Inspection on 20/07/05 for Sycamore Court

This inspection was carried out on 20th July 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

Sycamore Court 27/09/06

Sycamore Court 14/12/05

Sycamore Court 22/11/04

Sycamore Court 01/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Sycamore Court 33 Robert Hall Street Leicester Leicestershire LE4 5RB Lead Inspector Trisha Gibbs Unannounced Inspection Wednesday, 20 July 2005 at 08:30 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. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sycamore Court Address 33 Robert Hall Street Leicester Leicestershire LE4 5RB 0116 2610663 0116 2610663 sycamore.court@lha.org.uk Leicester Housing Association 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) Ms Dawn Cooke Care home only 12 Category(ies) of LD Learning disability (12) registration, with number of places Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection Brief Description of the Service: Sycamore Court is a Registered Home for Adults with a Learning Disability, and is situated in an area accessible to many amenities, including shops, pubs, sports facilities, bus routes, canal and parks. The house consists main residential accommodation, and also has an annex with a kitchen, and three bedrooms for residents who are more independent. The accommodation is on two floors, including bedroom and communal rooms, and there is a large enclosed garden to the rear of the property, with direct access from the communal lounges. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took approximately four hours and was the first statutory unannounced Inspection this year. Two resident’s case files were fully tracked during the Inspection. The Inspector also looked at related files, observed and talked to over six residents who live in he house, looked at communal rooms and a bedroom and briefly spoke to staff members, and held discussions with the Deputy Manager. What the service does well: What has improved since the last inspection? What they could do better: Although a reputable Pharmacy company is contracted to oversee medication systems, regular checks should be undertaken of the medications cupboard, to ensure that medication is fully and correctly labelled. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.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. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 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 Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 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) 2 Residents’ individual needs are positively assessed at time of admission and through regular review. EVIDENCE: The file of a resident, who has recently moved in, contained both a detailed Community Care Assessment, as well as an assessment compiled by the staff team. It was evident that the assessment was ongoing and being updated as he settled in. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 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) 6,7,9 Residents are enabled to make choices, take acceptable risks, and to have their needs met. EVIDENCE: • The files of two residents were looked at. They contained very good planning documents and risk assessments, covering all aspects of their daily lives. Care needs were fully were detailed. Residents also have Person Centred Planning books, which they help to collate and these were also looked at during the Inspection. One young woman who lives in annex accommodation for the three residents who require less support, said that she is helped to live more independently, but that ‘you have the support here; if I didn’t have it I’d be worried. They help you with your food, your bedroom and things like that.’ Residents play an active role in making choices about their daily lives. Residents were observed discussing personal plans with staff on duty, C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 10 • • Sycamore Court making decisions about going out shopping, and asking for support with some tasks. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 11 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) 12,13, 14, 15,16,17 Residents are positively facilitated to enjoy a normal and active lifestyle. EVIDENCE: • The Inspector sat with some residents for over an hour, while they chatted about their interests and routines, and was very impressed with the scope of their social and leisure pursuits. Some talked about visiting their friends and family, while others wanted to discuss their holidays. This year the holiday venues (as decided by residents) are Eastbourne and Blackpool. Outings to local eating and drinking venues, shows, parks, and various sports and musical entertainment were mentioned. Female residents enjoy ‘Ladies Nights’ organised by staff and also attend an external women’s’ group. The residents spoke with enthusiasm and interest about their favourite outings. Most residents attend for community based day services. They told the Inspector that some day centres had been closed and that they now go to neighbourhood centres for their activities. Many are currently going to C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 12 • Sycamore Court Summer Scheme while the colleges are closed. One resident has enrolled at Leicester College for Art, English and Maths courses next term. • The residents spoken to clearly felt proud of their achievements and fulfilled through their lifestyle. One said ‘I love it, I love living here.’ Another ‘It’s a nice place to live, it’s lovely.’ One commented ‘We don’t have set routines here, we go to bed when we like.’ The staff team are commended for ensuring that residents are stimulated and encouraged to integrate within the community. Residents are very much involved and included in meal planning and preparation, undertaking taking achievable tasks. Those residents who are supported to be independent; plan, prepare and cook their own evening meals, although they also access the central meal facilities at other times. • Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 13 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 Good attention is given to the personal and health care needs of the residents. EVIDENCE: • Residents told the Inspector that they choose and purchase their own clothes with support from the staff. They were preparing to go out on a day trip on the day of Inspection, and had dressed themselves up for the occasion, each in their own individual style. Residents’ care plans contained clear details about their different healthcare needs. Health and social care professionals provide specialist support when necessary. Files contain a Medical Information record that details medical and health appointments and information. Two comment cards received from Healthcare professionals provided positive feedback about the home. ‘I can highly recommend the care and environment provided by the staff.’ ‘The home is maintained well. The staff maintain a high standard of care.’ The staff team receive accredited medication training from a reputable pharmacy company to administer medication, and also shadow senior C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 14 • • • Sycamore Court staff during induction. The company undertakes regular pharmacy medication checks, the last one being June 2005. • The Inspector looked in the medication cupboard and noted that some date labelling on medication was not clear and subsequently advised that a full audit of the contents of the cupboard be undertaken. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 15 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) 22 Residents are provided with good opportunities to register their views. EVIDENCE: • There is a formal Complaints Procedure on display in the home, and no complaints have been received this year. Residents were asked if they knew what to do if they were not happy about something and they responded swiftly by saying they would speak to staff. Staff also confirmed that residents are confident about making their feelings known. They also said they would know if someone was not happy about something. Residents also have opportunities to say what they think at committee meetings. One carer commented that ‘my daughter likes the home very much, as do other residents. I know because they tell me so.’ • Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 16 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) 24,30 Residents enjoy living in a pleasant, comfortable, and modern home. EVIDENCE: • Sycamore Court is a light and spacious building, with excellent communal facilities. The two lounge areas are substantial in size, very nicely furnished, and the big windows offer views into a large rectangular attractive garden court area. Residents told the Inspector that Barbeques and other events were held in the garden. One said ‘We love barbeques, and we have a great time.’ In the large lounge there are books, videos, and music facilities readily available, in addition to the television. The furniture is very good quality, and there is good toilet and bathroom provision. It was breakfast when the Inspector arrived and residents were coming and going into the open plan kitchen dining room area, having cereals, or cooked breakfasts if they wished. This was all undertaken in a quiet, relaxed, and unhurried manner. The Inspector observed that residents sat where they wished, and that the atmosphere was informal. C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 17 • Sycamore Court • One young woman showed the Inspector her very comfortable and newly decorated bedroom, and she explained that she changed her own bed and kept her room tidy. The accommodation was clean and fresh throughout. Residents play an active role in fulfilling some domestic tasks and were proud to talk about this. Photographs in their Person Centred Planning books gave evidence to this. • Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 18 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) 35 An appropriately trained and competent staff team provides care for the residents. EVIDENCE: • The Inspector observed six members of staff present at the beginning of the Inspection, interacting positively and respectfully with residents as they prepared to go out for the day. One carer has commented ‘Staff provide excellent and continuous care to my son.’ She notes that he has presented significant challenges but that staff totally supported him through this. Training provision for the staff team is good, and despite some unavoidable delay, five staff have now achieved NVQ 2 or above and this is commendable. Records of essential basic staff training and refresher training were seen, in addition to specialist training, during the Inspection. • • Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 19 • Sycamore Court hold the Investors in People award and the Deputy Manager confirmed that staff all receive regular supervision, referred to as ‘staff support.’ Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 20 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) xx The above Standards will be inspected on the occasion of the next unannounced Inspection. EVIDENCE: Not Inspected on this occasion. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 21 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 4 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 3 4 4 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sycamore Court Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 22 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 NONE 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 20 Good Practice Recommendations Regular checks should be undertaken of the medications cupboard to ensure that medication is fully and correctly labelled. Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 23 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby Leicester LE19 1SX 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 Sycamore Court C51 C01 S6315 Sycamore Court V240128 200705 STAGE 4.doc Version 1.40 Page 24 - 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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