Care Home: Buckwood View

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What the care home does well People`s needs were known to the service prior to admission through the assessment provided by the manager, and planned visits. This information was sufficient to assess if the service was able to make the person`s needs. People will benefit from up-to-date comprehensive care plans. The people`s quality of life will be considerably enhanced because of the availability of the comprehensive and constructive activities and outing. The people were spoken with and it was established that they were satisfied with their care. The comments were that: `Its nice here` `We going out`. People received their medication in a safe manner. The service had a complaints procedure and it was operating according to the company policy this should provide confidence that complaints were taken seriously. Safeguarding Adult training made staff aware of their responsibility regarding the protection of vulnerable adults. The environment, monitored this inspection, had been generally maintained to the required standard to provide a well maintained environment for people, except for the bath and the damage to the walls. The robust staff recruitment process regarding the checking of staff will contribute towards the protection of the people. An experience registered manager is in post. This will contribute to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the manager and the area manager to measure the service against expected outcomes. What has improved since the last inspection? The service had complied with the requirements listed in the last inspection report. What the care home could do better: It was appreciated that the repairs to the bath and wall were planned, but remained unresolved at the time of the inspection visit. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Buckwood View 6 Buckwood View off Gleadless Road Sheffield South Yorkshire S14 1LX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ivan Barker     Date: 0 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Buckwood View 6 Buckwood View off Gleadless Road Sheffield South Yorkshire S14 1LX 01142530400 01142531220 michelle.taylor@sct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Northern Counties Housing Association Ltd care home 18 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 18 Minimum staffing levels must be maintained as stated in the documents entitled `Buckwood View Approved Staffing Levels` faxed to the NCSC on 8 April 2003. Nine specific service users over the age of 65, named on variation dated 11th August 2004, may reside at the home. The five named wheelchair users can be admitted to the home at the time of first registration. No other persons whose main source of independent mobility is a wheelchair may be admitted. Date of last inspection Brief description of the care home Buckwood View Nursing home is a purpose built home. Eighteen people with learning disabilities live at the service which is based in the community. The home is owned by Northern Counties Housing Association. The care staff who work at the home are employed by the Sheffield Care Trust. There are six houses at the service, an office building and a day service base, which are all based in a small cul-de-sac. All of the houses have gardens to the rear. The home is based near to community facilities, shops and bus stops. The fees paid range from £401.00 to £478.00. Information has Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home been made available in a format which would help some of the people to understand how to make complaints and what they can expect from the service. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people are not being put at risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Only a limited number of the National Minimum Standards were examined at this inspection (with the emphasis on the key standards) and any previous requirements. The persons present at the inspection were: Care Homes for Adults (18-65 years) Page 6 of 27 Karen Dewsall area manager. Michelle Taylor manager. Within this site visit, which occurred over a 4 and a quarter hour period, we toured the building, examined requirements relating to the previous inspection, case tracked 3 people (Case tracked means looking at the care and service provided to specific people living at the service; checking records, relating to their health and welfare, care plans and other records; by talking to the specific people; viewing their personal accommodation as well as communal areas). Spoke with other people, relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaints files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality Assurance Assessment) a self-assessment document, telephone contacts, letters and notifications. People who use the service will be referred to within this report as people. What the care home does well: What has improved since the last inspection? What they could do better: It was appreciated that the repairs to the bath and wall were planned, but remained unresolved at the time of the inspection visit. Care Homes for Adults (18-65 years) Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were known to the service prior to admission through the assessment provided by the manager, and planned visits. This information was sufficient to assess if the service was able to make the persons needs. Evidence: On discussing the care management assessments with the manager she explained that written assessments were not always received prior to the person visiting the service. It was agreed that she would have more dialogue with the care management team regarding receiving written care assessments. The manager advised that she assessed the potential person prior to admission. These assessments were examined and found to be very comprehensive. We were informed that the individual then visits the service for 1 day, then 2 days and then possibly overnight to look at the compatibility and interaction of this individual with a permanent people. Following these visits there would be a review and then a Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: place may be offered. Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will benefit from up-to-date comprehensive care plans. Evidence: On examination of 3 care plans, it was found that the care plans were comprehensive and detailed all aspects of the care needs of the individual. These included the required social, mental and physical interventions. However the care plans were difficult to reference. The manager advised that staff were able to reference these documents as they used them on a day-to-day basis. She agreed that the document would be difficult to reference, if the individual was not used to using them. She identified that she was to review the documentation, and perhaps provide an index system in the front of the file. The care plans and risk assessments were up-to-date and had been evaluated on a regular basis. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The people were spoken with and it was established that they were satisfied with their care. The comments were that: Its nice here We going out. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The peoples quality of life will be considerably enhanced because of the availability of the comprehensive and constructive activities and outing. Evidence: The service had a dedicated Day Care / Therapy Centre. The centre was attended by people from the service and people from the community. There was an activities coordinator, supported by the staff from the service. When visiting the centre it was found to be an hive of activity. Every person in the centre was involved with some activity and staff were actively supporting them. Also it will have observed that some people were leaving the service to go on an outing, by minibus. On speaking with the activities coordinator, we found a motivated individual who was keen to ensure that all the people had some therapy according to their ability. She Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: identified that she worked within the Centre and also within the individual houses of the service at different times during the week. Regarding the meals, we were advised that each of the houses within the service had a similar stock of food. However houses may hold a slightly different stock should individuals within the house request particular items of food. The restocking of food was undertaken by the staff and often an individual person from the service would go shopping with them. The food was generally prepared by the staff. On discussing the food with the people they commented that they were satisfied with the food provided. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People received their medication in a safe manner. Evidence: The people had the opportunity to access the primary care facilities which included GP and dental services etc. Independence was promoted and people were encouraged to undertake as many personal tasks as they would wished, being supported by the staff. The medications were stored within cupboards within each of the houses. Qualified nurses administered the medications. We discussed the storage, ordering, administration and disposal of medication procedures with the qualified nurses. The procedures explained by the staff were satisfactory. All the medication administration records (M.A.Rs) had been completed and there had been no omissions. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure and it was operating according to the company policy this should provide confidence that complaints were taken seriously. Safeguarding Adult training made staff aware of their responsibility regarding the protection of vulnerable adults. Evidence: The complaints procedure was displayed within the main office. A copy was also available within the Service User Guide. There had been no complaints received by the Commission, regarding the service prior to or during the visit. The service had policies and procedures regarding Safeguarding Adults. The training records of the staff were examined and it was established that all staff had received training in Adult Safeguarding. The area manager advised that there was additional safeguarding training entitled Telling it like it is. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment, monitored this inspection, had been generally maintained to the required standard to provide a well maintained environment for people, except for the bath and the damage to the walls. Evidence: The service is divided up into houses. On touring all the houses it was observed that the rooms and been personalised by pictures, posters and including items which will be seen in a younger persons room. The home was clean and generally well maintained and well decorated and odour free, except for the following. Within House 7 the bath was broken. We were advised that a new bath was in order. A delivery date for this unit was not available. However within this house all the bedrooms had a shower unit. Within House 7 and 15, there were holes in the wall created by the people. Within 24 hours of inspection the manager had contacted us and advised us that the repair work had been undertaken. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The atmosphere within each that houses was warm friendly and relaxed. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The robust staff recruitment process regarding the checking of staff will contribute towards the protection of the people. Evidence: On examination of the staff on duty and the rotas it was established that the staffing was as follows: A.M. shift 1 team leader and 9 support workers. P.M. shift 1 team leader and 9 support workers. N. shift. 1 team leader and 6 support workers. The staff were allocated several tasks for example food preparation, cleaning, laundry as well as providing care within 6 units for 17 people. Additional staff were: The manager, deputy manager who undertook some shifts instead of the team leader, Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: administrator, activities co-ordinator and housekeeper. On examination of 3 staff files it was established that all the files contained all the information required within Schedule 2. An examination of a staff training records, the staff received training in fire, safeguarding adults and other clinical training. However it was difficult to establish if all the staff had undertaken moving and handling training. The deputy manager identified that she had, within the last two months, been given the responsibility of training, and she was still trying to establish what training the staff had received. On speaking with the staff, we were informed by them, that they all had received moving and handling training. It was agreed that the deputy manager would within the next 48 hours provide evidence that the moving and handling training had taken place. She has provided evidence that 97 of the staff had received moving and handling training and the remaining 3 were staff who were on long-term sickness. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experience registered manager is in post. This will contribute to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the manager and the area manager to measure the service against expected outcomes. Evidence: On arrival at the service, for this unannounced inspection, it was established that the manager and deputy manager had planned to undertake interviews for the whole day. It was agreed that the inspection would go ahead with us monitoring the environment with the team leader, until the area manager arrived to work with us to complete the inspection. The manager and deputy manager provided information for the inspection between and at the end of the interviews. The manager had 31 years experience in the provision of care and 18 years experience in management. She had attained the NVQ 4 in Health and Social care, CQSW and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: RNLD qualifications. Regarding Quality Assurance, the manager undertook the quality monitoring of the staff records, staff training, care plan audits and medication audits. The area manager monitored the managers audits and also monitored the service. Regulation 26 documentation, which are a record of the registered persons monthly visits was completed, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; had been received by the Commission. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 23 23 The service should ensure that the bath is repaired or replaced and that the walls are repaired To ensure that there is a safe environment. 21/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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