Inspection on 27/04/06 for Beighton Road

This inspection was carried out on 27th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Beighton Road 03/11/05

Beighton Road 27/04/05

Beighton Road 01/09/04

Beighton Road 06/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Beighton Road 100 Beighton Road Woodhouse Sheffield South Yorkshire S13 7PS Lead Inspector Jayne Barnett-Middleton Key Unannounced Inspection 27th April 2006 09:15 Beighton Road DS0000002938.V289445.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 Beighton Road DS0000002938.V289445.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. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beighton Road Address 100 Beighton Road Woodhouse Sheffield South Yorkshire S13 7PS 0114 269 9359 0114 269 3531 tony.veeren@virgin.net None South Yorkshire Housing Association 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) Mr Mootoosamy Tony Veeren Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user over the age of 65 years name on variation application dated 14.03.05 may reside at this home 3rd November 2005 Date of last inspection Brief Description of the Service: Beighton Rd offers services for up to eighteen adults with a learning disability The service is located in the Woodhouse area of Sheffield, close to local facilities such as shops and a health centre. The home is close to a local bus route. There are three detached houses on the site. Each one offers accommodation to six service users. Each house has a separate kitchen and laundry facilities. They all have large dining/lounge areas and all of the bedrooms are single. There is a large garden area and a car park. The bed fees at this home are currently £292 per week. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over five hours. Opportunity was taken to make a tour of the premises, inspect a sample of records, including care plans and training records and talk to the manager and staff. The tenants who were at the home at the time of the inspection were unable to express a view on the quality of care that they received due to their learning disability. However, following the inspection seventeen tenants were supported to complete a questionnaire to give an opinion about the service that they received. South Yorkshire Housing Associations quality assurance officers visit the home on a regular basis to carry out monitoring of the service. Reports of these visits are sent to the Commission For Social Care Inspection and some of the information provided has been included within this report. The inspector wishes to thank the manager and staff for their assistance and time throughout the inspection process. What the service does well: There was a warm and welcoming atmosphere in all of the houses. The staff on duty were relaxed and the tenants were observed to be following their preferred routines. Care plans were in place for all tenants using a person centred approach. These were detailed and clearly reflected their current care needs, demonstrating that their individual needs were assessed and regularly reviewed. Tenants had excellent opportunities to access appropriate activities, including day centres, clubs and visiting amenities within the community. Activities were provided within the home including crafts, games and baking. Staffing levels were good and this ensured that tenants with high support needs could be offered the 1 –1 support that they required. Staff spoke positively about the number of staff that was provided on a daily basis stating that it gave tenants the flexibility and choice of how they wished to spend their day. Tenants received personal support, which promoted their privacy, dignity and independence. Staff were observed to treat tenants with respect and positive and professional relationships were observed. The environment within the home was clean, well decorated, comfortable and homely. Housekeepers were employed and a good level of cleanliness was observed. The home has a stable staff team who know the tenants well and who can offer them a consistent quality of care. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 6 The staff was provided with good training and development opportunities. All staff were up to date with mandatory training and several staff had completed the Learning Disability Award Framework, (LDAF) award, giving them a recognised induction into supporting the tenants who use the service. Forums were in place based on seeking tenants views of the service, which enabled them to contribute to the development of service. Staff felt supported by the management of the home. Regular supervision and team meetings were held ensuring clear communication and promoting good team work. 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. Beighton Road DS0000002938.V289445.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 Beighton Road DS0000002938.V289445.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. Tenants needs and aspirations were assessed and their individual needs were reflected in their plan of care. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. Three care plans were checked and these demonstrated that the tenants care needs were assessed prior to their admission. Staff spoken to, including housekeepers, said that they received appropriate information prior to a tenants admission enabling them to formulate a plan of care and to support the tenants care needs during their initial weeks at the home. Beighton Road DS0000002938.V289445.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): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. Care plans were detailed and clearly described the action that was required by staff to ensure that all aspects of the tenants personal, social support and healthcare needs were met. Care plans were reviewed on a frequent basis ensuring that the changing needs of the tenant was reflected in their plan of care. Tenants were supported and encouraged by the staff team to make decisions about their lives promoting independence. All tenants had risk assessments, which enabled them to take risks as part of an independent lifestyle. EVIDENCE: Three tenants care plans were checked. A person centred approach had been used in the way that the plans were drawn up. The care plans were detailed and clearly described the specific needs and preferences of the tenant. Each Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 10 care plan contained a ‘ pen picture’ of the tenant, which gave a good overview of the tenants likes, dislikes and daily routines. Records