Inspection on 15/07/08 for The Respite Unit

This is the latest available inspection report for this service, carried out on 15th July 2008.

CSCI 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.

Other inspections for this house

The Respite Unit 09/08/06

The Respite Unit 20/02/06

The Respite Unit 31/10/05

The Respite Unit 14/02/05

The Respite Unit 26/07/04

The Respite Unit 02/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOME ADULTS 18-65 The Respite Unit 82 Batley Road Alverthorpe Wakefield WF2 0AE Lead Inspector David White Key Unannounced Inspection 15th July 2008 08:30 The Respite Unit DS0000034498.V366872.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 Respite Unit DS0000034498.V366872.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 Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Respite Unit Address 82 Batley Road Alverthorpe Wakefield WF2 0AE 01924 303589 01924 303590 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) www.wakefield.gov.uk Wakefield MDC Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To provide 6 respite care beds for adults with a learning disability. The maximum number of wheelchair users at any one time shall not exceed two. 6th August 2007 Date of last inspection Brief Description of the Service: The Respite Unit, Batley Road, is owned and managed by Wakefield Metropolitan District Council. The home offers accommodation for 6 adults with a Learning Disability (6 respite). A service has been provided by the home for a number of years with the home being part of a broader service providing respite care through the Adult Placement Team and the Local Authority’s Supported Living Scheme. The Respite Unit provides short-term break services to over twenty-five individuals and their families and has a committed and stable staff team. The aim of the Respite Unit is to provide short-term break services that meet the needs of adults with a learning disability. Generally, the short breaks offered range from an overnight stay up to one or two weeks. Occasionally, breaks may be a little longer, depending on the individual needs of the person and their family. The home is in the heart of the local community with good access by local transport to Wakefield Town Centre. There are a number of local shops close by. Accommodation is on two floors with limited facilities for more physically dependent people. The home is generally well kept and has an open and friendly atmosphere. The service provider ensures that information about the service is available to people who are thinking about using the service and those who already are, by way of the home’s statement of purpose, the service user guide, handbooks and through CSCI inspection reports. The standard fees at the time of the site visit on 15th July 2008 were £91.84 per week. A review of the service is currently taking place that could lead to possible changes to the service. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 5 The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use the service experience good quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 15th July 2008. The visit lasted 5 hours. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the acting manager on an Annual Quality Assurance Assessment questionnaire (AQAA). Surveys returned from one person who uses the service and six members of staff who work at the home and comments received from a relative. A telephone call to a relative at their request. During the visit time was spent talking to two people who use the service, a member of the care staff and the manager. Documentation and records were also looked at as part of the site visit and time was spent observing the interaction between people who were at the home and staff. This all helped in gaining an insight into what life is like for people who use the service. The acting manager was available throughout the site visit and the findings were discussed with her at the end of the inspection. What the service does well: During their stay at the home, people are encouraged to maintain their independence and make their own decisions. This helps them to have control over how they live their lives. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 7 People feel they receive the care and support they need. One person who uses the service said in a survey, ‘I feel well supported by the staff team. I am involved in decision-making and help to plan my own care’. Staff are respectful and sensitive to the needs of the people who use the service. This helps to maintain the person’s dignity when receiving support from staff. The staff team are committed to providing good care for people. People who use the service said staff provide good care and are helpful. A staff member commented ‘the permanent staff are very experienced, knowledgeable and mature and know the people who use the service well’. This helps to make sure that people’s needs are met in a consistent way. What has improved since the last inspection? Fire drills are now regularly undertaken and all staff have received fire training. This helps in making sure that staff know what to do and proper procedures are followed in the event of a fire to keep people safe. All staff have had up to date training in basic food hygiene, moving and handling and training to safeguard people from abuse. This helps in making sure that people are protected from harm and receive care and support from staff with up to date knowledge and skills of good and safe care practices. The ground floor bathroom is no longer used to store equipment so that it is more comfortable and safer for people when using it. People who use the service and their relatives are more involved in how care is planned during their stay at the home. This enables care to be more person centred so that people’s needs are met in the way they prefer. Risk assessments are now updated more regularly so that staff have better information about how to support people who use the service to maintain their independence whilst taking into account their safety. Playstations and DVDs have been purchased at people’s request. This has increased the range of activities that are available at the home to suit people’s leisure needs and interests. The home has been fully decorated so making the environment more comfortable and pleasant for people who stay there. Meetings have been introduced with people who use the service so that they are more involved in decisions about the running of the home. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 8 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 Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 9 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 Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 10 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. People who use the 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’s needs were properly assessed before their admission so both the person and the service could feel confident that the placement was suitable. EVIDENCE: The statement of purpose, service user guide, service user handbook and carer’s handbook are given to people who are thinking about a placement at the home and their relatives. This provides information about the care and services on offer. The admission process involves social workers undertaking an initial needs assessment and then making a referral to the home. This application is then made to a care management panel who decide on the most appropriate placement for the individual. On agreeing the placement, the acting manager would then carry out an assessment of the person’s needs and this forms the basis of the person’s care plan. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 11 Completed pre-admission assessment records showed that procedures have been followed to make sure that people’s needs could be met. Surveys returned by staff commented that they are always given enough information about people’s needs before people are admitted to the home. The acting manager said that careful consideration is given to the mix of people who use the service at any one time. She explained one situation in which two people had not got on together, so an agreement had been made with the two people involved and their relatives for respite care to be offered at separate times. New referrals are not being accepted at the present time whilst the current review of the service is taking place. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 12 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 and 9. People who use the 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 were encouraged to make choices about how they lived their lives whilst at the home. This was supported by improved care planning documentation that took into account people’s wishes about how their needs were to be met and any risks from this. EVIDENCE: Each person had an individual support plan that clearly described their needs how these were to be met. The plans focused on various aspects of daily living and described how the person wished to be supported with this. The care plans were specific and explains such things as how to best communicate with the person, their self-help skills and their social interests. Care plans were individualised and specific and contained information such as the person’s preferred position when sleeping and the number of pillows they liked to have. The care plans were person centred, easy to understand and focused on The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 13 people’s strengths as well as their needs. Some of the information in the care records was in picture format for people with communication difficulties to encourage their involvement in the planning of their own care. Where possible, people were involved in drawing up their own care plans. A copy of the care plan was also sent to relatives for them to give their comments. Care plans were regularly reviewed and annual reviews involving the person, their relatives and relevant others who are involved in their care now take place through face to face meetings and not via a telephone call, as has sometimes been the case in the past. The acting manager said that all the people who use the service have had a recent review of their needs. A survey returned by a person who uses the service said, ‘I feel I am involved in decision-making and care planning, we do an update of my care plan once a year’. Another person said ‘staff provide good care and are helpful’. People are encouraged to make their own decisions and this could be observed at the time of the site visit. A range of individual risk assessments was in place to support people to be independent whilst considering their safety. This included information about why decisions have been made where people could be restricted in what they can do. Risk assessments are now reviewed on a regular basis so any changing needs can be identified and acted on more quickly. Throughout the day of the visit, people who use the service were involved in choice and decision-making. Staff were observed being respectful in helping people to maintain their dignity. On a weekend there were handover periods so that information was passed on between shifts. During the week there were varying shift times to accommodate people’s needs and a communication book was used to keep staff informed of any changes to care. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 14 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, 15, 16 and 17. People who use the 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 enjoyed taking part in activities and had access to the local community where they could pursue their social and educational interests. People would benefit further from better transport arrangements through the week. EVIDENCE: The home encouraged people to maintain their interests during their respite stay. At the time of the visit some people were attending day services. One person said, ‘I usually go to college but it is closed for the holidays’. One person said that they liked to sit around and watch television and was not bothered about going out and staff respected the person’s wishes. Another person was enjoying time on a playstation that had been recently purchased at The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 15 the request of people who use the service. The home also had a pool table for people to use and people can also do arts and crafts, play board games or listen to music if they wish to do so. Comments returned to us by a relative and members of staff indicated that the home would benefit from having more transport so that people had more opportunities to go out. A relative said, ‘the home is good, I would just like people to have the chance to go out a bit more’. This was discussed with the acting manager who said that the home is now able to have access to a vehicle from another service on a weekend so that people can go out more. People had been on outings and further outings are planned for. At the current time access to this vehicle is limited through the week so that opportunities for trips out are fewer. It is recommended that the transport issue be looked at so that people have more opportunities to go out on trips and outings during the week. One person’s care records showed that the person liked to attend a youth club on an evening. This was not possible whilst this person was having respite care at the home due to the transport issues. The acting manager did say that this had been explained to the person and their relative prior to the person commencing their respite stay at the home. Some people liked to go for walks around the local area and enjoyed visits to the local pub. People who have respite care at the home have varying abilities, so staffing levels were planned around individual needs. People were able to keep in touch with their relatives during their respite stay. During the visit the manager received calls from relatives enquiring about people at the home. A relative said that they are kept up to date about any changes. The home did not have a set menu and people chose what they wanted to eat on a day-to-day basis. Staff said that they know the people well and their food likes and dislikes. In one case a relative had provided guidance for staff on which foods to provide for their relative whose behaviour could be affected by what they ate and this was being followed. People said that they enjoyed the food at the home and were always given choices at mealtimes as could be seen in the food record book. Some people where appropriate, were supported to prepare their own meals. People could eat their meals wherever they chose and could have snacks and drinks at any time between meals. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 16 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 and 20. People who use the 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’s personal and healthcare needs were met to suit their individual needs. EVIDENCE: Staff gave good support with any personal care needs and made sure they were carried out in private to respect people’s dignity. The support that people need is well documented in the care plans so that people’s needs are properly met. A survey returned by a staff member said, ‘the staff are very experienced, knowledgeable and mature. They know people who use the service well’. A relative said, ‘my relative loves to go to the home, they are happy there’. Because the home provides respite care, people’s healthcare needs are met through their long-term permanent carers. However, in the event of them becoming ill during their stay at the home, their GP (General Practitioner) would be contacted for support and advice. The acting manager also said that The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 17 occasionally members from the local community teams visited individuals to monitor their care whilst at the home. Any healthcare needs were documented in individual care plans so that staff were aware of these and of any actions they needed to take. The medication records gave an accurate account of the medications that were being stored in the home. Medication was given by one member of staff and witnessed by another to encourage safe practice and reduce the risk of medication errors. All staff that administer medication have received the appropriate training and this is updated as needed. Each person stated in their care records their medication requirements and how medication was to be taken. None of the people who were staying at the home at the time of the site visit were able to self-medicate. People who wish to take responsibility for their own medication were encouraged to do this. A risk assessment was completed first to make sure it is safe for them to do so. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 18 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 and 23. People who use the 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’s concerns were listened to and acted on. Systems were in place to safeguard people from abuse. EVIDENCE: The home had a complaints procedure and this was included in the service user and carers handbook. Copies of the complaints procedure could be obtained in Braille and audiotape format for people who have communication difficulties. People who were staying at the home at the time of the site visit had limited verbal communication skills. However, one person did say that they felt safe and were confident that staff would act on any concerns. A survey returned by a relative commented that any concerns had always been responded to appropriately. The home had not received any complaints since the last inspection. Since the previous inspection there had been improvements in staff training so that all staff have received training about abuse awareness and the manager is planning further training. A member of staff spoken to knew their responsibilities in reporting such matters to the management without delay in all instances. The home’s whistle blowing policy had been revised to provide clear guidance to staff on what to do if they wanted to report concerns. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 19 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 and 30. People who use the 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 home was clean, comfortable and meets the needs of people who use the service. EVIDENCE: The accommodation is over two floors and can only be accessed by stairs, so people with mobility problems would need to have a bedroom on the ground floor if staying at the home. There were two communal lounges, one where people could sit and watch television. At the front of the home there was a large garden area where people could sit out if they chose to do so. Bedrooms were personalised to make people’s stay at the home more comfortable and homely. The bedrooms that were seen were clean and tidy. The home has been decorated throughout and people who use the service had The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 20 helped to choose the colour scheme. Aids and adaptations were in place to support people with their mobility and independence. This included an en-suite bedroom where there was a tracking hoist and walk-in shower facility. There were also two bathroom areas, one that had an assisted bath. Since the previous inspection equipment is no longer stored in the ground floor bathroom so reducing the risk of injury to people when using it and making the environment more pleasant for people when they are bathing. Alternative storage arrangements are now in place with an enclosed metal storage facility that is located in the grounds of the home. However, one hoist was being stored in the corner of one of the lounge areas. This made the lounge area look less homely and could potentially pose a risk to people from tripping. This was discussed with the acting manager who said she would make arrangements for the hoist to be moved to a more suitable storage area. The home was clean and tidy. Two cleaners are also employed to help maintain standards of cleanliness and hygiene. Infection control procedures were followed and staff had attended infection control training. Laundry facilities were located separately. At the time of the visit the washing machine had broken down. The manager had immediately arranged for repair work to be carried out and by the end of the site visit this work had been completed. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 21 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 and 36. People who use the 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 are supported by a sufficient number of staff. Improvements in staff training help in making sure people receive the care they need and are not at risk from unsafe practice. EVIDENCE: Because respite care was planned in advance in most cases, this enabled staffing rotas to be planned around the needs of the people who were using the service. A lot of people attended day services and other placements through the day so again staffing was planned around this. Three staff had recently left the service and agency and pool staff had been used to cover vacant shifts until the posts are filled. The acting manager said that where possible the same agency and pool staff were used who were familiar with the needs of the individuals who use the service. This helped to maintain a consistent service for people. A survey returned by a staff member commented ‘staff work well together and adopt a similar approach for consistency’. