Inspection on 18/04/07 for Claro Road Care Home

This inspection was carried out on 18th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Claro Road Care Home 34 Claro Road Harrogate North Yorkshire HG1 4AU Lead Inspector Caroline Long Unannounced Inspection 18th April 2007 09:30 Claro Road Care Home DS0000068598.V337047.R02.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 Claro Road Care Home DS0000068598.V337047.R02.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. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claro Road Care Home Address 34 Claro Road Harrogate North Yorkshire HG1 4AU 01423 561911 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) Disability Action Yorkshire Mr Steven Taylor Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection Brief Description of the Service: Claro Road was built and opened in February 2007, and is owned by the charity Disability Action Yorkshire. It is situated in Harrogate. The home offers residential care for up to twenty people from the age of eighteen to sixty-five with physical disabilities. The home’s main aim is to provide the means for service users to meet their personal lifestyle aspirations, whilst participating in the running of the home. The home has a main entrance, which divides into two separate units that each accommodate ten service users. Each unit has a communal integrated lounge, dining and kitchen area and a communal bathroom, all the bedrooms are for single occupancy and all have en-suite showers. There is a large garden to the rear. There are two self contained training flats, which will be used for service users to experience living and managing alone before they move back to live in the community independently. The home produces a Service User Guide, which provides information about the home. Details provided in March 2007 outline the weekly fees between £377 and £825; these are dependent upon the persons assessment of need. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the homes file since its registration. Information submitted by the Registered Manager in the Pre Inspection Questionnaire. Surveys received from fifteen service users and two relatives. An unannounced visit by an inspector to the home lasting over seven hours. This visit included a tour of the premises, examination of records; talking to residents, care staff, a care manager from social services and management. Looking at four residents care files in detail, from the two units. • Claro Road was only opened to take service users as from February 2007 following the closure of St Georges nursing home, it has been specially designed for people with physical disabilities. The management are therefore in the process of developing and establishing ways of working that will promote the best possible outcomes for services users in the home. What the service does well: Service users have been fully informed and consulted about the move from St Georges Nursing Home to Claro Road, this has helped them to settle in and develop a sense of ownership about the home. Service users said they were happy with the care they received from the home, service user surveys said staff do listen and act upon what they say. Many positive comments were made about the staff ‘Staff always assist when I need them.’ ‘The staff are very helpful and supportive.’ And ‘I get on well with most of the staff.’ Many of the service users are enjoying taking part in the practical daily living skills, such as cooking, washing and shopping. The home is a clean, fresh and comfortable place for service users to live. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2. People who use the service experience good quality outcomes in this area. Prospective service users are provided with good information about the home, and have their needs assessed before moving in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a service user guide and statement of purpose, which are easy to follow and understand and are available in large print. Both fully inform the service user about what they can expect if they move into the home. The registered manager carries out an assessment of any prospective service user before they move in; and gathers other assessments or information from other agencies about the service users needs. This is to establish whether the home will be able to meet the service users complex needs. This was confirmed by the records and from speaking with a service user, who explained the registered manager had visited them at home to carry out a assessment before prior to them moving in. However, the assessment records looked at would have benefited from more information. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 9 A comment made by a service user who had recently moved into the home was:‘I like it and thinks it is right for me.’ Many service users have moved into the home from St George’s Nursing Home which has closed. The service users, staff and a care manager who had all been involved in the move, all confirmed service users had been fully informed about the move and about life at Claro Road. Reviews had been carried out of service users care needs by both the home and social services; service users had seen photos of the home and visited before moving in. The registered manager and the staff described how service users had been able to choose their room and the service users they preferred to share the unit with. Records examined showed service users had a meeting with staff to discuss their feelings and needs before they moved into the Claro Road. The registered manager gave an example of when he had recently refused admission of a service user referred to the home as he had assessed they would be unable to meet the service users mental health needs. Comments made by service users were:‘The accommodation is superb and the carers are excellent.’ ‘The home is very good.’ ‘Its a lot better here the last home.’ ‘Saw pictures and came to visit a few times.’ ‘We could choose our own room.’ Service users contracts were examined and were found to have been updated following the move to Claro Road and service users had signed the sample of contracts looked at. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 10 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): Standards 6, 7 and 9. People who use the service experience good quality outcomes in this area. Service users are now involved in some decisions about their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are able to make a choice about their daily lives. Twelve service users responded in the survey they always make decisions about what they do each day. One commented ‘It is a nice home you can do what you want.’ The home’s main aim is to provide the means for service users to meet their personal lifestyle aspirations, whilst participating in the practical aspects of the running of the home. This is a dramatic life change for service users who previously resided at St George’s Nursing Home where they were not expected to contribute to all of the practical aspects of daily living, such as cooking and laundry. