CARE HOME ADULTS 18-65
136d Warminster Road 136d Warminster Road Norton Lees Sheffield S8 9PQ Lead Inspector
Jayne Barnett-Middleton Announced Inspection 3rd March 2006 09:00 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 136d Warminster Road Address 136d Warminster Road Norton Lees Sheffield S8 9PQ 01142 734990 01142 750940 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) Sheffield City Council - Disabilities Services Division Mr Steven Danford Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection N/A Brief Description of the Service: Warminster Road is a care home providing short-term care for up to two adults with learning disabilities. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries and pubs). The home is a two-storey house. Accommodation consists of a lounge/diner and kitchen area on the ground floor. On the second floor there are two bedrooms. There are sufficient toilet and bathing facilities. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Jayne Barnett - Middleton carried out this announced inspection from 09.00 to 12:30 pm. Warminster Road provides short-term, flexible care and no residents were at the home on the day of the inspection. Opportunity was taken to make a tour of the premises, inspect a sample of records and policies and talk to the manager and staff. The inspector wishes to thank the manager and staff on for their assistance and time throughout the inspection process. What the service does well:
Warminster Road is a care home providing short-term care for up to two adults with learning disabilities. The service was first registered in June 2005 and this was the first inspection since registration. The staff and manager said that the service was proving to be successful and that since registration the number of residents using the service had increased. All spoke positively about the teams’ achievements. The staff had recently been awarded a ‘ social services quality award ’, to acknowledge the quality of care that the team were providing. The home has a relaxing and homely atmosphere. All areas within the home were clean, tidy and well maintained. Residents had regular opportunities to access appropriate activities. During the week residents were supported to attend day centres and groups within the local community. The staff said that varied activities were organised at the weekend, which included visits to the park, pub lunches and visiting the local shopping centre. Residents were offered and encouraged to eat a healthy diet. The weekly menu was planned in consultation with the residents, to ensure that all individual needs were catered for. The staff had a good knowledge of residents’ individual needs and said that many of the residents stayed at the home on a regular basis, enabling them to gain a good insight of residents likes, dislikes, preferred routines and care needs. Minimum staffing levels were being maintained and the manager said that extra staff would be provided where there was an identified need. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 6 A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of residents. Newly recruited staff had completed the Learning Disability Award Framework, (LDAF) award, which will give them a recognised induction into supporting the residents who use the service. There was a mutual respect between the manager and staff. The manager commented that the staff team were supportive and flexible to the needs of the service. The staff spoke highly of the manager commenting that he was “supportive”, “approachable” and “A good manager”. 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. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. The statement of purpose and service user guide was in need of review. Needs assessments were available on the residents files checked. They contained appropriate information about the residents care needs, which ensured that the service was able to meet individual needs. EVIDENCE: The manager said that there was a statement of purpose and service user guide. He confirmed that these were in need of review to ensure that prospective residents had the information that they needed to make an informed choice about using the service. Three staff files were checked and each contained a full needs assessment which had been carried out for residents prior to their admission. Staff from the home also visited prospective residents prior to their stay. This confirmed that the service was appropriate for the resident, and provided staff with the information to formulate an individual plan of care. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. The care plans checked did not fully reflect the current needs of the resident. Risk assessments were in place to support residents to take risks as part of an independent lifestyle. EVIDENCE: Two care plans were checked, which did not fully describe the action required by staff to ensure that all aspects of residents, social support and healthcare needs were met. A new care plan format had been introduced which did cover all of the required information. However some sections had been completed whilst others including emotional needs had not. The information that was recorded was detailed and the care plans had been reviewed on a frequent basis. Resident files contained risk assessments relating to all aspects of service users lives both inside and outside the home. They identified the individual risks that were presented to residents on a daily basis and the action required to reduce the risk, which enabled residents to live independently. These had been reviewed on a regular basis to promote the safety of residents.
136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 17. Residents were encouraged to maintain and develop social and independent living skills. Opportunities were provided for residents to engage in activities within the home and maintain links within the local community. Residents were encouraged to eat a healthy and varied diet. EVIDENCE: Residents had regular opportunities to access appropriate activities. During the week residents were supported to attend day centres and groups within the local community. The staff said that varied activities were organised at the weekend, which included visits to the park, pub lunches and visiting the local shopping centre. Through discussions with staff it was evident that residents were encouraged and supported in making independent decisions, which included their choice of meal and their plans for the day.
