Inspection on 05/09/06 for St Oggs

This inspection was carried out on 5th September 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Oggs 25/03/09

St Oggs 11/01/06

St Oggs 29/06/05

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 Lincs DN21 3AA Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 5th September 2006 09:00 St Oggs DS0000061668.V310209.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 St Oggs DS0000061668.V310209.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. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Oggs Address 14 Front Street Morton Lincs DN21 3AA 01427 617173 01427 617173 scottedwards@prime-life.co.uk 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) Prime Life Ltd Mr Scott Edwards Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 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 are 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 was extensively refurbished when the current organisation took it over. 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. The home has a flat rate of current charges, which is £348.00. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by the Commission for Social Care Inspection (commission) including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the commission prior to this inspection. The site inspection consisted of case tracking a sample of three resident’s records and assessing their care. The inspector spoke with two of the residents who was being case tracked and joined three other residents for lunch. The inspector also spent time with the manager, a senior carer and one member of staff. One social worker was also contacted who had clients placed at this home. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? The home has addressed the requirements from the last inspection. The home now has risk assessments and a check list for individual residents, which address strategies for ensuring their safety without curtailing their freedoms. Residents meetings are held in an open forum in which residents are encouraged to voice their views, which are recorded. The home also has a newsletter that gives information to residents regarding holidays and other events and was seen in residents’ rooms during this inspection. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 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 DS0000061668.V310209.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 St Oggs DS0000061668.V310209.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 The quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. The home carries out care assessments with other agencies prior to admission. The home does not inform prospective residents in writing whether they can meet their needs. Not all residents have a contract. EVIDENCE: A review of all information available prior to this inspection and evidence seen at a previous inspection carried out in January 06 demonstrates that the home would admit residents only after a care needs assessment has been undertaken with other health care agencies. However, a file of a resident who was being case tracked did not have a letter confirming that the home could meet her needs or a contract setting out the terms and conditions of this placement. The commission has received seven questionnaires sent to the home prior to this inspection. A resident completed one questionnaire by himself, six residents had the support from a care worker. The questionnaires showed that six of the seven residents wanted to move to this home and six residents also had enough information about the home prior to admission. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 9 The manager confirmed that the last resident to be admitted had a preadmission visit accompanied by a relative, social worker and a carer from her previous home. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents’ individual needs are promoted and documented appropriately. Residents are empowered at reviews and take a full and meaningful part. EVIDENCE: A review of all information available prior to this inspection and a previous key inspection carried out in January 06 at this home evidenced that residents had an individual detailed care plan. This inspection found that those care plans of two residents who were being case tracked had been reviewed on a regular basis and reflected the changing needs of the resident. Both care plans were also signed and dated by the residents. One of the residents spoken to was aware that she had a care plan and had signed it agreeing to the care being provided by the home. Residents risk assessments and reviews had also been signed by residents agreeing to the risk identified and/or the change in their care plan and how this might effect their daily living. Residents commented that ‘ I like it here the St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 11 staff are great and that’s all I have to say’, another resident stated that ‘my key worker helps me and is doing very well with me’. This resident also confirmed that she goes into town shopping and staff trust me going out as long as I let them know. She also felt that her rights were respected and exampled this by putting a note on her door asking staff not to disturb her in the night when they do their checks. Previous inspections have found that regular house meetings are held in which residents are empowered to raise any issues and discuss the running of the home. This inspection showed that the last house meeting was undertaken on the 18/08/06 and issues discussed related to the running of the home, outings and holidays. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, & 17 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. Service users had busy and varied lifestyles, with opportunities to engage in a range of leisure and cultural activities within the home and community. EVIDENCE: A previous inspection of this home has shown that there is a monthly calendar of events and activities for residents. Information received by the commission prior to this inspection showed that the activities calendar for March, April, May, June and July 06 evidenced an array of activities and outings for residents; these ranged from shopping, trips to the east coast, painting, DVDs, sports quiz and discos. Religious holidays are also celebrated by residents, with residents making Easter nest eggs and having an Easter buffet. Numerous residents confirmed throughout the inspection that they had undertaken a holiday to the Norfolk Broads and one resident excitedly recounted his experience of steering a motor launch. Photographs on the residents notice St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 13 board evidenced that residents go on outings. The home also has a mini-bus, which is used for outing an taking residents to appointments. The manager confirmed that residents have the opportunities to attend work experience provided by the Pelican and Shaw Trust, also some attend social and recreational day centres held in Gainsborough House and the Trinity Centre. A social worker was contacted who made positive comments regarding a client who for the first time in their life had undertaken a holiday since moving to this home. The social worker also stated that the staff team work hard to help residents maintain their independence and access community resources. Seven residents questionnaires returned to the commission showed that they felt that they could do what they want to do during the day, evening and weekends. Residents also responded to the question ‘do you make decisions about what you do each day’ with two stating that they always make decisions about their day, two others commented that they usually make decisions about their day and three confirming that they sometimes make decisions about what they are going to do each day. This organisation has a policy about promoting contact with families and friends and about sexuality and relationships. Residents’ comments made at previous inspections confirmed that they are able to have visitors when they wish and that they are made welcome. The Companies quality assurance survey was seen and it was found that residents had made positive comments about the care staff being helpful and polite and the service in general being up to their expectations. A member of staff said that all residents are treated respectfully and training undertaken in the home highlights the need to maintain their dignity and privacy. The regulator joined two residents for lunch and engaged a number of others who said that the meals are good at this home and they have their main meal in the evening where there could be three choices. The lunchtime meal was a choice of sandwiches or soup with yogurt or fruit for pudding. It was observed by the inspector that a resident was cooking her own meal in a second domestic kitchen and was supervised by a member of staff. This resident commented that she cooks a lot of her own meals and enjoys a varied diet. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are met and there are clear medication policies and procedures in place. Personal support is only given to residents with their consent. EVIDENCE: Previous inspections have shown that there are satisfactory policies and procedures and systems in place relating to the administration of medication. This also includes residents being responsible for their own medication if assessed as able to do so. The pharmacist visited on 26/06/06 and the report showed that the administration of records and storage and stock control was good. One signature was seen to be missing from a medication sheet. This inspection found that medication sheets had been signed by the appropriate carer for all resident’s medication A staff member confirmed that she had undertaken medication training and gave a satisfactory account of the medicine administration procedure in this St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 15 home. The homes training profile also evidenced that all staff have undertaken an administration of medicines training. One resident stated that she does not administer her own medication. Those resident’s files seen and information sent by the home prior to this inspection evidence that residents health care needs are met. The homes daily records show that a chiropodist visits the home and residents attend out patient visits to the local hospital when required. A social worker commented that the staff team at this home have supported a resident to undertake a necessary operation, which has greatly enhanced her quality of life. Resident’s files also showed that care plans also highlight those areas in which residents require personal support in various aspects of their daily living. A senior carer commented that all residents are very able but prompts are sometimes given regarding personal care issues. Observations made by the inspector was that residents are able to express their needs and during this inspection appeared happy and free to do so. One resident confirmed that she has a say in how she lives and what help is needed. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to this service. The home takes the issue of addressing complaints very seriously and has a comprehensive complaints policy. The home has the appropriate adult protection policies and guidance. EVIDENCE: Previous inspections of this home have shown that adult protection information was in place for the information of care workers. This included the Lincolnshire Adult Protection Committees ‘Who Will Be there To Protect You’ document. Three workers including the registered manager attended a half-day training conference organised by Lincolnshire Social Service Department on 31/01/06. The manger confirmed that he has received one complaint and this is currently being addressed as per the homes policies and procedures. Discussion with a carer showed that she did not have a clear understanding of what adult abuse was and what action she would take if this came to her attention. The home needs to ensure that all staff are enabled to access safeguarding vulnerable adults training. Resident’s questionnaires returned to the commission showed that all but one resident knew who to speak to if they were unhappy and they also knew how to make a complaint. Also six out of seven confirmed that staff treat them well, one resident indicated in the questionnaires tick box that staff sometimes treated him well. This was brought to the attention of the manager. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 17 One resident stated that ‘I feel safe here, nobody hits me or shouts at me they are good to me’. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and clean environment. EVIDENCE: A previous inspection of this home in January 06 found the home to be clean, tidy and comfortably furnished. Resident’s questionnaires showed that five felt that the home is always fresh and clean and two felt that it was usually fresh and clean. A resident showed the inspector around the home and her room, which was found to have been personalised and homely. She stated that stated that ‘I help the cleaner sometimes to keep my room clean and tidy’. It was found that all toilets were in working order and bathrooms and showers had stained nonslip bath mats. The home was found to be clean and no offensive odours were detected. Some residents look after their own rooms and carry out some of the cleaning tasks with support required to maintain a good level of cleanliness and maintain their independent living skills. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 19 Residents files were seen to have risk assessments relating to the environment and the risk of scolding from hot surfaces/water. The manager commented that since the last inspection one radiator has a radiator cover and a second radiator has a dressing table in front to protect residents from coming into contact with hot surfaces. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. There is a well trained and knowledgeable staff team who are fully vetted prior to appointment as a care worker. EVIDENCE: Recruitment practices were in place and one staff files contained all of the documentation required by law. It was also found that interview notes of a new care worker employed at the home were kept for possible future reference. One carer stated that she had undertaken the homes recruitment process and confirmed that references and criminal record bureau checks were acquired prior to stating work at this home. Each worker in the home has been given the General Social Care councils pack relating to the registration of care workers and the philosophy of the Care Council for all social care homes. The homes training plan was received by the commission and found to be up to date. The training record identified the registered manager and those care workers who had undertaken statutory training in 2005 and 2006. The homes St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 21 pre-inspection questionnaire evidenced 50 of care staff have National Vocation Qualifications (NVQ) training in care level 2 and 3. One carer said that she has NVQ training level 2 and has undertaken fire procedures, manual handling, health and safety and basic food hygiene. She also confirmed that she had undertaken (TOPSS) foundation training. She was also able to demonstrate a clear understanding of her role and responsibilities. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by good health and safety and quality assurance systems. Resident’s who live in this home benefit from the leadership and management of the home. EVIDENCE: The registered manager has a qualification in management of care services, NVQ level 4 registered managers award as well as NVQ levels 2 & 3. He has also undertaken all statutory training as required. He has worked in other settings with people with learning disabilities and the elderly prior to joining this company. A social worker commented on the good management qualities of the registered manager and the way that he leads his team in working with residents at this home. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 23 The homes pre-inspection questionnaire showed that; gas safety inspections have been carried out, electrical wiring checks, and portable electrical equipment checks. The manger stated that risk assessments are available for windows on the first floor, which all have been fitted with window restrictors. The home has not undertaken its own in house resident’s quality assurance audits since 2004. The manager showed the inspector questionnaires, which may be introduced by the parent company for obtaining residents views. However, this has not been action at the present time. The home must carryout an audit of resident’s views using user-friendly questionnaires, which over a period of time gains residents comments on all aspects of the running of the home. Service users confirmed that meetings are held and comments indicated that they felt able to raise concerns with staff if they had any. St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 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 X 27 X 28 x 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 X 2 X X 3 x St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 25 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 YA5 Regulation 5(c) Requirement The manager must ensure that residents have a contract setting out the terms and conditions of their placement. The manger must ensure that all staff receive formal training in safeguarding vulnerable adults. Timescale for action 23/11/06 2. YA23 13(6) 22/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Oggs DS0000061668.V310209.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office 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 DS0000061668.V310209.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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