Inspection on 09/12/05 for Yockleton Grange

This inspection was carried out on 9th December 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

Yockleton Grange 05/01/07

Yockleton Grange 23/08/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Maple Lodge

Polesworth Group 32 Station Road

Heathlands

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

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

CARE HOMES FOR OLDER PEOPLE Yockleton Grange Yockleton Shrewsbury Shropshire SY5 9PQ Lead Inspector Mike Moloney Unannounced Inspection 9th December 2005 11:00 X10015.doc Version 1.40 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 Yockleton Grange DS0000064028.V267860.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 Older People. 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. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Yockleton Grange Address Yockleton Shrewsbury Shropshire SY5 9PQ 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) 01743821284 01743821319 Springcare (Yockleton) Limited Ms Susan Elizabeth Garner Care Home 30 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5), Old age, not falling within of places any other category (20) Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 30 service users. No person whose needs fall into the category of learning disability may be admitted under the age of 55. Places registered for people with a learning disability between the ages of 55 and 65 (LD) may be used flexibily to provide accommodation for older people (OP) when required. 23rd August 2005 Date of last inspection Brief Description of the Service: Yockleton Grange is a care home for 30 people, some of whom are older people and some of whom have a learning disability. The home set in the village of Yockleton and stands in its own extensive grounds and consists of an older style main house sympathetically extended to the rear to provide further accommodation. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one and a half hours during the late morning and into lunchtime. Information was gained from documentation made available by the home, by discussions with the manager, the staff and the service users, as well as by reading documents kept within the home and by looking around the building. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Yockleton Grange has a history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed on this occasion were met. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 6 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. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home has an appropriate admissions assessment procedure and this is applied in a sensitive way. EVIDENCE: On the day of the inspection a new person was being admitted to the home and by talking to the staff, reading their records and observing their manner towards that person it was found that they were using an assessment system that looked at all of their needs ensuring that those needs could be met. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 The service users are treated with respect and their right to privacy is upheld. EVIDENCE: The staff were seen talking with the service users in a very sensitive manner. Issues around personal care were spoken about and dealt with in a discreet manner both when talking directly with the service users as well as when the staff found it necessary to exchange information about their immediate needs. Knocking on doors and announcing themselves was clearly a normal thing for the staff and talking with them established that this type of behaviour was part of the basic training that they had received. All bedrooms were equipped with locks with keys available to those who wish to use them so as to keep their personal effects safe. It was noted that nobody had chosen to take up this option. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The service users receive a wholesome, appealing, balanced diet in pleasing surroundings. EVIDENCE: The meal served during this visit looked very appealing and the service users all spoke very highly of it. A number of the service users were also seen receiving a lot of assistance with the meal and the staff helping them were seen doing so in a very sensitive manner. Looking at the records showed a variety of meals being served that provided a balanced diet and talking to the cook established that she alters the menus according to the comments that she receives from the service users. She explained how she caters for any special diets that are needed for medical reasons, in particular for people with diabetes, as well as for those with particular likes and dislikes. The dining rooms have been re-carpeted recently and the décor of both rooms is in good order. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The home has robust policies and procedures for the protection of vulnerable adults as well as complaints. EVIDENCE: The home has an appropriate complaints procedure but has received no complaints. There have been no recent allegations of abuse and therefore no need to follow the local adult protection procedures. Details of these procedures were, however, seen to be available within the office. It was noted at the last inspection on 23rd August 2005 that the home had recently had reason to follow these and had done so effectively. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards within this section were assessed at the last inspection on 23rd August 2005 and were found to be satisfactory. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 The staff at the home are well trained. EVIDENCE: Talking to the staff and the manager as well as checking with the home’s records confirmed that over 50 of the care staff have achieved NVQ2 and some are currently working towards NVQ3. A new member of staff confirmed that she had received the homes induction training but as she had already achieved NVQ2 there was no need to carry out the TOPSS based induction and foundation training. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 The home is well run providing a safe and stable environment for the service users. EVIDENCE: The home is run by a manager who has all of the NVQ 4 level of qualifications required by the National Minimum Standards. When talking about the mandatory training with the staff it was clear that she also attends this type of training with them. She also carries out a variety of surveys of the service users and their relatives on a six monthly basis in an attempt to ensure that the home is aware of the likes and dislikes of the service users so that they can accommodate them. Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x x Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 16 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 Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Yockleton Grange DS0000064028.V267860.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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