Inspection on 03/10/05 for The Old Court House

This inspection was carried out on 3rd October 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

The Old Court House 11/07/06

The Old Court House 09/03/06

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 Mr Richard Leech Announced Inspection 11:30 3 October 2005 rd The Old Court House DS0000016621.V255081.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 The Old Court House DS0000016621.V255081.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. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Court House Address Broad Street Kings Stanley Nr Stroud Glos GL10 3PN 01453 822030 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) Rachelnnes70.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.V255081.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th February 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 Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection began at about 11.30 and lasted for around three hours. Both family members were met with, along with the manager and one staff member. The family members were happy to show their rooms. Some of the communal areas were seen. Certain records were checked including activity timetables and some health notes. 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 Old Court House DS0000016621.V255081.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 The Old Court House DS0000016621.V255081.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): 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 has recently updated the Statement of Purpose and Service Users Guide. The Old Court House DS0000016621.V255081.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): None of the standards in this section were inspected on this occasion. EVIDENCE: The Old Court House DS0000016621.V255081.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): 12, 13, 15, 16 & 17 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 sport and leisure facilities, 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 home is trying The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 10 to find another venue for pottery since a previous course which the family members enjoyed has now come to an end. The manager said that there are two vehicles available and that the family members can therefore go out separately if they wish. Within the home the family members’ leisure activities include watching TV, 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. The manager described the arrangements for when family members have visitors and how their privacy is respected. The manager also described the support which would be offered if a family member developed a more personal relationship. The family members have unlimited use of the home’s telephone and can also use mobiles. Staff provide any necessary support for writing letters or cards. 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. The manager described how the family members sometimes eat with the rest of the family and at other times choose to eat in their rooms. 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. The manager felt that very detailed monitoring of diet was intrusive. In past inspections it has been agreed that a menu record providing evidence of a balanced diet being provided is acceptable. Examples of these menus were viewed. 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.V255081.R01.S.doc Version 5.0 Page 11 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): 19 The family members’ health needs are met, promoting their quality of life and wellbeing. EVIDENCE: Discussion with the manager and records provided evidence that the family members are supported to access routine and specialist healthcare as required. It was difficult to ascertain when one person had last had a routine eye test. The manager agreed that it would be useful to create an at-a-glance summary detailing the last appointment and when the next were due in order to provide a quick reference tool and avoid having to trace back through notes. The manager described a discussion which is taking place with the GP and specialist services about possible changes to one person’s medication. The home had just changed to a monitored dosage system. This will be looked at during the next inspection. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 12 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 The family members feel listened to and able to express their thoughts and opinions. 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. Advocacy has been offered as part of general good practice though this has not been taken up. 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. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 13 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 & 30 The family members benefit from a high quality environment which is comfortable, clean and homely. EVIDENCE: A family member indicated that they were very happy with their room and with the décor and furnishing. Bedrooms are personalised and attractively decorated. The family members have exclusive use of a bathroom adjacent to their rooms. 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. The manager said that the family members manage the flight of steps to their rooms without difficulty. The home appeared to be clean and hygienic in all areas viewed. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 14 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): None of the standards in this section were inspected on this occasion. EVIDENCE: A family member praised the staff working in the home. At the time of the inspection the home was about to welcome a part-time social care student. The manager was going to request a copy of their CRB check completed through the college. It was agreed that the home itself will need to conduct a CRB check. This is because CRB’s are no longer portable now that the Protection of Vulnerable Adults list is in place, and since it is each care home’s responsibility to verify as far as possible the fitness of people working directly with service users. The manager described the arrangements for constant supervision of the person and for limiting the tasks which they will assist with. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 15 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): None of the standards in this section were inspected on this occasion. EVIDENCE: The manager said the policies and procedures are reviewed every six to twelve months. The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 16 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 N/A x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Court House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000016621.V255081.R01.S.doc Version 5.0 Page 17 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. Refer to Standard Good Practice Recommendations The Old Court House DS0000016621.V255081.R01.S.doc Version 5.0 Page 18 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. 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