This inspection was carried out on 23rd February 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Station House Station Road Admaston Telford Shrophire TF5 0AP Lead Inspector
Mike Moloney Unannounced Inspection 23 February 2006 09:00
rd Station House DS0000020580.V267862.R01.S.doc Version 5.1 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 Station House DS0000020580.V267862.R01.S.doc Version 5.1 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. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Station House Address Station Road Admaston Telford Shrophire TF5 0AP 01952 242648 01952 740262 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) Overley Hall School Limited Mrs Cheryl Elizabeth Jackson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The company will appoint an independent person by 1st November 2005 to undertake 1) Regulation 26 visits 2) Supervise the manager for a period of at least 12 months. 5th July 2005 Date of last inspection Brief Description of the Service: Station House is a detached property situated in Admaston, Telford. The home offers access to local amenities that include a post office, public house, grocery store, hairdressers and church. The property is in keeping with the local community. The home is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care for a maximum of four people with a learning disability. Ms Cheryl Jackson is the Registered Manager of the home. She has been employed by the organisation for numerous years before taking up the managers position at Station House in 1997. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Station House has a consistent history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work including some minor shortfalls noted at the last inspection. The inspection was carried out during the morning and lasted two hours. Two of the service users were at home at the start of the visit and the other one returned later having been shopping. The nature of the disabilities of the service users made it difficult to include them in any discussions although this was achieved to a limited degree. The manager and the staff on duty were able to provide the information required and the home’s records were also consulted. What the service does well: What has improved since the last inspection? What they could do better:
No requirements have been made as a result of this inspection.
Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 6 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. Station House DS0000020580.V267862.R01.S.doc Version 5.1 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 Station House DS0000020580.V267862.R01.S.doc Version 5.1 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 and 4 Great care is being shown in the assessment and introduction of this individual so as to ensure that his move will cause him as little stress as possible. EVIDENCE: A new service user is currently in the process of being admitted to the home. It is not expected that this process will be completed until some time in the summer. The home are maintaining a record of the assessment process and introductory contacts that they are having with this person and have already obtained copies of relevant documents from the place where he currently lives. The manager has described the process by which they are introducing the idea of moving to the potential service user and this is a very slow process because of the nature of the young person’s needs. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Key standards within this section were assessed during the last inspection on 5th July 2005. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The service users are offered a healthy diet which they enjoy. EVIDENCE: Records of planned and actual meals were seen and these contained a variety of different foods with such things as curry, roast chicken and beans on toast being available. The manager and the staff explained that the menu is based on what the service users have indicated and what is known about their likes and dislikes. During the inspection a member of staff was out with a service user doing the food shopping for the home. Talking to him and the staff showed that he was able to help choose what had been bought with staff saying that this was one of the ways in which he was able to express his likes and dislikes. The manager also explained that where necessary they will ensure that any special diets are catered for. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: Key standards within this section were assessed during the last inspection on 5th July 2005. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: Key standards within this section were assessed during the last inspection on 5th July 2005. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: Key standards within this section were assessed during the last inspection on 5th July 2005. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 14 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, 35 The home is staffed by a well qualified, trained and supervised staff team that have the skills and information necessary to meet the needs of the service users. EVIDENCE: The manager and those on duty at the time of the inspection confirmed that all of the staff have achieved at least NVQ2 in care or equivalent or have exceeded it. Records were seen which were confirmed by staff that showed that they receive a wide range of appropriate training which included all that is required by law. Records showed that staff now receive regular supervision from the manager. No new staff have been recruited for some time therefore the home’s recruitment procedures could not be evaluated. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 15 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 and 39 The home has an enthusiastic and competent manager who is supported by good management systems, policies and procedures that ensure that the service users needs are identified and met. EVIDENCE: The manager has obtained the qualifications that are required of someone in her position. She now receives regular professional supervision from someone who is independent of the organisation alongside what she feels is positive support from the person responsible for the home under the Care Standards Act 2000. That same independent person carries out the monthly visits required by the Care Homes Regulations 2001 and copies of the reports on these are received regularly by the Commission for Social Care Inspection. The home has also carried out surveys of the service users parents views of the care received in the home and efforts have been made to record and Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 16 explain the results of this exercise to the service users in a way that is meaningful to them. Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 17 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 4 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 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 4 33 x 34 N/A 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 x 3 x x x x Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 Station House DS0000020580.V267862.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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