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 11 For service users who had been previously at St George’s Nursing Home the service user plans had been carried over to Claro Road and had been slightly updated. The registered manager explained they had not had time to fully review the plans since moving in February but hoped to amend the plans to incorporate more about encouraging independence soon. Two service user plans were examined of service users who had very recently moved into the home. One was completed in full and contained information, which was person centred, comprehensive and clearly showed the service user had been involved in writing the plan. The second plan had not been fully completed, the registered manager explained this was because the service user was reluctant to complete the service user plan, this was also partially confirmed by the service user. All the plans were written in the first person and gave information about the service users preferred way of receiving care examples were ‘I like to have a beaker of orange for during the night’ or ‘ I prefer to wear trousers during the winter.’ Risk assessments were in place, which enable service user to take responsible risks whilst encouraging them to be more independent. For a service user recently admitted a risk assessment for safe handling had been carried out. For the others who had moved from St George’s Nursing Home the older ones were being used and had in some instances been updated. One service user who had now taken responsibility in the kitchen, had an assessment of the possible risks and the actions staff needed to take to minimise the risks when they were helping with the cooking. One service user who had difficulty in swallowing and decided not to have a soft diet had a very comprehensive risk assessment in place which they had signed and agreed. On the day of the site visit, some of the service users care was being reviewed by the social services care manager. Staff have been allocated to work permanently in each of the units and the registered manager explained they are in the process of re establishing the key worker system. The registered manager and the records confirmed the home has held its first service users meeting and is hoping to develop a residents association for the home. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 12 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): Standards 12, 13, 15, 16 and 17. People who use the service experience adequate quality outcomes in this area. Service users are involved in the domestic routines of the home but not all are able to access meaningful daily activities of their choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s main aim is to provide the means for service users to meet their personal lifestyle aspirations, whilst participating in the running of the home. Many of the service users said they were enthusiastic about participating in the practical aspects of running the home, such as cooking, cleaning and washing, some wanted to be more involved, but felt restricted by the layout of the kitchens. A comment made by a service user was: Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 13 ‘The support workers help and advise me. I feel comfortable to ask for help from the support works who support us very well in our new home with the new roles we are doing – helping to wash, cook and bake.’ The homes routine promotes independence and individual choice and movement; this was confirmed by service users survey and during the site visit when talking with service users. Service users gave examples of activities they were carrying out in the community such as going to church, attending Spot On (A Social Firm which provides training for work, which is run by Disability Action Yorkshire.) or food shopping. During the site visit a service user was carrying out the task of sticking labels on leaflets for Spot On. However, there was limited evidence that all service users are helped to find out about and take up opportunities for further education, distance learning and vocational training. Also some service users and staff commented there was not always enough staff available to accompany services users who could not go out of the home independently. A service user comments was: ‘That the only time they went out was when going for the food shopping’ and others gave examples of where they would like to go such as the theatre, etc. Service users who were able to go out independently commented upon the difficulties geographically, in regards to the distance from the town and accessibility in a wheel chair. They were concerned about their safety when going back and forth to town, due to the industrial area the home is now situated in. One also explained they were unable to go to the nearest pub as they could not gain easy access with their wheel chair. Service users spoken with said visiting was not generally restricted and friendships inside and outside the home were encouraged with the service users agreement. A relative gave an example of where friends of the service user had moved to another home, and the staff had agreed to take them to visit. All the bedrooms have a doorbell and staff were observed ringing service users door bells before they entered. The reception area has a postal box for each service users at the home. All service users said they now liked the food offered by the home and they enjoyed helping to prepare it. They were all enthusiastic about being involved in and deciding their weekly menus and one service user organised the printing of the menus, which were then displayed on the notice boards. Examples on the menu were shepherds pie, stir fry noodles and sausage casserole. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 14 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): Standards 18, 19 and 20. People who use the service experience good quality outcomes in this area. Service users’ personal and health care are provided appropriately and sensitively according to individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Thirteen service users said staff listen and act on what they say. A comment made was ‘My carers always help me and listen to me.’ Service user health care needs were documented in their care plans and daily records, details were recorded of their preferences of how they would like personal care to be provided. Where possible service users were supported and helped to be independent and take care of their own personal care needs. Examples were the type of clothes, times for rising and retiring to bed and how they preferred to lie in bed. