Care Home: Jane`s House

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Jane`s House 2 Corker Road Sheffield S12 2TH two star good service The quality rating for this care home is: 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: Stephanie Kenning Date: 1 5 1 0 2 0 0 8 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. They reflect the things that people have said are important to them: 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. 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Jane`s House 2 Corker Road Sheffield S12 2TH 01142477648 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Kathryn Anne Brandon,Mr Craig Andrew Fox Name of registered manager (if applicable) Sharon Allen Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places 4 The maximum number of service users who can be accommodated is: 4 Date of last inspection A bit about the care home Janes House is situated in a residential area of Sheffield close to the facilities of Manor Top and public transport. It is an extended semi detached house with four en-suite bedrooms. It has a kitchen dining room, an office, a lounge with two sitting areas and a door on to the garden, a downstairs toilet and utility/store room. One of the bedrooms is at ground floor level for easier access. The service is for up to four people with a learning disability and information about the service is available in different formats by contacting the home directly. Fees are set according to the needs of individuals. 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: two star good 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 How we did our inspection: This is what the inspector did when they were at the care home This was an unannounced key inspection carried out by Stephanie Kenning, Regulation Inspector, and was the first inspection of this service. The site visit took place between the hours of 9:50 am and 3:00 pm. The Registered Manager Sharon Allen was present throughout the visit, and the owners were present for some of the time. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. The home had sent out four questionnaires to relatives and visiting professionals about the care and support provided, and comments and feedback from these have been included in the report. On the day of the site visit opportunity was taken to make a tour of the premises, inspect a sample of care records, check records relating to the running of the home and check some of the policies and procedures. Time was spent observing and interacting with people. Both people living at the home were present for some of the time and contributed to the findings. Four members of staff and two visitors also spoke with the inspector about the home. The inspector checked all the key standards and some additional standards. The inspector wishes to thank the people at the home for their time, friendliness and co-operation throughout the inspection process. What the care home does well People felt that the home provided very individualised care, with good attention to detail, and input from all the relevant sources. All comments made were positive, and for both the people living at the home the comments were about it being a good move, and a positive experience. One person said I am most impressed and reassured by the person centred way in which we have been treated. The people I have supported there have felt listened to and respected. There is a clear value base of individuality and choice. The home is in newly refurbished premises offering facilities for four people in bedrooms with en-suite bathrooms. The premises feel very homely and are modern and fresh. There are well recruited and well trained staff in sufficient numbers to be able to provide the highly individualised care the service offers. People living at the home liked the staff and had a good rapport with them. What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stephanie Kenning 33 Greycoat Street London SW1P 2QF 02079792000 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 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 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 . People who use this service have information about the home and opportunities to visit or trial the home before making a decision. The personalised needs assessment means that their diverse needs are identified and planned for before they move into the home. Evidence: We wanted to understand peoples experiences when they decide whether to choose this care home, and what it is like for people if they did decide to move there. There were two people living at the home, with one person only moving in the week before. We spoke to both people, (one has communication difficulties), the manager, the owners of the home, two staff members, and a visiting independent advocate. We also saw completed questionnairres from a relative and three visiting health professionals about their experience of the home. We looked at the information the home give to people and how they assess whether they can meet peoples needs. The person recently admitted to the home said that he had visited the home before moving in and had been able to arrange the room as he liked it with his personal possessions. He had a friend visiting and was keen to show them around his new home, showing that he was pleased to be there. His advocate also visited and said that it was a positive move that they had planned together. The information was in the form of a residents handbook and was accessible for his needs. The manager said they would produce it in different formats according to the needs of individuals and this may be audio visual. The information did not have fee information as each person had different needs that would determine their fees. The fees are worked out following the full needs Evidence: assessment by the manager and usually an additional member of staff. The assessments for both people were comprehensive, with a significant amount of information that helped them to decide if they were able to meet the needs or not. The people were involved in their assessments or had a significant person assisting with them so that the home could be clear about the support they would need to offer. The information included health and personal care needs, social needs, developmental needs, and focussed on individuals experiences and choices. Not all people assessed had been offered a place at the home, and the manager stated that this was due to ensuring compatibility as well as being able to meet needs. Tenancy agreements and contracts were on file and contained the terms and conditions of residency and fee information, so that people know what they have agreed to. A relative commented, we are working together to help him settle, and it has been a very positive experience. 