Inspection on 27/01/06 for The Cornerstone

This inspection was carried out on 27th January 2006.

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

The Cornerstone 04/08/09

The Cornerstone 19/06/07

The Cornerstone 19/09/05

The Cornerstone 14/03/05

The Cornerstone 04/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 The Cornerstone 115 Doncaster Road Rotherham South Yorkshire S65 2BN Lead Inspector Ian Hall Unannounced Inspection 27th January 2006 09:30 The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Cornerstone Address 115 Doncaster Road Rotherham South Yorkshire S65 2BN 01709 365387 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) The House of Light Trust Mrs Rachel Devine Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named resident over the age of 65 shall be allowed to reside at the home. 19th September 2005 Date of last inspection Brief Description of the Service: The Cornerstone is a residential care home and provides care and accommodation for eight adults with a learning disability. The House of Light Trust, a charitable organisation that has other care homes for people with a learning disability in the area, owns it. It is situated in a residential area of Rotherham, opposite the local park and close to other community facilities such as shops and public houses. The building is a large Victorian house with a modern extension. Accommodation is provided on three floors. There is a bathroom on each floor and all the residents’ rooms are of single occupancy. Communal space is provided by the three lounges and there is a large kitchen/dining area where residents like to congregate. To the rear of the house is a garden area for use of the residents and to the front is a driveway and a small off road parking area. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4.0 hours and was the second of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. Three residents care files were “case tracked” and the associated records checked. 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. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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): Examination of case files and discussions with service users demonstrate their involvement in choosing to live at Queens Care Centre. During the officers discussion with management it was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. EVIDENCE: The Cornerstone has been the present service users home for many years. Records identified that when these service users were admitted a social workers’ assessment had been carried out. The “House of Light” has a policy on assessment of potential service users, and when appropriate this would be used. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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): Staff were focussed upon meeting the needs of service users. Service users spoken to confirm their involvement in the planning and provision of social, physical and psychological care and provision. The home facilitates access to the whole range of health care professionals and health care facilities. Staff were observed to interact with residents skilfully, professionally and with obvious empathy for each individual. EVIDENCE: Service users plans of care were accessed. They were individualised and person centred. The plans met their health care, leisure and life skills, personal care and training needs. All care plans seen contained pictorial illustrations to help the service users understanding. There was evidence of service users wishes with regard to furnishing of their rooms, and medication control. Monthly reviews took place where mini goals were set and then an annual review takes place. During the annual review service users are encouraged to make The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 9 Their own decisions and choices with regard to holidays, shopping, leisure activities and decorating their rooms. This information is then incorporated into their plan of care. Two service users spoke of the Christmas festivities and their forthcoming holidays with great enthusiasm. Individual risk assessments were in place. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 the following standard(s): The manager and her team have worked hard to build links with the local community. Individual and group activities programmes has been organised to meet service users needs. Visitors are welcome to visit at any reasonable time making them feel welcome. Service users are offered a choice of meals each day, and the menus are well balanced to meet service users nutritional needs. Service users are fully involved in choice and meal preparation. EVIDENCE: The home offered opportunities for service users to develop their independent living skills and their social emotional and communication skills. Service users are involved in attending further education colleges and day centres. They are also involved in cooking and choosing menus and leisure activities. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 11 Some service users enjoy attending church. Staff enables and support service users to maintain family links and friendships outside the home. The service users’ plan of care would be referred to and appropriate risk assessments put into place. All service users had lockable facilities within their own rooms. Plans of care included personal care routines and reference to the observation of privacy and dignity. On the day of inspection staff were observed to knock on service users doors before entering. Service users were free to move about the home as they wished. Visitors are welcomed. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 the following standard(s): The home has comprehensive policies and procedures for the safe handling of medicines. Staff who administer medicines have received accredited training. Service users physical and psychological needs have been discussed with service users with appropriate plans of care formulated. EVIDENCE: Service users consent and wishes on administration of their medication was recorded and appropriate medication records were kept. Records showed that staff had received accredited medication training. Discussion with the deputy manager identified that the registered manager and staff, have talked sympathetically to the service users and worked very closely with them, to identify their wishes with regard to their last wishes. The families’ wishes would also be taken into consideration. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 the following standard(s): The complaints procedure is implemented correctly and effectively, which ensures that complaints are taken seriously and satisfactory outcomes are achieved. Staff were confident and competent to respond to concerns or complaints effectively. They had been trained in the protection of vulnerable adults, and are aware of actions to take if they had any concerns. EVIDENCE: Residents and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to The homes owners and manager and that any small points raised were dealt with promptly. The home maintains a Complaints Book in which it records all formal complaints and the action taken in response. The home operates the joint Social Services/NHS/Police Protection of Vulnerable Adults policy and procedure. It also has a whistle-blowing policy. There are records demonstrating staff training in abuse prevention. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 the following standard(s): The home both appeared clean and smelled fresh. The homes owners and team works hard to both maintain and improve the resident’s environment. EVIDENCE: On the day of assessment The Cornerstone appeared comfortable, clean and well maintained. The kitchen has been refitted and designed to meet specific service user needs. The home was suitable for its purpose. It is situated close to local amenities and the local transport service. There is a cleaning schedule in place at the home and a cleaner is employed for 2hrs x 2days per week. The home follows Health & Safety guidelines and systems are in place to control the spread of infection. The manager would contact local environmental agencies for advice where necessary. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 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): The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. The home operates appropriate recruitment policies to ensure that service users are protected from unsuitable staff. EVIDENCE: Three staff files were checked. The recruitment procedure operated by the home is very thorough. Records showed that two references were obtained; there was full employment history, a CRB check, a medical declaration and proof of identification. Statements of terms and conditions were also on record on staff files. After the initial interview service users opinions on staff appointments were sought. The prospective applicants visiting the home and spending time with the service users achieved this. Staff received supervision at the required level. An annual appraisal also takes place. Supervision includes good practice, personal development and discussion of the aims and philosophy of the home. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 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): The home is well organised and managed with all statutory servicing and checks complete. The management teams enthusiasm and positive approach to care has clearly influenced the whole team and benefited the service users. The home’s manager has compiled a detailed risk assessment and health & safety policy/procedures to protect service users and staff. EVIDENCE: The registered manager is very experienced in the care of people with a learning disability and has the required management experience. She is currently progressing towards the required NVQ4 in Management and Care. Regulation 26 visits have been carried out monthly this year. The inspector had access to the reports and they were of a satisfactory nature. Records were stored securely. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 17 The home had an appropriate Health & Safety policy. COSHH and other risk assessments were in place. Records relating to the servicing and maintenance of water and electric systems were seen and up to date. The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 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. 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. Refer to Standard Good Practice Recommendations The Cornerstone DS0000003115.V282447.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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