Inspection on 16/11/05 for Stonecroft

This inspection was carried out on 16th November 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stonecroft 08/09/09

Stonecroft 29/09/08

Stonecroft 05/12/06

Stonecroft 23/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Stonecroft Leywood Close Braintree Essex CM7 3NP Lead Inspector Brian Bailey Unannounced Inspection 16th November 2005 4:00 Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stonecroft Address Leywood Close Braintree Essex CM7 3NP 01376 347389 01376 347389 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) Thera Trust Helen Marie Wilson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 3 persons) 23rd May 2004 Date of last inspection Brief Description of the Service: Stonecroft is a detached bungalow situated on the outskirts of Braintree in a quiet residential area. The registered manager is Helen Wilson. The property is owned by Essex County Council and is leased to the Thera Trust to manage the service. The aim of Stonecroft is to provide care for up to three adults with learning disabilitie, who stay at the home for short periods of respite care and that they will attend the Leywood Centre during each weekday. Leywood is within a few minutes walking distance of the home. Stonecroft is closed between 9.00am and 3.30pm each weekday but people that use the service are able to stay at the home at the weekend. The property is homely in appearance, well decorated and furnished and spacious. There are 3 single bedrooms, a bathroom, a separate toilet, lounge/dining room, kitchen, laundry room, conservatory and a large garden. Access to the property is good and parking facilities are available on the drive at the front of the house. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An announced inspection of the home took place on 16th November 2005 at 4.00pm. This was the second inspection of Stonecroft since it was registered by CSCI in February 2005. The manager, Helen Wilson, was on duty and three service users were at home. The inspection included a tour of the premises, a check of medication and a discussion with the services users about activities, the daily routines of the home, choice, privacy, employment, meals, staff and what they thought was good and what could be improved at the home. The inspection concluded that service users were happy to live at Stonecroft and they had no concerns or complaints. What the service does well: What has improved since the last inspection? The home is continuing to provide a good standard of service that service users clearly enjoy. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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): 3. Service users benefit from being able to visit the home to see for themselves the facilities available and to meet the staff, which helps them to be clear as to whether the home can meet their needs. EVIDENCE: Procedures for service users to stay at Stonecroft remain the same as found at the last inspection. All referrals for people wanting to use the service are made through the Braintree Learning Disability Team. Detailed assessments of the person’s needs are provided and the manager stated that these were now more detailed. There continues to be about thirty-five people that visit for respite care; some staying for one night whilst others stay for periods of up to three weeks at a time, but the average stay is for one week. A phased programme of introduction to the home enables prospective service users to visit the home to meet the staff and other users, to see the bedrooms and facilities, have a meal and to stay overnight. These visits enable the manager to carryout an assessment as to whether Stonecroft would be able to meet their needs and for service users to see whether they like the home. During the inspection, services users spoken with were clearly aware of the facilities available and knew what to expect. On the day of inspection, the three services users had stayed at the home before. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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): 8 and 9. Service users are supported to take risks as part of leading an independent lifestyle. EVIDENCE: It was evident from discussion with service users that they are encouraged and empowered to make decisions whilst living at Stonecroft. As users of the service only live at the home for short periods of time, it is difficult for them to be involved in the actual running of the home, but it was apparent they are consulted about their social and leisure activities and each person assists in keeping the home clean and tidy. The service users living at the home on the day of the inspection were able to decide for themselves what they wanted to do and clearly felt able to come and go as they pleased. A range of risk assessments were available that enable staff to be clear about the degree of risk involved when service users undertake various tasks and routines. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 and 16. Service users are supported to undertake an interesting and stimulating range of activities that are appropriate to the people involved. EVIDENCE: As service users do not live at Stonecroft on a permanent basis it is difficult for them to be fully involved in the local community, but it was very apparent from discussions that they make full use of the local facilities. Two service users were in employment in Braintree, which they said they enjoyed. They spoke of having gone out the previous evening for a meal in Chelmsford and were looking forward to going to the cinema at the weekend. They also described the clubs that they attend each week and of the friends they meet. Service users were seen to return to their rooms whenever they liked and to make full use of the home’s facilities; they particularly liked to use the karaoke machine in the conservatory. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 11 Service users said they were offered choices, which was clearly demonstrated at the evening meal when they made their selections. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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): 19 and 20. Arrangements are in place to meet service users’ personal and health care needs and appropriate procedures for the administration of medication are in place. EVIDENCE: One of the service users staying at Stonecroft had medication, which was being looked after by the staff. The storage of medication was appropriate and records detailing when medication is administered were accurate and up to date. Some helpful guidance notes had been provided by a parent to assist staff. As service users in general only stay at the home for periods of a week, their health care arrangements remain in place. The home does however have the necessary contacts and procedures to deal with any emergencies that may arise during their stay. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 and 23. The home has appropriate arrangements in place to protect residents from abuse and to listen to any concerns or complaints. EVIDENCE: The complaints procedure is included in the statement of purpose and service user guide. The procedure includes a reference to the CSCI. No complaints had been received by the home or CSCI. Service users spoken with said they had no concerns but would speak to the staff if necessary. The home has a policy and procedure for the protection of venerable adults and a whistle blowing procedure. All staff had attended a training course on the subject of abuse. Service users staying at the home considered they felt safe at Stonecroft and said the windows and doors were locked at night. One service user said that a lounge light was left on during the night to assist them if the got up and wanted the bathroom or the kitchen. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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): 24, 25, 28 and 30. Service users are provided with a comfortable and safe standard of accommodation. although they would benefit from being able to access the conservatory throughout the year. EVIDENCE: Stonecroft is a detached well-maintained property that is furnished and decorated to a good standard. A large conservatory at the back of the bungalow is well used by service users but was almost too chilly to use on the day of inspection. Although there is a change over of services users living at Stonecroft during most weeks, the staff have continued to ensure the home is comfortable, welcoming and homely in appearance. Service users are able to take their own possessions with them for their short stay. The service users in residence said they liked their rooms. The bedroom at the front of the house had a musty smell. The manager said that they were in the process of trying to find the cause. The home had appropriate lighting, heating and ventilation. Hot water taps are controlled to prevent the temperature of the water exceeding 43 degrees C. Thermostatic valves controlled radiator temperatures. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 15 A well-equipped kitchen and laundry were available. The property was clean and tidy throughout. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 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. Service users benefit from being supported by a team of experienced and trained staff. EVIDENCE: A small team of staff managed by Helen Wilson supports service users staying at Stonecroft. The manager is taking the Registered Managers Award, one staff member has a National Vocational Qualification at level 3 and another staff member is about to commence a NVQ at level 2. This means that the minimum training target of 50 target of staff having a NVQ level 2 by the end of December 2005. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 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): 40. The home is managed effectively and service users can enjoy the benefits of a safe and secure setting where their views are valued. EVIDENCE: The majority of the above standards were assessed at the last inspection and were met. The manager is continuing with her studies to obtain the Registered Managers Award. The manager demonstrated an open, friendly and inclusive manner towards service users and they were clearly at ease in the manager’s company. The home had an appropriate range of policies and procedures and records seen were well maintained. The manager was fully aware of her responsibilities under the health and safety legislation and taking appropriate action to remedy any defects. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 2 X 2 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stonecroft Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X 3 X X X DS0000062404.V265128.R01.S.doc Version 5.0 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. 1. Standard YA26 Regulation 23 Requirement The manager must continue to try and establish the cause of the unpleasant musty smell in the front bedroom. The manager must assess the feasibility of providing additional heating in the conservatory. Timescale for action 01/01/06 2 YA28 23 01/01/06 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 YA5 Good Practice Recommendations The service user guide should be available in a language or format suitable for service users to understand. Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Stonecroft DS0000062404.V265128.R01.S.doc Version 5.0 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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