Care Home: The Old School

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What the care home does well A detailed assessment of need is undertaken prior to admission. Good policies in relation to complaints and concerns are in place. Staff are fully aware of safeguarding policies and procedures. People who use the service are enabled to make preferred choices in their everyday activities. I am able to choose my activities whilst I am here`. Staff demonstrated that individuals are treated with respect. There is a good understanding by the manager of the needs of the people with a Learning Disability and health care needs.People using the service are supported to access pre arranged day and leisure services. All staff have attended safeguarding training as part of their induction training and the person using the service said that. ` I feel safe here and would tell the manager if I was unhappy`. Robust recruitment policies & procedures ensure that people using the service are protected. Support workers have good access to training that meets National minimum standards. They have monthly supervision and regular meetings. What has improved since the last inspection? Not applicable. CARE HOME ADULTS 18-65 The Old School 16 School Hill Irchester Northants NN29 7AN Lead Inspector Judith Roan Unannounced Inspection 20th June 2008 4:30 The Old School DS0000071262.V366626.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 The Old School DS0000071262.V366626.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. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old School Address 16 School Hill Irchester Northants NN29 7AN 01933 316852 01933 316852 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) Professional Care Systems Limited Ms Susan Summerfield Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning Disability - Code LD. The maximum number of service users who can be accommodated is: 3 First Inspection since registration Date of last inspection Brief Description of the Service: The Old School provides a respite care service for up to three people with a learning disability. All ground floor bedrooms are single with ensuite facilities. Communal areas provide good space for a range of activities. An enclosed garden provides safe outdoor space. There is The house is situated in a small village with access to local shops and facilities. Close by is a country park. Wellingborough and Rusden both large towns are about 4 miles away which have a wide range of leisure and community amenities. The Fee levels for support start at £650 per week. Further information about the service can be found in the providers Statement of Purpose & Service Users Guide. The Old School DS0000071262.V366626.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. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting one person who uses the service and tracking the care they receive through review of their records, discussion with them, the support staff and observation of care practices. The registered manager completed and returned the Annual Quality Assurance Assessment (AQAA) document that the provider is required to complete for CSCI. This document provides data to monitor services. There was one person using the service at the time of the inspection, they use the service on a regular basis. We received three surveys from staff but none from people who had used the service or their relatives. The inspection was unannounced and was undertaken during the early evening on the 20th & 23rd June and lasted 4.5 Hours. This Summary is also in accessible format and can be found on the CSCI website www.csci.org.uk What the service does well: A detailed assessment of need is undertaken prior to admission. Good policies in relation to complaints and concerns are in place. Staff are fully aware of safeguarding policies and procedures. People who use the service are enabled to make preferred choices in their everyday activities. I am able to choose my activities whilst I am here’. Staff demonstrated that individuals are treated with respect. There is a good understanding by the manager of the needs of the people with a Learning Disability and health care needs. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 6 People using the service are supported to access pre arranged day and leisure services. All staff have attended safeguarding training as part of their induction training and the person using the service said that. ‘ I feel safe here and would tell the manager if I was unhappy’. Robust recruitment policies & procedures ensure that people using the service are protected. Support workers have good access to training that meets National minimum standards. They have monthly supervision and regular meetings. 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. The Old School DS0000071262.V366626.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 The Old School DS0000071262.V366626.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 who are considering using the service will have a thorough assessment and opportunity to experience the service as part of a comprehensive admissions process. EVIDENCE: The inspector was able to review work already undertaken with people using the service. The assessment was detailed with information being taken from present day service placements, family, care managers and health care professionals. The registered manager also meets with potential users of the service and was able to observe how their needs were being met. The equality and diversity of people being assessed were an integral part of the assessment. Planned visits to the home are arranged on an individual basis according to what is in their best interests. People who use the service and their families are given information prior to admission. Updates are undertaken on future planned visits to ensure that the service can continue to meet their needs. The Old School DS0000071262.V366626.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sound policies and procedures are in place to ensure that individual’s needs and choices are met. EVIDENCE: In discussion with people using the service it was evident that they had been fully involved in the planning of their support plan and that it was meeting their needs. They are fully consulted about the support plans implementation and demonstrated that they make informed choices. The individual informed the inspector that they ‘happy with the support they received and liked the space and support received’. The support plans reflect the ongoing day services that the individual receives with them being supported to access these appropriately. Strategies are in place to ensure that people are supported if they choose not to access ongoing day services. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 10 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): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have access to a wide range of activities that ensures personal choice and development. EVIDENCE: Continued support is available to access any prearranged day service that people use at home, whilst they use the respite service. One person spoken to during the inspection had an active programme of activities. They were also being supported whilst they were changing day activities that would be more suited to their personal development. People using the service are encouraged to bring in personal items like computer games, DVD’s and other small electrical equipment so they may continue their interests and hobbies. Communication with families is as appropriate according to whether they are away on holiday during the period of respite care. Files contained contact numbers for use in an emergency. People using the service are encouraged to be actively involved in the daily routines within the service and to participate according to their level of ability. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 11 Individuals using the service choose menus and there are options to have meals out. People using the service can be supported to cook if they would like to. Meals are recorded to ensure that a balanced diet is maintained. The food is prepared in a well-equipped kitchen that also acts as a dining area. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 12 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, practices and procedures in place ensure that healthcare needs are met. EVIDENCE: Support plans contain details of healthcare needs and medication that is essential to the individual to be maintained throughout their respite care visits. Medication is administered in accordance with good practice guidelines and in consultation with people using the service. Medication is stored safely in locked facilities. People using the service confirmed that they were supported, as they would like to be and that their support plan reflects their preferences. The manager confirmed that any ongoing medical treatment would be supported whilst an individual was staying at the home. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 13 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures in place ensure that people using the service are protected. EVIDENCE: In discussion with people who use the service it was clear that they knew who to share a concern with and that they felt confident that would be heard. ‘ I feel safe here and would tell the manager if I was unhappy’. The complaints policy is available within the information given to people and their families who use the service. A whistle blowing policy is in place and the registered manager is knowledgeable about local safeguarding protocols. Support workers undertake abuse awareness training as part of the standard induction programme. The staff files confirmed that staff had completed induction training that covers that meets with National minimum standards. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 14 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes environment is clean safe and fit for purpose. EVIDENCE: The homes environment remains as seen by the registering regulation inspector. It was maintained to a high standard, clean, tidy and well presented. The accommodation provides a range of communal areas where people using the service can be comfortable and find personal space. The main lounge is large and comfortable with the normal access to media equipment. There is a safe garden area that people can enjoy when the weather permits. People whom use the service have single ensuite rooms that are comfortable and contain all the equipment required to be in place under the regulations. The home is situated in a residential area of Irchester close to shops and facilities. Transport is available to enable using the service to access the wider community. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 15 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear and robust recruitment procedures ensure that people using the service are well supported and protected. EVIDENCE: Files seen contained all of the required information to meet regulations. All files contained a completed Criminal Records Bureau clearance certificate and two references. Support workers work at the home and in another service managed by the owner that provides for people living in supported accommodation. At the time of the inspection the registered manager was providing the support to the one person using the service as other staff were working in the providers supported living unit. Three staff returned surveys and all said that they receive very good support from management by having monthly supervisions and regular meetings. Communication is good as at handover a full update about what has taken place and what needs to be done to support people using the service with their activities. Staff also said that records are important in making sure information is communicated between them. In discussion with the manager it was established that new support workers receive induction training and have access to a wide range of ongoing training. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 16 Files demonstrated that staff had achieved the level of training needed to undertake their role. Support is available for staff to access and complete National Vocational Qualifications at level two. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 17 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to ensure that the home is well run and in the best interests of people who use the service. EVIDENCE: The inspector was satisfied after discussion with the Registered manager and Provider that the home is well run backed by sound policies and procedures. It is intended that people who use the service will be consulted about their care on a regular basis together with families or their advocates The provider undertakes regular visits to the service to ensure that the service is monitored. A quality assurance systems will be developed to gather evidence from a wide source of people who come into contact with the service, i.e. families, healthcare professionals, commissioners, staff; but will have a central focus of The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 18 listening to and recording the views of people who use the service. Several audits of care plans will be undertaken as part of reviews during the year. The Annual Quality Assurance Assessment completed by the registered managers was completed well and concentrated on the areas that could be reviewed within the early stages of the service. The manager is about to complete their NVQ at level four and registered managers award. In discussion it was evident that reflective practice was embedded within all aspects of the service. The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 19 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 4 25 X 26 X 27 X 28 X 29 X 30 4 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 3 3 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/A 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 The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 The Old School DS0000071262.V366626.R01.S.doc Version 5.2 Page 22 - 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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