Latest Inspection
This is the latest available inspection report for this service, carried out on 7th September 2009. CQC found this care home to be providing an Poor service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Sybden.
What the care home does well The service provides support to a diverse and challenging group of six people. The manager is providing a stable and supportive environment in which people can live and work effectively. The environment is gradually improving and will eventually provide a pleasant and welcoming place in which to live. There is a well balanced menu that provides a range of meals that reflect people`s cultural and dietary needs. What the care home could do better: The grounds of the home still look shabby and unkempt and a range of debris is littered to the rear of the property. This requires urgent attention and items of furniture removed as this could present as a health and safety risk. The flooring in the shower room requires replacing as the current flooring is torn and damaged. The toilet in this room also requires some adaptations in order to ensure wheelchair users can access this facilitymore easily. The perimeter fence needs repairing. There is some damage to the kitchen ceiling from a recent leak that requires repairing. There is a loose wire that could present as a trip hazard in the small sitting room. Some kitchen cupboard locks require re-fitting. Generally the bedrooms could benefit from being more personalised. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Sybden Pipers Hill Great Gaddesden Hertfordshire HP1 3BY zero star poor service 17/04/2009 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: Julia Bradshaw Date: 0 7 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Sybden Pipers Hill Great Gaddesden Hertfordshire HP1 3BY 01442269986 01442217646 Telephone number: Fax number: Email address: Provider web address: www.turning-point.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Turning Point Southern Area Office care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 1 7 0 4 2 0 0 9 Sybden is a residential home for six people, who have a learning disability and whose needs may require a high level of support. Sybden is a single storey country house, in the small in the village of Great Gaddesden, which is near the town of Hemel Hempstead . The home has been extended and sits amidst large gardens. The house is quite a long way from a shopping centre but does have a pub and small shop nearby. The home has its own minibus which takes people to their day centres and to the larger towns of Hemel Hempstead and St Albans. The most recent inspection report, Statement of Purpose and Service User Guide are avaliable within the main office of the home. The range of fees for Sybden are between £900 and £1200. Care Homes for Adults (18-65 years) Page 2 of 9 Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The service has a new manager in post who was appointed in August 2009. The service had been supported temporarily by the service manager whilst the recruitment of the new manager took place. There have been improvements in the following areas since the last Key Inspection was carried out on the 17th April 2009. These include an improvement in care planning with the two care plans inspected being produced in a more user friendly format and following principles of person centered planning. Both care plans had been signed by a representative of the service user. The manager stated that both the complaints procedure and service user questionnaires will be produced in a pictorial format by the end of September 2009. The manager has introduced a new individual activity planner which is contained within the main care plan and there is also a record of daily activities provided in order to ensure the monitoring of social activities and outings are managed more effectively. The service has also improved menu planning by using a pictorial planner to ensure people are able to make an informed choice about the meals that they receive. There were several requirements made at the last inspection relating to the environment. However there is now a programme in place to further improve the current environmental standards within the home. These include, improving the external grounds of the home, a redecoration programme for bedrooms and communal areas. The front gate is being replaced with a more effective and safer system of accessing and exiting this service. The manager and service manager appear to have a clear commitment to improving these standards and making the service more homely and comfortable for the current service users. The manager is now providing regular supervision to the staff team and two staff spoken to stated that they receive support and guidance from the new manager . Staff training has also improved with recent training offered, infection control, autism, food hygiene, loss, change and transition. Health and safety and diversity training is planned for September. The manager is in the process of implementing a more effective quality assurance system to ensure that all standards within the home are closely monitored. The general standards relating to record keeping have also improved and the records seen on the day of this inspection were detailed and comprehensive. Individual risk assessments are currently being reviewed and updated. What the care home does well: What they could do better:
The grounds of the home still look shabby and unkempt and a range of debris is littered to the rear of the property. This requires urgent attention and items of furniture removed as this could present as a health and safety risk. The flooring in the shower room requires replacing as the current flooring is torn and damaged. The toilet in this room also requires some adaptations in order to ensure wheelchair users can access this facility
Care Homes for Adults (18-65 years) Page 4 of 9 more easily. The perimeter fence needs repairing. There is some damage to the kitchen ceiling from a recent leak that requires repairing. There is a loose wire that could present as a trip hazard in the small sitting room. Some kitchen cupboard locks require re-fitting. Generally the bedrooms could benefit from being more personalised. 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 5 of 9 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 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 1 26 23 The external grounds of this 16/10/2009 service must be cleared of all debris that could present as a health and safety hazard. The external fencing must be repaired. The trip hazard in the small communal room must be rectified. The flooring within the shower room needs replacing. Specialist equipment needs to be provided within the toilet/shower room. The kitchen ceiling requires attention after a recent leak. Some kitchen cupboards require the looks to be refitted. To ensure that people live in a well maintained and safe environment. Care Homes for Adults (18-65 years) Page 7 of 9 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 8 of 9 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
