Inspection on 02/06/05 for Stoneybridge Cottage

This inspection was carried out on 2nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Stoneybridge Cottage 01/06/06

Stoneybridge Cottage 27/09/05

Stoneybridge Cottage 15/03/05

Stoneybridge Cottage 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Stoneybridge Cottage Pengover Liskeard Cornwall PL14 3NH Lead Inspector Philippa Cutting Unannounced 02 June 2005 09:30 a.m. 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stoneybridge Cottage Address Pengover Liskeard Cornwall PL14 3NH 01579 348774 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 Nigel Bruce Troke Mr Nicholas Simon Troke Mr Simon Giles King Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15.03.2005 Brief Description of the Service: Stoneybridge Cottage is registered to provide care and accommodation for one person with a learning disability. It is in a rural location on the outskirts of Liskeard in Cornwall. It was selected for its quietness and general situation away from people. Although only one mile from the nearest houses in Liskeard it is not practical to walk there, as there is no footpath and traffic -although light - is quite fast. There are however plenty of other areas accessible by car where people can walk. The home offers a bedroom & bathroom on the first floor for the service user’s exclusive use, an extra room that could be used as a sensory room, as well as sleeping accommodation for two staff and office space.The ground floor consists of a large sitting room, separate dining room, kitchen and utility room with a shower and WC. There is a garden that is secure plus some outhouses which could become a workshop or similar. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and as a staff meeting had just finished all members of the staff team, bar one, were present. The inspector talked with staff, inspected written records, the premises and discussed a medication problem. The service user was present but due to communication difficulties it was difficult to gauge reaction to the inspector’s presence. What the service does well: What has improved since the last inspection? Staff continue to investigate different options to encourage the service users personal development. Initiatives involving livestock have had a positive result with the service user. The home now has a set of policies and procedures available in the home. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 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. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1.2.3.4,5 The accommodation is well suited to the current service user’s needs but the contractual arrangements with the purchaser need to be resolved so that stability is provided, where ever this is to be. EVIDENCE: The service user was involved in a crisis regarding his previous accommodation and therefore in this instance Westlake Care – as a new provider - chose and sought registration for Stoneybridge Cottage with this particular person in mind. The home has a full statement of purpose & service users guide that has been given to the service user’s family. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 The service user’s behaviour suggests that his needs are being met. Staff are introducing more choices into his life but agree that it can be difficult to ascertain his wishes. EVIDENCE: The service user has a care plan listing his needs in detail. He is not able to comment on the care plan verbally but the staff say that his behaviour indicates whether or not he is happy. In general this now suggests that he is content as he is more relaxed and able to undertake some simple tasks that would not have been possible previously. The care plan assesses risks and the steps needed to avoid these. A review with the local authority, family, staff and service user took place recently. The inspector had concern about the service user’s finances as neither he nor the home appear to have had sight of his benefit books and he does not receive a regular personal allowance from his benefits. At present the home provides him with spending money or funds any outings. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,1,41,5,16,17 The service user is being encouraged to develop his life skills with the help of staff. EVIDENCE: The staff who care for the service users have known him for a number of years as they have all worked together as a team. They say that he has achieved some further personal milestones in that time and more so since moving to the current environment. This can be difficult to measure objectively but detailed daily notes are kept and changes commented on by staff. The introduction of some ducks has made a point of interest for the service user. He now helps staff look after them, which those who know him, feel is an advance. Staff are planning to integrate him more into the community by degrees. Any further work or leisure opportunities would appear to be unrealistic at this time. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 11 The service user remains in contact with his family. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18.19.20 Staff use their skill and experience to assist the service user with personal and emotional support. EVIDENCE: The care plan is very detailed as to how the service user likes to be helped/ moved etc. Following reviews, the staff try to introduce new options where possible and practical. Local medical and psychological input has been sought. The service user is unable to manage his own medication so this is undertaken for him. A query was discussed with the inspector and further advice will be sought regarding it. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion. EVIDENCE: The home has a complaints procedure but it is unlikely that the service user could access it. His behaviour is more likely to indicate if he has a problem. The home needs to obtain the POVA procedures to which the funding authority adheres. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21..2223..24.25.26.27.28.29 The home meets the specialist needs of the service user. EVIDENCE: The home is maintained in a clean and hygienic manner. The service user has a bedroom and separate bathroom/WC upstairs as well as room that can be used for exercise/sensory purposes plus a sitting room & dining room downstairs. The bedroom is furnished in a manner appropriate to the service user’s needs. Although he is fully mobile a handrail and fencing have been installed outside for safety reasons. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 The staff team are an experienced group who work together for the well being and development of the service user’s needs. EVIDENCE: The staff are a consistent team who have worked together, with the service user, for a number of years. All have, or are working towards, National Vocational Qualifications training, or its equivalent. The necessity of changing the home’s organisational name has apparently delayed the renewal of Criminal Records Bureau checks for the staff. This needs to be addressed. Staff training has been undertaken for basic requirements e.g. first aid, food hygiene etc but the contractual difficulties have made it difficult to plan for longer term training needs as much as the registered manager would wish. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42 The conduct & management of the home is organised in the best interests of the service user. Staff expressed their frustrations at the continuing difficulties relating to decisions about the long term placement of the service user. Further attention is needed to complete all staff files. EVIDENCE: The home is run and organised around the service user’s assessed needs and staff are open and positive in their approach. The registered manager is continuing with his National Vocational Qualifications at level lV & registered manager’s award. He hopes to complete this by the end of 2005. Staff said it was difficult to formulate an annual development plan until the uncertainty surrounding the contractual difficulties have been resolved. The home has written policies and procedures that are available. Records required by statute are maintained and kept secure although not all details required by Schedule 2 on staff information is yet present in all staff files. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 17 Health & safety issues are assessed regularly and any maintenance attended to. Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stoneybridge Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 2 x D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 19 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 34, 42 Regulation 7,8,9, Schedule 2 Requirement All staff records must be completed as per Schedule 2 and include Criminal Records Bureau checks for all staff under the current organisations name. Timescale for action 31.07.2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations It is strongly recommended that the home liases with the purchaser to ascertain where the service users benefit books are and whether a Power of Attorney has been correctly executed in his name. The POVA guidelines of funding authority should be obtained. 2. 23 Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Tregonissey Road St Austell, Cornwall PL25 4AD 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 Stoneybridge Cottage D52-D04 S60821 Stoneybridge Cottage V226532 Unn 020605 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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