Inspection on 27/09/05 for Stoneybridge Cottage

This inspection was carried out on 27th September 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 02/06/05

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 Inspection 27th September 2005 10:15 Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 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 Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 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 Adults 18-65. 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. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stoneybridge Cottage Address Pengover Liskeard Cornwall PL14 3NH 01579 348774 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) 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 DS0000060821.V251169.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 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 DS0000060821.V251169.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place during the morning. Two staff were in the home and the service user was getting bathed and dressed ready for the day. the inspector spoke with the staff, greeted the service user and spent time in discussion and looking at records. What the service does well: 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. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 7 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 the following standard(s): This standard was not inspected as there have been no changes in either occupancy or contractual arrangements. EVIDENCE: Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6,7,8,9, Care staff are providing suitable opportunities for the service user to develop his skills and abilities. EVIDENCE: A full care plan with assessed risks is maintained on behalf of the service user who is unable to express any verbal communication on his own behalf. His needs have recently been reviewed with his social worker, the care staff and parents. Variance between the social worker’s perceived views and the care staffs’ views were noted. Care staff are in discussion with the social work department about this. Care staff who have worked with the service user for a considerable length of time feel they have got to know him well enough now to be able to gauge whether he is enjoying an activity or not. There was a discussion about how more choice and information could be introduced. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 11,12,13,14,15,16,17 The service user is being encouraged to become more participative in his own life and within the community. EVIDENCE: The service user is encouraged to make choices about whether he wishes to go out or remain at home and, staff say, he is becoming more able to express an opinion, albeit in a limited way. They are hoping to introduce activities and situations where there are more people, such as a visit to a supermarket but they are aware of the need to proceed slowly. Visits cxz to the service user’s family continue periodically. The service user is encouraged to eat a healthy diet and try new dishes occasionally. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 18,19,20,21 Progress is apparent in several areas of the service user’s health needs. EVIDENCE: The service user has received good support from medical and allied professional services. A more efficacious bowel regime has been beneficial, and medication reduced. Carers have noted that the service user does not appear to notice pain and therefore they have learned to be vigilant in monitoring his general mien. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 22,23 There are some on going issues that the home needs to raise with the service user’s social worker regarding protection from possible abuse. EVIDENCE: At the previous inspection concerns were raised about the service user’s finances, which were not recorded as he did not appear to be receiving the personal allowance to which he was entitled. This has been referred to the DWP who are addressing the issues raised. The inspector has on going concerns with regard to who should speak for the service user and make any important or serious decisions about him. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 24,27,28,29,30 The environment suits the service user’s care needs. EVIDENCE: The home was seen to be clean and tidy with little change from previous visits other than the decision to use the door at the side of house rather than the front door. This is a safety issue due to passing traffic. The service user ‘s own room was not inspected as he was at home. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 13 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 The staff team continue to meet the service user’s needs. EVIDENCE: At the time of this inspection there have been no staff changes. Both staff now sleep at night as they say that the service user is much calmer and rarely gets up needing attention. Should he do so he can be heard easily due to the proximity of rooms. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 14 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 The service user’s interests are promoted and maintained by the current management style. EVIDENCE: Records are well kept and comply with statutory requirements. Details in staff files have now been completed. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 15 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 X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING3 Score 3 X X 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stoneybridge Cottage Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x DS0000060821.V251169.R01.S.doc Version 5.0 Page 16 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. 1 Refer to Standard YA23 Good Practice Recommendations The home should seek advice from the service user’s social worker as to who should be his advocate. Stoneybridge Cottage DS0000060821.V251169.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection St Austell Office John Keay House 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 DS0000060821.V251169.R01.S.doc Version 5.0 Page 18 - 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!