Inspection on 24/10/07 for St Pauls

This inspection was carried out on 24th October 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 St Pauls 2 St Pauls Close Laughton Common Dinnington S25 3PL Lead Inspector Ms Stephanie Kenning Key Unannounced Inspection 24th October 2007 09:30 St Pauls DS0000070194.V350108.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 Pauls DS0000070194.V350108.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 Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Pauls Address 2 St Pauls Close Laughton Common Dinnington S25 3PL 01909 561917 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) Emerald Care Services Limited ****Post Vacant**** Care Home 2 Category(ies) of Learning disability (2) registration, with number of places St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 2 Not applicable 2. Date of last inspection Brief Description of the Service: The home is a care home for up to two people with a learning disability. 2 St Paul Close is a detached house situated in a residential area of Dinnington. Shops, bus stops and community facilities at available in Dinnington and Rotherham. The house is a new build for two people with Learning Disabilities. There are two bedrooms, which have en-suite facilities (one have full facilities), lounge/dining room, separate kitchen. There is one bathroom with WC. There is a sleeping in room for staff. A service user guide is available with some information in different formats such as Makaton signs. The company charge fees of between £1300 ands £2200, at 24th October 2007 and these do not include personal items or some activities. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Stephanie Kenning visited the home on 24th October. She had told the home she was coming so that she could meet the person living in the home. She also talked to the two directors of the company that owns the home. Prior to the visit the Director, Gary Hurlstone, had completed a questionnaire (AQAA) about the service provided. No surveys were sent to people living at the home, as only 1 person was resident at that time. The persons’ relatives were contacted by telephone and the persons’ social worker was also contacted by telephone. During the visit the person living in the home showed us around the building, including their room, and was present during all the discussions with the directors. None of the other staff were present during the visit. Some staff files, and other paperwork were looked at, and this included the care plan and records of the person living in the home. Stephanie would like to thank the person living at the home, and the directors for their time and involvement in the visit. What the service does well: 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. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 6 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 Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 7 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standard 2 People do not move in to the home until a full needs assessment has been undertaken and the home can confirm they can meet the needs of that individual. EVIDENCE: The service user had a comprehensive full needs assessment by the social worker done prior to the placement. The social worker said that the home was meeting his needs, and a review had recently taken place. The owner of the home knew the service user well prior to the placement and opened the home to meet his needs. As the home was registered for up to 2 service users they were in the process of meeting prospective service users. The owners were very clear that the compatibility of the two people living in the home was a priority. Any person wanting to reside there would be invited to visit a number of times and join them on outings and activities to establish the compatibility and that their needs could be met. A series of overnight stays would be arranged depending on the best way forward for the individual concerned. The relatives and the social worker also felt that it was essential to get the right mix of people at the home, so that they could live together contentedly. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 8 Service user guides, and other information are available for people at the home and prospective service users. They include information in different formats such as Makaton/ pictorial, to help people understand what they do. St Pauls DS0000070194.V350108.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 6,7 and 9 People living in the home have individual plans to support their needs and choices. EVIDENCE: The person living at the home had a clear care plan with risk assessments linked to it and for all the activities that they undertake. These were drawn up with the involvement of the person living at the home and their family, and from the information provided in the assessments. The relatives said that they had been very involved with the home in setting up the placement, and had helped to tailor it specifically to meet their requirements. They had also been involved in a review of the placement held by the social worker at the home, and were very pleased with how their relative had settled, that they were well St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 10 looked after and very happy, and they had no reservations about entrusting their care to the home. The staff at the home said that they also review the care plans on a monthly basis, though there was no record of this with the care plans. It was also difficult to see from the records the involvement of the person in the home and their relatives and it is recommended that this is included in the records as well. In addition to support for personal care, care plans included health issues and support towards a more independent lifestyle, helping that person to develop new skills. Within these plans were examples of their preferences of how to do things, or what they liked to do, showing that they were individual. St Pauls DS0000070194.V350108.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standard 12, 13, 15, 16 and 17 People living in the home have a lifestyle of their choice, that is based on activities that also help to develop the individual. EVIDENCE: The person living at the home was able to show us around the home and their personal areas, and an activity chart that they use to plan the weeks activities. The chart showed each day, including day care attendance, and something for each evening, plus weekend activities. Examples of activities were walks, visits to local pub, visits to local animal sanctuary, gym, videos, helping with meal preparation, including chopping and washing up. Risk assessments were in place for each planned activity showing that the home had carefully considered the abilities of the person in the home, and tried to minimise risks where possible. The person living in the home demonstrated their approval of the St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 12 activities, and seemed very happy with their lifestyle. On the day of the visit they were at home during the morning, but planned an outing for the afternoon, that they were looking forward to. The owners of the home have another home nearby and sometimes the people in both homes get together for activities or outings or social events. The relatives were pleased about this, saying that it had helped their relative have some appropriate company and an opportunity to develop different friends, whilst being the only person living in the home. They felt very welcome at the home and said that their relative had settled really well, and was definitely feeling at home there. They could judge by their actions if they were happy, and they felt that they were happy. Their relative also visited them regularly and sometimes stayed overnight, with the staff facilitating this, so that they still felt part of the family. The family said they felt part of the family at the home. The person living in the home was able to specify their likes and dislikes for meals so that the menu was created around this, but with a variety and some nutritional balance. The staff were monitoring the persons weight as they were aware that his life in the home was activity based, and did not want this to affect his weight. He had access to food in the kitchen and was observed getting a yoghurt from the fridge during the morning. The person living in the home regularly attends a day centre and a communication book goes with him so that staff there know significant events and they can also record information for the home staff to be aware of. It acts as a daily record, and also goes with him to his parents home so that they are aware of significant events. St Pauls DS0000070194.V350108.