Inspection on 20/10/05 for Stepping Stones

This inspection was carried out on 20th October 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

Stepping Stones 11/07/07

Stepping Stones 04/07/06

Stepping Stones 14/04/05

Stepping Stones 18/11/04

Stepping Stones 10/06/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Cornerstones

Bethesda

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

CARE HOME ADULTS 18-65 Stepping Stones 1-6 Boxhill Close Chard Barton Honicknowle, Plymouth PL5 3QB Lead Inspector Kim Fowler Unannounced 20th October 2005 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 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 Stationary 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. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stepping Stones Address 1-6 Boxhill Close, Chard Barton, Honicknowle, Plymouth, Devon, PL5 3QB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 788273 01752 768613 Tamar Housing Society Mrs Susan Davidson Care Home 15 Category(ies) of Physical Disability (15) registration, with number of places Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Age 18-65yrs 2) One named Service User in the category Learning Disability may reside at the home Date of last inspection 14/04/05 Brief Description of the Service: Tamar Housing Society, which is a housing association registered with the Housing Corporation own Stepping Stones. The home is a care home providing care for fifteen people, aged 18 – 65, with physical disabilities. The home is for long stay placements but do try to aim to work with service users to develop independent living skills to enable them to move out into their own accommodation. The length of stay depends on the individual’s needs as identified with the Care Manager and through care plans.The home is located at the end of a cul de sac on a housing estate in the residential area of Honicknowle, close to shops, pubs, the post office and other amenities. The home is purpose built and was opened in 1994. It is comprised of two selfcontained bungalows, each providing six bedrooms, and three one-person flats. All the home’s bedrooms are single and bedrooms in the bungalows do not have en suite facilities. Each bungalow and flat has its own facilities, amenities and services with the design and layout enabling ease of access for people whose main source of mobility is wheelchairs. The home has plenty of communal space and consists of a kitchen and combined dining and lounge areas in each bungalow. The home has spacious and attractive grounds, with raised flowerbeds, which are accessible by service users. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and was an unannounced inspection. A partial tour of the premises took place and 2 staff and 5 of the service users were spoken with. 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. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 4 Prospective service users can be confident that Stepping Stones will invite them to test drive the home before making a decision about moving in. EVIDENCE: Two of the service users were spoken with during this inspection confirmed that they had visited the home before moving in. This included a tea visit and a weekend stay. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 Service users are supported to make decisions about their own lives. EVIDENCE: One service user confirmed that they had recently met their Care Manager to discuss their future. This also involved planning any changes for the future and several plan meeting before moving into the home and how this would be achieved. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 9 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 standard(s) 13/14/15/17 Service users can be confident that the home will provide support for them to access the local community and leisure activities. EVIDENCE: All service users spoken with confirmed that they regularly go out into the local Community and there are shops very close to the home. Several service users informed the inspector about the holidays they had taken this year including trips to Blackpool, Portugal and France. Other service users go to day care centre two or three times a week and often visit the local pub in the evening. There is a planned trip to the theatre soon for some of the service users. One service user is going to spend Christmas with his family and another service user has regular visits from extended family members. All service users confirmed that they assist with both menu planning on a daily bases for lunch and for evening meals. They also assist with the shopping when possible. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 10 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 standard(s) 18/19/20/21 The service users in the home stated that the staff provide excellent emotional and personal support. EVIDENCE: Several service users confirmed that the staff assists them in the way they prefer. One service user stated that they require assistances with the use of a hoist and the staff are helpful and support them having a bath or shower when needed. One service user said that they often become upset and the staff is always there to support them at any time. All service users spoken with during this inspection said that the staff administers their medication for them. One service user has recently been supported in a hospital day surgery appointment when they had a minor operation. The staff and his family went to the hospital with them for the day and said the staff were very good and looked after him well when he came home. One service user said the staff had recently supported her when a fellow service user passed away and the home held a ceremony at the home for all the service users. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 11 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 standard(s) 22/23 Service users at Stepping Stones can be confident that their complaints or concerns will be listened to and acted upon. EVIDENCE: All the service users in the home felt that if they had any concerns or complaints that they would be listened to by the staff and manager. Service users also agreed that they felt the home would action any concerns and passes concerns had been acted upon. Staff confirmed that they had completed CRB checks and would shadow staff until they had completed CRB’s in place. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 12 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 standard(s) 25/29 The home provides specialist equipment to maintain a suitable environment for the service users in the home. EVIDENCE: Several of the service users showed the inspector their individual bedrooms and evident was that each of these rooms met individual lifestyles. This included TV’s and DVD’s and other personal items. Also evident was that the home provided specialist equipment to met individual needs. This included a hospital bed, hoists and electric wheelchairs. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32/33/36 Staff training is regularly updated ensuring that the service users receive a good service. EVIDENCE: 2 of the staff on duty were spoken with and both confirmed that they have regular training. This included Fire Safety, Manual Handling, Adult Protection and NVQ’s. One staff was able to confirm their recruitment process and this included CRB checks and probation periods. Staff stated that when possible male staff assists male service users and female staff would assist female service users with all personal care needs. The staff on duty felt that there were sufficient staff on duty but that the home has some vacancies at present. All staff confirmed that there are regular staff meetings and team meetings for updating and information sharing. Supervision is carried out every 4 to 6 weeks and one staff confirmed that they had an appraisal completed. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The management of this home is very good and the service users benefits from a sense of leadership. EVIDENCE: Staff felt that the seniors on duty are approachable and that they could go to them if they had concerns. Also the senior staff and team leaders for each bungalow promoted leadership and were approachable. Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x 3 x Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stepping Stones Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x 3 x x x x x D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 16 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 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. 1. Refer to Standard Good Practice Recommendations Stepping Stones D52-D04 S3560 Stepping Stones V241729 201005 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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. 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