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 who use this service are supported to meet their individual needs and are able to make choices about their daily lives. Evidence: We wanted to find out if peoples individual needs and choices were being met. We looked at the care plan of someone who had been at the home for a while and spoke to the other person at the home, their advocate, two staff members, the manager and the owner. We also read feedback on the questionnairres returned by a relative and three health care professionals. We observed the daily life at the home and watched the interactions of the people at the home with other people. The care plan had been drawn up from information gathered from the individual and his family. It was therefore very individualised and covered a wide range of areas for support, including areas of development. It confirmed that specialists had been brought in to advise on speficic areas such as speech and language tharapist. It gave a clear guide of action required, by whom and the date for completion or review. The personal care plans were detailed and showed preferences such as his preferred name, the gender of staff he wnated to carry out personal care, and detailed instructions about bathing. The daily contact sheets confirmed whether these had been carried out or not and gave good explanations for deviations to the plan or for other things that happened. Clear risk assessments were in place showing how the individuals preferences could be supported in a safer way. Incidents referred to were linked to specific reports and body maps if necessary. This shows that they have clear records of how they meet the individuals needs and preferences. Evidence: During the visit people chose what they were going to do that day and one person changed their mind later in the day preferring to stay at home rather than going out for a second time. This was a good example of his right to make decisions and change them if he wanted to. A visiting health care professional said on the questionairre Most impressed and reassured by the person centred way in which we have been treated. The people I have supported there have felt listened to and respected. There is a clear value base of individuality and choice. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living at the home have individualised lifestyles with appropriate activities and opportunities for their development. Evidence: We wanted to understand peoples daily experiences and opportunities for personal development and leisure. We observed the routines and the activities taking place and spoke to a person living in the home, an advocate, two members of staff, the manager and the owners of the home. We looked at the records of activities, routines and meals. The people living at the home have a number of individualised placements outside the home at colleges and daycentres that usually happen during the weekdays. These give opportunities to develop practical life skills, such as communication, and using a computer. The activity records show that on other days there are a variety of other activities taking place such as hobbies, walks, sports, shopping and household tasks. During the visit each person had a plan for the day that they decided with staff, and one person changed what he wanted to do showing that choices are respected and carried out. One person spoke of his plans for the near future and his aspirations for the long term regarding being more independant and staff confirmed that they were working towards those goals. Links with family and friends have been maintained so that personal relationships are encouraged and they were welcomed at the home. People at the Evidence: home are supported to access community facilities such as parks, shops and transport. People living at the home seemed to enjoy their meals and chose what they wanted to eat. Records of the meals at the home show a good variety of foods including home cooked dishes and some healthy options. Specific requirements and preferences are recorded and catered for so that people can enjoy their meals. The dining kitchen provides a welcoming family type environment where people can assist or watch the food being prepared and can sit together to eat. Sometimes people eat at different times such as at breakfast on the day of the visit, showing that they have choice about when as well as what they eat. Whilst people at the home do not have a formal nutritional assessment their diets, weight, health and preferences were all recorded and monitored, showing that they were considering the nutritional state of people at the home. The manager was planning to access some information about nutritional assessments following the visit. 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 living at the home have their health and personal care needs met and receive medication safely. Evidence: We wanted to understand how people had their health and personal care needs met. We spoke to people in the home, observed practices in communal areas such as mealtimes, and looked at records and medication systems. People living at the home were well presented and appeared well and calm. Personal care tasks were carried out in the privacy of their rooms that had en-suite bathrooms. One person had stayed in bed later on the day of the visit, and was eating breakfast showing that people have choices about when they do things. The support plans gave very detailed instructions for staff to follow, in a step by step sequence that explained why it was important to do things that way. This shows understanding of the needs of the individuals and a respect for their preferences. The plans were comprehensive and covered all the areas identified in the assessments. Preferences also stated things like, prefers a female carer to help with this personal care task. Health needs were considered and plans for action showed that other professionals such as chiropodists, continence service, General practicioners and speech and language therapists were involved. One health professional said on a questionnairre I am extremely impressed by this energised, creative and empathic staff group. Well done! People living at the home received medication via safe procedures. The storage and Evidence: administration of medicines was managed well, with clear records and staff trained appropriately. 