Inspection on 20/02/07 for The Old School House

This inspection was carried out on 20th February 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Old School House 24/02/09

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 The Old School House 2 Norwood Road Norwood Sheffield S5 7BD Lead Inspector Andrea Leverett Key Unannounced Inspection 20th February 2007 11:30 The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 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 School House DS0000068468.V329050.R01.S.doc Version 5.2 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 School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old School House Address 2 Norwood Road Norwood Sheffield S5 7BD 0114 2564639 F/P 0114 2564639 kj@valeoltd.com 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) VALEO Limited Post Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first inspection of this new Home. Brief Description of the Service: 2 Norwood Road is a newly registered Home and is able to provide a service for up to 4 younger adults with learning disabilities. The home offers a specialist service for young adults with Autistic Spectrum Disorder and behaviours that can challenge. The home is situated in a residential area and is close to a bus route, which goes to the town centre and main line train station. All bedrooms are single occupancy and have en-suite facilities. In addition to the bedrooms there is a communal lounge, dining room, a kitchen, laundry room, toilets, bathroom and office. The home has a good-sized private garden. The home offers high staffing levels to enable 1:1 support for access to the community, leisure and educational amenities. The home also has its own transport for the benefit of service users. The current scale of charges are £1700-£2600 In addition service users are required to contribute towards transport costs but the manager informed the inspector that all activity costs are included in the contract price. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key visit; the first for this newly registered service. It took place on the 20thh February 2006. The visit was spent talking to service users, support staff and the manager. Some judgements about quality of life and choices were taken from direct discussion with service users and observation on the day of the site visit. The inspector also looked at evidencing records held at the Home and a tour of the premises was undertaken. Overall the quality of care and specialist support provided by the Home was to a high standard. 1:1 staffing levels enable service users to enjoy a range of community activities with appropriate support and guidance as needed. In addition service users live in an environment that is decorated, furnished and maintained to a good standard. Complaints records inspected showed that the homes policy and procedures for dealing with complaints and adult protection issues may not be in line with the local authorities procedures and a requirement has been made that the Home should review their policies and procedures in this area to ensure best practice. What the service does well: What has improved since the last inspection? The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 6 This was the first inspection of this new Home. 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 summary of this inspection report can be made available in other formats on request. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 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 School House DS0000068468.V329050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good. Service users are given the information and support they need to be able to make an informed decision to live at 2 Norwood Road. Service users benefit from a comprehensive assessment of their needs and prospective service users can be confident that the home would meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have access to a user friendly Statement of Purpose and Service Users’ guide, which give good representation of the service provided in the home. The inspector was impressed with the care and consideration taken to help prospective service users to make good decisions about were they live. Records and discussions with service users evidenced that they were able to visit the Home on more than one occasion before choosing to move in. It was also evident that, were service users lacked capacity to make their own The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 9 choices, time is taken to ensure that relevant key people are involved in advocating on their behalf. Information seen on care plans confirmed that current service users aspirations and needs had been assessed and documented, and all service users had Care Manager assessments in place. Records also included detailed health and educational assessments. Staff were seen to communicate appropriately with service users and discussion with staff on duty at the time of the inspection and observation of their practice demonstrated that they had the skills and experience to support service users at that home. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. Service users benefit from having their assessed and changing needs reflected in their individual plan and acted upon. Service users are able to participate in activities that enable them to influence key decisions in the Home and are supported to take risks as part of an independent life style. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 11 The home uses a person centred planning approach to providing care and a variety of communication systems such as Makaton, pecks and a daily activity board are used to support this approach. Care plans are comprehensive, detailed and regularly reviewed. The Home also holds regular service user reviews. Detailed risk assessments and discussions with service users evidenced that the Home supported service users to take risks such as going out alone and strategies to manage challenging behaviours in the community. Records seen and discussion with service users and staff also evidenced that service users participated in the life of the home and undertook activities such as shopping and cooking. Service users spoken to confirmed that they were consulted about menus and activities and took part in service user meetings. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. Service users benefit from having the opportunity for personal development with their daily living skills, employment, educational and enjoy leisure activities in their local community. Service users are supported to maintain relationships with family and friends. Service users benefit from being offered a choice of suitable menus, which meet their dietary needs and which respect their individual preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 13 All 3-service users stated in the service user surveys that they made decisions about what they did every day and can do what they like during the day in the evenings and weekends. It was evident throughout the inspection that service users were supported to maintain their individual living skills, and their social and emotional skills. Records and discussion with service users and staff evidenced that service user’s are encouraged to be as independent as possible in house hold tasks such as cooking, shopping and cleaning. On the day of the inspection one service user had visited an allotment another had spent the day working. Discussion with service users and records seen showed that a range of activities are consistently provided. The Home also has its own transport for the benefit of service users. This is domestic in character and unmarked. An inspection of the home’s kitchen, food storage areas and the home’s menus was undertaken. It was evident that a balanced diet was offered and service users confirmed that their wishes regarding food are sort and respected. On the day of the inspection service users were observed having unrestricted access to the homes kitchen and were able to make drinks and snacks as they wished. Service users also confirmed that they took part in food shopping and cooking if that was their wish. Records seen and discussions with service users and staff evidenced that service users are supported to maintain links with family and friends. One service user told the inspector that he was going out to see a friend and that staff would drop him off and pick him up. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. Staff provide sensitive and flexible personal support, which maximises service users, privacy, dignity, independence and control over their lives. Service users benefit from having their healthcare needs properly assessed and acted upon, ensuring a good quality of care in this area. Service users are supported to control their own medication were appropriate and are protected by the homes policies and procedures for administering medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 15 Staff were observed offering appropriate support and encouragement to service users. Care plans indicated individual preferences regarding how service users are to be supported with their personal care. Service users were very clear that they could get up and go to bed when they liked. Records viewed and discussion with staff and the manager evidenced that full assistance with all medical and healthcare needs are provided. Records showed that the health needs of service users are comprehensively assessed before moving into the home and that these needs are reflected in care plans and acted upon. Feedback from a health professional was positive about the service. They stated, “ I have only had 1 visit to the old school house but was impressed by the initiative in seeking advice and willingness to take on board the professional advice offered.” When asked what they feel the home does well they stated “They understand the individuals needs (health and social) around a particular diagnosis and they are proactive in ensuring training is cascaded to all members of the team.” The Home uses a Boots Monitored Dosage System for administering medication. Staff confirmed that Boots also provides medication training but no certificates are currently available to evidence this. The manager informed the inspector that they are waiting for them to come. An inspection of medication and administration records showed that medication is administered appropriately. Information kept in the medication file included service user photo, guidelines for administering PRN medication and a sample of staff signatures. PRN records also showed that the manager monitors these regularly. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is Good. On the whole service users feel their concerns and complaints are listened to and will be acted upon. On the whole service users are protected from abuse but more could be done to ensure that procedures are always followed. This judgement has been made using available evidence including a visit to this service. Although there was one incident that indicated that good practice may not have been followed, overall this standard was met. It was also clear that this service is managed to a high standard in the best interest of service users. Although a requirement has been made regarding this issue, in order to ensure that the overall rating for this service is a true reflection of the standard of service provided, this section has been judged as good. EVIDENCE: The Home has an accessible complaints procedure and evidence was seen that showed that most concerns and complaints are dealt with appropriately and sensitively. Service users spoken to were clear about whom they could complain to and understood their right to do so. The also has adult protection policies and procedures and staff confirmed that they have received training in this area. However one complaint with adult protection implications showed that local authority protocols and procedures for safeguarding vulnerable The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 17 adults may not have been fully followed. Discussion took place with the manager and an area manager regarding the need to ensure that good practice is always followed and a requirement has been made that the Home ensures that its Adult protection Procedures are in line with Local Authority Protocols and Procedures. Discussion with staff and training records viewed showed that staff have received training in Adult protection and would know what action to take should such a concern arise. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. Service users benefit from living in a homely, comfortable and clean environment, which is furnished and decorated to a very high standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken and all areas were clean, safe and free from offensive odours. Procedures and equipment for ensuring appropriate infection control was evident throughout the home. The Home is decorated and furnished to a very high standard throughout and service users told the inspector that they liked the Home. All bedrooms are single occupancy and have en-suite faculties. Information taken from the homes pre inspection questionnaire and a sample of maintenance records seen during the site visit showed that the homes equipment and facilities are maintained appropriately. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. Service users benefit from being supported by a sufficient number of supervised and competent staff that meet their needs. Service users are supported and protected by the homes recruitment policies and practices. On the whole service users individual and joint needs are met by appropriately trained staff but some minor improvements could be made in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 20 Activity and daily records viewed and discussion with staff evidenced that sufficient staff are provided to consistently support service users with a wide range of activities including in the evenings and at weekends. Feedback from staff and records seen also confirmed that the manager provided regular 1:1 supervision and regular staff meetings took place. Observation of staff and service user interaction evidenced that staff had appropriate skills to carry out their role. Staff files included application forms, 2 written references evidence of Criminal Record Bureau checks, induction records, copy of driving licences, supervision records, contract of employment. Discussion with staff evidenced that a range of mandatory and service specific training is provided. Training included Adult Protection, Moving and handling, First aid, infection control, Fire safety, Autism awareness and De-escalation and Control and Restraint. However training certificates did not fully evidence this and a recommendation has been made that the Home ensures that evidence of training is kept. Evidence was seen that the Home works proactively with service users with challenging behaviours and De-escalation and control and Restraint Training is provided to staff to support this work. However it was noted that this training is not provided by a training organisation that is Accredited or working towards accreditation in line with Government guidance for training in this area. A recommendation has been made regarding this. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. The care of service users is enhanced by a staff team that is led by a competent and experienced manager, who ensures that the home is run well. Service users know that the Home will be run in their best interests and that their health, safety and welfare are promoted and protected. This judgement has been made using available evidence including a visit to this service. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has undertaken The Registered managers award and has several years experience of working with this client group as a support worker and later in a management capacity. She is currently going through the registration process with a view to being the registered manager of the Home. She undertakes periodic service specific training to update her skills particularly in the areas of communication and behaviour. Observation on the day, records viewed and discussion with staff evidenced that the manager delivered an effective service user led service. She presented as motivated and enthusiastic and both service users and staff spoke highly of her and felt that she was approachable and inclusive in her management style. Managing risk is given a high priority within the service. Records showed that individual and environmental risk assessments are detailed and regularly reviewed. Records and observation on the day of the site visit also showed that the Home is maintained to a good standard in terms of health and safety. The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 23 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 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 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 24 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. 1 Standard YA23 YA22 Regulation 13.6 Requirement Adult protection policies and procedures must dovetail with the Local Authorities Protocols for dealing with Adult protection issues. Timescale for action 12/04/07 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 YA35 Good Practice Recommendations It is recommended that the Home ensure that evidence of all staff training is kept. It is recommended that staff training in de-escalation and control and restraint be provided by a training organisation that is Accredited or working towards accreditation in line with Government guidance for training in this area. YA35 The Old School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 School House DS0000068468.V329050.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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