Inspection on 15/02/07 for Standford House

This inspection was carried out on 15th February 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

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Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

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Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Standford House Standford Villa Sambrook Newport Shropshire TF10 8AX Lead Inspector Mike Moloney Key Unannounced Inspection 15th February 2007 08:30 Standford House DS0000067555.V330283.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 Standford House DS0000067555.V330283.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. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Standford House Address Standford Villa Sambrook Newport Shropshire TF10 8AX 01902 872 416 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) LDCG Limited Mr Eamon Phillips Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is a newly registered home Brief Description of the Service: This home is known as Standford Villa. Standford Villa is located in the small village of Sambrook a few miles to the north of Newport. It is an older property that has been recently converted to its current purpose by the current owners. It is managed for the owners by Mr Eamon Phillips who leads the staff team who work with up to five residents who have a learning disability and challenging behaviours. Of those five places only three had been taken at the time of this inspection. Further information is available in the home’s service user guide. Fees currently range from £1000 to £1640 per week. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the manager and staff on duty, tour of the premises and talking with as well as observing the care experienced by people using the service. 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. Standford House DS0000067555.V330283.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 Standford House DS0000067555.V330283.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): 2 Quality in this outcome area is good. Prospective service users and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed by the home to ensure that their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the service users are new to the home. The records of two of them were looked at and it was seen that the same preadmission assessment format was used for both. These contained an assessment of all areas of potential need such as self-help skills, health needs and social skills. It could be seen from the records that any information that was not available prior to them moving into the home was obtained as soon as possible after they had. A service user guide was seen to be available to residents and their families and this contained elements required by the National Minimum Standards. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of two of the service users were looked at. A variety of records were seen that identified their needs and talking with the manager and the staff on duty showed that elements of the care provided have had to be reviewed on a regular basis since each individual had started at the home. The style of the service user plans suggested that the service users had been involved in drawing them up. Talking to service users confirmed this. Looking at all three service users interacting with the manager and the staff team it could be seen that the service users and their wishes were at the centre of the conversations. During the visit a conversation between one of the service users and the staff on duty was overheard. This was about going to the local Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 9 shop. The tone of the conversation suggested that this was a regular request which was regularly responded to in a positive manner by the staff which is what they did on this occasion as they went to the shop with her. The staff showed a good detailed knowledge of the service users’ needs consistent with the information contained in the files. Activity sheets confirmed that service users assist with the food shopping. The manager stated and service users confirmed that menus are planned with the service users. One of the service users has hearing difficulties. The manager stated that because of this he is enabled to keep in contact with his family by e-mail using the office computer rather than phone. He went on to say that there were plans to install broad-band directly to his own computer in his bedroom so that he would have more access to this facility. A range of person specific risk assessments were seen in the individual files. Areas covered were consistent with the descriptions of the people concerned. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for two of the service users were looked at. As stated previously one of the service users has hearing difficulties and is therefore encouraged to contact his family by e-mail rather than telephone and because of this the home plans to install broad-band to his personal computer in his own bedroom. The other service users confirmed that they have access to a telephone should they wish to contact friends or family. All three service users went out for various activities as soon as they were up and ready. One of the service users was going out to day services and she was Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 11 able to explain her weekly timetable that contained an activity most days. She said that she enjoyed the activities that had been arranged for her. Another service user went out with a member of staff for the day. He talked about his day activities that included attending a local college. It was half term during the week of the inspection and so he had other activities arranged for him. On the day of the inspection he was going out for the day but had not decided what to do in the afternoon when asked by the manager. He went on to say that he liked the food that was provided by the home and that he and the other service users helped choose the menu and that he enjoyed helping with the shopping. The menus seen appeared to be varied and wholesome. The manager confirmed that none of the service users had any dietary requirements due to either medical or cultural needs. Talking to the staff as well as the service users they all confirmed that that family are able to visit or make contact by phone or e-mail should they wish to. All of the activities are subject to behaviour management programmes that are included within the individuals care plans. Each of the bedrooms was seen to be equipped with a lock. However, all of the service users had declined to use them, leaving the key in the outer part of the lock. The door could still be opened from the inside should it be accidentally locked. Two vehicles were available to the people living in the home. One was a people carrier for the exclusive of the home and a car that was shared with a nearby home owned by the same company. This was at the home on the day of the visit. