Care Home: Standford House

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What the care home does well The manager and his staff like to find out what people living in the home like to do and try to make sure that they can do it and they find out what they like to eat and try to make sure that is what they get. If a someone is ill they make sure that they get the right treatment. If someone needs medicines or creams they will make sure they get them. If a someone doesn`t like something they can complain to the manager or his managers and they will look at the problem carefully. The home is clean and well decorated. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. The manager is also cheerful friendly and helpful and does all of the things that help the staff to do their job. What has improved since the last inspection? No recommendations or requirements have been made as a result of this inspection. What the care home could do better: No recommendations or requirements have been made as a result of this inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Standford House Standford Villa Standford House Sambrook Newport Shropshire TF10 8AX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michael Moloney     Date: 1 0 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Standford House Standford House Standford Villa Sambrook Newport Shropshire TF10 8AX 01902872416 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): LDCG Limited Name of registered manager (if applicable) Mr Eamon Phillips Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home This home is known as Standford Villa. Standford Villa is located in the small village of Sambrook a few miles to the north of Newport. It is an older property that has been recently converted to its current purpose by the current owners. It is managed for the owners by Mr Eamon Phillips who leads the staff team who work with up to five residents who have a learning disability and challenging behaviours. Of those five places only four had been taken at the time of this inspection. Further information is available in the homes service user guide. Fees currently range from £1068 to £2646 per week. 5 Over 65 0 care home 5 Care Homes for Adults (18-65 years) Page 4 of 25 Care Homes for Adults (18-65 years) Page 5 of 25 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 peterchart Poor Adequate Good Excellent How we did our inspection: A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? 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 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. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 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 may want to live in this home and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. Evidence: The home was seen to have a Service User Guide that contained the information that people may want if they are thinking about arranging for someone to live there. This is information that must be available by law. The records of one of the people who had come to live at the home since the last inspection were looked at and these showed that a full assessment of his needs had been carried out before the home manager had decided that it would be a suitable place for him to live. He had then been able to visit on a number of occasions before it was decided that this Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: home would be somewhere he would like to live. Those visits started as being during the daytime only and then progressed to being overnight. Talking to the person concerned confirmed that this process had taken place. Care Homes for Adults (18-65 years) Page 10 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: It was seen that the care of the of the two people whose records were looked at had been reviewed on a regular basis. This was confirmed by talking with both the manager and the staff. The care plans were seen to cover a variety of areas of need ranging from self help skills to past-times and interests. These had been identified individually and talking to the people who were in the home at the time of the inspection confirmed that they had been part of that identification and review process. Talking with one of the people who live in the home in particular showed that staff talk to him on a regular basis about what he wants to do each day. He confirmed that staff Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: use pictorial documents to help them do this if necessary. It could be seen that some of the interests had been identified and recorded correctly by looking at the persons choice of wall decorations. In one case these followed a very strong mechanical transport theme. Risk assessments and behavioural management programmes were seen to have been developed for a number of the activities so that people could take part in them in as safe a manner as possible. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: The records of two of the people who live at the home were looked at. Both were seen to have detailed care plans and plans known as Person Centred Plans which are developed with the individual in a way that puts their needs first. Talking to the staff and the manager confirmed that these had been developed by talking with the person concerned, observing which activities the person liked or disliked or asking other people such as friends or relatives for input. A variety of activities were seen to have been arranged for people with one person Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: attending a college course on the day of the inspection. Other possibilities included taking part in activities at local day services. People are supported to take part in these schedules activities on a one to one basis by staff from the home. Other activities such as swimming, bowling, cycling, shopping, gardening and going out for meals were seen to be offered on a daily basis to people who had not got a scheduled activity to go to. These were chosen with the help of a document which contained pictures of the activities that were available. These documents were seen to have been kept so that the manager could identify any changes in a persons preferences. Records of the meals that had been prepared and eaten in the home were seen and these showed that people are offered a varied and nutritious diet. Talking to the people who live in the home confirmed that they like the meals and that they are involved in choosing what the menus will be. The records also said what name each person liked to be known by. Throughout the inspection