Inspection on 21/10/05 for Stoneleigh Home

This inspection was carried out on 21st October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 14/02/06

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 Rob Padwick Unannounced 21 October 2005 13:00 st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stoneleigh Home Address Bielby Pocklington East Yorkshire YO42 4JW 01759 318325 01759 318040 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Sidney John Smith Mr Jonathan Dale Greenaway Care Home 14 Category(ies) of OP Old Age (14) registration, with number of places Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 March 2005 Brief Description of the Service: Stoneleigh Home provides 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 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 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and lasted from 1.00 pm until 6.00 pm, with a previous half day of preparation time. During the inspection, a tour of the home was undertaken and the inspector spent time talking with service users and relatives in the communal areas of the home, and observing their daily lives. Further time was spent reading care plans and files and talking to staff and the home’s manager. What the service does well: What has improved since the last inspection? What they could do better: Methods for obtaining the views of staff about the home and consulting with them could be developed. The system of recording service users money deposited by relatives should be signed for. The home’s kitchen should be upgraded in order to meet the recommendations of the Environmental Health Department. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 6 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 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 standard(s) 3, 6 Service users had received an assessment of their needs to ensure that the home could meet their needs. EVIDENCE: Service users indicated that their needs had been assessed in order to ensure that the home could meet their needs and inspection of their files confirmed this. Case files contained a copy of the home’s initial assessment of need together with evidence that these were being monitored on a regular basis. The file of the most recently admitted service user included documentation that demonstrated that this assessment was in the process of being updated and developed. Discussion with the manager confirmed that the home did not admit service users for intermediate care. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 standard(s) 7, 8, 9, 10 The service users health care needs were being appropriately met. EVIDENCE: Individual care plans had been developed by the provider to show how health, personal and social care needs were to be met and discussion with service users confirmed that they were happy with the service they received. Case files documented that service users or their representatives were in agreement with their care plans, and that these had been developed in consultation with them. Assessments of known areas risk were included together with guidance and actions to staff in the management strategies of these. Service users and staff indicated the home had good links with the local primary health teams and that service users health needs were being appropriately met. Case files included evidence of multi disciplinary input and demonstrated regular monitoring of the service users health condition, with recordings for weight and fluid intake where needed, together visits from the GP and specialist services. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 10 The home had medication policies and procedures and discussion with staff and examination of their files confirmed that they had received training in this aspect of practice. Medication records and supplies were checked and found to be satisfactory. Discussion with the manager indicated that the medication records were audited by a local pharmacy on an annual basis. Discussion with service users indicated that staff respected their rights to privacy and that they were treated with dignity at all times. Service users stated that the service provided was “highly personal” and observation by the inspector indicated that positive relationships existed between service users and staff. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 standard(s) 12, 13, 14, 15 Service users were supported to be as independent as possible and able to undertake a range of activities according to individual needs and wishes. EVIDENCE: Service users indicated that the lifestyle they experienced in the home was flexible and accorded with their expectations and personal preferences. An occupational therapist had been commissioned by the provider to provide activities on a weekly basis and discussion with the service users indicated that a local minister visited the home fortnightly to provide pastoral support to those that wanted this. Service users added that he joined them for lunch on such occasions. Service users were observed coming and going throughout the inspection, making trips out for cinema visits and going for walks in the local community. The service users told the inspector of a recent visit from a theatre group that they had enjoyed. Discussion with service users and their relatives confirmed that the home had an open visiting policy and that they were encouraged to take part in the life of the home. Relatives were complimentary about the caring nature of the management and staff and expressed satisfaction with the service. Service users told how they frequently went out on trips out with friends and family. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 12 Observation of the care practices indicated that service users were helped to exercise choice and control over their lives. Bedrooms were personalised with items of furniture and individual belongings that service users had brought into the home. Discussion with service users confirmed that they were free to make choices about their lives. Service users praised the high quality of the food served and confirmed they were able to have an alternative choice if they did not want the meal on offer. Lunch on the day of this inspection had consisted of fresh salmon and vegetables and afternoon tea was observed tastefully presented on individual trays. Examination of case files confirmed that service users were monitored for weight and dietary input as appropriate. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 standard(s) 16, 18 Service users felt that views were listened to and taken seriously. Staff supervision sessions had covered vulnerable adults training, in order to safeguard service users from abuse. EVIDENCE: The home had a complaints policy that was on display in bedrooms. Discussion with service users and relatives indicated that they were confident that their views were listened to, taken seriously and acted upon. The manager stated that issues raised by service users were generally dealt with informally and resolved before they became a problem. Discussion with service users confirmed this. The complaints record contained no recent entries. Discussion with staff and inspection of the home’s records indicated that service users were safeguarded from abuse. The manager and a senior staff member had attended a training session on the protection of vulnerable adults and inspection of staff records confirmed that this element of practice had been covered in supervision. Staff files contained checks with the Criminal Record Bureau or Protection of Vulnerable Adults (POVA) list as appropriate. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 standard(s) 19, 26 Service users live in a clean and comfortable environment. EVIDENCE: Inspection of the building indicated that service users live in a safe and wellmaintained environment. The home was comfortably furnished, warm, clean and tidy. A new central heating boiler had been installed since the last inspection and discussion with the manager indicated that following a visit from the Environmental Health Department; he was planning to upgrade the kitchen, as some of the fittings were beginning to become worn out. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 Training had been provided to staff in order to ensure that the needs of service users were met. The home’s recruitment procedures were being followed to ensure that service users were supported and protected. EVIDENCE: Discussion with service users indicated that they felt their were a sufficient number of staff and skill mix to meet their needs. The manager stated that three members of staff were always on duty during the day and service users confirmed that staff answered the “nurse call “ system promptly. Inspection of staff records confirmed that appropriate training and development opportunities were given to staff to equip them to do their job. Staff members on duty confirmed that they were qualified to NVQ level 2 and discussion with the manager indicated that the home was on target to meet the requirement that 50 of the care staff have obtained this level of qualification by 2005. The manager confirmed that he had recently completed his Registered Managers Award and NVQ 4 in care and that he was awaiting for these to be officially verified. Staff supervision records indicated that dementia training had been identified and discussion with the manager confirmed that he was hoping to action this in the near future. Staff records inspected indicated that the home’s recruitment policies and procedures were being appropriately followed in order to ensure that service users were supported and protected. The file of the most recent staff member employed indicated that her POVA first check was satisfactory and that a Criminal Records Bureau check had been applied for. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 16 Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 Service users were consulted to ensure the home was run in their best interests and their health and safety was promoted. The finances of service users were being safeguarded but could be improved further. EVIDENCE: Discussion with service users indicated that they felt that the home was being run in their best interests. Examination of the records confirmed that the manager had implemented the previous requirement and developed a quality assurance system. Completed service user and relative questionnaires were seen to inform this process and a recommendation was made that this system be extended to include the views of staff. Discussion with the manager and inspection of the home’s records indicated that service users financial interests were being safeguarded. A random check of the monies held on behalf of service users accorded with the home’s records, but a recommendation was made that money deposited on behalf of service users is recorded and signed for. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 18 Discussion with staff and inspection of the home indicated that the health, safety and welfare of service users and staff were being promoted and protected. Staff had received training in a variety of topics related to this aspect of practice and examination of the records confirmed that appropriate checks were being carried out. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x 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 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 2 x 2 x x 3 Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 26 33 35 Good Practice Recommendations The registered person should ensure that the kitchen is upgradec as recommended by the Environmental Health Department. The registered person should ensure that staff views are included within the quality assurance system. The registered person should ensure that money deposited on behalf of service users is recorded and signed for. Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 21 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Stoneleigh Home 20051021 Stoneleigh Home UN Stage 4 V228580 S19727 J53 .doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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