Inspection on 01/02/06 for Stocks Hill

This inspection was carried out on 1st 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stocks Hill 30/01/09

Stocks Hill 21/02/07

Stocks Hill 20/07/06

Stocks Hill 05/09/05

Stocks Hill 07/03/05

Stocks Hill 10/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Stocks Hill 2 Stocks Hill Methley Leeds West Yorkshire LS26 9JD Lead Inspector Kathleen Firth Unannounced Inspection 1st February 2006 10:00 Stocks Hill DS0000001509.V280490.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 Stocks Hill DS0000001509.V280490.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. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stocks Hill Address 2 Stocks Hill Methley Leeds West Yorkshire LS26 9JD 01977 668768 01977 553651 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) TACT Mrs Nikky Suzann Smith Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: The home is located in the village of Methley between Leeds and Wakefield. It is within easy walking distance of the local shops, and post office. There are a number of pubs in the village and the residents use these. The home has a car that can be used to transport residents but there is also a regular bus service into the City centre. The home provides care for six people who have a learning disability. Nursing care is not offered at the home but if it should become necessary the local healthcare team will provide it. Stocks Hill is a detached property situated in a quiet street and provides domestic style accommodation. Bedrooms are on two floors and all are single. There is no lift at the home. There is a safe enclosed garden to the rear of the property with a patio, barbeque and greenhouse. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over four hours by one inspector on Wednesday 1st February 2006. The inspector looked at records including residents’ care plans, staff rosters, staff files, Service User Guide and Statement of Purpose. Staff and residents were helpful throughout the inspection with two residents and four staff members plus the acting manager being spoken to. What the service does well: What has improved since the last inspection? What they could do better: Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 6 Staffing numbers need to be increased to take into account the resident whose needs have increased and the manager being on maternity leave. Extra staff need to be available to cover for long-term sickness. Residents should not be expected to fund their own birthday and Christmas presents. The Acting Manager needs more support if she is to be effective in this post. 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. Stocks Hill DS0000001509.V280490.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 Stocks Hill DS0000001509.V280490.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): 1, 3, 4 Prospective residents and their carers are given enough information about the home to be able to make an informed decision about admission. EVIDENCE: The Company who operate the home provides prospective residents with a brochure that contains all relevant information about the home including staff names and their position in the home. A copy of this information was seen during the inspection. The Service User Guide is presented in a format that people with a learning disability are able to understand. Referrals to the home are normally made via the Head Office of the Company. All prospective residents are assessed prior to admission being agreed to make sure that their needs can be met at the home. Residents and their carers can be sure following the home agreeing to the admission that the home will try to meet their needs and aspirations as far as possible. There have been no admissions since 2003 but the home does have an admissions policy and procedure in place. People are invited to visit the home and spend time meeting the staff and residents. The visits will vary in number and length of time spent at the home. Overnight stays will be offered where appropriate. The admission period is tailor made to match the needs of the prospective resident and takes as long as they require. Stocks Hill DS0000001509.V280490.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): 6, 8, 10 Good communication makes sure that the residents’ needs are met. Appropriate risk assessments with coping strategies are in place. Comprehensive care plans are in place with residents’ needs clearly identified. EVIDENCE: All of the residents have a comprehensive care plan in place that clearly identifies their individual needs. Very specific instructions on how tasks need to be done in order for the resident’s needs to be met are clearly recorded. Good written details about the resident’s daily and weekly activities were seen. Incident reports were easily identified and completed very well. Where possible the residents are involved in drawing up the care plans and staff sit and explain just what the care plan is about. Staff say that these are checked monthly but only updated six monthly or if any changes arise. There is no written evidence of the monthly check. Residents are encouraged to make as many decisions for themselves as possible. Some are involved in shopping for the home and a few are able to buy their own toiletries. All residents are involved in choosing and buying their clothes. The residents are able to choose where they would like to go on holiday and whom they choose to go with. Sometimes the holidays are on a Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 10 one to one basis and the resident has some choice in which member of staff goes with them. Staff inform the residents that information is kept about them and that this is kept locked away. They are told that they and/or their relatives can look at this information if they choose. Some are able to understand this more than others. There was evidence that residents are involved in organising the things that they may need to take with them when going out. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 11 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): 11, 12, 13, 14, 16, 17 Appropriate activities are arranged for the residents and their rights and responsibilities are recognised and respected. EVIDENCE: Some of the residents attend Day Centres and three access TACT’s “Opportunities” service in Leeds. One resident has started attending swimming sessions from the day centre and is enjoying this. The residents take part in activities at the centres suited to their abilities and choices. Staff at the home encourage the residents to take part in various activities including walking, going out for meals, cinema, bowling and shopping. The home is not far from a large centre that provides many of these activities and staff tend to take residents there. Activities may be done on a one to one basis or as a group. The residents use the local pub and are accepted as apart of the community. Two people attend the local church where they are welcomed. Residents are encouraged to take part in cleaning their rooms and taking their washing to the laundry. They are given as much responsibility as they are able to accept. The main meal of the day is served in the evening when they normally all eat the same things although an alternative is offered if required. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 12 Everyone chooses their own breakfast and lunch and two residents went out for a meal on the day of the inspection. The food diary seen showed that residents are offered a good, varied; healthy and nutritious diet that takes into account individual likes and dislikes. Checks are made to make sure that people are eating sufficient food and weight checks are made on a regular basis. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 13 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): 18, 19, 21 Staff are aware of the residents’ needs. Their privacy and dignity are maintained and residents are treated with respect. EVIDENCE: All of the residents require some degree of personal care and this is offered in the privacy of their bedroom or in the bathroom. Residents are encouraged to do as much for themselves as possible with staff completing any tasks they are unable to. They are able to choose their own clothes with staff offering assistance when these are being bought. Residents’ healthcare needs are monitored and appropriate treatment obtained. The District nurses are very helpful and offer good support to the residents and staff. Time is spent talking with the residents to make sure that they have no worries about their health and if anything is raised this is dealt with. Evidence was seen that residents are taken to see their doctor if needed and all communication with the GPs is clearly recorded in the individual files. Evidence was seen that Psychiatrists, Psychologists and other healthcare professionals when required see residents. There is an awareness amongst the staff team that the needs of the residents’ are changing as they get older. Residents’ wishes following their death are discussed and recorded. Families have been involved where possible in these Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 14 discussions and advocates brought in to help those who have no relatives. If the home can continue to meet a resident’s needs if they become ill then they will be able to stay at the home until they die. The needs of the other residents will need to be acknowledged at this time, as they must not suffer as a result of any particular resident needing more time and resources. This is a problem at the present, as one resident is requiring extra input. Social services have provided some extra time but it does not appear to be sufficient. The Care Manager is seeking another placement for him and this would appear to be the best course of action. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 15 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): 22, 23 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve any issues. Residents are protected from abuse. EVIDENCE: There are Complaints and Adult Protection policies and procedures in place at the home. The home is working within the new format introduced by the Leeds Area Adult Protection Unit regarding any issues of abuse. All staff have received Adult Protection training and the acting manager is confident that they will recognise the signs and symptoms of abuse. Communication between staff at the home and those at the various day centres is good and they will contact each other if anyone has concerns about an individual resident. Some residents are able to tell staff if they are unhappy about anything and with others staff monitor behaviour and moods and pick up on any changes. This sometimes is due to unhappiness and in these instances staff will try to sort out the source. Relatives are able to speak with the acting manager and staff if they have any worries or issues and these are dealt with. No complaints have been made about the home since the last inspection. All residents have a copy of the complaints procedure in a format that they are able to understand. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 16 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): 25, 27, 28, 29, 30 The residents live in a clean and hygienic environment. The home offers suitable accommodation along with toilet and bathing facilities. EVIDENCE: The home offers a safe, comfortable and homely environment to the residents. It was found to be clean, tidy and hygienic throughout with no unpleasant odours present. Residents have been able to personalise their own rooms and have their personal possessions around them. Specialist equipment is provided where required including an electric hoist and walking frames. One resident has need of cot sides and a risk assessment was carried out before these were put into place. The acting manager also sought advice from CSCI before using the cot sides. Assisted bathing facilities are available at the home and there are sufficient toilets to allow easy access for the residents. The communal rooms are well furnished and decorated offering all the residents enough space to be comfortable and follow their chosen activities. There are plans to redecorate the dining room and change the floor covering to something more suitable. There is no call system throughout the home but there are individual alarms placed outside specific rooms where a risk assessment has indicated this would Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 17 be useful. Discussions have been held regarding the requirement from the last two reports that there was a need to install an alarm throughout the home but no work has been done as yet. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 18 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): 31, 33, 34, 36 Staffing numbers and skill mix make sure that the residents’ needs can be met. Residents are supported and protected by a robust recruitment procedure. EVIDENCE: At the present time one resident is requiring extra support and although more resources have been provided there are times when this need puts a strain on the staff team. Some staff are on long-term sick leave and this is adding to the present difficulties. Recruitment is taking place at present to try to increase the staff team. The manager is on Maternity leave at present with the deputy acting up and no replacement has been put in for this. Bank and agency staff are being used and the deputy manager said that she felt staff were becoming weary of the situation although continuing to work hard to met the needs of the residents. Staff spoken to offered varying responses with some feeling that although the acting manager is offering them good support she is not receiving the support she needs. Normally staff understand each other’s roles and responsibility but again in the present situation there is some friction amongst the team. The acting manager is waiting to discuss this problem with a Senior Manager from TACT. Evidence was seen that regular supervision sessions are in place along with annual appraisals. Recruitment is done centrally within the organisation with Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 19 the individual home managers being involved. This recruitment is done following equal opportunities guidelines. Evidence was seen that all the required checks are carried out before anyone is allowed to start work at the home and staff files contained all relevant information. This included POVA, CRB, Work permit and Visa checks along with proof of identity and written references. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 20 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, 39, 41, 42 The interests of the residents are seen as important and are safeguarded at all times. EVIDENCE: The Manager is on Maternity leave at this time and the Deputy is acting up to the position of manager. She has many years experience working in the caring profession and has worked at the home for around eight years having a good awareness of the needs of the residents. This is her first chance at management and although has the ability to do the job she needs support of Senior Managers within the Organisation. Some of the staff are being more supportive that others to her. All records seen concerning the residents were correctly maintained and stored. The home has all the necessary policies and procedures in place to make sure that the residents’ rights are protected and their interests safeguarded. There are no Quality Assurance methods in place at the home and it was suggested that these should be introduced. Residents and families are invited to the six monthly reviews of care that are carried out at the home. Normally Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 21 residents’ meetings are held on a monthly basis but; with Christmas and the staff situation there has not been one for a while. The residents are involved in the decision making about their lives as much as possible and families are able to speak to staff at any time. Advocates are used if residents do not have any family or friends who can speak on their behalf. Health and Safety checks are done on a regular basis and any work resulting from an inspection is carried out as soon as possible. Records were seen of these checks plus the weekly fire alarm checks. All staff are trained in First Aid, Control of Infection and Handling Medication. Alarms are placed outside certain bedrooms for staff to alert others where help is required. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 22 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 3 2 X 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 3 26 X 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 2 32 X 33 2 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 2 X 3 3 X Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 23 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 YA29 Regulation 13 Requirement Suitable alarm call facilities must be provided so that staff and residents can summon immediate assistance as and when required. (Previous timescale of 31.07.05 not met) A Quality Assurance system must be introduced at the home. Staffing numbers must be reviewed due to the increased needs of one resident. Timescale for action 30/06/06 2 3 YA 39 YA 31and 33 24 18 (1)(a) 30/04/06 28/02/06 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 YA 31 Good Practice Recommendations Extra support should be offered to the Acting Manager. Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Stocks Hill DS0000001509.V280490.R01.S.doc Version 5.1 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!