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 22 However, one staff survey commented ‘the current review of the service has been unsettling for staff’. Despite this staff who were spoken to said, ‘the standards of care are good’. The majority of staff had either completed or are doing the National Vocational Qualification (NVQ). This helped to ensure that people received care from staff with the right skills and knowledge. Since the previous inspection visit all staff have now had moving and handling, fire safety, abuse awareness and food hygiene training. Staff also received specialist training in areas such as equality and diversity and positive approaches to dealing with behaviour that challenged the service. New staff had a full induction before they were expected to carry out any tasks they were unsure of. The acting manager had also produced a booklet to provide information about the home to new starters. A staff member said, ‘we have very good training’. Another commented ‘I receive a lot of support and supervision’. Staff training is recorded in individual files. It is recommended that a system be put in place to collate this information so that it is clearer to get an overall picture about what training has been undertaken, what training is needed and when updates are needed. A central recruitment department makes all the pre-employment checks and new members of staff could only start working at the home once all the necessary checks had been completed. The staff file of the most recently employed member of staff contained evidence to support this. All the surveys returned by staff who work at the home indicated that they had not started working at the home until the full employment checks had been carried out. Staff commented that they had regular supervision sessions and records of these were kept in individual staff files. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 23 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 and 42. People who use the 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 acting manager had begun to make some improvements to the running of the home although more consistent management arrangements would help to ensure the consistency of care and services for people. People were involved in decision-making about the home and overall proper attention was given to their health and safety. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 24 EVIDENCE: The home has not had a permanent registered manager for over a year. The previous manager left earlier this year and the current acting manager had been in post since May 2008 on a temporary basis whilst the review of the service was ongoing. The lack of a permanent registered manager has remained an issue for some time and needs to be addressed. The acting manager was previously the assistant manager of the home and is doing a Diploma in management. The acting manager had made some improvements to the service and had some awareness of what further changes were needed. The vacant post of assistant manager had recently been advertised and interviews were about to take place soon after the date of the site visit. Staff did say that they felt supported by the acting manager. One person said, ‘she is doing a good job’. A relative said, ‘the manager is easy to talk to’. Wakefield Metropolitan District Council carries out regular quality assurance checks of the home to make sure that people are receiving a good service. The acting manager had recently introduced meetings with people who are using the service to seek their views and opinions about the home. Panel meetings have been held with people who use the service, relatives and staff to look at the service and what it does well and areas for improvement. The acting manager showed some information about feedback about the service from relatives through the use of questionnaires. The service manager visits the home regularly and produces a report of their findings from which an action plan is put in place to address any shortfalls. A relative did say that they were aware that the service was under review but did not know anything more about this. The relative said, ‘it would be useful of we knew a bit more about what is happening’. Surveys returned by staff also had similar comments. Improvements have been in areas of health and safety since the last inspection. Fire drills are now carried out on a regular basis and the outcomes from these are recorded. Individual support plans contain information about whether the person is able to respond to a fire alarm going off. This helps in making sure staff know which people would not be able to take appropriate fire safety measures themselves in the event of a fire. All staff have now received fire safety training. Those health and safety certificates that were seen were up to date. Since the previous inspection all the staff have had up to date training in moving and handling, fire safety and food hygiene. A member of staff had been made responsible for testing the hot water temperatures. However, there was no evidence that these had been routinely recorded although the communication book did contain some information when The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 25 a problem had been identified through the testing. It is recommended that water temperatures when tested should be recorded so that problems whether new or recurring can be identified at an early stage and acted on. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 26 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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. 1. 2. Refer to Standard YA12 Good Practice Recommendations Measures should be put in place to look into transport arrangements that would enable people to have more opportunities to go out during the week. The hoist that is stood in one of the lounge areas should be stored in a more appropriate area so that the environment is more homely and to reduce any risks of injury to people. A system should be put in place so that it is easier to access information about staff training that has been undertaken, training that needs updating and to identify future training needs. The acting manager should make an application to be registered with the commission. This will help to make sure that the home is run in a consistent way and in the best interests of people who live there. People who use the service, relatives, staff and other stakeholders should be kept informed and updated about the current service review and changes. This will help to DS0000034498.V366872.R01.S.doc Version 5.2 Page 28 YA24 3. YA35 4. YA37 5. YA39 The Respite Unit 6. YA42 avoid uncertainty and maintain good communication systems and standards of care for people. Hot water temperatures should be routinely recorded after being tested. This will help to make sure that any problems can be identified and acted on at an early stage to keep people safe. The Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Respite Unit DS0000034498.V366872.R01.S.doc Version 5.2 Page 30 - 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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