Inspection on 15/08/06 for Stoneleigh Home

This inspection was carried out on 15th 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

Stoneleigh Home 14/08/07

Stoneleigh Home 14/02/06

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 Karen Ritson Key Unannounced Inspection 15th August 2006 09:30 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.V307579.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 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.V307579.R01.S.doc Version 5.2 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.V307579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Stoneleigh Home is registered to provide personal care to 14 older people and is situated in the village of Bielby a few miles from 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 sun 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. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. The charges range between £420 and £509 per week. Chiropody, hairdressing, toiletries and newspapers are not included in this fee and these are charged at cost. This information was provided to CSCI on 21/06/07. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection for this service took 14 hours. This includes time spent gathering information and examining documentation before and after a site visit and in writing the report. The site visit took place on 15th August 2006 between 10:00am and 3:30pm. Information for this inspection was gathered from the following: • A tour of the premises • Observations of care throughout the day of the site visit. • Speaking with service users. • Speaking with staff. • Case tracking three service users on the day of the site visit. • Looking at information provided by the manager in a pre inspection questionnaire. • Notifications sent to the commission from the home since the last inspection. • Examining policies, procedures and records kept at the home, including staff files. • Examining information regarding the home on the file kept by CSCI. All key standards were looked at during this inspection. The manager was present throughout the day of the site visit. What the service does well: This home offers a very good, family run service. Good care is offered in a well kept and attractive setting. The home is tastefully decorated and the gardens are very pleasant, with a pond and aviary. Visitors are made welcome at anytime. One visitor had written: We are delighted with every aspect in Stoneleigh.’ A health care professional had written: ‘I find this home very friendly but professional too. Staff are approachable and helpful in every way.’ Service users are assisted to pursue their interests both inside and outside of the home. The manager and staff are friendly and thoughtful and all have time to spend chatting or to help service users on a one to one basis. One service user said of the staff: ‘They have time to talk and I feel they have got to know me well.’ The meals are of a particularly high standard. One service user said: ‘The meals are first class. We love our salmon and we are often offered wine with our meal.’ Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 6 The staff enjoy working at the home and there is a low turnover. Any complaints are listened to, acted upon and taken seriously. Service users are kept safe by good health and safety procedures and thorough staff training. The home seeks the views of those living there and publishes the results of surveys in its ‘service user guide.’ What has improved since the last inspection? 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.V307579.R01.S.doc Version 5.2 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.V307579.R01.S.doc Version 5.2 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): 3,5 and 6 Quality in this outcome area is good Prospective residents and their representatives have the information needed to choose a home, which will meet their needs. Service users needs are assessed and their contract clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user receives an assessment of care prior to admission. A personal profile and a care plan are drawn up using this information. Service users are admitted on a four week trial basis, after which a review is held and a decision made by both parties about a permanent stay. A contract is drawn up for each service user. Intermediate care is not offered. Observations of care showed that all staff had a good understanding of each individual’s care needs. Service users agreed they were invited to visit prior to admission and that this had helped them to make their decision. One said: ‘I came to look and liked it straight away. The manager and staff were so welcoming.’ Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 9 The home has a service user guide and statement of purpose, available on request, which help service users and their families come to a decision about whether Stoneleigh is for them. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 10 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): 7,8,9 and 10 Quality in this outcome area is good. The health and personal care a resident receives is based on individual needs. Service users are consulted during the care planning process and this informs care practice. The principles of respect, dignity and privacy are put into practice. Service users are happy with their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A detailed care plan is drawn up from the assessment and other information received. Service users spoke highly of the personalised service they were offered by staff. One relative had written that care was given: ‘With compassion and empathy which is so important to us.’ The plans cover all relevant areas of care and include risk assessments where necessary. Fluid charts, weight checks and basic monthly checks to include blood pressure are also carried out. The plans are reviewed with the involvement of service users on a monthly basis to which they sign agreement. All visits from the GP or nursing staff are recorded. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 11 All medical interventions are recorded which makes it easy to track changing health care needs and previous treatment. Medication is well kept, recorded and administered, according to policy, and service users said they felt confident to leave the medications with staff. A pharmacist had inspected the medication procedure recently and the report contained no recommendations. Observations during the day of the site visit confirmed that service users were treated with regard to their privacy and that dignity was protected. When asked if they were satisfied with the way they were cared for, one service user responded that the care was ‘Very good, the staff all know us well.’ Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 12 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): 12,13,14 and 15 Quality in this outcome area is excellent. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet which they consider excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Social and activity preferences are recorded on each service users file. Service users said they had enjoyed the activities offered by an Occupational Therapist who had asked them what they would like to do and visited the home each week until very recently. The manager was in the process of filling this vacancy. Service users had also requested a flower-arranging group and there are large print books available for those who need them. A mobile library visits regularly. Service users are assisted to go out to church if they so wish and the local vicar visits each fortnight when he also dines with the residents at lunchtime. Local school children are invited into the home to sing at festival times and a theatre group visits twice a year for an afternoon of drama and songs. Residents said they enjoyed visiting art exhibitions on a regular basis in nearby Pocklington, going to the races at Beverley, visiting the gardens at Burnby Hall and going out to the local pub. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 13 Outings are arranged by taxi for those who wish to attend. The village is close to an attractive canal footpath and service users spoke of walking there or being assisted in wheelchairs by staff. One service user said: (The manager) ‘Listens to what we want to do and will always help to make it happen.’ This assures that service users spend their time the way they prefer. Visitors may call at any reasonable time. Service users said that the meals were exceptionally good and all thoroughly enjoyed them. One service user said: ‘The food is excellent.’ Another said: ‘I couldn’t fault it, it’s like a hotel’ Service users are encouraged to make menu suggestions and favourites are incorporated into future menu choices. A midday meal was taken with the service users. This was of a very high quality and service uses likes and dislikes had been taken into consideration. The dining table was beautifully arranged with candles on the table. Service users are often offered wine with their meal. Tea or coffee is taken afterwards in the sun lounge, where service users may choose to chat or read the newspapers. Any dietary needs are recorded and taken into consideration when planning meals. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. Residents have access to an effective complaints procedure; their complaints are listened to and acted on. Service users are protected from abuse, through updated staff training and abuse procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy and procedure. Service users said they could speak with staff if there was a problem or they had a complaint and that they were confident they would be listened to and any concerns acted upon. They said that the manager visited them often in their rooms and encouraged them to tell him if there were any problems or niggles. All complaints are recorded with outcomes. Staff have received abuse awareness training. The home has an equal opportunities policy and procedure. Service users said they felt well cared for in the home, none said they had ever had cause to complain or had ever felt unsafe. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is excellent. Service users live in a safe, well-maintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well maintained and safe. Décor is very pleasant and regularly upgraded. The new kitchen is much easier to manage and to keep clean than the previous more domestic arrangement. Service users rooms are personalised and those who wish can bring their own furnishings and effects. There are ample occupational therapy aids, two bathrooms and sufficient toilet facilities. Specialist beds and mattresses are supplied where needed in consultation with health care professionals. The laundry is fit for its purpose, sited away from the kitchen with a separate entrance, a non-slip floor, and commercial washers and drier. Service users said the laundry service was good and that their clothes were well cared for. One service user said: Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 16 ‘I like my room very much, a lot of thought and care goes into getting things right. I can ask if I want things moved around.’ Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 17 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): 27,28,29 and 30 Quality in this outcome area is good. Staff in the home are trained and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well staffed with little staff turnover. Whilst staff are on holiday or off sick, other staff usually work extra hours short term and all said this works well. No agency staff are used. 65 of staff have NVQ level 2. Staff files are well organised and contain all relevant information. The home recruits staff well. Staff are enthusiastic about training and one senior has NVQ Level 3. The manager plans that all senior carers will be trained to NVQ level 3 and that all carers will receive at least NVQ Level 2 training. The home lets applicants know that it follows an equal opportunities policy. Information provided on the pre inspection questionnaire confirmed that staff received induction and foundation training to TOPSS guidelines. Service users said they felt confident staff knew what they were doing and that they understood their particular needs. Staff said that the manager was very supportive regarding their training and that he was always there to help and offer encouragement. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 18 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): 31,33,35 and 38 Quality in this outcome area is good. Service users benefit from an open style of management based on respect and from the considerable experience of the manager. Service users views inform practice. Service users welfare is protected by good health and safety systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is well qualified, having NVQ level 4 and the equivalent of NVQ4 in management. He lives close by in the village and is consequently on hand should any difficulty arise. The staff all agreed that the manager was very supportive, particularly helping new members of staff to grow in confidence and to achieve qualifications whilst having the good judgement to let those experienced members of staff work independently. All staff said the manager had confidence in them and they felt valued in their role. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 19 The home has developed a comprehensive quality assurance system. Feedback from service users and all other interested parties is sought and analysed. This informs future practice and actions taken are recorded. Extracts from the business plan are included in the service user guide, so that prospective users of the service are informed about what others think of the quality of care at Stoneleigh. The home does not become involved in the finances of service users. Health and safety is protected and promoted through staff training, effective risk assessments, regular checks on water temperatures, the checking and maintenance of electrical systems and servicing of all equipment. This is underpinned by compliance with relevant health and safety legislation. Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 20 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X X X X 3 Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Stoneleigh Home DS0000019727.V307579.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!