Inspection on 22/11/05 for Staley House Residential Care Home

This inspection was carried out on 22nd November 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

Staley House Residential Care... 27/02/07

Staley House Residential Care... 10/06/05

Staley House Residential Care... 24/02/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Domain Care Limited Staley House Huddersfield Road Stalybridge Tameside SK15 2PT Lead Inspector Janet Ranson Unannounced Inspection 22nd November 2005 09:30 X10015.doc Version 1.40 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 Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 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 Older People. 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. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Domain Care Limited Address Staley House Huddersfield Road Stalybridge Tameside SK15 2PT 0161 304 8939 0161 338 6713 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) Domain Care Limited Mrs Julia Hamilton Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Old age, registration, with number not falling within any other category (27), of places Physical disability over 65 years of age (27) Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 27 service users to include: *up to 27 service users in the category of DE(E) (Dementia over 65 years of age) *up to 27 service users in the category of PD(E) (Physical disability over 65 years of age) *up to 27 service users in the category of OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th June 2005 2. Date of last inspection Brief Description of the Service: Staley House is a large detached building, converted and extended to provide residential care for up to 27 older people, some of whom may have dementia or a physical disability. The property was previously a vicarage. The accommodation is provided on two floors. There are a total of 25 single rooms, 12 of which benefit from ensuite facilities, and one shared room. Located on the ground floor are two lounges and the dining room. In addition to aids and adaptations, there is a full passenger lift. Car parking is provided to the front and side of the building. To the rear is a secure patio area accessed from a lounge that overlooks pleasant lawns and woodland. Garden benches are also provided at the front of the house. The home is located in a conservation area close to the centre of Stalybridge. Domain Care Limited was registered with the Commission for Social Care Inspection as the providers of care at Staley House on 24th January 2005. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Staley House provides personal care for up to 27 people over 65 years of age. Domain Care Limited owns Staley House in addition to two other homes located in the northwest. At the time of the inspection there were three vacancies. A new manager has taken up post since the previous inspection in June 2005. She is well experienced and has made an impact on the systems and documentation. Two individual care plans were examined as part of the inspection process in addition to a tour of the building and observation of staff practice. Two residents assisted with their comments and the inspector also interviewed the cook. Comment cards were left at the home for residents and visitors to complete and return to the Commission for Social Care Inspection. Three requirements made at the previous inspection had all been complied with. The registered providers continue with the programme of refurbishment and redecoration. The manager was present during the inspection, which was unannounced and carried out over a period of five hours. What the service does well: What has improved since the last inspection? An experienced manager has been registered as a fit person with the Commission for Social Care Inspection. The carers now have access to training, including health and safety and National Vocational Qualifications. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 6 Good systems and recording methods are in place to ensure the residents receive care to meet their assessed needs at all times. 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. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&5 Standards 3 and 5 were inspected during the previous announced inspection (June2005) when they were judged to meet fully with the standards. Intermediate care is not provided at Staley House. EVIDENCE: Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Standards 7, 8, 9 and 10 were inspected during the previous announced inspection (June 2005) when they were judged to meet fully with the standards. EVIDENCE: The manager has changed the care-planning document to incorporate all the relevant details into one system. It is understood this process is to be further changed in order that all three homes owned by the company are operating in a similar manner. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 The residents would benefit from a structured programme of activity. EVIDENCE: The individual care plans briefly document the residents’ social histories. A small group of people regularly attend a local community hall for an afternoon tea dance and there are regular visits from the clergy. A care plan examined during the inspection documented that the resident should be encouraged to carry out meaningful household tasks. It is understood that two members of care staff have been identified to carry out activities. Until this is put into practice, there is little in the way of stimulation (other than the television) particularly for the more dependent and mentally frail residents. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 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 The residents are protected from abuse. EVIDENCE: At the previous inspection there was a requirement for all the carers to receive training in the protection of vulnerable adults. The manager has attended the formal training provided by the local authority and has devised a programme to cascade the training to the other staff. The programme has commenced and it is anticipated will be completed shortly. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25 & 26 Standards 19, 24, 25 and 26 were inspected during the previous announced inspection (June 2005) when they were judged to meet fully with the standards. EVIDENCE: The registered provider continues to carry out a programme of refurbishment and redecoration throughout the home. At the time of the inspection the home was found to be clean, warm and free from offensive odours. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Standards 27, 28, 29 and 30 were inspected during the previous announced inspection (June 2005) when they were judged to meet fully with the standards. EVIDENCE: The manger has previous experience in the delivery of training to the care sector. This has enabled her to identify and source areas of training for the carers. Fifty percent of carers have now achieved National Vocational Qualifications at level 2, with a further nine waiting funding. Induction training (to meet the requirements of Skills for Care) has been put in place by the manager. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 38 The home is well managed and the welfare of service users is protected. EVIDENCE: The manager of the home has several years’ experience of managing care homes. She has the appropriate skills and is enrolled on the National Vocational Qualification at level 4 (Registered Manager’s Award) as required. The manager was appointed to the post in July 2005 and has made improvements to the systems and documentation. She is a good communicator and has set up a programme of staff meetings with detailed minutes available for those who were unable to attend. First aid training as required from the previous inspection has been planned for later in the year. Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 16 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 OP12 Regulation 16(2)(m) Requirement The registered person must develop a structured programme of activities for service users. Timescale for action 01/01/06 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 Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Domain Care Limited DS0000063408.V265435.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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