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standard 18, 19, and 20. People living in the home are given appropriate support, for personal and healthcare needs, that is flexible and reliable. EVIDENCE: The care plans clearly show the support required for personal care, including personal preferences, so that they have some control over their life. Routines such as getting up, are dictated by attendance at day centre, but the service user was able to choose to get up later at weekends if they wanted to. Aids to assist communication were in use, for example, the use of pictures on the activity chart, to ensure the person had understanding of what was happening. Healthcare issues were recorded separately, and appointments made, for example to a dentist, with staff assisting them to attend. Medication was minimal, but managed well, with secure storage, records maintained, and all staff trained to administer correctly, ensuring the safety of the people at the home. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 14 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 22, and 23. People living in the home are listened to and are protected by the homes policies and procedures for managing complaints and allegations, however they should also know the appropriate procedures for referring allegations to the local authority, that are the lead organisation in adult protection. EVIDENCE: The owners of the home have a good relationship with the person living in the home and their relatives, and the relatives said that they felt able to raise any concerns with them or with any of the staff at the home. The complaints procedure is displayed in the home and is in the service user guide in a pictorial form that is more accessible to people with a learning disability. Staff members have had training in adult protection, including whistle-blowing, so that they can report any issues properly. There have been no complaints or referrals to adult protection since the home opened. The home did not have a copy of the local authority procedures for reporting adult protection concerns and it is required that they are obtained so that concerns can be referred properly if they arise. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 15 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 24, and 30. People living in the home have a pleasant and comfortable environment that they can personalise and assist to maintain. EVIDENCE: The home is a modern detached house in Dinington near Rotherham, and was registered to take up to 2 people with a learning disability. Both the bedrooms are larger than the minimum required with both having some en-suite facilities. One bedroom is on the ground floor, with the second on the first floor. There is also a shared bathroom and a staff office/bedroom on the first floor. Downstairs there is a lounge with a dining area, and a conservatory, and a kitchen. There are gardens to the front and rear of the house, accessed easily from the house. The house is well maintained, decorated and furnished, and was warm, clean and well lit, providing a suitable and pleasant environment for the people living at the home. The person living in the home St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 16 had personalised their room, and had some videos in the communal area, helping to make the place more homely and comfortable. There are privacy locks on the bedroom doors that can be used when they want to enjoy privacy. Staff members clean the home on a rota, but people living in the home are supported to assist with their own areas as part of the development of independence. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 17 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 32,34 and 35. People living in the home are supported by staff members that have been recruited well and receive appropriate training to do the job. EVIDENCE: Staff members are recruited following a thorough procedure that includes application forms, interview, references and CRB checks, and evidence of these was seen in the staff files at the home. The files also showed the training undertaken by staff, and included specific areas such as Autism, Makaton, and challenging behaviour that are relevant to the people in the home. Other training includes Medication, Abuse, First aid, Health and Safety, Safe Food Handling, Infection Control, Fire safety and Moving and Handling. People living in the home have a key worker, who is regularly supervised by the owner to ensure their competence to support and meet the needs of that person. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 18 The team at the home is small, with 1 full time and 2 part time staff members, and the person living in the home has at least one person with them in the home, or on activities at all times. Two of the staff are working towards NVQ level 2 in care, to improve their knowledge and understanding of supporting people. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 19 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 37,39 and 42. People living in the home benefit from good leadership and safe procedures implemented at the home. EVIDENCE: There was no one registered as the manager of the home. The Director of the company, Gary Hurlstone, was managing the home, but was working towards recruiting a suitable manager. The person living at the home had a good relationship with the Director and was able to communicate his needs and views to him. There was a questionnaire available to send to the relatives, and others, to gain their views about the home, but it had not yet been sent. This was part of a quality monitoring system at the home that also included checks St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 20 on health and safety issues, monies and medication. Staff carried out these checks, that were recorded, and the home appeared to be a safe place for people living and working there. There was a comprehensive list of policies and procedures available to help staff in their work. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 21 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 X 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 3 13 3 14 X 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 St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 YA23 Standard Regulation 13 (6) Requirement A copy of the local adult protection referral procedure should be obtained. Timescale for action 31/12/07 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 YA6 Good Practice Recommendations Evidence of reviews and service user or relative involvement in the care plans should be recorded. St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 St Pauls DS0000070194.V350108.R01.S.doc Version 5.2 Page 24 - 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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