staff were seen to treat everyone with dignity and respect and explained what they were doing as they did it. The people that they were talking to gave the impression that they were used to this and expected it. The home was seen to have two vehicles that were available to transport people to the activities or appointments that had been arranged for them. Care Homes for Adults (18-65 years) Page 14 of 25 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: The records looked at showed when each person had either visited or been visited by a healthcare professional, what for and what the outcome was. The arrangements for the storage and administration of peoples medication were looked at. Storage was seen to be appropriate and records correctly maintained. Storage is within a purpose designed cabinet secured in a small service corridor. No controlled drugs were found to be kept at the home. Staff said that they receive training in the safe handling of medication before they are allowed to give them to people and their records confirmed this. Care Homes for Adults (18-65 years) Page 15 of 25 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 who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: The home was seen to have a complaints policy that contained that information that would be needed by someone who wanted to raise an issue with the home. The home was also seen to have a complaints book but it did not contain any complaints that were within the scope of the homes complaints policy. Since the last inspection the home has been involved in two issues that had been referred into the local adult protection procedures. One was an issue that was about something that was alleged to involve a third party and the second involves an ongoing investigation. The homes managements have been seen to follow the correct procedures and co-operate with the investigating authorities throughout. Talking with the staff and looking at their records showed that they had received training in the local policies and procedures for the protection of vulnerable adults. Care Homes for Adults (18-65 years) Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment which encourages independence. Evidence: This home is situated in the small village of Sambrook just off the main road to the north of Newport in Shropshire. The house stands in its own grounds with plenty of parking which is accessible from a quieter side road. It is an older property that has been converted to its current use having three bedrooms up stairs and two on the ground floor. The home has a fully equipped kitchen that leads onto a large lounge/dining room where most people appear to gather. There is also a second lounge area leading off the main hallway. The home has a laundry area that contains the equipment necessary to meet the Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: laundry needs of the people who live in the home. All areas with the home and its grounds were well decorated, clean and properly maintained. Care Homes for Adults (18-65 years) Page 18 of 25 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. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions and to support the smooth running of the service. Evidence: On the day of the inspection it was seen that there was one member of staff on duty for each of the people who lived in the home. Looking at the staff rota and talking with the staff, the manager and the people who live there confirmed that this was normal practice in this house during waking hours with two members of staff, one sleeping and one awake, being available at night. One member of staff was able describe what training he had been offered and undertaken. Another member of staff was able to describe her induction as well as foundation training and the mandatory safety training that is necessary for someone working in this type of establishment. All of the staff spoken to said that they have access to a good range of professional training that is chosen to meet the identified needs of the people who live in the home. This was confirmed by looking at the training records. Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: By talking with the staff and looking at their records it was also possible to establish that over 50 of the staff team had achieved at least National Vocational Qualification level 2. Recruitment files were seen to contain all of the evidence that shows that the home has a safe and transparent recruitment procedure which includes all of the background checks that identify whether or not someone is suitable to work with vulnerable people. Care Homes for Adults (18-65 years) Page 20 of 25 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 management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: Talking with the manager showed that he had completed his Registered Managers Award. This is a qualification that is considered to be appropriate for someone who manages a service of this type. The law says that a senior member of the owners staff must carry out formal inspections of the home every month. These visits were shown to have been taking place by looking at the records, talking with the manager and with his staff. Talking with the people who live in the home, the staff and the manager confirmed that the owner and his senior managers visit the home on a regular basis to provide support and guidance to them. Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: Incident records were seen to be kept on each persons file so that managers can look at them to see if there are any trends that could be a cause for concern. A variety of records were seen that showed that safety issues are constantly monitored. Records of such things as fridge freezer temperatures, fire equipment tests, gas safety tests, hot water temperatures and portable appliance testing were seen to have been maintained. Hazardous materials were seen to have been stored in a locked cupboard. Staff records also showed that the mandatory training that is necessary to keep the service users safe has been taking place. This includes training in such things as food hygiene, fire prevention and infection control. Staff spoken to confirmed that these records were accurate. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 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 Care Homes for Adults (18-65 years) Page 24 of 25 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. 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. Care Homes for Adults (18-65 years) Page 25 of 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!