Inspection on 05/09/05 for Stocks Hill

This inspection was carried out on 5th September 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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 01/02/06

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 LS26 9JD Lead Inspector Kathleen Firth Unannounced 5 September 2005 th 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. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 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 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 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection February 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 this can be provided by the local healthcare team. Stocks Hill is a detached property situated in a quiet street and provides domestic style accommodation. Bedrooms are on two floors and are all 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. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over five hours by one inspector on Monday 5th September 2005. The inspector looked around the building, spoke with staff, residents and the manager, examined residents’ records including care plans, menus, staff rosters and the Service User Guide. Staff and residents were helpful throughout the inspection. Three members of staff and two residents were spoken to. What the service does well: What has improved since the last inspection? Risk assessments providing detailed information about the risks identified and the management strategies are now in place. Work is being done on the care plans of individuals who are likely to be aggressive and cause harm or self-harm. The manager hopes to complete the Registered Manager’s award by November this year. Risk assessments have been done for staff working upstairs in the home or when working with residents who may cause problems and coping strategies are in place. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 6 TACT (the home owners) are looking at the cost of installing a call alarm system. 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. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 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 standard(s) 2,4,5 Future residents and their carers can be sure that their needs and aspirations will be assessed prior to admission and that they will be able to visit the home. All residents have an individual contract in a form that they can understand. EVIDENCE: There have been no admissions to the home since August 2003 but there is an admissions policy in place. The Regional Director visits potential residents and carries out an assessment of need and people are able to visit the home as often as they need to. These visits may be for a meal, an overnight stay or for a weekend. All of the residents have an individual contract in pictorial form that they are able to understand and the manager has sat with each person and explained the meaning of the contract. The contracts are kept in the resident’s bedroom. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 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 standard(s) 6, 7, 9 Good communication makes sure that the residents’ needs are met. Appropriate risk assessments with the coping strategies are in place. EVIDENCE: All residents have a comprehensive care plan that gives information about their needs. Evidence was seen that the residents are kept informed of what is in their care plans and any changes made to them. All decisions are made together with the staff and residents and most of them are able to express likes and dislikes. Risk assessments are in place that allow the residents to take part in activities and staff are able to balance risk taking with their duty of care. The manager said that some activities are risk assessed each time they are undertaken as the situation may vary. If there is thought to be any danger then the activity will be cancelled on that particular occasion. Residents meetings have recently been introduced at the home and the manager is hoping these will be successful in allowing more decision making by the residents. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 10 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) 12, 13, 15, 16, 17 Appropriate activities are arranged for the residents. Residents are supported to keep contact with family and friends. The rights of the residents are respected at all times. EVIDENCE: Residents are supported to take part in valued activities including canal walking, going to church, going to the pub as well as doing things within the home. Holidays are organised for residents taking into account their individual likes and abilities. The residents are looked on as part of the community and two of them attend the local church. As one of them is experiencing mobility problems the vicar has offered to visit him at the home. One resident attends an Adult Training Centre four days a week and others attend different centres within the community that offer various activities. Swimming is something that some of the residents enjoy and arrangements are in place for them to do so. Staff at the home promote family relationships and have recently managed to establish better links with one resident’s family. Visitors are welcomed at the 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 11 home and staff enjoy good relationships with most of the families. There are good communication and feedback methods in place to make sure families are aware of what is happening to residents. Advocacy services have been approached to support people without families and there was evidence of the local vicar being called on to represent one resident. Daily routines are flexible with residents having a choice about when they get up and go to bed. The resident who attends the training centre has to get up early to do this during the week but chooses his time to get up at the weekend. A friendly homely environment is promoted and this was evident watching the interaction between staff and residents. The residents tend to eat the same evening meal as one resident is on a diet and this encourages him to eat. If a resident does not like what is offered they can choose to have an alternative. Everyone chooses their own breakfast and lunch. The menu showed that the residents are offered healthy and nutritious meals that still take into consideration individual likes and dislikes. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 12 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 Staff are aware of the residents’ needs. Residents are treated with respect and their privacy and dignity are maintained at all times. EVIDENCE: Individual healthcare needs are monitored through watching body language. Communication and support is given for residents to receive healthcare services. One resident had been to see his doctor on the day of the inspection and the results of the visit feedback to the staff along with the actions required. Residents who attend for Psychiatric services in Leeds receive good support. The home is on the border of two areas and this sometimes leads to difficulty particularly when it comes to prescribing drugs. Staff showed an awareness of the best interests of the residents versus their duty of care when dealing with healthcare issues. Where residents attend day care or other services staff are able to contact the carers and discuss any worries or concerns. None of the present residents manage their medication and the home has a policy and procedure in place to do this. All records concerned with the medication at the home were correctly maintained. There is a photograph of each resident in the medication file. Medication is stored in a locked cupboard and all staff have or are about to have training in handling medication. The 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 13 staff have a good relationship with the local pharmacist who is very supportive of them. Personal care is given to residents in their own bedrooms or bathroom. Residents are encouraged to do as much as possible for themselves with staff only completing tasks they are unable to do. They are able to choose their own clothes and help is offered when buying these. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 14 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 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve them. Residents are protected from abuse. EVIDENCE: The home is working with the new format introduced by the Leeds Adult Protection Unit regarding issues of abuse. All staff have received Adult Protection training and some are due to attend an update in the near future. The manager is confident that the staff are able to recognise the signs and symptoms of abuse. The home has a Whistle Blowing policy in place. The manager is confident that relatives and residents approach her or the staff if they have any worries or complaints and these are dealt with. Everyone has a copy of the complaints policy. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 15 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) 24, 26, 27, 30 The home offers a safe environment for the residents and provides them with suitable accommodation. EVIDENCE: The home offers a very comfortable, homely environment with the fixtures, fittings and décor being of a good standard. It was found to be clean and hygienic throughout. It was clear that residents had personalised their bedrooms and had their personal possessions around them. There are assisted bathing facilities in the home to allow residents to be bathed safely. There are sufficient toilets in the home to allow easy access for all of the residents. There is an outside area where the residents can sit comfortably and safely when the weather is good. At present there is no call system in the home and this can cause difficulties although there are risk assessments in place to address this. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 16 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, 35, 36 Residents are supported and protected by a well-trained staff team. Staffing numbers make sure that the residents’ needs can be met. EVIDENCE: Training is very important at the home and staff are given a good induction training period. All staff have completed or are working towards NVQ (National Vocational Qualifications) level 2 and 3. The company offers good training opportunities and staff confirmed that they are able to access appropriate courses once their statutory training is up to date. Staffing numbers were enough to deal with the residents’ needs on the day of the inspection and the rosters confirmed that this is the norm. However one resident has just had a continuing care assessment and the outcome is awaited. This may result in him having to move to a nursing home but if this does not happen staff numbers will need to be increased to take into account the extra time he will need. Monthly staff meetings are held with minutes been available for anyone unable to attend. Supervision sessions take place every six to eight weeks with written records kept of these. Staff spoken to confirmed that they receive good support from the manager. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 17 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, 39, 40 The home is well managed, the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: There is strong leadership within the home with the manager being pro-active about changes that need to be made. The manager is a qualified nurse and is working on the Registered Manager’s award. She has many years experience in working with this particular client group. Residents’ meetings have been started and hopefully will continue to be held on a regular basis. Residents attend their reviews and are involved in the decision making about their lives. An advocacy service has been contacted to assist residents with no family but there is a waiting list for this at present. The manager takes responsibility for Health and Safety issues in the home. All staff receive Health and safety Training and she has delegated responsibility for safety checks to one member of staff and is working on updating all policies and procedures. Regular fire checks and drills are held and documented. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 18 Laundry is done on the premises and there is a control of infection policy in place. 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 19 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 3 x 3 4 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 4 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 x 3 x 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 20 YES 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) Timescale for action 31.12.05 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 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 21 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 20050905 Stocks Hill UN Stage 4 S1509 V178707 J52.doc Version 1.40 Page 22 - 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. 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