Care Home: Shaftesbury Court

What the care home does well Meals, menu planning and ordering of food supplies were being managed effectively and providing people using the service with choice, variety and good nutrition. Staff training is managed well to make sure that staff have the necessary mandatory and specialist skills to met people`s care needs. What the care home could do better: The provider needs to ensure that certificates verifying mandatory training has been undertaken are sent to the service promptly. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Shaftesbury Court High Street Winslow Bucks MK18 3HA two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Chris Schwarz Date: 1 4 1 1 2 0 0 8 Information about the care home Name of care home: Address: Shaftesbury Court High Street Winslow Bucks MK18 3HA 01296714858 01296715681 lesley.smith@sanctuary-housing.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Sanctuary Care Ltd The registered provider is responsible for running the service care home 18 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 1 0 learning disability learning disability Conditions of registration: 18 18 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are in the following category: Learning disability (LD) The maximum number of service users to be accommodated is 18 Date of last inspection Brief description of the care home Shaftesbury Court is located toward the end of the village of Winslow, close to shops, pubs, transport links and a medical centre. The home is run by Sanctuary Housing and provides accommodation for up to seventeen adults with learning disabilities. The home is divided into small groups, each with its own lounge, kitchen/dining area, Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home bathroom and toilet facilities. There is an additional central common room. The home has a garden and there are parking facilities at the front of the building. . Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This random inspection was conducted by Chris Schwarz and focused on two areas of the National Minimum Standards for younger adults. The visit took place after some returned surveys used to help us with our Annual Service Review in October 2008 indicated changes to the ways in which staff training and food are managed at the service. We wanted to explore this further to make sure that peoples needs were not being affected in a negative way. The inspection consisted of discussion with the manager and other staff, opportunities to meet with people using the service, examination of some of the homes required records and a tour of the premises. The manager and administrator for the home confirmed that there had not been any reduction in the food budget for the service and that it was currently twenty two thousand three hundred and fourteen pounds per annum. They described how food is obtained for the service and mentioned two well known companies which provide most of the produce. They said that some additional items can be purchased from local shops if need be. A main order is prepared once a week and this can be supplemented by a second order mid week if it is needed. Fruit and vegetables were being delivered twice a week and fresh meat once a week. Staff were observed receiving a fresh, boned lamb joint for the weekend which corresponded with the planned Sunday lunch meal on the menus. A two week menu was being used in each of the groups and these had been laminated and were displayed in kitchen areas. Menus were varied and included the option of a cooked breakfast; the manager said a dietician had looked over the menus and was satisfied with them. In the common room, which all service users have access to, a juice machine had been added and was proving popular with people using the service. During a tour of the building three service users in various groups were having their lunch, two were enjoying spaghetti on toast and the third had eaten fish and chips and was starting on a chocolate mousse. Another service user said she had a cooked breakfast that morning. Minutes of service user meetings from one of the groups showed that they are asked about food and their ideas are listened to. For example, people using the service wanted to be able to make their own pizzas and the necessary components had been purchased to enable them to do this. Staff mentioned that they are looking at ways of improving how food supplies are stored at the service. At the time of this visit, dried goods for the whole home were being stored in a cupboard located in one of the groups and salad for all of the home was being stored in the same groups fridge. This means that staff who work in other parts of the building are to and fro on a regular basis which is not ideal for the people who live in this group. The manager, administrator, senior carer and a new member of staff were spoken with about training and staff support. A supportive working environment was described with good opportunities for staff to undertake mandatory and specialist training. The new member of staff had completed her induction. Care Homes for Adults (18-65 years) Page 4 of 9 Staff said that a lot of the courses are now based on DVD learning. Sessions are arranged to watch the relevant DVD with a trained staff facilitator and to answer questions from work books. The work books for health and safety and safeguarding were looked at in detail. Questions for health and safety were detailed and included name at least five things good handling training must include, describe some of the ways that laundry and linen should be worked with safely, name at least five situations where you must wash your hands, why should you dry your hands properly and what types of waste are known as clinical waste. Safeguarding questions included name at least three criminal offences an abuser could be charged with, why is it better that assessments etc relating to abuse prevention are carried out by a team of people, define in two ways a vulnerable adult, what do you know about the relationship between power, abuse and neglect, give five examples of physical, sexual and institutional abuse, give six examples of signs and symptoms of physical abuse and give five examples of signs and symptoms of financial abuse. Detailed hand outs contained within the training pack which are given to staff were also looked at and found to be comprehensive and informative. Training records showed that courses are not confined to DVD learning. Training certificates verified that ASET had been used for medication training, first aid had been provided by Thames Ambulance Training Services and fire safety by Bucks and Milton Keynes fire authority. Courses run by the local authority had also been undertaken such as an introduction to signing workshop, eating and swallowing workshop (learning disability specific), dementia and learning disabilities and an introduction to communication in learning disabilities. The manager advised that nine places have been given by Milton Keynes college for distance learning training on dementia. The senior carer is the homes trainer for the Learning Disability Qualification (LDQ) which had just been introduced. Seven staff plus the senior carer had completed levels 2 and 3 of the LDQ and four more staff were due to start next year. The overall percentage of National Vocational Qualification qualified care staff was approximately 80 . This included five staff who have achieved level 3. Additionally, the manager had already achieved the Registered Managers Award and the homes administrator had completed level 3 in business administration and was starting on level 4. A requirement from the last key inspection regarding food handling training had been met with nineteen of the staff team having undertaken relevant training this year. However, certificates had not been sent to the home by the provider yet (course signing in records showed that the last training event took place in May this year) and a speedier response is needed so that the home can verify that training has taken place. A recommendation is made to address this. The manager, staff and people who use the service are thanked for their co-operation and hospitality during this unannounced visit. What the care home does well: Care Homes for Adults (18-65 years) Page 5 of 9 Meals, menu planning and ordering of food supplies were being managed effectively and providing people using the service with choice, variety and good nutrition. Staff training is managed well to make sure that staff have the necessary mandatory and specialist skills to met peoples care needs. What they could do better: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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 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 The provider is to ensure that certificates verifying mandatory training has been undertaken are sent to the service promptly. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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