CARE HOMES FOR OLDER PEOPLE
Stobars Hall Kirkby Stephen Cumbria CA17 4HD Lead Inspector
Paula Malaney Unannounced Inspection 31st January 2006 11:30 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 Stobars Hall DS0000022660.V277157.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 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 DS0000022660.V277157.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Stobars Hall Address Kirkby Stephen Cumbria CA17 4HD 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) 017683 71291 The Franklyn Group Ltd Mrs Hilda Brittleton Care Home 38 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (37), Physical of places disability (1) Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 38 service users to include: up to 37 service users in the category of OP (Older people, not falling within any other category) 1 person over 18 years of age with a learning disability (LD) and a physical disability (PD). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3rd August 2005 2. Date of last inspection 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 accommodation is available. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 31st January 2006. The inspection focussed on how well the services provided in Stobars Hall meet the needs of the residents living there. This was assessed by speaking to residents and staff, observing activity in the home and examining the records held. What the service does well: What has improved since the last inspection?
The home’s recruitment procedures have been improved to ensure that residents’ safety is protected. Checks are made on applicants’ background including Criminal Record Bureau and Protection of Vulnerable Adults list disclosures. These checks ensure that the staff employed are suitable to work with residents. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 Page 6 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. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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 Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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): 3 and 4. Admissions to the home are well managed and residents know that the services provided will meet their needs. EVIDENCE: Residents’ needs are thoroughly assessed before they are offered accommodation to ensure that the services and facilities in the home are suitable to provide the support they require. The needs assessments are used to inform care staff of the assistance individuals require. A high standard of care is provided in a manner which supports residents to maintain their independence. Appropriate advice and action is taken when the home can no longer meet an individual’s needs. Residents made many positive comments about the home and said, “I’ve tried other homes but this one is the best”. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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): 10. Residents are treated with respect and their privacy and dignity are protected in the home. EVIDENCE: Residents are treated with respect and care staff take appropriate actions to ensure that care is provided in a manner which respects their privacy and maintains their dignity. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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 and 13. Activities are well managed and residents’ benefit from having a choice of activities which take into account their preferences and abilities. Residents receive visitors as they wish. EVIDENCE: The home provides a range of activities including group and individual activities. Residents are included in planning the activities provided and choose which they wish to take part in. Residents’ preferences and abilities are taken into account when activities are planned and they are provided with recreational interests which offer variety and meet individual needs. Visitors are made welcome and residents know they can maintain contact with their friends and families as they choose. Private accommodation is provided for residents’ visitors if they wish to stay in the home. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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. The home has a clear complaints procedure and residents and their families know how they can complain about the services provided. EVIDENCE: The home has a clear complaints procedure which is given to new residents and is displayed in the home. The complaints procedure includes agencies outside of the home to whom complaints can be made if people do not wish to complain to the home’s management team. Residents are aware of how they can make complaints and know their views are listened to. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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, 22 and 26. Accommodation is clean and comfortable and is suitable to meet the needs of the people living in the home. EVIDENCE: Stobars Hall provides safe and well-maintained accommodation for residents to live in. The standard of decoration and furnishing is high and the environment is comfortable, pleasant and hygienic. Specialist equipment is provided as residents need to ensure their independence and welfare are protected. The accommodation is suitable to meet the needs of the residents living in the home. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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): 28 and 29. Care staff are well trained and skilled and provide a high standard of care. The home follows thorough recruitment procedures to ensure residents’ safety and welfare. EVIDENCE: Care staff receive a range of training to give them the skills and knowledge to meet residents’ needs. Specialist training is provided to ensure care staff have a thorough understanding of the needs of the residents and how best to support them. All care staff have achieved NVQ level 2 or above in care. Care staff are skilled and competent and provide a high standard of care. All staff in the home receive training to enable them to carry out their duties safely. The home uses safe recruitment procedures. The procedures include checks on applicants’ background including references and Criminal Record Bureau and Protection of Vulnerable Adults list disclosures. These checks ensure that the staff employed are suitable to work with residents and maintain their safety. Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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, 33, 37 and 38. Residents benefit from living in a well managed home where their health, welfare and financial interests are protected. EVIDENCE: Stobars Hall is well run and has good procedures for promoting residents’ rights, safety and welfare. The management team are committed to providing a high standard of care and to the continuous improvement of the services and facilities provided to residents. The atmosphere in the home is welcoming and inclusive and residents know that they can affect how the home is run. Residents said they would be comfortable raising concerns with the manager and were confident appropriate action would be taken to resolve any problems. Residents have a lockable facility to store valuable items safely in their bedrooms and possessions can be held on their behalf in the office safe. Money held on behalf of residents is stored securely and procedures are in place to ensure their financial interests are protected.
Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 X X X 3 STAFFING Standard No Score 27 X 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 Page 16 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 Stobars Hall DS0000022660.V277157.R01.S.doc Version 5.1 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
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