Care Home: Southleigh

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What the care home does well Residents coming into this home receive a detailed assessment to ensure the home can meet their needs. The admission and assessment procedure sets out a process that is suitably flexible and informative. Considerable time and effort is made to ensure that residents wish to come to this home. Residents are enabled to enjoy a positive lifestyle through varied activities, contact with the local community, contact with friends and family. Residents live in clean, comfortable and safe accommodation. Staff are correctly recruited and receive a comprehensive training in order to support the residents living in the home. What has improved since the last inspection? All requirements from the previous inspection had been addressed. Since the last inspection, the requirement about the wall between the bathroom and shower room being redecorated had been addressed. Both rooms had been retiled and redecorated. In addition 2 bedrooms had been redecorated/refurbished following discussion with the residents. Four bedrooms had new carpets. The dining room and hallway had also been repainted. New quality assurance systems had been introduced to obtain the views/opinions of residents and their relatives/advocates and professional visitors about the service provided by the home. A new person centred care plan had been introduced for each resident. What the care home could do better: There were no requirements or recommendations from this inspection visit. Many innovative ideas have and continue to be introduced in order to improve the quality of life for each resident. CARE HOME ADULTS 18-65 Southleigh 31 London Road Kettering Northants NN16 0EF Lead Inspector Tobias Payne Unannounced Inspection 24th August 2007 08:00 Southleigh DS0000067877.V347042.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 Southleigh DS0000067877.V347042.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. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southleigh Address 31 London Road Kettering Northants NN16 0EF 01536 511166 01536 515705 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) Minster Pathways Limited Mrs Hilary Jane Shatford Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (4), Physical disability (6) of places Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within category PD may be admitted to Southleigh where there are 6 persons of category PD already accommodated in the home No person under the age of 25 years to be admitted to Southleigh No persons to be admitted to Southleigh under category LD(E) when there are 4 persons in total of this category already accommodated within the home The maximum number of persons accommodated within Southleigh is 14 24th August 2006 Date of last inspection Brief Description of the Service: Southleigh is a home providing personal care for 14 adults whose primary care need is due to a Learning Disability; there are additional conditions to enable the home to provide care for older people with Learning Disabilities, and people with physical disabilities in addition to their Learning Disabilities. The home is situated close to Kettering town centre within easy reach of local amenities including shops, General Practitioners surgery and public transport facilities. Southleigh has open plan communal areas downstairs including a dining area and 2 separate lounge areas. Bedrooms are provided on ground and first floors with a semi independent flat on the second floor. Accommodation on the first floor is served by a stair lift. The home has specialist bathing and shower facilities on the ground floor suitable for people with physical disabilities. There is a small garden area to the side of the building with ramped access and car parking available to the rear. The fees at the inspection visit on the 24/8/2007 ranged from £389 to £952 per week. Extras are for hairdressing £5, chiropody £23, toiletries and personal newspapers and magazines. Information about the home together with the statement of purpose and service user’s guide can be obtained from the manager. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and started at 8.00 am. It was undertaken using a review of all the information available to us about Southleigh Care Home. We spoke with 4 residents, 4 staff, the deputy and the manager. The residents who live at Southleigh have learning difficulties, some with additional physical disabilities or disabilities relating to their elderly status, for example dementia, and communication for some is difficult. Establishing that the residents have choice and are helped to make informed decisions is dependent to a large extent on observations of staff actions, residents’ relationships with staff, and the quality of shared communication. Feedback obtained from residents in this report was mainly through observations of their relationships with staff and also through interpretations of their general levels of satisfaction with their routines. We also examined an Annual Quality Assurance Assessment completed by the manager. What the service does well: What has improved since the last inspection? All requirements from the previous inspection had been addressed. Since the last inspection, the requirement about the wall between the bathroom and shower room being redecorated had been addressed. Both rooms had been retiled and redecorated. In addition 2 bedrooms had been redecorated/refurbished following discussion with the residents. Four bedrooms had new carpets. The dining room and hallway had also been repainted. New quality assurance systems had been introduced to obtain the views/opinions of residents and their relatives/advocates and professional visitors about the service provided by the home. A new person centred care plan had been introduced for each resident. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 6 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. Southleigh DS0000067877.V347042.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 Southleigh DS0000067877.V347042.