ensure that a copy was put in each person’s records at the home. These should be available so that each person knows the terms and conditions of their stay. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need to support individuals to meet their needs and achieve their goals. The people living in the home are supported to make decisions about their lives and are involved in the running of the home. People are supported to take risks within a risk assessment framework so ensuring their safety and well being. EVIDENCE: The records of two of the people living in the home were looked at. These included an individual care plan that included information about the person, the things that they are good at, the things they enjoy, how they like to be supported with their personal care and self-image, their likes and dislikes of activities and food, their current health needs and prescribed medication, eating and drinking, sleeping and resting, communication, relationships with family and friends, sexuality and the support they need to manage their Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 10 finances. These were detailed, reviewed monthly and updated where there were any changes. Care plans acknowledged that some people appeared to communicate well as they could verbalise what they wanted. However, due to their Asperger’s they may not understand what is being said to them and the care plan clearly stated how staff are to communicate with the individual to ensure that the person does not get confused. Regular meetings of the people living in the home are held. Minutes of these showed that people talked about the activities they want to do, whether or not they want to go on holiday, some people said they would prefer to go on day trips to a holiday, talked about having their own food money to buy the food they want to, decorating of their bedrooms and choosing the colour, fire safety and keeping in contact with their family. Each person has regular chat times with their key worker or another member of staff if their key worker is not available. At these times they may discuss any anxieties or concerns they have, what they want to do and how staff can support them. One person shared with the inspector and the Area Manager, who was visiting the home, their concerns that they had not had a review with a social worker since 2004. He was angry as he wants to move on and get his own flat and the lack of social worker input is not helping him achieve his goals. The Area Manager advised him to make a complaint and said he would back him up and staff would support him to do what was needed. The Area Manager supported the person to go and discuss this with a member of staff. They said that the social worker did come that morning but as the manager was on holiday and the person was still in bed, it was rearranged in the diary and this was seen. It is good that this has now been arranged however, this is long overdue and does not ensure that people are supported to achieve their goals. Care plans and records sampled showed that staff support individuals to achieve their goals but this is limited when support is not available from other agencies. Records sampled included individual risk assessments. These stated how staff are to support the person to minimise the risks involved when going out in the community, leaving the home on their own, self-neglect and poor hygiene, non-compliance with their medication, self-harm, sexually inappropriate behaviour, being exploited by others, having a poor diet, using sharp implements, using public transport, their health needs, mobility and the risk of their needs not being identified and addressed because of their complex behaviours. These were detailed, had been regularly reviewed and updated where there were any changes. Daily records sampled showed that staff had supported individuals in line with their care plan and risk assessments. This ensured that their choices were respected as much as possible but where necessary they were supported to ensure their safety and well being. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place so that the people living in the home experience a meaningful lifestyle and do the things they want to do. Each person chooses what they buy to eat and staff encourage them to have a healthy diet, to ensure their well being. EVIDENCE: The records of the people living in the home showed that they go shopping for new clothes and for food, go to football matches, go out for meals, watch Sport on TV, have reflexology, go to pubs, go to the bank, to parks, to church and go to the barbers. One person had celebrated their birthday by going out for a meal. Some records sampled showed that people were offered an opportunity to go out but preferred to stay in their bedroom. Each person had a TV in their bedroom and games and things of interest to them. However, records showed Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 12 that people were encouraged each day to do activities outside the home so they were involved in the local community. One person had recently finished a work placement. Records showed that this was their choice as they had become bored and frustrated with the work they were doing. Staff had supported them to re-evaluate their goals and they had decided to look for another job. They had been to see the Disability Officer at the local job centre and an interview for another job had been arranged. Staff said that one person had recently been to Greece to visit their family and they had also recently been to London to visit a relative for a weekend. Records sampled showed that people are supported to keep in contact with their family and friends through telephone calls, visiting them, going out with them or their family and friends visiting them at the home. Records sampled showed that staff support the people living there to be as independent as possible. This included cleaning their bedrooms, shopping for their food, going to local shops and the post box on their own, cooking their own meals, changing their bed and doing their washing. Each person living in the home has a budget to buy their own food and are supported by staff where appropriate to do this. Staff support one person to eat healthily by making their own smoothies and soups. People are supported to go to markets to buy fruit and vegetables so they can eat healthily within their budget. Once individuals have bought their food they are encouraged to help prepare their own meals. Staff had put different coloured star stickers on each hob and the corresponding knob so that people were able to do more by themselves, as they understood which hob was which. Staff said that one person often refuses to go out shopping for their food and some staff had expressed concern that they may be neglecting him so have gone out and bought the food they know he likes. However, a stock of food is always available but it may not necessarily be the things that he really likes. A senior member of staff discussed this with the inspector and it was agreed that staff need to be consistent so as not to confuse the person, as the aim is to promote his independence. Therefore, it may be helpful, if he refuses to go shopping to cook his meals from the main food stock, as he is capable of doing his own shopping with the support he is being offered by staff. Food records showed that people had a variety of food and that healthy options were offered. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are sufficient to ensure that the health and personal care needs of people living in the home are met to ensure each person’s well being. Arrangements for the management of the medication ensure that people living in the home are protected and get the right medication at the right time. EVIDENCE: Care plans sampled stated how individuals are to be supported to ensure their personal care and health needs are met. These were detailed and included whether the person preferred a bath or shower. The people living in the home were dressed according to their age, gender and the activities they were doing. Staff had supported individuals to pay attention to their personal care to encourage their self-esteem and their feeling of well being. Health care plans included the need for one person to have enough sleep to ensure their good mental health. Records sampled showed that health Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 14 professionals are involved in the care of individuals and staff support the people living in the home to attend health appointments where needed. Records showed that where health needs had been identified for individual’s staff had ensured that referrals were made to professionals so they could be investigated and the right treatment sought. Records showed that where something had happened in a person’s life that could affect their mental health staff had offered the person more opportunities to have ‘chat times’ and had monitored their behaviour more closely to ensure that they did not harm or injure themselves. Records showed that one person had been advised by the Dietician to start a healthy eating programme to help them lose weight. Staff had monitored the persons weight each month and this showed that they had steadily lost weight indicating that they were supported to follow the healthy eating programme. Records showed that the people living in the home had check ups with the dentist, optician and chiropodist where appropriate. They had also had an annual health check with the Practice Nurse at the GP surgery. Medication was stored in a locked cabinet. Boots supply the medication using the Monitored Dosage System. This is put in blister packs so that the dose for each day, time and tablet is separated making it easier to give the right medication at the right time. The Team Leaders give out medication to the people living in the home. Medication Administration Records (MARS) had been signed appropriately. The MARS cross-referenced with the blister pack indicating that medication had been given as prescribed. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are sufficient to ensure that the people living in the home feel their views are listened to and acted on. Arrangements are generally sufficient to ensure that people living in the home are protected from abuse, neglect and self- harm. EVIDENCE: The complaints procedure was produced using photographs of the people living there and the Manager so it was easier to understand. It included details of how people can contact the CSCI if they are not happy about something at the home. The Pre Inspection Questionnaire stated that there had been no complaints made to the home in the last twelve months. There had been no complaints made to the CSCI about this home. The people living in the home said that they knew how to make a complaint if they were unhappy at the home. Compliments had been received and recorded. These included a thank you card to staff from one of the people living in the home for the support they had given him and a letter of thanks from a relative for the support given to their relative at the home to attend the funeral of a family member. Records sampled included a checklist of the individual’s property. For one person this was not dated so it was not possible to ensure that they and staff Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 16 knew what property they owned and if it should go missing when they last had it. The Pre Inspection Questionnaire stated that the Manager is not the appointee for the people living in the home, as they are able to sign to collect their own benefits. However, their bankbooks and their personal money are kept securely in the home so that it is safe. Staff support individuals to go and collect their own money. Each person has a money management plan to help improve their skills in budgeting to promote their independence. Care plans and risk assessments sampled showed how staff are to support individuals to ensure they do not harm or neglect themselves. Records sampled showed that staff had followed these to minimise the risks of these. The Area Manager said that staff had received training in the Protection Of Vulnerable Adults (POVA) but updated training in this was now overdue for the majority of staff. They said that the organisation had recently recruited a new Regional Trainer who would be responsible for organising the training that was needed. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are sufficient to ensure that people live in a homely, comfortable and safe environment that meets their individual needs. EVIDENCE: The home was clean and well decorated. The decoration was contemporary which reflected the age of the people living there. There were photographs of the people living there displayed around the home making it look homely. Bedrooms were personalised and records showed that individuals had chosen the colours that their bedrooms were decorated in. Each person had a key to their bedroom so they can lock it when they go out, keeping their possessions safe and private. Some people’s bedrooms had been redecorated since the last inspection. They said that they were happy with the redecoration and had the things they wanted in their bedroom. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 18 Two of the bedrooms were vacant and staff said that these would be redecorated in neutral colours so that any person who visits with a view to moving in would be able to decorate it to their taste if they decide to move in. The home was clean and free from offensive odours throughout. The people living in the home are encouraged to take part in the cleaning of the home and their bedrooms. The fridge was clean and food opened had been labelled and dated with the date opened. It had been wrapped appropriately to ensure it did not become contaminated. Colour coded chopping boards were available in the kitchen so that foods could not be contaminated by other foods when food is being prepared. Staff said that different coloured mops are provided so that the kitchen and toilets are not cleaned with the same mop to minimise the risk of cross infection. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing the home, their support and development were generally sufficient to ensure that the needs of people living in the home are met. Evidence that appropriate checks had been made for staff before they are employed was not available which could put the people living at the home at risk of having suitable staff working with them. EVIDENCE: Records showed that over 50 of staff had achieved NVQ level 2 or above in Care, which meets this standard and ensures that staff have the skills and knowledge to meet the needs of the people living at the home. Other staff are currently undertaking NVQ 2 or 3 in Care to ensure they have these skills and knowledge. One member of staff who started working at the home in April 2007 was studying for their NVQ 2 at the home using the skills room as they usually go to college but it was the half- term holiday. They were not expected to be part of the shift but had been given the time to study. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 20 Rotas showed that minimum staffing levels were met to ensure that there were sufficient staff to meet the needs of the people living there. Staff said that there were no staff vacancies and new staff had recently been employed. Staff said and records showed that staff meetings are held monthly. This ensures that staff are kept up to date with what is happening in the home and the organisation and how they need to support individuals to meet their needs. Records showed and staff said that they had received training in fire safety, medication, first aid, food hygiene, infection control, Learning Disability Award Framework (LDAF), Mental Capacity Act and health and safety. Staff said and records showed that they have regular supervision where they identify what training they need to develop their skills so they can meet the needs of the people living in the home. The Area Manager said that he had identified that the annual appraisals for six members of staff were now overdue and he would ensure that these were completed. The Area Manager said that refreshers for Positive Response Training (an approved method of managing individual’s behaviour and using physical intervention as a last resort) are overdue. The Area Manager said that they have been struggling to get a trainer to deliver this. The Area Manager also said that staff had received training in the Protection Of Vulnerable Adults (POVA) but updated training in this was now overdue for the majority of staff. They said that the organisation had recently recruited a new Regional Trainer who would be responsible for organising the training that was needed. Four staff records were sampled. These included evidence that a Criminal Records Bureau (CRB) check had been undertaken to ensure that suitable people are employed to work with the people who live there. Evidence that two references had been sought prior to staff being employed at the home was not available in three of the records sampled. The Manager was on holiday at the time of the visit. Following this visit the Manager confirmed on the telephone that these references were still held at the organisations Head Office. These need to be available in the home to provide evidence that suitable people with appropriate skills are employed to work at the home. The other required records pertaining to the recruitment of staff were available in the home. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements ensure that the people living there benefit from a well run home. Arrangements are sufficient to ensure that the people living in the home are confident that their views underpin all self-monitoring, review and development by the home. Arrangements are sufficient to ensure that the health, safety and welfare of the people living in the home are promoted and protected. EVIDENCE: Since the last key inspection the Manager had been registered with the CSCI. The Manager has completed NVQ level 4 in Care and Management and completes relevant courses to ensure that she is aware of how to meet the Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 22 needs of the people living there. The findings of this inspection demonstrate that the Manager continues to run the home well and manage the staff effectively so they can support the people living there well. The Area Manager as a representative of the organisation visits the home monthly and makes a report of their visit as required under Regulation 26. The Area Manager completed their monthly visit at the time of this inspection. They were observed seeking the views of the people living in the home to ensure that their views are listened to and are part of the ongoing improvement of the service. The reports of these visits also consider the views of the people’s relatives and staff. Staff said that a representative of the organisation had completed a health and safety inspection the day before. Staff test the water temperatures regularly to make sure they are not too hot or cold. The last record showed that these were between 40.2 to 44.6 degrees centigrade. The recommended safe temperature is 43 degrees centigrade. Staff said that it was noted during the health and safety audit the day before that the temperatures were a little high on some taps and maintenance are visiting to alter the valves so they do not get too hot. Fire records showed that staff had regular training in fire safety. The fire extinguishers had been serviced to ensure they are working properly. Staff test the fire alarm and emergency lighting regularly to make sure they are working. Regular fire drills are held so that the people living in the home and staff know what to do if there is a fire. Hazardous products such as cleaning materials are stored securely so that they are not misused. Data sheets are available for hazardous products used so if they should be misused staff would know what action to take to ensure the person’s safety. The electrical wiring was last checked in 2002 and should be checked every five years. Staff said that the electrician came recently to do this check and they are sending the certificate but it had not yet arrived. The Pre Inspection Questionnaire stated that this was done on 1st May 2007 and they are awaiting the certificate from the contractor. A copy of this should be sent to the CSCI when it is received to evidence that this work had been done and the electrical wiring is safe. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 23 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 3 2 X 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes, one only partially met 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 YA34 Regulation 7,9,19 Sch2 Requirement Two written references must be available in the home for all staff employed there to ensure that suitable people are employed to work with the people living there. All staff must receive updated training in POVA and PRT to ensure that the people living in the home are protected from harm. Timescale for action 31/07/07 2. YA35 18 (1) (a, c) 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA5 Good Practice Recommendations Service users individual contracts with the home should be available in the home so that each person is aware of the terms and conditions of their stay. Inventories of the belongings of the people living in the home should be dated so it is clear when they have bought DS0000032644.V335249.R01.S.doc Version 5.2 Page 25 2. YA23 Sparrowfields new things. This will ensure that if anything goes missing staff will be clear when the person last had it making it easier to track. 3. YA42 A copy of the electrical wiring certificate should be forwarded to the CSCI to ensure that the safety of the people living in the home. Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sparrowfields DS0000032644.V335249.R01.S.doc Version 5.2 Page 27 - 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. 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