Inspection on 14/02/06 for Stoneleigh Home

This inspection was carried out on 14th 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 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

Stoneleigh Home 14/08/07

Stoneleigh Home 15/08/06

Stoneleigh Home 21/10/05

Stoneleigh Home 24/03/05

Stoneleigh Home 01/02/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Stoneleigh Home Bielby Pocklington East Yorkshire YO42 4JW Lead Inspector Pam Dimishky Unannounced Inspection 14th February 2006 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stoneleigh Home Address Bielby Pocklington East Yorkshire YO42 4JW 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) 01759 318325 01759 318040 www.stoneleighhomefortheelderly.co.uk Mr Sidney John Smith Mr Jonathan Dale Greenaway, Rosemond Anne Smith Mr Jonathan Dale Greenaway Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st October 2005 Brief Description of the Service: Stoneleigh Home is registered to provide personal care to 14 people of old age, and is situated in the peaceful village of Bielby a few miles from the town of Pocklington. The home is domestic in style and is furnished and decorated to a good standard. Service user accommodation is all ground floor and the gardens are accessible to wheelchair users. There is a lounge/dining room and a garden lounge, which overlooks the garden and is used for organised activities. The home is set in large grounds which include a paddock with accompanying horse and donkey, a garden with duck pond and an aviary which houses a number of exotic birds. The home is family owned and managed. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6.50 hours (including preparation) with one inspector. This was an unannounced inspection and included three recommendations made at the previous inspection being looked at; two of these had been addressed and one is ongoing. No requirements were made at that inspection. The inspector looked round all of the building and a number of records were also inspected. Eight of the twelve residents currently living in the home, two relatives and three members of care staff were spoken to. Further time was spent with the manager and examining care plans and other documents. What the service does well: What has improved since the last inspection? Redecoration of the home is ongoing and one bedroom was being decorated at the time of this inspection. Considerable investment has been made in totally refurbishing the kitchen with new stainless steel units, high quality non-slip flooring and wall cladding for easy cleaning. Special flooring has been fitted to the en-suite toilet in one bedroom to help support the resident in maintaining their independence. A new mobile hoist has been purchased and is proving useful with particular residents on occasions. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The admission procedure includes a full assessment being made of residents moving into the service to ensure the home can meet their needs. EVIDENCE: Before entering the home the manager makes a full assessment of the prospective resident’s needs and offers a free, trial weekend; the first month following admission is also considered a trial period. Prior to moving into the home, written confirmation the home can meet the resident’s assessed needs is sent in a letter to the resident or their family. Following hospital stays the manager makes a re-assessment to ensure any new needs can be met before the resident returns home eg a special mattress was being obtained and arrangements made for visits from the district nurse prior to one such resident returning. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 Residents care plans have sufficient detail to provide staff with the information they need to satisfactorily meet residents assessed needs and there is evidence of good multi-disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. All staff have training in administration of medications ensuring appropriate procedures are followed to ensure the safety of residents. EVIDENCE: Before moving into the home residents have a full needs assessment in accordance with national minimum standards. From this assessment a care plan is developed indicating the action to be taken to meet the resident’s health, personal and social care needs. Evidence was seen of daily reports by staff of the care delivered to meet the care plan and of monthly reviews signed by the resident, key worker and manager. Arrangements are in place to access support from general practitioners, district nurse, community psychiatric nurse, chiropodist, dentist, optician, dietician and continence nurse. All staff are trained in giving out medications and the home has a policy for this which includes for self-medication. One resident has a risk assessment in Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 10 place which gives support for self-medication, and a locked facility has been provided for secure storage. One resident’s medication, records and storage was examined and found to be in order. The manager stated drugs returned to the pharmacist are recorded on the medicine administration record (MAR), is signed by the pharmacist and the record stapled to the residents care records. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 Residents are able to take advantage of activities provided by the home and are able to participate in community and family life. The meals in this home are good offering both choice and variety according to the wishes of the residents. EVIDENCE: Residents expressed their satisfaction with routines of daily living, activities and trips out provided by the home. An occupational therapist is employed by the home to provide activities one day a week and residents indicated how much they enjoyed the activities and participating in the exercises provided. Residents are able to take advantage of the activities provided or spend their day reading, listening to the radio or television playing dominoes or doing jigsaws. An organ in the corridor is, on occasions played by residents, staff, visitors and the church. A mobile library visits every six weeks and a ramp is in place for wheelchair users so they can choose their own books. One resident takes a walk into the village most days and, at the time of this inspection, another resident was being taken out of the home by relatives. Links with the local community are good with a local minister visiting the home fortnightly and giving communion to those wishing to participate. Children from the Montessori