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 15 During the site visit, staff were observed providing personal care in a sensitive manner. Also, service users explained how staff were respectful and promoted their dignity whilst providing personal care. One service user was having a specialist machine fitted to enable them to be more independent. Service user records confirmed a district nurse, chiropodist, dieticians and general practitioners visit regularly. During the site visit, a service user was observed leaving for a doctor’s appointment. All of the service users keep their medication and medication records in a locked drawer in their rooms, and either self medicate or the drugs are dispensed from the drawers by staff. Most of the medication is stored individually according to day and time (nomad system). This is to increase service users independence and reduce the risk of errors. Where a service user was self medicating a detailed risk assessment had been carried out, which included the service user’s mental capacity. However, the medication policy needs updating to reflect the new dispensing practices at Claro Road. There were records of service users end of life preferences. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 16 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): Standards 22 and 23. People who use the service experience good quality outcomes in this area. Service users have access to an effective complaints procedure and staff are aware of how to safeguard service users from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear and accessible complaints policy, which enables service users to complain to the Trustee Board of Disability Action Yorkshire if they wish. The complaints procedure is part of the service user guide, but has yet to be displayed in the home. There has been one complaint to the Commission and the provider since the opening of Claro Road which was investigated by the provider and not upheld. There have been no other formal complaints made by service users other than minor issues raised through discussion in house meetings or on an individual basis with staff. In the service users surveys and during the site visit most said they knew who to make a complaint to and were comfortable in doing so. However, some did say they were uncomfortable when making a complaint directly to the management. Staff were aware of and had attended training on protection of service users from abuse The registered manager has taken an active role in ensuring the Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 17 protection of service users financial affairs and has demonstrated his knowledge of the procedures for safeguarding adults and provided information to external agencies when requested. The home did not have a copy of North Yorkshire County Council Safeguarding Adult Policy, but the registered manager agreed to obtain one. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 18 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): Standards 24 and 30. People who use the service experience good quality outcomes in this area. Service users live in a safe clean and comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Claro Road is a purpose built home for twenty younger people with physical disabilities which was registered by the Commission at the beginning of February 2007. The home has a main entrance, which divides into two separate units that each accommodates ten service users. Each unit has a communal integrated lounge, dining and kitchen area and a communal bathroom, all the bedrooms are for single occupancy and all have en-suite showers. There are two self contained training flats, which will be used for service users to experience living alone before they move back to live in the community independently. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 19 The main door and each unit entrance has a keypad locking system and all service users have a doorbell for their rooms, a telephone and television point. The home is situated in the industrial area on Claro Road on the outskirts of Harrogate, it is easily found due to a large Disability Action Yorkshire sign outside. The home has been specially adapted for the needs of service users with physical disabilities, to enable them to maintain and develop independent living skills. All service users said the home was extremely clean and fresh. They were also pleased with their rooms and commented how they were able to make a choice of room. Service users had personalised their rooms in various ways, and their bedrooms were large enough to enable them to move easily around. They were also pleased with the new furniture and many commented how much better it was than St George’s Nursing Home. However, service users who use wheelchairs explained the kitchen worktops had not been designed at the correct height to enable them to manoeuvre their chairs underneath to enable them to carry out tasks safely. Also the work surfaces had a slippery finish and the kitchen taps only had very small handles. The design of the laundry rooms on the side of the kitchen did not allow room to move their chairs easily, resulting in them having to reverse out of the laundry. All these things restricted their ability to become dependent. Positive comments made by service users were:‘It is brighter here and bigger, which makes it easier to get around as I don’t like small spaces, I took to it straight away, I enjoy taking part in the house hold chores, as I have a duster and like to do a bit of dusting.’ ‘Shower is super.’ ‘Clean and spotless.’ ‘Because it is smaller I feel more confident we talk more.’ Negative comments were:‘Kitchen area too small for two wheelchairs at once.’ ‘Can’t get knees under the work surface.’ ‘Built with walking disabled in mind.’ ‘Kitchen was badly designed.’ Some service users who went out independently were concerned about the location of the new home in regards to their safety at night, and access to the local shops and public house, and Harrogate town centre. The home has handrails along the main corridors, although these will assist with the mobility for people who walking they were a hazard to service user in Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 20 wheel chairs, one service user had a large bruise on her arm from knocking into one. Claro Road Care Home DS0000068598.V337047.R02.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): Standards 32, 33, 34 and 35. People who use the service experience adequate quality outcomes in this area. Service users are supported by appropriately trained staff, but the home needs to make sure it has sufficient numbers of staff to ensure service users’ lifestyle needs are fully met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most service users stated in their surveys that staff treat them well. Comments made by service users were: ‘I get on well with all the staff.’ ‘The staff are very helpful. Staff always assist when I need them.’ ‘The staff are very helpful and supportive.’ ‘They treat me very well, the manager and the rest off the staff is superb.’ At the moment there are eighteen service users. The staff, service users and registered manager explained there are two members of staff on each unit for Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 22 ten service users during the day and one member of staff who works on either unit dependent upon needs and two staff from 10 pm over night for the whole of the home. The home’s aim is to enable service users to become more independent and some service users are unable to go out of the home without staffs help. Staff have to assist service users with personal care, food shopping and cooking meals, washing clothes and cleaning. They also accompany service users to hospital and doctor appointments There was a mixed response from staff and service users about whether these numbers were sufficient to enable service users to have a fulfilling life. Comments from some service users were:‘I would like there to be more staff.’ ‘It would be better if staff had time to sit and listen.’ ‘It would be better to have more staff to enable people to go out more.’ Records, talking to staff and residents evidenced that service users who are dependent upon staff taking them out were not maintaining community links. However, the registered manager explained they have recently recruited some new staff and the numbers of staff were expected to be increasing. Staff and the records confirmed staff attend regular training such as mobility assistance, safeguarding adults and first aid. However, one member of staff who was preparing food had not completed their food hygiene certificate. A member of staff who was being inducted explained they were shadowing the other staff and had attended some training courses. All staff said they had received enough training to carry out their work effectively. A service user explained how they had participated in staff recruitment in the home; the registered manager also explained service users were involved in this process. Two files of staff who had been recently recruited but had not commenced were examined both had an application form and two references and criminal record checks (CRBs) had been applied for, and the registered manager explained neither would be starting work before the CRB’s were returned. However, where a member of staff had changed occupation the level of criminal record check needed for safeguarding adults had not been carried out. The registered manager explained this had been overlooked due to the recent move and this would be carried out immediately. Although all staff said they received regular supervision, the records did not always confirm it was carried out six times a year. Claro Road Care Home DS0000068598.V337047.R02.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): Standards 37, 39 and 42. People who use the service experience good quality outcomes in this area. Service users’ interests are promoted and reflected in the service provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered manager confirmed he has a Diploma in Management, Health and Social Care Level four, and is awaiting his certificate for his Registered Managers Award; the provider regularly updates other training. The Registered manager was committed to promoting equality and diversity in the service through encouraging service users to maintain their independence. He explained how he is hoping to carry out further developments in the home Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 24 that will enable service users to have a better lifestyle and increase their independence. Although service users said the manager was ‘superb’, some said they found the manager difficult to approach. Also most staff said they felt supported by the management. The Registered manager explained a residents meeting had been held on each of the units during which service user views about the home had been sought. During the forthcoming year, and when service users had settled into the home an annual quality questionnaire would be carried out to find out the views of service users, their relatives and other agencies about the service the home offered. The records and policies were not all up to date due to the move, however the registered manager explained he is in the process of review all records and procedures following the move. Staff said they had fire training for the new building and the records confirmed this. There was a fire risk assessment in place, which was displayed in the entrance hall, and fire alarm was tested weekly. Risk assessments were in place for the safe moving of service users. However, the water temperatures had not been checked since moving into the home. Two were checked during the site visit and were found to be safe. The registered manager agreed to commence checking the water temperatures regularly. Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 25 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 3 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 2 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 1 12 2 13 2 14 2 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 26 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 Standard YA12 Regulation 12 (1) Requirement All Service users must have access to appropriate leisure, community and educational activities. To make sure service users are safeguarded from abuse all staff must have criminal record bureau checks carried out before commencing work. To prevent any risk of scalding, water temperatures must be monitored at regular intervals by the home and records kept of the temperatures. Timescale for action 01/05/07 2 YA34 19 (1) 18/04/07 3 YA42 13 (4) 18/04/07 Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 27 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 Refer to Standard YA2 Good Practice Recommendations To enable the management to be confident they can always fully meet all the needs of the service users the needs assessment carried out before entering the home should be more detailed. For service users who have moved from St George’s Nursing Home, the service user plans could contain further information of ways of encouraging the service users to improve their practical daily living skills. For service users who have moved from St George’s nursing home risk assessments should be reviewed to make sure they are appropriate to new environment at Claro Road and cover the service users participating in practical daily living skills. The registered manager must review the medication policy to make sure it reflects Claro Roads current practices. The registered manager should obtain a copy of the local authority protocol for safeguarding adults. This is to make sure all staff have access to the correct procedure. 2 YA6 3 YA9 4 5 YA20 YA23 Claro Road Care Home DS0000068598.V337047.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. 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