demonstrated that Care plans were reviewed on a regular basis. Care plan audits were carried out by the manager of the home and South Yorkshire Housings quality assurance officer, ensuring that the care plans met the required standard. Through discussions with staff, observation and from reading three care plans it was evident that tenants were encouraged to make decisions about their lives within their capabilities. Tenants were observed to be following their preferred routines with the support of staff as an example several tenants were attending local amenities whilst others had chosen to spend the day at the home. The care plans checked detailed tenants specific preferences including when they chose to rise and retire and their preferred choice of clothing. All tenants surveyed said that they were always encouraged to decide how they spent their day and that they do as they wished during the day, evenings and at the weekend. Tenants files contained risk assessments relating to all aspects of tenants lives both inside and outside the home. They identified the individual risks that were presented to tenants on a daily basis and the action required to reduce the risk, which enabled tenants to live an independent lifestyle. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 11 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): 12,13,14,15,16 and 17. Quality in this outcome area is Good. Quality in the outcome area 13 is excellent. This judgement has been made using available evidence during the inspection. Tenant’s had regular opportunities to access age, peer and culturally appropriate activities enabling them to lead fulfilling lives outside as well as within the home. All tenants, irrelevant of their support needs, had good access to community groups and amenities promoting equality and choice. The daily routines within the home were flexible and promoted independence, individual choice and freedom of movement. Tenants were encouraged to eat a healthy diet, promoting their health and wellbeing. EVIDENCE: All tenants had good opportunities to access appropriate activities. On the day the majority of tenants had gone out for the day. Some tenants were attending Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 12 local day centres whilst others were out with staff paying rent and then planned to eat out for lunch. One tenant explained that they were having a relaxing day off from their usual routine of attending a day centre and local college. Staffing levels were good which ensured that tenants with high support needs were able to receive the 1-1 support that they needed ensuring that all tenants had equal choices to access activities. All staff spoke positively about the level of staff available. They felt that the number of staff gave them the flexibility to plan group activities and meet tenants individual needs for example escorting tenants to go shopping or visiting local amenities as and when they wished. A barge trip was planned for the following week and one tenant said that they were looking forward to the event. The quality assurance officer had recently completed an activity audit to evidence the type of activities that were taking place and their frequency. Discussions with staff and observations demonstrated that the routines within the home were flexible. The tenants were encouraged to make simple choices about their daily living activities for example when they rose and retired and how they wished to spend their day promoting independence and choice. Tenants who had chosen to spend the day at the home were observed to be relaxing in the lounge areas with staff and other tenants or spending time within the privacy of their bedroom. Tenants were offered and encouraged to eat a healthy diet. Menus varied dependent on the tenants likes, dislikes and dietary requirements. Cookery sessions for tenants had recently been introduced, promoting independent living skills. The staff said that the sessions were proving popular and that the tenants really enjoyed the opportunity to help plan and prepare some meals. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 13 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): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. Tenants received personal support, which promoted their privacy, dignity and independence. Tenant’s physical and emotional needs were met. The care plans contained detailed information about how the tenant’s personal support could be met by staff in order to meet their individual needs A policy and procedure to ensure that staff adhered to the safe administration of medication was in place to protect tenants from risk. EVIDENCE: The tenants care plans detailed how personal support should be offered to each individual. This included the times that they rose and retired and what level of support they required to wash and dress. All tenants seen appeared very well cared for, they were clean, hair and nails had been attended to and male residents were shaved. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 14 There were records to evidence that tenants were receiving regular visits from healthcare professionals dependent on their needs. The three care plans checked detailed the healthcare visits that tenants had received including their dentist, chiropodist, general practitioner and optician. Detailed records of appointments were maintained and any follow up action required was recorded ensuring that health needs of tenants were monitored. There was a medication policy and procedure to ensure that staff adhered to safe practices. Medication was checked on a sample basis. Medication systems were good and procedures were in place to ensure that medication was appropriately administered. Medicines were securely stored and staff responsible for administering medication had received thorough training prior to administering medication independently. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. The homes complaints procedure was clear and accessible, ensuring that any complaints made by tenants or their relatives would be listened to and action taken to deal with complaints promptly. There was an adult protection policy and procedure that promoted the protection of tenants from harm or abuse. EVIDENCE: The complaints procedure ensured that tenants and their relatives were aware of how to make a complaint and who would deal with them. The manager confirmed that no complaints had been received at the home. All tenants surveyed said that they knew who to talk to should they be unhappy about any aspect of their care. 