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for two of the service users were looked at. The service user plans looked at identified medical and psychological issues. Other records looked at contained the details of appointments and information provided by the health care professionals for the guidance of the home’s staff. The daily notes showed the same appointments as the healthcare records showing that both records are kept accurately. Medication was seen to be stored in a purpose built trolley that is kept discretely fixed to the wall in a small corridor next to the laundry. This is an area not frequently used by service users and their visitors. Looking at the medication records kept by the staff showed that they were maintained Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 13 accurately. Staff confirmed that they had received training in the safe handling of medicines. Standford House DS0000067555.V330283.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): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints received at the home since it has opened. The home has a complaints procedure that contains all of the information required by the Care Homes Regulations 2001. It was clear from talking to the service users, the manager and the rest of the staff team that issues are identified as part of the ongoing reviews of behaviour management plans. A copy of the local policies for the protection of vulnerable adults was available in the office and staff confirmed that they had received training in adult protection. The manager confirmed that there had been no allegations against staff or home. Money is managed for two service users by the home. The manager confirmed that records of any transactions are checked by the company finance section on a monthly basis to ensure that these is kept in an honest and open manner. Standford House DS0000067555.V330283.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): 24 and 30 Quality in this outcome area is excellent. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment which encourages independence This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standford Villa is located in the small village of Sambrook a few miles to the north of Newport. It is an older property that has been recently converted to its current purpose by the current owners. Each bedroom was seen to have a lockable door and has en-suite facilities. Each room had been personalised with stereos, computers, pictures and posters etc. Two bedrooms were on the ground floor. A fully equipped laundry was seen to be located in an area of the house that is not normally used by the service users. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 16 There were two large communal areas, one being the main lounge and the other being a lounge/dining area. There was also a large upstairs landing area that had also been equipped with a number of comfortable ‘easy’ chairs. The manager stated that the home has 1 acre of gardens for the service users to use. He spoke of plans to develop a horticultural area for the specific use of one of the service users who had shown a liking for gardening. Although the home faces a main road, the A41, little traffic noise was noticed on the day of the visit. Access to Standford Villa is from a lane to the side of the property and not directly from the main road. There is plenty of parking available to visitors. Although the location of the home is quite rural there is a local shop within easy walking distance at the garage around the corner. Standford House DS0000067555.V330283.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): 32, 34, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the staff team were observed dealing with an incidence of challenging behaviour. They were seen to behave in a friendly but firm manner towards the person concerned and in a way that was consistent with the guidance contained in the care plan. Talking with the staff confirmed that they receive training in the skills that are necessary to meet the needs of the service users such as epilepsy and autism. The records also showed and the staff confirmed that over 50 of the staff are trained to NVQ 2 or above in care. The staffing rota was looked at and it showed that three staff are available at all times during the day and at night two staff are available with one awake Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 18 and the other ‘sleeping in’. Talking to the staff confirmed that this staffing level is adequate to meet the needs of the service users. All the staff had transferred from another home within the company and had received induction there. They had all started prior to the last inspection of that service and so their records were seen when it was last inspected. Although this means that they had been recruited following appropriate policies and procedures it did mean that Standford Villa’s recruitment procedures could not be fully evaluated on this occasion. Records showed and staff confirmed that they receive professional supervision at appropriate intervals enabling them to talk about matters of practice, care and training in a private and confidential environment. Standford House DS0000067555.V330283.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): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect and has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home was assessed as fit to manage this service as part of the process that registers the home with the Commission for Social Care Inspection which was finalised in September of last year. Talking with the manager and looking at records held within the home it was seen that another senior manager employed by the company visits the home on a monthly basis and carries out an inspection of various elements of the service received by the residents. She then makes comments and suggestions about how improvements could be made in how needs are being met. Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 20 A variety of records were seen that showed that safety issues are constantly monitored. Records of such things as fridge freezer temperatures, fire equipment tests and portable appliance testing were seen to have been maintained. Hazardous materials were seen to have been stored in a locked cupboard. However, no risk assessments had been carried out about how these substances should be used and stored within the home. Staff records also showed that the mandatory training that is necessary to keep the service users safe has been taking place. This includes training in such things as food hygiene, fire prevention and infection control. Staff spoken to confirmed that these records were accurate. Standford House DS0000067555.V330283.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 3 ENVIRONMENT Standard No Score 24 4 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 2 x Standford House DS0000067555.V330283.R01.S.doc Version 5.2 Page 22 no 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 YA42 Regulation 13(4) Timescale for action Risk assessments around the use 31/05/07 of hazardous substances must be developed. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 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