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 . People living at the home are protected by the policies and procedures in place. Evidence: We wanted to understand how people were protected from abuse or neglect and how the service responds to complaints. We looked at records, policies and procedures and spoke to people living and working at the home. Written procedures for making complaints and dealing with vulnerable people were available and displayed within the home. These were also in a more accessible format suitable for the type of service provided. There had not been any complaints or safeguarding referrals since the home opened, so we could not judge how well they deal with these issues. However, they could demonstrate that they had safe procedures for dealing with individuals monies, and that they have safe procedures for recruiting staff. Records showed that staff were trained in safeguarding procedures and recognising signs of abuse, all of which help to protect people. People living at the home demonstrated the ease they felt with staff members, and staff demonstrated their understanding of each individuals behaviours, showing that there was a good level of communication and understanding between them for ensuring people were listened to. In addition people at the home were supported by independent advocates that assist them to get what they want. 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 . People live in a home that is safe, comfortable and meets their needs. Evidence: We wanted to understand what it was like to live in the premises and whether they were appropriate for the lifestyles of the individuals living there. We were shown around the premises including the rooms of the two people living there. One person talked about his move there and his room with an ensuite facility and his personal possessions. Both people living at the home seemed very pleased with their rooms and with the facilities within the home. They were able to spend time in private in their rooms and there was plenty of space in the communal areas too. Records show that routine checks and maintenance are carried out to ensure equipment is working well and safely. A cleaning schedule for communal areas was completed each day and individuals living at the home have separate schedules for cleaning their rooms as part of their development. 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 . People are supported by staff who are recruited to thorough procedures and trained well, to protect and develop individuals. Evidence: We wanted to understand how staff were recruited and trained to ensure that they could carry out their jobs well. We talked to people living at the home, vistors and staff, including the manager and owner. We checked the recruitment files and the training records to see if procedures had been followed. We looked at the questionairres returned from people and visiting professionals, and noted the comments they had made. People living at the home and the visitors were very positive about the staff and they way they were treated by the staff. One visiting professional said about staff on a training session, all staff were very receptive and forthcoming in the discussions. Another said, I am extremely impressed by this energised, creative and empathic staff group. Well done. The recruitment files demonstrated that all the necessary checks and procedures are followed before someone is recruited in order to safeguard the people at the home. The training records showed that people working at the home had a thorough induction to the home and explored many aspects of working with people with a learning disability. They have covered the required training to help keep people safe, and several other sessions. Most people working at the home have a National Vocational Qualification or are working towards one. People are supported by the manager and have supervision about their work so that they can develop in their roles. 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 . The home is well managed and people are protected by the systems put in place by the manager. Evidence: We wanted to understand how the home was managed and ensuring the quality of service for the people living there. We talked to people in the home, visitors, and staff including the owners and manager. We looked at some records and a survey of relatives and visiting professionals. The registered manager is Sharon Allen who is an experienced and qualified manager for services for people with a learning disability. She understands the requirements of running a home and has created some good systems within the home, including policies and procedures for people to follow. The atmosphere within the home was friendly and welcoming, and people said that they felt able to approach her and other staff regarding any concern they may have. The home had already started to get feedback about their service by sending out questionnairres to relatives and visiting professionals and some of those surveyed have been been quoted in this report. Now that there are two people living at the home they intend to have regular meetings with them about the day to day issues involved in running a home so that they are involved. They have an annual development plan for the home that they are working towards, that includes getting four compatible people living together at the home. The health and safety of people living at the home and the staff supporting them is promoted by having systems in place that check things are working, and by training Evidence: staff in safe working practices. Records are kept that show these are being done. Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description Timescale for action 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 1 17 Introduce a separate nutritional assessment Helpline: 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 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. 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