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): Standards 1, 2, 3 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents receive a very sensitive, careful and person centred detailed assessment before coming to this home. Considerable effort has been made to ensure that there is clear information about the home to enable them to make a choice to come to this home. EVIDENCE: Since the last inspection there had been 2 new admissions to the home. Both residents had received detailed and careful assessments by the manager before coming to the home. This included ensuring that enough information had been obtained to give a view of their needs. The admission involved 3 initial visits accompanied by their care manager. These visits could include having lunch, spending an afternoon/evening meal and an overnight stay. There was much time spent to ensure the home was able to meet their needs. The manager acknowledged that no written confirmation was sent to the resident to confirm that the home was able to meet their assessed needs. She however agreed to ensure this took place in the future. There was a very clear and detailed service user’s guide in pictorial form with large print. This was written in plain English and was also available in Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 9 MAKATON and audio tape. Each person also received a very clear and detailed copy of their terms and conditions. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 10 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): Standards 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Person centred care plans have been developed for each resident. This gives very clear guidance to staff about how to care and support each resident. Residents are encouraged to make decisions for themselves with the support of staff. EVIDENCE: Each resident had a care plan and detailed records about their needs. Information showed referral information, reference to the local advocacy service, terms and conditions and complaints procedure with reference to the commission. All information was very personal referring to the resident’s name, a photograph, resident information, description of the resident, a very person focussed pen picture, this included information about how they wished to be addressed, risk assessment, “a day in the life of the resident”, other help/support and daily living requirement. Each resident had a very detailed person centred care plan covering in depth all aspects of care and daily living activities and a questionnaire to obtain their views. There was a daily record and evidence of review. Efforts had been made to provide guidance for staff about how to communicate with residents who had specific communication Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 11 difficulties with pictures. One resident had food allergies and again there was very detailed guidance. Care plans were individual and the daily records well written, factual and dated with evidence of choices being used. There was also a picture of the member of staff who supported the resident. Staff were seen to respond to residents in a positive manner. We saw that the relationships between staff and residents were warm and enabling and individuals were valued in their own right. Residents’ self-esteem was recognized as an important aspect of care and was promoted. Choice and decision making was clearly shown in the care plans and staff were trained to enable these choices to take place. Residents were given choice concerning their interests and activities. Resident’s financial records were checked and clear records were being kept. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were involved in meaningful, appropriate activities, which included work and recreational activities with the help and support of the staff. Staff respected the resident’s rights and choices. EVIDENCE: The inspection visit took place with most residents spending their day in the home. A number had gone to a day centre. Currently, 9 residents were using 3 day care centres. Each resident had an individual programme of leisure and occupational activities. In addition, 2 residents attended a day centre for work experience. There were photographs of activities to enable staff to learn of what the residents wanted to do. As residents were at home some were watching a DVD of their choice in one lounge area, television in another and colouring and doing jigsaws accompanied/supported by members of staff. We saw a very relaxed and happy atmosphere. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 13 Activities available included rock climbing, abseiling, canoeing, swimming, cinema, visits to local shops, pubs, restaurants and in the local community. Residents also went on holidays accompanied by staff to Blackpool and for 2 residents to Majorca. We could see that daily routines fitted around the residents’ needs with them rising late if they wished and going out individually with staff for personal shopping. We saw staff talking with the residents and their rapport was good. Residents commented, “I went on my first holiday to Blackpool. I have never stayed in hotel but I liked it and we had a lovely time” and “we go out shopping regularly and I love going dancing”. The home received a 4 stars “high standard” catering award from Kettering Borough Council in recognition of its catering service on the 19/4/2006. The kitchen was well maintained, records were up to date and stocked with fresh fruit and vegetables. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and emotional needs are met. Medication was safely administered. EVIDENCE: There was community nurse involvement and each person was registered with local GPs. There were no major healthcare issues. There were resource packs to give guidance and support to staff about how to meet the needs of the residents. All staff showed commitment to ensuring all the needs of the residents were met. There was equipment available to maintain the residents independence. These include wheelchairs, walking aids and special hoists. Some residents also had specialised sensory equipment in their bedrooms. All of the 4 senior care assistants had received training about the safe handling of medicines. The last community pharmacist visit was on the 17/7/2007. There were no concerns. Medication administration was observed. The treatment card was examined, the medication correctly dispensed, taken to the resident and then signed to confirm medication had been administered. Southleigh DS0000067877.V347042.