Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd April 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Sue Ryder Care Centre.
What the care home does well We asked people in their surveys what they thought the home did well. They commented that ` The service treats everybody as a human being and treats everyone the same`. `We feel our relative is being looked after well. It is silly things that don`t get done well, but nothing that gets detrimental points`. `The staff care in a professional and friendly way`. `The service makes you feel welcome, almost like one of a big family. The upkeep and cleanliness of the home is outstanding. The meals they provide are very tasty and the staff always give outstanding effort to whatever job they are doing. We cannot thank the staff at the home enough for all their support and how our relative is looked after. As we live away from the home it is peace of mind knowing how well our relative is being lookedafter and cared for. He is treated so well by all members of staff`. `I truely cannot fault the staff in any area. They do everything with much kindness and care. All the staff without exception do their very best at all times. They are friendly, helpful and understand the needs of the people using the service. The staff could not give more care and attention and do a wonderful job`. `The home is clean and tidy at all times. The menus and programme of events to occupy our time is good`. What the care home could do better: The service offers people good outcomes for care, support and safety. The manager and staff have worked hard over the last three years to meet the requirements from the last key inspection report and keep the service moving forward. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Sue Ryder Care Centre Hickleton Hall Hickleton Doncaster South Yorkshire DN5 7BB 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Eileen Engelmann Date: 2 2 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Sue Ryder Care Centre Hickleton Hall Hickleton Doncaster South Yorkshire DN5 7BB 01709892070 01709890140 ann.wood@suerydercare.org.uk www.suerydercare.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sue Ryder Care Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 48 Number of places (if applicable): Under 65 Over 65 35 physical disability Conditions of registration: Date of last inspection Brief description of the care home 48 Hickleton Hall was built in the 1740s and has been the home of Sue Ryder Care since it was first opened in 1961. It is a large country house, with historical interest, located in the village of Hickleton on the outskirts of Doncaster. It is set in its own grounds and there are some buildings, which are not used by the home and remain empty. The home has three floors, which are accessible to people using the service by a passenger lift. The majority of the communal space is situated on the ground floor with large areas available for activities. The communal areas include the main lounge, a smokers lounge, a dining room, hairdressing facility and a visitors room. There is a chapel for use by people living in the home. The home provides personal and nursing care to
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home mostly young people, who have neurological conditions. The home has been awarded Preferred Provider Status by the Multiple Sclerosis Society for its respite care facilities. The home has produced a statement of purpose and a service user guide, which gives information about the service it provides. There are different fee levels, which depended on the complexity of care and support needs. Further information on fees can be obtained by contacting the home manager. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This unannounced visit to the service was carried out as part of our three year inspection programme. The site visit started at 11:00am and finished at 15:00pm. We completed Annual Service Reviews (ASR) for Sue Ryder Care Centre on 26 September 2008 and on 19 November 2009. We only do an ASR for good or excellent services that have not had a key inspection in the last year. An ASR is part of our regulatory activity and is an assessment of our current knowledge of a service rather than an inspection. The published review is a result of the assessment and does not come from our power to enter and inspect a service. Our judgement for both of the ASRs was that the home continued to offer good outcomes for people using the service. As part of this visit we looked at all the information that we have received, or asked for, since the last key inspection which was on 29 August 2007. This included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service on 16 March 2010. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We sent out surveys to people using the service and staff. We had a good response from these and peoples comments have been used in this report, where appropriate. We looked at any outstanding requirements from previous reports, and checked the services complaints and safeguarding systems. Time was spent walking around the home and talking to people using the service. The manager was given feedback during and at the end of our visit. In our last key inspection report of 29 August 2007 we made two requirements that Care planning including care reviews must be improved to make sure that changing needs of people, who use the service, are appropriately identified and acted upon to make sure people are offered appropriate care. The use of any form of restraint, for any purpose, must be risk assessed, recorded in care plans and regularly reviewed. The use of Kirton chairs must be risk assessed to ensure they are not used as a form of restraint. Checks of the care plans at this visit found the requirements have been met. The home has a number of Kirton chairs in use; those we looked at had lap straps attached which help keep people, sitting in the chairs, safe from slipping out of the chair. Checks of two care plans showed that where people are using the Kirton chairs, staff are completing risk assessments which are reviewed on a regular basis. Discussion with the manager indicated that people using the Kirton chairs do so because they have poor balance or mobility, and not as a form of restraint. The shape of the chairs and the use of the lap straps are to keep people safe and comfortable.