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 tenants. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 16 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. The houses were well maintained, odour free, well decorated and homely, promoting a comfortable and safe environment for tenants. The kitchen and laundry areas had been replaced, to a good standard, presenting a homely and well-maintained environment. The home was very clean and the laundry areas were all appropriately equipped to meet the needs of the tenants. EVIDENCE: The environment within the home is clean, well decorated, comfortable and homely. The tenant’s bedrooms were all individually decorated reflecting personal choice. The deputy manager said that tenants were encouraged to choose colour schemes and furnishings. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 17 Previous requirements in relation to the environment had been met. The kitchen and bathroom areas had been refurbished; specialist baths had been fitted ensuring that tenants were able to bathe in a safe manner and the lounge carpet replaced. These areas had been completed to a good standard improving the overall environment. Housekeepers were employed to maintain a good level of cleanliness. It was evident that this arrangement worked very well. All houses were very clean, tidy and odour free, which provided a hygienic and homely environment for tenants. All tenants surveyed said that the home was always fresh and clean. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 18 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. Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. Many of the staff employed have worked at the home for many years and therefore know the tenants well and can offer them a consistent service. Staff had received training to meet the tenant’s general and specific needs. The home operated a recruitment procedure that promoted the protection of tenants. The staff team said that they received good levels of support from the management team promoting good team work. EVIDENCE: Quality in this outcome area is good. This judgement has been made using available evidence during the inspection. The Staff were friendly, approachable and relaxed to talk about the care that they provided. Positive and appropriate relationships were observed between staff and tenants. All tenants surveyed said that they were treated well and that the staff would always listen and act on anything that they said. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 19 Six weeks staff rotas were checked and these evidenced that sufficient staff were employed to ensure that the individual needs of tenants’ could be met. The quality assurance monitoring records demonstrate consistently that minimum staffing levels have been maintained. A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of tenants. Training records demonstrated that a wide range of training was offered including Moving and Handling, Fire and Health and Safety. First Aid refresher training was planned and the deputy confirmed that all staff were now up to date with mandatory training required by the regulations. The staff said that a good range of training was offered enabling them to keep up to date with changing practice and legislation. A recruitment policy and procedure was in place. Three staff files checked contained a range of information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level to promote the protection of tenants. Staff confirmed that they received a good level of support from the management team and that they received formal supervision on a regular basis ensuring that they received appropriate levels of support and direction to support the tenants appropriately. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 20 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): 37,39 and 42. Quality in this outcome area is good. Quality in the outcome area 39 is excellent. This judgement has been made using available evidence during the inspection. The staff team appeared organised and confident in their role demonstrating that tenants benefited from the ethos, leadership and management approach of the home. Forums were in place based on seeking tenants views of the service, which enabled them to contribute to the development of service. Policies were in place demonstrating that the health, safety and welfare of tenants was promoted and protected. EVIDENCE: Staff spoke highly of the management team and the support that they received commenting that they were “approachable” and “good”. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 21 House meetings were conducted weekly and full staff meetings were held monthly promoting good communication and ensuring that staff were able to contribute to the development of the service. Staff said that they benefited from the opportunity to express their opinions and felt supported and comfortable in doing so. Tenants meetings were held to enable them to contribute to the day to day management of the home. Records checked demonstrated that meetings were held on a regular basis and that tenants were given the opportunity to contribute to items such as holidays, activities and meals. South Yorkshire Housing Associations quality assurance officers visit the home on a regular basis to carry out monitoring of the service to ensure that the home is working within the law and their policies and procedures. Reports of these visits are sent to the Commission For Social Care Inspection and detail the areas covered, which include health and safety, care planning and medication. All staff had received health and safety, moving and handling, food hygiene and fire training. Procedures were in place for the maintenance and servicing of appliances and equipment, promoting and protecting the health safety and welfare of staff and service users. Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 22 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 3 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 3 36 X 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 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 23 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. Refer to Standard Good Practice Recommendations Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 24 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 © 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 Beighton Road DS0000002938.V289445.R01.S.doc Version 5.1 Page 25 - 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!