Inspection on 29/06/05 for St Oggs

This inspection was carried out on 29th June 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

St Oggs 25/03/09

St Oggs 05/09/06

St Oggs 11/01/06

St Oggs 14/03/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 St Oggs 14 Front Street Morton Lincolnshire DN21 3AA Lead Inspector Sue Hayward Unannounced 29 June 2005 09:15 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Oggs Address 14 Front Street Morton Lincolnshire DN21 3AA 01427 617173 01427 617173 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) Mr P V Herrewege Prime Life Limited Mr Scott Edwards Care Home 20 Category(ies) of MD Mental Disorder Both 18 registration, with number MD (E) Mental Disorder - over 65 Both 2 of places St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th March 2005 Brief Description of the Service: The home is a detached adapted property providing care and accommodation for up to twenty residents with mental health needs. There is also a bungalow within the grounds which can accommodate two residents. The home is situated in a residential area of Morton, once a village and now a suburb of the town of Gainsborough. There is a Church opposite the home and local shops and a post office is located on the corner of the road. Gainsborough town can be reached by using a bus service which passes the corner of the road. The home has a minibus which also provides residents with transport for example to appointments, trips out and to attend day care services, this is shared with another home within the same group. The home has recently been extensively refurbished. There are three lounges, a games room and dining room. These are on the ground floor. Bedrooms are on both floors. The home does not have a lift. The front garden has flowerbeds, paved areas and seats. There is a driveway leading to the rear of the property which has a decked patio/seating area and car parking. The home is part of Prime Life Limited. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced starting at 09:15 and took place over 4 ¾ hours. It was carried out by one inspector as the first of two statutory inspections for 2005/6. The main method of inspection used was “case tracking”. This involved selecting two residents’ records and tracking the care they receive through their records, discussion with them and two care staff on duty. It also included discussion with six other residents. A sample of other regulatory records and policies and procedures were also checked. A preinspection questionnaire had been completed prior to this inspection. The manager attended for part of the inspection. What the service does well: What has improved since the last inspection? There were no requirements made at the time of the last inspection. The staff team continues to aim for people living at the home to be as independent as possible with a view to moving out into the community if this is suitable. Service users comments confirmed this. Staff continue to have regular training and the programme of redecoration of the home is ongoing. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 4 and 5 The procedures in place for the introduction and assessment of people to the service ensure care needs can be met. Written information about the home could be made more readily available for residents to refer to if it were on display. EVIDENCE: The statement of purpose and service user guide, which is kept in the office provide residents with information about the home. The manager said copies of this information are given to residents as part of the admission process. A resident spoken to could not recall whether she had been given written information or not but said staff had told her all about the home when she had visited. Copies of reports from previous inspections were on display in one of the lounges and discussion with the manager indicated that it is the intention to ensure that written information about the home is also displayed elsewhere in the home for residents to refer to should they wish to do so. The organisation has an admission policy and staff were aware of it. Resident’s records included contractual information and demonstrated that the home has a thorough assessment procedure, which includes confirming to the resident the outcome of the assessment. Records demonstrated that care needs are regularly reviewed and involve residents. Resident’s comments indicated they were aware of the records that the home keeps about them. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Residents are involved in their care planning and are able to make decisions and choices as to how they lead their lives at this home. EVIDENCE: The care plans of three people were seen. These and comments from residents confirmed residents are involved with their development. The home has a “key worker” system. This gives staff specific responsibilities for specific residents such as updating care plans with residents. Residents spoke about their wishes for the future, for example to live independently in the community and how staff were helping them to do so. Staff gave examples and had a good knowledge of the support that residents need. Residents felt that they were able to make decisions as to how they lived their lives in the home and gave examples of different activities they do which increases their independence for example residents have a kitchenette/dining area with a domestic style cooker where they are able to prepare their own meals and drinks. Where risk assessments have been carried out in relation to residents these are documented. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13 and 14 The home provides a range of activities and leisure interests both within the home and community. These are based on the preferences of service users who are encouraged to make choices about their preferred lifestyles and routines. EVIDENCE: During discussions with staff and residents it was noted that residents have a range of activities and leisure interests, which they can follow should they wish within the home and community. One resident confirmed he is able to go to Church and during the inspection a resident went into town. One resident said that he was taking a computer course. Records included information of various outings. Staff said that some residents attend day centres and some go to an art and craft centre. A holiday has been arranged in Scarborough and one resident who has an interest in gardening has been able to pursue this interest at the home. Discussion with residents gave examples of ways in which staff promote their independence e.g. one said that he had been cleaning his room but also that St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 11 staff would help him to do so if he felt unable to. Some residents cook their own meals. Comments from residents indicated that they were able to make their own decisions about how they spent their time at the home. A record seen contained details about the service users preferred routine. Transport is provided through the shared use of a minibus with another home in the same organisation. Some residents use public transport. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 The health and care needs of people the service supports and their preferred lifestyles is being met. This is supported by the care planning system and staff’s knowledge of individual needs. EVIDENCE: Comments from residents indicated that they felt able to talk to staff; they received the support they needed and were satisfied with the care and accommodation provided. For example one resident said “They teach you to be independent here” another comment indicated that whilst he was able to clean his room independently if he did not feel able to do this task staff would do it for him. One resident said that he was “very happy at this home”. Records demonstrated that residents are able to see or receive visits from other health professionals as needed. On the day of the inspection the district nurse had already visited a resident and another one was attending a hospital appointment. Residents are given the option of whether staff are present during consultations or not. Discussion and records also indicated that other professionals are consulted as needed e.g. to assess for specific equipment for residents. Staff had a good knowledge of the needs of residents. Records demonstrated that resident’s health is monitored and the involvement of other health professionals was well documented. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Residents are protected by the procedures in place for handling complaints and allegations of abuse. EVIDENCE: There are policies and procedures in relation to complaint’s and adult protection. The home also has a copy of the recently revised Local Authority Adult Protection procedure. A record is kept of all complaints made. The commission have not received any complaints since the last inspection. The homes own record indicated that there had been one complaint in the last twelve months, which had been resolved satisfactorily with the resident who had raised it. There have been no adult protection issues in the last twelve months. Those residents spoken to said that they would feel comfortable to raise concerns with the manager. Staff knew both procedures and who to report to. The homes booklet “Bespoke Services to Adult Clients” which is given to residents on their admission to the home includes information about how to complain. The organisation also has other policies that are designed to protect residents, such as physical intervention/restraint and the management of client’s monies and financial affairs. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The home is being well maintained however to ensure that the environment is safe risk assessments must be reviewed in relation to hot surfaces that pose a risk to service users and must demonstrate how potential risks are to be reduced to ensure the safety of service users. EVIDENCE: Parts of the home seen on this occasion included two resident’s bedrooms, lounges, dining room, laundry and bathrooms and toilets on the first floor. The home was clean and tidy. There is a record kept of all maintenance issues that are reported. The home generally provides a safe environment however two radiators in the dining room were very hot to the touch. Information from a staff member given at the time of the inspection indicated that these had been identified recently during a health and safety audit as a health and safety issue and reported to the organisations estates department however the risk assessment did not reflect this. A previous inspection report identified that radiator covers to ensure low surface temperatures were being provided as part of the upgrading of the home. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 15 The fire brigade visited the home on 27/05/05 and made some recommendations. The manager confirmed that the matters raised were being addressed. Residents described their rooms as being comfortable and their privacy is respected at the home. Bedroom doors are lockable. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35 The home is being staffed to meet the needs of service users however in order to ensure that service users are adequately protected the recruitment procedure needs to be reviewed in relation to POVAFirst and CRB checks. EVIDENCE: Comments from service users about staff were positive and indicated that they felt able to talk to staff if they had problems. A good rapport was noted between staff and residents during the inspection. Comments from staff indicated that there is an ongoing programme of training, which they attend that includes updates in relation to some matters such as fire training and more specific training to meet needs of service users. Training records are kept and some examples of training that had occurred since the last inspection were drug and alcohol, food hygiene and fire safety training. First Aid training is also planned to take place in July 2005. Information provided prior to the inspection indicated that 10 staff held a first aid certificate and that five had attained a National Vocational Qualification (NVQ) award at level II or above. The pre-inspection questionnaire identified that one new staff member had been employed since the last inspection. It was also noted that there was St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 17 instances were staff employed after July 2004 had commenced working in the home prior to the date that a criminals record bureau (CRB) check had been received. Staff records checked also confirmed this. It was discussed with the manager that since 26th July 2004 staff must not be employed unless a satisfactory CRB check or PovaFirst in exceptional circumstances pending a CRB check had been received by the organisation. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 There are systems in place where service users can make their views known about the quality of care and accommodation, which the home provides. EVIDENCE: The organisation has a quality audit system in place. This includes visits to the home by a representative of the organisation. Staff meetings and service users meetings are also held and records are kept of both, however the manager said that service users meetings, which are generally held on a monthly basis, were not always being recorded. Service users confirmed that meetings are held and comments indicated that they felt able to raise concerns with staff if they had any. Service users confirmed that they are involved in decisions such as choice of décor of the home and in panning holidays. Whilst “Comment” cards issued by the CSCI were on display in the home for service users to complete if wished none had been at the time of this St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 19 inspection. It was also noted that a suggestion book was on display in the home. St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Oggs Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 21 None 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. Standard 24 Regulation 13 (4) Requirement Timescale for action 31/07/05 2. 34 19 (1) The risk assessment relating to surface temperatures of radiators must be reviewed to identify potential risks they pose and any action necessary taken to reduce risks of burns. Staff must not be employed to 31/07/05 work in the home unless a satisfactory CRB or POVAFirst check pending a satisfactory CRB check has been received by the employer. 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 Good Practice Recommendations St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 St Oggs C53 C04 S61668 St Oggs V234865 290605 Stage 4.doc Version 1.30 Page 23 - 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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