Care Homes for Adults (18-65 years) Page 4 of 10 Information in the care plans shows that staff are documenting the changing needs of individuals. The needs of individuals are reviewed monthly, however the way in which reviews are documented could be improved. Discussion with the manager indicated that she would like to update the format of the care plans to make them more person centred. The manager is aware that staff are not documenting a lot of personalised information about individuals; however, personalised care is being given as staff know what each person likes and dislikes. Time was spent with the manager discussing how this known information can be captured within the care plans. This would then ensure that all staff give continuous care to people using the service, which matches the persons expectations and preferences. We walked around the building during our visit and spent some time looking at the communal areas within the home. Individuals have a number of spacious areas in which to watch television, take part in activities, spend time with their families and friends and relax. Discussion with the manager indicated that the home employs two full time activity workers, and also has a number of volunteers to carry out social activities on a daily basis. There is a weekly programme of events covering Mondays to Saturdays and this includes group and 1-1 sessions. The AQAA tells us that there are a number of specially adapted vehicles to accommodate 1-1 outings, and staff/volunteers are trained appropriately when accompanying people using the service on social outings. People told us in their surveys that on the whole they are very satisfied with the service, but do have a few minor concerns. They commented that There could be more staff in at the weekends, with more things to do. You are left to your own devices, Saturday and Sunday are long. They could do with more staff for outside activities. There could be more consistent staffing levels to enable a full range of activities on a more consistent basis. There have been changes to the dining areas since our last visit. What was the original smoking lounge is now being used as a dining room for those people who require less assistance with eating and drinking. Menus on display in the dining room show that people have a good choice of main meals and there is an out of hours menu in the entrance hall. This gives people a choice of hot and cold snacks twenty-four hours a day. The complaints policy and procedure is on display in the home and can be found in the Service User Guide. It is availabe in a number of different formats on request such as Braille, large print and picture format. Information in the complaints file showed that the manager has received one formal complaint in the last 12 months, this has been investigated and resolved. People using the service and their relatives tell us that they are confident of raising any issues with the manager or staff and know how to use the complaints policy and procedure.
Care Homes for Adults (18-65 years) Page 5 of 10 There is a an ongoing safeguarding investigation regarding a person who uses the service. The local authority safeguarding team and the police are looking at the allegation, and the service is working with them to ensure everyone at the home is kept safe from harm. Information from the staff training matrix and discussion with the manager indiates that all staff receive training around safeguarding of adults from abuse, the mental capacity act (MCA), deprivation of liberty safeguards (DOLs) and equality and diversity issues. This knowledge and information is used to ensure that peoples choices and human rights are maintained and that any limitations on facilities or personal choice are only made following assessment, best interest meetings, risk assessments and discussion with the person concerned or their representative. Information in the AQAA tells us that the service has an ongoing maintenance programme and there is an allocated Estates Manager who visits the home each month to review the Planned Preventative Maintenance Schedule and advises on any estates related issues. One person commented in the surveys that the building is not always fit for purpose as it is an old listed building. Whilst some areas may not be ideal we found that on the whole the home is meeting the needs of the people who use the service. We found that a small room on the bottom floor of the building has been adapted for people using the service who smoke. It has wheelchair access and an extractor fan has been fitted to reduce the chance of smoke going into the main building. People using the service have access to a range of computers and internet services. One of the communal areas has a row of computers for individuals to use, these are set out to ensure people in wheelchairs can easily access the area. The layout of this facility may look rigid or institutionalised, but it works for those living in the home and they are happy with the room set up. What the care home does well:
We asked people in their surveys what they thought the home did well. They commented that The service treats everybody as a human being and treats everyone the same. We feel our relative is being looked after well. It is silly things that dont get done well, but nothing that gets detrimental points. The staff care in a professional and friendly way. The service makes you feel welcome, almost like one of a big family. The upkeep and cleanliness of the home is outstanding. The meals they provide are very tasty and the staff always give outstanding effort to whatever job they are doing. We cannot thank the staff at the home enough for all their support and how our relative is looked after. As we live away from the home it is peace of mind knowing how well our relative is being looked
Care Homes for Adults (18-65 years) Page 6 of 10 after and cared for. He is treated so well by all members of staff. I truely cannot fault the staff in any area. They do everything with much kindness and care. All the staff without exception do their very best at all times. They are friendly, helpful and understand the needs of the people using the service. The staff could not give more care and attention and do a wonderful job. The home is clean and tidy at all times. The menus and programme of events to occupy our time is good. 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 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 6 The registered manager should ensure that care plans become more person centred and include all known information about the individuals wishes and choices regarding care and daily living activities. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
