Inspection on 30/10/08 for Stonesby House

This inspection was carried out on 30th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stonesby House 26/11/07

Stonesby House 06/03/07

Stonesby House 04/05/06

Stonesby House 12/01/06

Stonesby House 30/11/05

Stonesby House 08/07/05

Stonesby House 04/11/04

Stonesby House 23/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Stonesby House 147 Stonesby Avenue Stonesby House Leicester LE2 6TY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Cowley     Date: 3 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Stonesby House Stonesby House 147 Stonesby Avenue Leicester LE2 6TY 01162831638 01162831638 bevbudred@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sylvia Ann Martin Type of registration: Number of places registered: Mr Osman Amar Saghir care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: No additional conditions of registration. Date of last inspection Brief description of the care home Stonesby House is registered to provide care for up to eleven adults with mental health needs. The home, an extended semi-detached house, is situated on the main Stonesby Road close to shops and other amenities. There is a bus stop near to the home with regular bus services to Leicester and Wigston. There are two double and two single bedrooms upstairs with a further five single bedrooms downstairs. All bedrooms except one have en-suite facilities. The home is non-smoking inside (individuals living in the home are able to smoke outside) and it has a large, open plan lounge / dining room. There are small garden areas to the front, side and rear of the property that are mostly paved. There is a park situated nearby. Fees are based on local authority rates. 11 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of we indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three of the people living at the home by meeting them; talking with the staff who Care Homes for Adults (18-65 years) Page 5 of 28 support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to three further residents, the Acting Manager, and one of the Owners. What the care home does well: What has improved since the last inspection? What they could do better: Not all of the files belonging to the people who live in the home contained a photo. This is important for the purposes of identification if anyone ever goes missing. Files should be audited to ensure all have a photo included. Staff files also need photos of the staff member in question. These should also be audited and photos obtained, where necessary, as they are required for the purposes Care Homes for Adults (18-65 years) Page 7 of 28 of identification. The home is still without a Registered Manager, the last one having left in December 2006. A Requirement was made at the last inspection for a Registered Manager to be appointed. This remains outstanding. The Acting Manager, or another appropriate person, must be put forward for registration. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. People who want to come to the home have their needs assessed to ensure it is suitable for them. This judgment has been made using available evidence including a visit to this service. Standard 2 was inspected. Evidence: People who want to live at Stonesby House first have a written assessment to see if the home is suitable for them. The Acting Manager completes this, taking into account their views, and the views of their families and significant others. Health and social care staff who are involved in their care are also consulted. This helps to ensure that the home will be able to meet their needs if they decide to move in. They are then invited to visit the home as many times as they like, staying overnight if they wish, until they are ready to move in. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: We discussed the admission of case tracked residents with the Acting Manager and looked at their records. We saw that thorough risk assessments are carried out before a new person moves in, and the people who live in the home are consulted. This increases the likelihood of the placement succeeding. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Detailed care plans help staff to identify and meet the needs of the people who live in the home. This judgment has been made using available evidence including a visit to this service. Standards 6, 7, and 9 were inspected. Evidence: All the people who live in the home have care plans. These help to ensure the care provided fits in with their lifestyle and meets their particular needs. The plans cover the health, personal and social needs of the person in question, and their likes, dislikes and preferred routines. They are evaluated at least once a month to ensure the information in them is up to date. We sampled the care plans and saw they have improved since the last inspection. Each of the people who live in the home now has a communication passport. This is Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: completed in conjunction with them and explains how they prefer to communicate. It helps staff to build good relationships with the people in the home and understand them better. When we looked the files belonging to the people in the home we found that not all contained a photo. This is important for the purposes of identification if anyone ever goes missing. Files should be audited to ensure there is a photo of all the people who live in the home on file. Peoples cultural needs are addressed at Stonesby House. The staff team are multicultural and some can speak a variety of languages. Interpreters have also been used, when necessary, to help with communication. And records showed that personal care is given in a culturally sensitive manner. The people who live in the home are encouraged to make decisions and take responsible risks. For example, all use the kitchen to make snacks and hot drinks, but with different levels of staff supervision depending on their needs. This helps the people who live in the home to increase their independence and decision making skills, while at the same time remaining safe. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Staff encourage the people who live in the home to lead active lives and grow in independence. Meals are varied and wholesome. This judgment has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16, and 17 were inspected. Evidence: Since the last inspection an activities co-ordinator has been appointed to encourage the people who live in the home to develop their hobbies and interests, and get out and about. The Acting Manager said motivation could be a barrier for some of the people who live in the home, and staff are sensitive to this and do not put pressure on them. At present some of the people who live in the home go out frequently to the shops, to town, or to an adult education centre. Others choose to stay at the home Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: where they spend time with staff and each other. The people who live in the home are encouraged to keep in contact with their families and friends through visits and phone calls. Staff will provide support to families, if it is wanted, and make them welcome when they come to visit. The people who live in the home are encouraged to help choose the menus. The Manager told us the most effective way to do this is informally. She said, I do the shopping online every week and I ask the people who live here, What do you fancy?, and they tell me and I order it. And after a meal I go into the dining room and ask them what they thought of it, so I get an idea of their likes and dislikes. All the people we spoke to said they were pleased with the food served. One told us, The foods good and you get a choice. The menus showed that meals to be wholesome and varied. The home does not serve pork. This is in the Statement of Purpose and Service user Guide so it is clear to anyone interested in coming to the home. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. The people who live in the home have their personal and health care needs met in the way they want by staff in the home. This judgment has been made using available evidence including a visit to this service. Standards 18, 19 and 20 were inspected. Evidence: The people who live in the home are encouraged to be as independent as possible and are supported to care for themselves. For those less able, support and guidance is offered in a sensitive and flexible manner. Care plans provide the information staff need to provide appropriate assistance and alert them to individuals likes and dislikes. Records showed that the people who live in the home use healthcare services, for example GPs, opticians and dentists, where necessary. All are encouraged to have an annual health check and medication review. Staff work closely with community psychiatric and district nurses which helps to ensure the people who live in the home have all their needs met. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: The people who live in the home are able to get up and go bed when they want to. Meal times are set, but if they wish to eat earlier or later this can be arranged. They can also choose if they would like a bath or shower, what they want to wear, and how they would like their hair done. Staff who give out medication have been properly trained to ensure they do this safely. Staff monitor the effects of medication to help to ensure it is suitable for each of the people who live in the home. Medication is regularly reviewed in conjunction with consultants and GPS to help to ensure it is working effectively and not being overused. Storage facilities have been improved so all medication can be kept securely. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Staff know how to safeguard the people who live in the home and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. Standards 22 and 23 were inspected. Evidence: All the people who live in the home that we talked to said they would tell the Manager or another member of staff if there was anything they were unhappy about. One said, Id tell (the Acting Manager) if something was annoying me, and another said, The staff are good to talk to if you have a problem. The complaints procedure is available in both a written and a pictorial version to make it more accessible to the people who live in the home. All are given a copy when they are admitted, and the procedure is displayed on the noticeboard. In addition, all the people who live in the home are given the opportunity to raise concerns at house meetings, or individually with any member of staff. Since the last inspection one compaint has been made about the home. This was investigated by Social Services and was not proven. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Up to date policies and procedures are in place to help staff safeguard the people who live in the home. Since the last inspection they have had accredited in-house safeguarding training. In discussions staff knew what to do if they became concerned about the wellbeing of any of the people who live in the home. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. The home is community-based, comfortable, and well maintained. This judgment has been made using available evidence including a visit to this service. Standards 24 and 30 were inspected. Evidence: The accommodation is homely and comfortable. Downstairs there is a large lounge/dining room where the people who live in the home socialize, have their meals, and watch television. There is also a good-sized kitchen which they can use providing they are safe to do so. Next to the kitchen is a tea and coffee making area. Bedrooms are on the ground and first floors. Nine are single and two are double. One of the people who live in the home let the inspector see her bedroom, which was individually decorated and personalized. She told us, I tidy my bedroom and the staff help to clean it. Another person said, Im happy with my room and have my own TV. Since the last inspection the worn carpet on the stairs and landing has been replaced, the laundry have been improved, and a new freezer has been bought for the kitchen. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: At the back of the home is a secluded garden. The people who live in the home are allowed to smoke there (they are not allowed to smoke in the home for health and safety reasons). At present they shelter under a large patio umbrella. One of Owners said they would like to provide something more substantial, but are unable to due to planning regulations. All the areas of the home we inspected were clean, tidy and warm. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. The people who live in the home have their needs met by friendly and professional staff. This judgment has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. Evidence: During the inspection we observed that staff had good relationships with the people who live in the home. They were observed interacting with them in a warm and positive manner, taking an interest in them, and showing a good understanding of their care needs. One of the people who live in the home told us, If I feel scared and angry I tell the staff and they help me. Staffing levels appeared satisfactory during the day and the night. The Acting Manager told us she is able to put on extra staff if and when there is a need, for example if one of the people who live in the home is ill. Recruitment procedures were discussed with the Manager. She told us that all staff are subject to CRB and POVA checks, and references are obtained. Staff files were Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: sampled and most had the appropriate documentation in place, although some did not have photos of the staff member in question. These files should be audited and photos obtained, where necessary, as they are required for the purposes of identification. Staff receive good training opportunities. A comprehensive induction followed by NVQs (National Vocational Qualifications) and short courses provide staff with the skills and knowledge they need to care effectively for the people who live in the home. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. The home is safe and well managed and the people who live there are involved in the way it is run. This judgment has been made using available evidence including a visit to this service. Standards 37, 39, and 42 were inspected. Evidence: The home is currently being run by an Acting Manager. She is well-qualified and experienced, having the Registered Managers Award and NVQ Level 4 in Care (recognized qualifications for people who run care homes). She is also a NVQ Assessor and Internal Verifier. Under her leadership we found the home to be running well with the people who live there being actively involved. However, the home is still without a Registered Manager, the last one having left in December 2006. A Requirement was made at the last inspection for a Registered Manager to be appointed. This remains outstanding. The Acting Manager, or another Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: appropriate person, must be put forward for registration. Consultations with the people who live at the home are central to how it is run. Every day staff chat to them informally, either in groups or on a one-to-one basis, to gather their views and encourage them to play an active part in choosing the days meals and activities. More formal group meetings are also held every month. An annual survey is also carried out with the results posted on the homes noticeboard. Polices and procedures are in place for safe working practices and the premises are risk assessed. Records showed that the maintenance of the property and its safety systems are up to date. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 37 8 The registered provider must 31/01/2008 submit an application for the registration of a manager. Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 37 8 The Acting Manager, or another appropriate person, must be put forward for registration. To provide continuity and ensure Requirements are met. 30/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 6 34 The files for the people who live in the home should be audited to ensure each contains a photo. Staff files should be audited to ensure all contain a photo of the member of staff in question. This will enable staff to be clearly identified. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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. 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