Inspection on 09/03/06 for The Old Court House

This inspection was carried out on 9th March 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 Old Court House 11/07/06

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 Mr Simon Massey Unannounced Inspection 9th March 2006 2:pm The Old Court House DS0000016621.V285750.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.V285750.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.V285750.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.V285750.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 Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Thursday 9th March 2006, and lasted for approximately 2 hours. The inspector met with the Registered Manager and also examined documents relating to care planning, medication and health and safety. The home was previously inspected on 3rd October 2005 and for a more detailed report against the national minimum standards readers are referred to this previous report. Previous inspections have shown that the home meets or exceeds the core national minimum standards, and provides a high quality of care and support to the people living in the home. No requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? The home has introduced a new system for administering medication. All of the staff are now qualified. The Old Court House DS0000016621.V285750.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.V285750.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.V285750.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): Not inspected during this visit. EVIDENCE: The home will not be accepting any further admissions and this is explained in the Statement of Purpose. The Old Court House DS0000016621.V285750.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 & 9 Effective care planning ensures that needs are identified and the support provided where required. People are supported to make choices and decisions about all aspects of their lives. EVIDENCE: Family members have care plans in place that are reviewed at regular intervals, with the involvement of the people concerned. 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. Care plans have appropriate risk assessments in place, and these are dated and appropriately reviewed. All of the activities, daily and weekly routines are organised with the full involvement of the people concerned, who are supported to identify and follow their interests by the manager and the key-worker. The Old Court House DS0000016621.V285750.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): Not inspected during this visit. EVIDENCE: The Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 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): 18,19&20 Personal care and support required is appropriately assessed and provided. The family members’ health needs are met, promoting their quality of life and wellbeing. Family members are protected by the home’s policies and procedures on medication administration. EVIDENCE: The individual care plans detail the required personal care support that is assessed as being required, and guidance for staff in how this to be provided. Records show the regular involvement of outside professionals and their advice and guidance being sought by the home. An examination of the medication recording and administration system showed this to be in order. The home has recently transferred to a medicated dosage system and has received training and input from the Pharmacy who supply the medication. Staff have been previously trained and then assessed by the manager in their competence to administer medication. A recommendation is made that the home accesses an accredited medication training course. All medications have been reviewed during the previous twelve months. The Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 Page 12 The Old Court House DS0000016621.V285750.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): These standard were not inspected during this visit. EVIDENCE: The Old Court House DS0000016621.V285750.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): 24&30 The family members benefit from a high quality environment, which is comfortable, clean and homely. EVIDENCE: These standards were not inspected in detail during this visit but all parts of the home seen were well maintained, homely and comfortable. The home appears very clean and hygienic. The Old Court House DS0000016621.V285750.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): 35 Staff receive the training they require to meet the needs of the family members. EVIDENCE: There have been no changes in the staffing arrangements during the past twelve months. The main care worker has now completed their NVQ training and an additional staff member who usually covers hours at the weekends is a qualified teacher with several years experience. The home has regular staff meetings that are recorded, and also involve the family members. The recording shows discussion of a range of issues, and information being shared. An opportunity is also provided for family members to raise issue they wish to discuss. The manager also stated that she has a verbal handover from the staff at the end of each shift worked. The Old Court House DS0000016621.V285750.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): 37,38,39&42 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. Due to the experience of the manager, the length of involvement with the family members and the fact that no new service users will be admitted, the Inspector considers it is not required that the Registered Manager also completes the NVQ 4 in Care. The Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 Page 17 The home appears to be professionally and effectively managed and run. All records seen were up to date and information was clearly recorded. The home does not have a formal quality assurance system in place but adequate opportunities are provided for feedback to the service from the family members and the placing authority. The range and frequency of involvement of outside professionals also provides scrutiny and feedback. Fire safety systems and recording were examined and seen to be in order, with appropriate servicing and testing being completed. The home has a current insurance certificate that was displayed on the homes notice board. This notice board also contained a copy of the previous inspection for visitors, family members or staff to read. All staff are up to date with the required statutory training. The home appears to be a well-maintained and safe environment. The Old Court House DS0000016621.V285750.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 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 X 23 x 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 X 33 X 34 X 35 3 36 x 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 X 13 X 14 X 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 X The Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 Page 19 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 YA20 Good Practice Recommendations The home should access accredited medication training for the staff. The Old Court House DS0000016621.V285750.R01.S.doc Version 5.1 Page 20 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.V285750.R01.S.doc Version 5.1 Page 21 - 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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