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Any complaints received are taken seriously and residents are protected from abuse. EVIDENCE: No complaints have been received by the home and us since the last inspection. The complaints procedure was in the main office, service user’s guide and on the wall at the entrance to the home. During the inspection visit no residents had any concerns and the home was full of laughter and conversation. The home had an adult protection policy and all staff as part of their induction received abuse training. The local adult protection policy for Northamptonshire was in a folder. We spoke with 2 members of staff both of whom knew about abuse and what they would do if abuse was suspected. The manager was also aware of the Mental Capacity Act 2005. There was an easy relaxed rapport between staff and the residents. Southleigh DS0000067877.V347042.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): Standards 24, 25, 27, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean, homely and well decorated and comfortable home. Staff have gone out of their way to ensure the environment meets the diverse and individual needs of the residents. EVIDENCE: The home was clean, comfortable and odour free throughout. Since the last inspection, the requirement about the wall between the bathroom and shower room being redecorated had been addressed. Both rooms had been retiled and redecorated. There were a variety of hoists provided and a stair lift. A number of residents had pressure relieving mattresses. There were detailed risk assessments. The home shared the skills of a handyperson with another of the company’s homes. The home was very relaxed, colourful and particular trouble had been taken to provide individual touches to each resident’s bedroom. Staff showed evident pride in their work and went out of their way to ensure there were sensory items of equipment to enhance the residents pleasure. There were artwork and photographs displayed on the walls. There was a very accessible and Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 17 pleasant central garden/patio area with seating and plants, which residents were sitting out in on the sunny day of the visit. A resident commented, “I like my room” and “I am very happy here”. Southleigh DS0000067877.V347042.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): Standards 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are safe levels of staff and staff know how to meet the resident’s needs. EVIDENCE: There were no vacancies. We spoke with staff who felt they had sufficient time to care and support the residents in the home. We saw staff spending time with the residents, talking with them, laughing with them and sitting with them. Staff took particular time to communicate with residents in a calm, kind and sensitive manner. Staff also spoke of the support provided and how they all worked as one team. There were 18 care staff, 7 staff with or studying for a qualification in care (National Vocational Qualification) and another person was studying for NVQ level 2. In addition, 2 staff were studying for NVQ level 3. Training since the last inspection, had included, first aid (the home had 3 first aiders), epilepsy, health and safety and eating and drinking. Future training had been arranged to cover fire prevention and moving and handling in September 2007. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 19 Staff spoke of the support they received and of the supervision. All staff were responsible for care, catering, and laundry duties. There were 2 cleaners. Staff were correctly recruited with a Criminal Records Bureau check and supported induction programme. Staff commented, “I love it here. I find it very rewarding. I like helping and caring for them”, “I have learnt a lot about how to meet their needs” and “there is a family atmosphere”. Southleigh DS0000067877.V347042.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): Standards 37, 38, 39, 41 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well lead by a competent and committed manager. This in turn has given rise to a confident, supported, committed and trained staff team. EVIDENCE: The manager had been in post since 2004. She had considerable experience in caring for people and had obtained a management qualification and was studying for an NVQ level 4 in care. She was actively involved in the day to day care and support of the residents. She was supported by a deputy manager. There was a very relaxed and happy atmosphere in the home and staff showed knowledge about the needs of the residents. Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 21 Staff felt confident in the manager. The home had comprehensive policies and procedures. A new quality assurance programme had been introduced. This had included obtaining feedback from residents, relatives/advocates. Internal audits were carried out during the monthly monitoring visits. There was a policy on equality and diversity. There were no communication issues and staff showed skill, knowledge and sensitivity in communicating with people who had communication difficulties. Records examined on the day of the inspection were available, well maintained and up to date. The home had a comprehensive and detailed health and safety policy together with detailed risk assessments covering all aspects of daily living activities. The last fire inspection was on the 23/8/2007. There were no concerns and there was an up to date fire risk assessment. There were regular tests of the fire system as well as regular fire drills. There was a very relaxed and happy atmosphere in the home and staff showed knowledge about the needs of the residents. Southleigh DS0000067877.V347042.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 4 2 4 3 3 4 X 5 3 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 4 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 4 3 X 3 3 x Southleigh DS0000067877.V347042.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 Southleigh DS0000067877.V347042.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Southleigh DS0000067877.V347042.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. 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