Inspection on 11/07/06 for The Old Court House

This inspection was carried out on 11th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Old Court House 09/03/06

The Old Court House 03/10/05

The Old Court House 24/02/05

The Old Court House 31/08/04

The Old Court House 27/01/04

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 The Old Court House Broad Street Kings Stanley Nr Stroud Glos GL10 3PN Lead Inspector Nick Jones Key Unannounced Inspection 11th July 2006 9:00 The Old Court House DS0000016621.V292313.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 Old Court House DS0000016621.V292313.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 Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Old Court House Address Broad Street Kings Stanley Nr Stroud Glos GL10 3PN 01453 791548 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) Rachel@innes70.fsnet.co.uk Mrs Rachel Claire Innes Mr Stuart Innes Mrs Rachel Claire Innes Care Home 2 Category(ies) of Learning disability (2) registration, with number of places The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: The Old Court House is a detached property, which is about 500 years old. It is situated on an elevated piece of land in the village of Kings Stanley near Stroud. The home has been refurbished to a high standard. Single room accommodation is provided. There is substantial communal space and a garden. The home is registered to provide care and accommodation for two people with learning disabilities. They are considered part of the family and have access to all areas of the home. Throughout this report the service users are referred to as ‘family members’ at the request of the manager, reflecting the ethos and history of the home. The home has a Statement of Purpose and Service User Guide which is reviewed with the involvement of family members. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection took place over two days on the 12th and 17th July over a period of four hours. Both family members were met with, along with the manager and one staff member. One of the family members was happy to show their bedroom. Some of the communal areas, including a bathroom were seen. Records were viewed including the activity timetables, health notes, care plans, and medication records of the family members. Records of health and safety checks were also viewed. What the service does well: What has improved since the last inspection? No areas identified. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 2 This standard is not applicable. EVIDENCE: Although the home has an admissions procedure the Statement of Purpose indicates that there will be no new admissions. The manager updates the Statement of Purpose and Service Users Guide on an annual basis. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments of the family members ensure their needs are clearly identified and wherever possible met. People are supported to make choices and decisions about all aspects of their lives. EVIDENCE: The personal files of the family members were viewed and contained copies of care plans and risk assessments. They contained well-written details about how each person should be supported to meet the needs and expressed choices of family members. There was evidence that these are reviewed, involving family members. Family members described how they are supported to make choices in their lives and to be involved in care plan reviews. Placement plans from the placing authority are also reviewed annually, and this also provides an opportunity for the family members to discuss matters in confidence with the relevant social worker. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 10 Family members described how they chose to celebrate a recent birthday and who they invited. One family member described how they choose to go for local walks in the countryside. Family members are supported to be as independent as possible with their personal spending but are provided with staff support to ensure the safekeeping of their monies. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The family members are supported to take part in a range of activities which reflect their interests and needs both in the home and community. They are supported to exercise their rights and responsibilities, developing their autonomy and independence as far as possible. The family members live as part of the family and have opportunities to develop friendships and social networks in the wider community. A varied, balanced diet is provided, promoting the family members’ health and wellbeing. EVIDENCE: The manager, a care worker and the family members described the activities which are provided. These are largely flexible and informal, though timetables have been written. Discussion with the family members provided evidence that they were satisfied with how they spent their time. Activities include accessing The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 12 sport and leisure facilities with regular visits to the gym, shopping, going to church, a textiles group, having lunch out, going for walks and seeing films at the cinema. In addition there are other trips out, often meeting other members of the family. The carer has access to a car at all times to facilitate activities away from the home. Within the home the family members’ leisure activities include watching TV, listening to music, playing pool and table tennis, reading and pursuing individual hobbies and interests. Discussion with the family members indicated that they have social networks, friends and acquaintances in the community. As noted, they live as part of the family. A family member described being able to use all areas of the home, and how they were also afforded privacy when they wished. Discussion with the manager and staff provided evidence that the family members’ rights and responsibilities are being clearly recognised and respected. A family member described how they are able to express their preferences as to the meals they eat. Alternatives are provided if a person wishes and the family members add to the shopping list and also go shopping themselves on occasions. They often have lunch out, including on the day of the inspection. A family member was very positive about the food served in the home and commented on it being homemade. They confirmed that they could have a drink or snack when they like. Menus viewed showed meals provided are varied and nutritious. The manager said that where necessary weight is monitored and encouragement is given to eat a healthy diet and take exercise. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support and guidance offered to family members by staff and health professionals ensure personal care and health care is adequately provided. The procedures for the prescribing, storage and administration of medicines ensures the health and welfare of family members is maintained. EVIDENCE: Staff on duty were seen to respond to needs in a sensitive and competent manner. It was clear the staff offer a flexible service which accommodates individual preferences, and ensures family members are seen and treated as individuals. Care plans viewed contained clear guidelines as to how family members should be supported to maintain dignity and control over their lives. Health care records seen were comprehensive and showed that all health needs are met through a range of community health services including CLDT clinicians. They also showed that the prescribed medicines are appropriately reviewed. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 14 Staff administer medicines and there was a record of the receipt, administration and disposal of prescribed medicines. Medicines were being stored appropriately. The carer is still to receive accredited training in the safe handling of medicines, although the pharmacist has provided training in the appropriate use of the blister packs. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practices in the home ensures that family members have an active voice and are protected from any abuse. EVIDENCE: The home has a complaints procedure which describes the stages of making a complaint and what will happen. The manager said that this had been talked over with the family members and staff. A family member indicated that they would feel able to raise any concerns and issues, and expressed confidence that they would be listened to and the matter resolved. Regular house meetings take place to give family members the opportunity to express their views and any concerns. Appropriate recruitment procedures protect family members from the possibilities of abuse. Staff files were viewed and found to contain all of the appropriate documents and checks. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The family members benefit from a high quality environment which is comfortable, clean and homely. EVIDENCE: A tour of most of the communal areas used by the family members, including outdoor areas was completed. One family member showed their bedroom and stated how happy they were with their decorations and furniture. The home offers a range of spacious and comfortable communal areas, recreation facilities and a garden, all of which are accessible to the family members. The property is very homely and attractively decorated and furnished throughout. There is a bathroom next to the family members’ bedrooms for their exclusive use. They also have access to showering facilities. The carer described one family member finding some mobility difficulties in using the bath. Consideration should be given to installing appropriate support handles with the guidance of an occupational therapist. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 17 The home appeared to be clean and hygienic in all areas viewed. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 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): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Family members are supported by committed staff who demonstrate care and interest in providing the right care. A suitable recruitment process supports and safeguards family members with staff being trained appropriately. EVIDENCE: There have been no changes in the staffing arrangements during the past twelve months. The main care worker has completed their NVQ 2 in Care training and an additional staff member who usually covers hours at the weekends is a qualified teacher with several years experience. Discussions with the carer, manager and family members showed staff are sensitive and knowledgeable about the needs of family members and are always approachable and committed. Recruitment records showed that all appropriate checks and procedures have taken place and are kept in the home. Staff are provided with appropriate training to enable them to meet the needs of family members. Updates in first aid, fire safety and infection control are planned. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 19 Staff records viewed showed staff are provided with regular supervision and annual appraisals. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 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 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, and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Family members benefit from a well run home and are able to contribute opinions and raise concerns. Family members have opportunities to comment and feedback on the quality of service they receive. Good standards of maintenance ensure the home is a safe environment. EVIDENCE: The Registered Manager, who is also one of the Registered Providers, has completed the NVQ Registered Managers Awards. The other Registered Provider has completed both this award and the NVQ 4 in Care. Both are also up to date with the required statutory training. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 21 Discussions with family members and the carer confirmed that the management of the home creates an open, positive and inclusive atmosphere where the family members and staff are involved in the running of the home. Policies and procedures were viewed with evidence that they are regularly reviewed. Though there is not a formal quality assurance system in place there was good evidence that the views of family members are sought on both a day-to-day and on-gong basis through conversations, house meetings, care plan reviews and placement reviews. Fire safety systems and recording were examined and seen to be in order, with appropriate servicing and testing being completed. Fire drills are undertaken and recorded. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 22 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 X 2 X 3 X 4 X 5 X 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 4 X X 3 X The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 23 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. 1. 2. Refer to Standard YA20 YA24 Good Practice Recommendations The home should access accredited medication training for the staff. Additional support fixings should be installed near the bath under the guidance of an occupational therapist. The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 The Old Court House DS0000016621.V292313.R01.S.doc Version 5.1 Page 25 - 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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