Inspection on 22/08/06 for Stoke House

This inspection was carried out on 22nd August 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 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

Stoke House 28/07/08

Stoke House 18/11/05

Stoke House 30/06/05

Stoke House 02/10/04

Stoke House 23/06/04

Stoke House 09/12/03

Stoke House 01/10/03

Stoke House 12/09/02

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

CARE HOME ADULTS 18-65 Stoke House 145 Harborough Road Northampton Northants NN2 8DL Lead Inspector Martin Hefferman Unannounced Inspection 22nd August 2006 10:30 Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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 Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoke House Address 145 Harborough Road Northampton Northants NN2 8DL 01604 715169 NONE 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) www.mentauruk.com Mentaur Limited Vacant Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. It is a condition of this registration that the home may continue to care for older people who have lived in the home long term, for the duration of their lives, unless the Community Health services can no longer support any health or nursing care needs that the service user may develop. The home will limit its services to the following service user categories: No person falling within the category Learning Disabilities (LD) can be admitted where there are already twelve persons of category LD in the home. No person falling within the category Mental Disorder (MD) can be admitted where there are already twelve persons of category MD in the home The total number of Service Users in the home must not exceed twelve (12) 18/11/05 2. 3. Date of last inspection Brief Description of the Service: Stoke House is situated in a residential area on the outskirts of Northampton. It is convenient to local facilities including the Kingsthorpe shopping centre, less than ½ a mile away, to a park very close by, and to the local pub. The home offers care to people with learning difficulties, some of whom have challenging behaviours. Stoke House is one of three homes in the locality owned by Mentaur. There is a day centre, run by the organization less than ½ a mile away, which service users have a choice of attending. The house is a large extended terraced property offering single bedrooms on the first floor and a range of communal areas including two lounges on the ground floor. In addition there is a semiindependent unit within the gardens offering accommodation for one service user. There are accessible and secure gardens to the rear of the property for the use of the service users. At the time of the inspection, fees ranged from £1111.29 to £1885.83. Information about the services provided by the home was available. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 22nd August 2006, lasting approximately six and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussion with them (where appropriate), care staff and observation of care practices. Five service users were spoken to during the course of the visit. An additional visit took place on 16th January 2006 to monitor the home’s progress towards meeting the requirements from the previous inspection. It found that the outstanding requirements had been met. This inspection has taken into account the findings of that visit and all information received since the date of the last inspection, including the owner’s self-assessment. Three healthcare professionals completed comment cards prior to the visit indicating that they were satisfied with the support provided to service users. What the service does well: What has improved since the last inspection? What they could do better: Multi-disciplinary agreement should be sought for any behaviour modification programme in use within the home. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 6 A record should be kept within the home of all complaints and of the action taken. Work should continue towards achieving the target of 50 of care staff who achieve a level 2 National Vocational Qualification or above. A number of issues relating to the premises and the completion of medication administration records were brought to the attention of the acting manager. Action was taken at the time of the inspection with regard to a fire door, which had been propped open. 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. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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 Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures appear to be effective, ensuring that the needs of any prospective service users are identified. EVIDENCE: The outcome for standard 2 could not be fully assessed on this occasion. No one has moved into the home since January 2005. The admission of a new service user was examined at the time of the last inspection. It found that the process was sufficiently detailed to ensure that prospective service users are suitably assessed and an appropriate placement is made. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members have access to the information they need to meet service users’ needs. EVIDENCE: Individual plans were available for the service users who were chosen for the purposes of case tracking. The plans that were inspected had been reviewed recently. Some of the plans had been signed by service users to indicate that they were in agreement. One of the plans included restrictions on a service user’s choice and freedom as part of a behaviour modification programme. A recommendation has been made that multi-disciplinary agreement should be sought for any such programme. Risk assessments were available for the service users whose records were inspected. Service users indicated that they are able to make decisions about their lives with assistance if required. A regular meeting is held at which service users discuss a range of issues. Individual plans set out information about service users’ preferences. For one of the service users who were chosen for the purposes of case tracking, this information was based on knowledge of the person built up over time. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements relating to the various aspects of service users’ lifestyles appear to be well managed. EVIDENCE: The majority of service users attend a day service run by the registered provider in Northampton. One of the service users who were chosen for the purposes of case tracking undertakes activities with staff from the home. It was evident that she enjoys going out for a drive. Service users stated that they were looking forward to attending college when the new term starts in September. Service users stated that they enjoy going to pubs, discos, the cinema, swimming and bowling. A number of them reported that they were looking forward to a forthcoming holiday. Several service users reported that they are in contact with their families. One person stated that she enjoys meeting up with friends at the day centre. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 11 Service users stated that they enjoy the food that is provided. The acting manager stated that she hopes to increase the involvement of service users in the planning and preparation of meals. A service user reported that she had enjoyed preparing a lasagne the day before. Records of a recent meeting indicated that service users were involved in discussions regarding the menus. A decision had been taken at the meeting to have a South African themed day, involving culturally appropriate food, at the weekend. The acting manager stated that she hopes to arrange a cultural day every week. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for managing service users’ personal & healthcare needs appear to be well managed. EVIDENCE: Service users stated that they are happy with the support they receive from staff members. The individual plans that were inspected detailed the personal care each person requires. They also set out information about service users’ preferences. For one of the service users who were chosen for the purposes of case tracking, this information was based upon knowledge of the person built up over time. Individual plans set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. A record is kept of any healthcare appointments attended by service users. None of the service users who were chosen for the purposes of case tracking are able to manage their medication. Records are kept of the medicines received by the home, administered to service users and returned for disposal. Administration records contained a number of omissions, which were brought to the attention of the acting manager. She stated that she will be monitoring medication arrangements within the home and reported that she will take action where shortfalls are identified. Staff members receive training and are assessed as competent before they are able to administer medication. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users appear to be protected by the home’s arrangements for handling complaints and responding to allegations of abuse. EVIDENCE: Service users stated that they would speak to staff if they had any concerns. A copy of the home’s complaints procedure has been given to service users. The procedure was also discussed at a recent service user meeting. Information supplied by the registered provider prior to the inspection indicates that there have been eight complaints during the course of the past twelve months, one of which was partially substantiated. Some of the documentation relating to a complaint had to be faxed from the company’s head office during the course of the visit. A recommendation has been made that records are kept within the home of all complaints and of the action taken. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. Staff members have received training on the action to be taken in the event of an allegation or suspicion of abuse. Two members of staff sign records relating to service users’ finances and receipts are kept. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and generally safe environment. EVIDENCE: Service users stated that they are happy with the environment in which they live. They have been encouraged to personalise their rooms and to have their belongings around them. The areas of the home that were inspected were generally decorated and furnished to a satisfactory standard. A number of issues were identified during a partial tour of the premises: a service user’s room had no curtains; lights in an upstairs bathroom and one of the lounges were not working; a number of tiles in a second bathroom had been damaged; a fire door in the basement had been propped open; there was a noticeable odour in a service user’s room; and a number of pieces of broken furniture and two shopping trolleys had been left in the garden. All of these issues were discussed with the acting manager and the service manager who reported that many of them were in the process of being addressed. They stated that others had occurred that day and that they would be added to a maintenance log. Action was taken with regard to the fire door at the time of the inspection. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 15 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are generally well managed. EVIDENCE: Service users stated that they got on well with staff members. The records relating to two members of staff indicated that appropriate pre-employment checks had been carried out. The service manager reported that they have not had to use agency staff at the home since June 2006. New members of staff complete a programme of in-house induction training. Information supplied by the registered provider indicates that one member of staff has completed a social work qualification and one was a qualified Occupational Therapist. Ten of the eighteen members of care staff have started National Vocational Qualification level 2 and four, level 3. Records indicate that staff members have received training on issues relevant to their work. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 16 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home appears to be well managed. EVIDENCE: A new manager has recently been recruited for the home. She had just completed a two-week induction period at the time of the inspection. The company’s service manager is currently overseeing the management of the home. The Responsible Individual (a representative of the company) completes Regulation 26 reports (visits by the registered provider). There are plans to involve service users from other homes in those visits. The service manager stated that the company had recently completed a survey of the views of service users and staff. She reported that the results would be fed back to the home (a recommendation from the last inspection). Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 17 Staff members have received training on a number of safe working practices. Records indicate that fire tests & drills have taken place at the required frequency. The home was about to start the process of updating its general risk assessments at the time of the inspection. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 18 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 19 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. 1 2 3 Refer to Standard YA6 YA22 YA32 Good Practice Recommendations Multi-disciplinary agreement should be sought for any behaviour modification programme in use within the home. A record should be kept within the home of all complaints and of the action taken. Work should continue towards achieving the target of 50 of care staff who achieve a level 2 National Vocational Qualification or above. Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Stoke House DS0000012930.V308362.R01.S.doc Version 5.2 Page 21 - 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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