Care Home: Shallcott Hall

What the care home does well People we spoke to said that they were very happy living in Shallcot Hall. They said they were helped to live the life they choose as independently as possible. One person we spoke to was helping to bake the cakes for tea and said they were very happy and really liked the staff and the way they helped them do things they enjoyed doing. Many of the people living in the home were out when we visited following personal interests. Staff we spoke to said they enjoyed working at Shallcott Hall and felt there was a very good team spirit providing support for both the people living in the home and for staff members. Staff also said they received training to help them understand their role in the home. Written surveys from relatives said `the staff are very caring,` `they look after my relative very well they are well cared for.` The written surveys from social workers said, `needs are met with appropriate respect.` `The care staff have a range of expertise and knowledge and skills which appropriately meets individuals needs.` What has improved since the last inspection? The recommendations we made at the last inspection have all been met. This means the manager has provided training for staff about how to protect people from possible harm or abuse and how to act if they thought someone was the victim of abuse. Staff now receive regular supervision supporting them in deciding on how they can best look after people in the home and how they can improve their knowledge. The care plans for people living in Shallcott Hall now include treatment and development plans showing the best ways for them to achieve their goals. CARE HOME ADULTS 18-65 Shallcott Hall 1 Ellenborough Crescent Weston Super Mare North Somerset BS23 1XL Lead Inspector Juanita Glass Unannounced Inspection 25th April 2008 12:15 Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shallcott Hall Address 1 Ellenborough Crescent Weston Super Mare North Somerset BS23 1XL 01934 620611 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) i.hallscott@btinternet.com Mr Ian Hall-Scott Jacqueline Hall-Scott Mr Ian Hall-Scott Jacqueline Hall-Scott Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (9) Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th April 2007 Brief Description of the Service: Shalcott Hall provides care and support for nine adults with mental health needs. The home is run by Iain and Jacqui Hall-Scott both of whom are qualified nurses, Iain in Mental Health and Jacqui is a General Nurse. Shallcot Hall can provide personal care only so cannot admit people assessed as having nursing needs. The Home aims to offer a relaxed family environment in which people receive individualised care. Resident are encouraged to live independently as far as possible and to make good use of the facilities available both locally and in the town centre which is a short walk away. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection took place over one day in the presence of the manager/owner Mr Iain Hall-Scott total of 4 hours were spent in the home. Evidence to support the findings of this inspection was obtained through written surveys from people living in the home and their relatives. Reponses to our written survey were received from 5 people living in the home, 3 relatives, 6 members of staff and 2 social workers. An Annual Quality Assurance Assessment (AQAA) was completed by the homeowner and forwarded to the Commission for Social Care Inspection (CSCI). We also carried out a review of documentation in the home. This included documents in peoples care plans, staff personnel records and records maintained for the day-to-day running of the home. Whilst in Shallcot Hall we discussed the care provided with 3 people living there on a one to one basis and as a group. We also spoke to 2 staff members working on the day of the inspection. What the service does well: People we spoke to said that they were very happy living in Shallcot Hall. They said they were helped to live the life they choose as independently as possible. One person we spoke to was helping to bake the cakes for tea and said they were very happy and really liked the staff and the way they helped them do things they enjoyed doing. Many of the people living in the home were out when we visited following personal interests. Staff we spoke to said they enjoyed working at Shallcott Hall and felt there was a very good team spirit providing support for both the people living in the home and for staff members. Staff also said they received training to help them understand their role in the home. Written surveys from relatives said ‘the staff are very caring,’ ‘they look after my relative very well they are well cared for.’ The written surveys from social workers said, ‘needs are met with appropriate respect.’ ‘The care staff have a range of expertise and knowledge and skills which appropriately meets individuals needs.’ Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People do not move into the home until a full assessment of their needs has been carried out. EVIDENCE: We looked at the way in which new people are admitted into the home. We found that people who have said they would like to live at Shallcott Hall can visit and meet the people already living there. They can also arrange to have a short stay in the home so that they can decide if it is suitable for them. This also means the staff can get to know the person and see whether the home can meet their needs. We saw paper work that showed people were involved in making the decision to move into Shallcott Hall. The manager either meets the person before they visit or attends a meeting when their needs are discussed. These are then written down to start forming the care plan that will tell staff how the person would prefer to be looked after when they move in. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are involved in planning their care and make decisions about their quality of life and life style. Staff understand the importance of supporting people living in the home to take control of their own lives. EVIDENCE: We looked at three plans of care for people living in the home. We saw that since the last inspection these include development plans that have been agreed by both the home and the resident. These include attending a day centre or classes in literacy or developing daily living skills. People have also been helped to go to courses held by Weston College. Residents and staff take part in CPA (Care Programme Approach) reviews when residents are able to say how they would prefer to live in the home. We also saw very clear risk assessments, which help people to recognise where the dangers and risks are to leading an independent life. They also give them ways to manage those risks with the support of staff. The daily records Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 10 showed that when incidents happen staff are able to manage them very well. People we spoke to said they felt they could make decisions about how they lived in Shallcott Hall. They also said that staff helped them overcome difficulties when they felt they could not manage on their own. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Shallcot Hall is committed to helping people develop and maintain their social, emotional, communication and independent living skills. The meals are nutritious and well balanced catering for the varying cultural, personal and dietary needs of the individual EVIDENCE: We spoke to people living in Shalcott Hall about their experiences. They said they were encouraged to live their own life style. One resident has a cat and is supported by everyone to look after it. During the visit one resident was cooking the cakes for tea. They said they enjoyed trying out new recipes but didn’t enjoy the washing up as much. Another resident said they were looking forward to the cooking being cool enough to eat. We noted that many residents were out during the day following their own interest or development program. We also noticed that the people living in the home had a very good Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 12 relationship with staff there was a friendly relaxed atmosphere with plenty of laughter coming from the kitchen. People decide how to spend their time; some may choose to remain in their room whilst others go to town or local leisure facilities. During the visit two people were sat in the lounge one having just returned from a shopping trip, they said they tended to prefer their own room as that was a more natural way to live rather than sitting in a communal room. People spoken to said that relatives and friends are made welcome and refreshments are provided. The home has a planned menu and people living in the home can help in the kitchen further developing their living skills. They can also cook their own meal if they wish. People spoken to said meal times were always good they thought the standard of meals provided was ‘excellent.’ The lunch we saw looked well presented with fresh vegetables. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal support is provided and is varied to meet the individual needs and preferences of the people living in the home. People have access to healthcare services. The home has efficient medication policies, which staff understand and follow. EVIDENCE: People living at Shallcott Hall do not generally need help with their personal care, however staff help them to make the most appropriate decision for them as an individual respecting their diverse needs. As we mentioned before people living in the home have regular reviews of their mental health needs through CPA, this also means a review of their medication. People we spoke to said they also have the support of their own GP and they have easy access to the Mental Health team for extra support if needed. Records we looked at showed that people are encouraged to attend appointments at outpatient’s clinics, dentists and opticians. They can either attend on their own or a member of staff goes with them to provide support and encouragement. If Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 14 health care needs are identified the home can get extra support from the community teams such as district nurse or hospice care if needed. We watched staff giving out medication they followed all the correct procedures. We then checked that medication was being stored properly and that the records were correct. We did not find any errors and since the last inspection staff have clear direction on how and when to use PRN (as required) Medication. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Shallcot Hall has a complaints procedure that is clearly written and easy to understand. There are robust policies and procedures for safeguarding adults and staff understand the process they should follow. EVIDENCE: People we spoke to said they knew how to make a complaint. They said they felt they could talk to any member of staff but also knew they could go to the manager direct. One resident said they knew they could also contact their social worker or the Commission for Social Care Inspection (CSCI), whilst another resident commented on this and said they would remember the CSCI was there. Staff also felt that there was an open ethos in the home making it easy for them to approach the manager with concerns. Staff spoken to said they knew the procedures to follow if they were alerted to any abuse or safeguarding issue. Staff also said they knew about the whistle-blowing policy and felt that they would be supported by management to approach with concerns. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Shallcott Hall provides a physical environment that is appropriate to the needs of the people living there. It is well maintained with a programme of maintenance and redecoration. EVIDENCE: We looked at the communal areas in the home and sort permission from one resident to look in their room. The lounge is well-furnished and homely with good lighting and pleasantly decorated. Bathroom facilities are adequate and have been refurbished. People are encouraged to personalise their rooms to make them individual to their taste. The room we saw was definitely personal to the resident with their own property and personal belongings reflecting their taste and interests. The home was clean and tidy during the visit, staff have overall responsibility for cleanliness in the home but residents are encouraged to accept responsibility for their own rooms. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 17 Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff receive relevant training that is focused on delivering improved outcomes for people living in the home. Recruitment procedures followed by the home protect individuals from potential abuse. EVIDENCE: Staff spoken to confirmed that they are encouraged and supported to attend training relevant to the specific needs of the people living in the home. This means they recognise the diverse needs of people with Mental Health needs and their equal rights to lead the life they choose. Staff records also showed that they have attended training in all mandatory subjects, as well as progressing with their NVQ’s in Social Care. We also saw that training on The Mental Capacity Act was planned for all staff later in the year. Since the last inspection the manager has developed an application form for prospective staff, which now includes an equal opportunities statement and data. We looked at the records collected by the home when they are looking for new staff. They had all the correct information which includes Criminal Records (CRB) checks, references and past work history. This insures people living in the home are protected from potential harm or abuse. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 19 Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience and is competent to run the home. Residents’ opinions underpin developments in the home. Health and safety practices in the home protect the health, safety and welfare of residents and staff. EVIDENCE: The manager/owner Mr Iain Scott-Hall has managed the home for several years; he is a qualified Mental Health Nurse and is supported by Mrs Jacqui Scott-Hall who is a qualified General Nurse. They both attend regular training keeping up to date with the changing trends in managing care for people with Mental Health needs. This shows that they continue to provide a service that understands the diverse needs of people with Mental Health problems in society today. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 21 Staff spoken to said they felt well supported by the management team and could approach them at any time with concerns or questions. People living in the home said they felt they had no problem talking to the manager. One person said they had become very fond of the manager and his family. Since the last inspection the manager has carried out a residents survey hoping to use their opinions to underpin future developments. The manager stated that he found the Annual Quality Assurance Assessment (AQAA a form he completes for the CSCI) supports his own annual quality assessment showing what they have achieved and how they can achieve changes for the future development of the home. We found that the health and safety in the home was good. All staff have attended regular training updates which are clearly recorded in their files. All the proper checks are carried out on electrical equipment and all staff go to regular fire training. One resident said they were also included in fire drills so knew what to do. Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? 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 Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shallcott Hall DS0000008126.V360420.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!