Inspection on 03/08/05 for Stobars Hall

This inspection was carried out on 3rd August 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

Stobars Hall 04/11/08

Stobars Hall 23/01/07

Stobars Hall 31/01/06

Stobars Hall 25/01/05

Stobars Hall 31/10/04

Stobars Hall 04/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Stobars Hall Kirkby Stephen Cumbria CA17 4HD Lead Inspector Paula Banham Unannounced 03 August 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 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. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stobars Hall Address Kirkby Stephen Cumbria CA17 4HD 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) 017683 71291 The Franklyn Group Ltd Hilda Brittleton Care Home 38 Category(ies) of OP - Old Age registration, with number LD - Learning Disability of places PD - Physical Disability Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 37 older people (OP) and 1 person over 18 years of age with a learning disability (LD) and a physical disability (PD) Date of last inspection 25 January 2005 Brief Description of the Service: Stobars Hall is a residential care home registered with the Commission for Social Care Inspection to provide accommodation for up to thirty-eight people. Stobars Hall is owned and carried on by The Franklyn Group Ltd and Mrs Hilda Brittleton is the registered manager of the home. Stobars Hall is a large period property on the outskirts of Kirkby Stephen set in large attractive grounds. The home is a detached two-storey building which has been adapted for use as a residential care home. Accommodation for residents is provided in the form of twenty-four single bedrooms and seven double rooms which two people can choose to share. All the bedrooms have a private bathroom equipped with a bath or shower, toilet and wash hand basin. There are appropriate toilets close to all areas used by residents and the home provides assisted bathing facilities. Shared space is provided in the form of two smoke free sitting rooms and a dining room. A separate smoking lounge is provided on the ground floor of the home. The home has passenger lifts and a stair lift to assist residents to access accommodation on the first floor of the property. There is a pleasant patio area with level access and seating for residents at the front of the property. Stobars Hall provides accommodation to residents referred by the local social services department and to individuals who purchase their care privately. The home offers respite care when accomodation is available. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on 3rd August 2005. The inspection focussed on how well the services provided meet the needs of the people living in the home. This was assessed by talking to residents, care staff and the manager, observing activity in the home and examining the records which care homes are required to keep. What the service does well: What has improved since the last inspection? What they could do better: The home’s recruitment procedure does not meet legal requirements and residents may be placed at risk. Protection of Vulnerable Adults list checks must be made for new care staff before they start to work with residents to ensure that residents are protected. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 standard(s) 3, 4, 5 and 6. Admissions to the home are well managed and residents know that their needs will be met by the services provided. Stobars Hall does not provide intermediate care and Standard 6 is not applicable to the home. EVIDENCE: The home has a good procedure for handling admissions which includes an assessment of prospective residents’ needs to ensure that these can be met by the services provided. The needs assessments are thorough and detailed and are used to develop information for care staff about the support to be provided to individual residents. Residents and their families are invited to visit the home so that they can assess the services provided before making a decision to move there. Stobars Hall does not provide intermediate care and Standard 6 is not applicable. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. Residents’ personal and health care needs are assessed and clearly recorded and are met by the services provided in the home. Residents are treated with respect and their privacy and dignity are protected. Medication is handled safely and residents’ health and well-being are maintained. EVIDENCE: Residents’ personal and health care needs are recorded and reviewed regularly to ensure that residents receive the support they need. Care staff are knowledgeable about the needs and preferences of individuals in the home and provide residents with the support they require in the manner which they prefer. Care staff have developed positive relationships with residents and ensure that individual’s privacy and dignity are maintained. Residents are addressed by the name they prefer and are treated with respect. The home has good procedures for handling medication. Residents are able to maintain control of their medication and assistance is provided to those residents who require help with administration of medication. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 standard(s) 14 and 15. Residents are supported to maintain control over their lives and the decisions they make are respected. Residents benefit from receiving a nutritious and varied diet which takes into account their needs and preferences. EVIDENCE: Residents maintain control over their lives and make choices about how they spend their time in and away from the home. The decisions and choices residents make are respected. Residents have access to advocacy services to support them as they need. Meals are varied and attractively presented and provide a nutritious diet. Residents choose their meals from a menu which is changed regularly and choose whether to take their meals with other people or on their own. Advice is taken regarding residents’ nutritional needs and specialised diets and nutritional supplements are provided as individuals require. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 standard(s) 18. Residents are protected from abuse and their safety and welfare are maintained. EVIDENCE: Care staff and the home’s manager are aware of the procedure to be followed if there are concerns about a resident’s safety or welfare. Residents are protected from abuse by staff awareness and the home’s procedures. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 standard(s) 19 and 26. Stobars Hall provides a safe, clean and pleasant environment for residents to live in. EVIDENCE: Stobars Hall provides pleasant and well-maintained accommodation for residents which is suitable to meet the needs of the people living there. The home is clean and hygienic and furniture and furnishings are of a high standard. There are attractive grounds which are accessible to people living in the home and which provide pleasant outdoor areas for residents to sit. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. Residents receive a high standard of care from staff who are trained, skilled and competent to meet their needs. The home’s recruitment procedures do not meet legal requirements and could place residents at risk. EVIDENCE: Care staff receive a range of training to enable them to carry out their duties safely and to meet the needs of the residents living in the home. Residents and care staff have developed positive relationships and residents said they receive the support they need from care staff whom they know. A Protection of Vulnerable Adults list check had not been made regarding a new member of care staff before she started working with residents and this could place people at risk. Thorough references had been taken up, including from three previous positions working in residential care, which reduced potential risks to residents in Stobars Hall. The home’s recruitment procedures must be strengthened to ensure that Protection of Vulnerable Adult list checks are carried out. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 and 38. Residents benefit from living in a well managed home where their health, welfare and rights are protected. EVIDENCE: Stobars Hall is well managed and there is a clear management structure in place which supports residents and staff. Residents are comfortable approaching the home’s manager and know that their views are listened to. The atmosphere in the home is relaxed, inclusive and welcoming and residents and care staff view Stobars Hall as the home of the people living there. The manager and care staff support residents to maintain control over their lives and respect the decisions residents make. The home provides a safe environment for residents to live in and care staff have received training to enable them to carry out their duties safely. Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 x x x x x 3 Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 Page 16 n/a 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 29 Regulation 19 Requirement No person shall be employed in the home unless the information required by regulations has been obtained. A Protection of Vulnerable Adults list check must be obtained before care staff work with residents. Timescale for action 10/8/05 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 Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Stobars Hall F58 F10 s22660 stobars hall v235898 030805 ui stage 4.doc Version 1.40 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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