school visited at Christmas and sang carols, and arrangements are in place for the Frantic Theatre Company to visit twice a year; photographs were seen of their last performance which residents clearly Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 12 found to be hilarious. Residents also said how much they looked forward to the visits to concerts at Burnby Hall gardens and visits twice a year to the Robert Fuller art exhibition. All residents spoke highly of the food. Lunch on the day of the inspection was cottage pie, roast potatoes and vegetables followed by sticky toffee pudding, melon or fruit and ice cream; teatime menu consisted of quiche and salad, cheese or meat sandwiches, crisps, cakes and fruit salad. A record is kept of each days menu and it is evident a variety of food is being provided. The home has a number of refrigerators and freezers and it is evident from the food store, residents’ benefit from a good selection of food. The dining room is very pleasant and the dining table looked very attractive set with candelabra, cotton napkins and serviette rings. A bottle of wine is often included with lunch and residents can choose to eat in the dining room or their own room. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a satisfactory complaints procedure and evidence was seen to indicate complaints are thoroughly investigated and acted upon. EVIDENCE: The home has a complaints policy and procedure which is on display in the home. One complaint has been investigated, and appropriate action taken, since the last inspection. Residents said any concerns would be brought to the manager’s attention and are always resolved without delay. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22 and 26 The standard of the environment within this home is good providing residents with an attractive and homely place to live. A mobile hoist and other lifting aids ensuring residents safety, are available in the home. The home was clean, and hygienic providing residents with a pleasant place to live. EVIDENCE: The home is set in large gardens, complete with duck pond, which are also home to a donkey and exotic birds. A small car park is at the front and hanging baskets and flower tubs make the approach very attractive. Inspection of the building indicated that residents live in a safe and wellmaintained environment. One room was being decorated at the time of this inspection and considerable investment has been made recently in refurbishing the kitchen. New stainless steel kitchen units, wall cladding and special flooring make it much easier to keep the kitchen clean and hygienic. The fire alarm in the kitchen had been disrupted during completion of the work, but the manager stated this would be operating before the end of the week and all staff were being especially alert in this area. One resident’s en-suite toilet has been fitted with special flooring and a raised toilet seat to support the resident Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 15 in maintaining their independence. All areas of the home used by residents have a call system with accessible alarm facility. Both bathrooms have a bath hoist and a mobile hoist has been obtained which is proving particularly useful on occasions with some residents. The home was noted to be clean, pleasant and hygienic with no offensive odours. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 30 The staff have a good understanding of the residents support needs. This is evident from the positive relationships, which have been formed between the staff and resident. The staff are well trained and therefore competent to do their jobs. EVIDENCE: Twelve residents are currently living in the home and staff rotas showed three members of staff are on duty during the day, plus the manager, and the residents confirmed sufficient staff are on duty to meet their needs. The manager is on call when not in the home. Staff training is ongoing and a new programme is being developed for 2006. 50 of staff have NVQ level II qualification and one is also taking level III. Most staff and the manager are taking a certificate in dementia awareness through York College. The course covers understanding dementia, person centred care, and challenging behaviour. No new staff have been appointed since the last inspection. However, at the last inspection staff records indicated that the home’s recruitment policies and procedures were being appropriately followed in order to ensure that residents are supported and protected. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35 and 38 The manager has a development plan and vision for the home and is providing clear leadership throughout the home. Residents’ financial interests and health and safety are safeguarded by the homes policies and procedures. EVIDENCE: Following a recommendation made at the last inspection for staff to be included in the annual quality assurance questionnaire, the manager stated it is his intention to include staff in the next survey. The home keeps small amounts of money on behalf of some residents and two residents monies were checked and found to be in order. Barkers Mobility have given moving and handling training to all staff who have been provided with a certificate. The manager has an arrangement with the company to also have annual update training. All staff have fire training twice a year, fire alarms are recorded as taking place weekly and emergency lighting monthly. An audit by the fire officer was undertaken on 24/5/05 and no deficiencies were identified. The manager has changed service contractors for the two bath hoists and mobile Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 18 hoist and has overlooked the need to include a six monthly thorough examination of the equipment. Arrangements were made during the course of the inspection for this examination to be included in the contract. Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 2 Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 20 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 OP38 Regulation 23 Requirement The registered person must ensure all health and safety checks are made of equipment used for lifting residents. (The manager made arrangements during the course of the inspection for the lifting equipment to have a thorough examination) Timescale for action 14/02/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stoneleigh Home DS0000019727.V273644.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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