CARE HOMES FOR OLDER PEOPLE
Stella House Cobblers Lane Pontefract West Yorks WF8 2SS Lead Inspector
Mavis Pickard Unannounced Inspection 15th September 2005 14.00 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 Stella House DS0000006218.V250453.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. Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Stella House Address Cobblers Lane Pontefract West Yorks WF8 2SS 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) 01977 600247 01977 600247 Mr Fieldhouse Mrs J Fieldhouse Mrs Jill Fieldhouse Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (41), Old age, not falling within any other category (41) Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th May 2005 Brief Description of the Service: Stella House is a care home providing personal care and accommodation for 41 older people. The home, that is privately owned by Mr and Mrs Fieldhouse, is situated in a residential area outside the centre of Pontefract. Mrs Fieldhouse is the registered manager. The premises, which are mainly purpose built, are situated on the site of a former farm and house and set in well-maintained gardens with parking space for staff and visitors. Service user accommodation is provided on 2 floors. There is a passenger lift to the upper level. The home also provides a stair lift. The home has 39 single bedrooms and one shared bedroom. Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced visit, over a 3-hour period, began at 2pm. The inspection concentrated on speaking with residents and/or their family and with care staff to gain their views of the service provision at the home. Findings are that the home was running well and that residents and/or their family and staff said that they were satisfied with the way in which the home runs. The atmosphere was relaxed and comfortable and the home presented as clean. What the service does well:
The home has an owner/registered manager and an assistant manager who are both qualified to National Vocational Qualification [NVQ] Level 4 and have achieved a Registered Manager Award [RMA]. The home provides continual training for its staff and for the staff of its sister home Millfields, on all aspects of residential care. The manager ensures, through careful recruitment, that staff that work in the home have the best interests of residents at heart. The home has team leaders who work alongside carers on every shift to make sure that best practice is achieved. Private areas of the home, such as bedrooms, are decorated and furnished nicely and people spoken to said that their needs are met. Shared spaces, such as lounges and dining rooms, are clean, bright and attractive. The home is centrally heated and hot water is regulated to a safe temperature. The patio and garden areas of the home accessible to residents are maintained in an attractive way and have a safe water feature. The atmosphere in the home is open and inclusive, people can come and go as they please and as far as their ability allows. Families are made to feel welcome, as are visitors. The Inspector was made to feel welcome and the home owner/registered manager and the assistant manager said that they welcome unannounced visits. Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 6 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. Stella House DS0000006218.V250453.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 Stella House DS0000006218.V250453.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): 1 and 4 Prospective residents have the information they need prior to admission and know if the home can meet their needs. EVIDENCE: A newly admitted resident and their family said that the manager had provided them with information prior to admission on which they based their decision. The resident’s relative said that they knew a former resident who spoke highly of the home and that it swayed their decision to go ahead with the admission. Several more residents were spoken with about their experience of the home, all said that it meets their needs and that they enjoy living at Stella House. Stella House DS0000006218.V250453.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): 8 and 10 Residents’ health care needs are met. Residents are treated with respect. EVIDENCE: Several residents were spoken with in an informal way who said that they had their health care needs met by their GP and community nurse team. One resident seen in private told me that she has a range of health care needs, all of which are met by the staff who contact their GP should they require medical assistance. Having spent time speaking with residents and their family/representatives, and from directly observing the interaction taking place between residents and staff, it’s clear that residents are treated with respect and that their privacy is maintained. Stella House DS0000006218.V250453.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 &13 Residents find the lifestyle meets their expectations and that they are enabled to maintain contacts with family and friends. EVIDENCE: Residents spoken with, and with family members, said that they enjoyed living at Stella House and that the activities provided by the management and staff suited them. Three residents in particular said that they enjoyed quizzes put on by the home and music and movement sessions, which they said kept them thinking and helped with their mobility. Visitors spoken with said that they are always made to feel welcome and provided with a drink. They said that they felt relaxed and comfortable when visiting their loved ones. Stella House DS0000006218.V250453.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): 16 & 18 Residents are confident that their complaints would be listened to and that they will be protected from abuse. EVIDENCE: The home maintains a satisfactory system to record complaints. People spoken with said that they are confident that should they need to make a complaint they would be listened to and their concerns would be taken seriously. Staff spoken with about the home’s complaints policies understand what receiving a complaint means and would know what to do should anyone complain to them about the services provided by the home. Staff spoken to about their understanding of abuse evidenced that they understand what abuse is and how any abusive situation should be dealt with. The home ensures that staff have appropriate training with respect to the protection of vulnerable adults and that the organisation understands the multi-agency approach to the protection of vulnerable adults that is locally adopted. Stella House DS0000006218.V250453.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 & 26 The home is safe, well maintained and clean. EVIDENCE: The premises are well maintained as is the garden and outdoor spaces. Staff have regular health and safety training and are encouraged to be observant in respect to any maintenance issues. Staff spoken with about health and safety showed that they understand their responsibilities in respect to the safety of residents, visitors and themselves. Stella House DS0000006218.V250453.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): 29 & 30 Residents are protected by the home’s recruitment policies and staff are trained and competent to do their job. EVIDENCE: Two members of the care staff team were spoken with individually about their employment at the home. One carer who had worked at Stella House for about 2 years said that they had received regular training on all aspects of care work and that they enjoyed working at the home and were confident that the care provided is of the highest quality. They said that the home has a training room where in-house and purchased packages of training can be undertaken. The home also has an extensive range of videos that are used for induction and revision training. A second carer who has worked at the home for a few weeks said that, prior to employment, they filled out an application form, had references checked and had to undertake satisfactory Criminal Records Bureau/Protection of Vulnerable Adults [CRB/POVA] clearance to work at the home. In this case, although the CRB clearance has not yet been received by the home, the candidate has satisfactory ‘POVA first’ clearance to allow them to work in the home under supervision.
Stella House DS0000006218.V250453.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 and 32 The home is run and managed by people who are competent, qualified and experienced. The leadership in the home from the manager and the management team is beneficial to residents and staff. EVIDENCE: The provider/registered manager is a qualified nurse who has successfully completed a National Vocational Qualification [NVQ] Level 4 and a Registered Managers’ Award [RMA]. Additionally the home’s deputy manager has also achieved a National Vocational Qualification [NVQ] Level 4 and a Registered Managers’ Award [RMA]. This benefits residents and staff and is to be commended. Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 15 The home has a system of training staff to be team leaders who lead a shift and take additional responsibility in the home for the care and comfort of residents and for the leadership of staff. From spending time in the home with the provider, manager and staff it is clear that the home is run in the best interests of residents. Residents said that that Stella House is managed well and that they feel it is their home. Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 16 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 3 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 X X X X X X Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 17 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. 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 Stella House DS0000006218.V250453.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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