136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 11 Residents were offered and encouraged to eat a healthy diet. The weekly menu was planned in consultation with the residents, to ensure that all needs were catered for. The staff had a good knowledge of resident’s preferences and spoke in detail about one resident whose dietary needs had recently changed. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19. The manager and staff were able to demonstrate how the resident’s physical and emotional needs were met. However, the care plans checked required more detailed information to ensure that the specific needs of residents are recorded. EVIDENCE: Two care plans were checked, which did not fully describe the action required by staff to ensure that all aspects of residents, social support and healthcare needs were met. The staff had a good knowledge of residents’ individual needs and said that many of the residents stayed at the home on a regular basis, enabling them to gain a good insight of residents likes, dislikes, preferred routines and care needs. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 13 The staff and manager confirmed that there was sufficient staff to meet the individual needs of residents. Minimum staffing levels were being maintained and the manager confirmed that extra staff would be provided where there was an identified need. The manager described how recently a resident had been admitted for a short stay who had not stayed at the home before. He said that extra staff had been provided to give 1–1 support to the resident until they were settled at the home and the staff confident that they were able to meet the resident’s individual needs. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The homes complaints procedure was clear and accessible, ensuring that any complaints made by residents or their relatives would be listened to and action taken to deal with complaints promptly. There was an adult protection procedure, which promoted the protection of residents. EVIDENCE: The complaints procedure ensured that residents and their relatives were aware of how to make a complaint and who would deal with them. Staff said that the manager was “approachable” and were confident that any concerns would be listened to and appropriate action taken. The manager confirmed and records demonstrated that no complaints had been made to the home. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Staff had received Adult Protection training enabling them to identify and report any allegations or incidents of abuse to residents. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 and 30. The home was well maintained, odour free, and homely. The resident’s bedrooms were comfortable, individually decorated and furnished to meet their needs. EVIDENCE: The home is a two-storey house. Accommodation is on two floors and consists of a lounge/diner and kitchen area on the ground floor. On the second floor there are two bedrooms. There are sufficient toilet and bathing facilities. All areas within the home were clean, tidy and well maintained. The garden area of the home had recently been resurfaced and seating was provided. There were plans to purchase shrubs and plants; this will provide a nice seating area for residents to use when the weather is warm. The bedrooms were individually decorated, clean and each had a television and video. The manager said that there were plans to provide a DVD player and tea and coffee making facilities, subject to individual risk assessment, in each bedroom.
136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 16 The décor of the home was of a good standard and there were plans in place to re-decorate some areas and to replace the living room carpet. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Staff had received training to meet the resident’s general and specific needs. A good range of training was available for staff. Appropriate support and guidance was offered to new staff, enabling them to safely care for service users. The home operated a recruitment policy that promoted the protection of service users. Staff files required some minor amendments to ensure that they included the required information. EVIDENCE: The Staff were friendly, approachable and relaxed to talk about the care that they provided. Staff spoken to said that they enjoyed working at the home, that there was a family atmosphere and that they worked very well as a team. Whilst the service is relatively new, the majority of staff employed have previously worked in the learning disability service and therefore have a good knowledge of the service and the needs of residents. A training and induction programme for staff was in place enabling them to meet the assessed and changing needs of residents. Discussions with staff and records checked demonstrated that staff had received a good range of training that included Moving and Handling, First Aid and health and safety.
136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 18 A staff-training matrix and training plan had been devised which demonstrated the training that staff had attended. Individual training records checked demonstrated that staff had been offered the refresher training that they required, to ensure that they were conversant with changing legislation and safe working practices. The manager said that newly recruited staff had completed the Learning Disability Award Framework, (LDAF) award, which will give them a recognised induction into supporting the residents who use the service. A recruitment policy and procedure was in place. Two files checked contained a range of information including two references, declaration of health and qualifications/training. The manager and staff said that all staff had received a Criminal Records Bureau Check at the enhanced level to promote the protection of residents. However, the files checked did not evidence that a CRB check had been carried out prior to their employment at the home. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42. The staff said that they were well supported by the manager. The health, safety and welfare of residents was promoted and protected. EVIDENCE: The registered manager had many years experience within the caring profession which, enabled him to contribute to the care of residents and communicate a clear sense of leadership to staff. He has recently completed the registered managers award and a NVQ level 4 qualification. There was a mutual respect between the manager and staff. The manager commented that the staff were supportive and flexible to the needs of the service. The staff spoke highly of the manager commenting that he was “supportive”, “approachable” and “A good manager”. The staff said that meetings took place on a regular basis enabling them to share information and to contribute to the development of the service.
136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 20 The staff had received training including Fire training, moving and handling and First Aid, which promoted safe working practices and the health, safety and welfare of the residents and their colleagues. 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 21 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 2 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X X X X 3 X 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 22 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. 1 2 3 Standard YA1 YA6 YA34 Regulation 4,5 15 19, Schedule 2 Requirement The statement of purpose and service users guide must be reviewed. The service user plans must contain all of the required information. Staff files must evidence that a satisfactory CRB, POVA check has been carried out prior to employment. Timescale for action 01/07/06 30/05/06 01/05/06 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 None Good Practice Recommendations 136d Warminster Road DS0000061670.V274482.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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