Inspection on 11/10/05 for Conroy Close (2)

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Conroy Close (2) 27/08/09

Conroy Close (2) 29/08/07

Conroy Close (2) 20/09/06

Conroy Close (2) 14/02/06

Conroy Close (2) 15/03/05

Conroy Close (2) 20/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Conroy Close (2) 2 Conroy Close Easingwold North Yorkshire YO61 3NS Lead Inspector Kate Shackleton Unannounced Inspection 11 October 2005 _ 14:00 Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 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 Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 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. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Conroy Close (2) Address 2 Conroy Close Easingwold North Yorkshire YO61 3NS 01347 821488 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) h1002@mencap.org.uk Royal Mencap (Housing & Support Services) Mrs Susan Palmer Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 6 (LD) and up to 6(LD(E)) up to a maximum of 6 Service Users. 15th March 2005 Date of last inspection Brief Description of the Service: 2 Conroy Close is a care home providing personal and social care and accommodation for six people with learning and physical disabilities, some of whom are over the age of 65 years. The premises are owned by a housing association and Mencap provides the care. The house is a single storey bungalow situated close to local amenities. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2.5 hours. The focus was on a number of key standards together with those subject to requirements and recommendations made at the previous inspection. The inspector looked around some of the building and a number of records were inspected. Due to communication difficulties only one service user was spoken to in private. Discussions were held with one member of staff and the manager of the home. What the service does well: 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. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 6 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 Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 7 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 Service user needs are regularly assessed to make sure that the service can continue to meet their needs. EVIDENCE: There haven’t been any recent admissions to the home requiring a full pre admission assessment. Three service users files examined showed that the needs of people who use the service are regularly reviewed and that every effort is made to ensure that service users are involved in determining how their needs and aspirations will be met. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 8 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 Service users are well supported to make choices about all aspects of daily living. The risk of injury or harm whilst pursuing daily activities is minimised. EVIDENCE: Each service user has an individual plan of care, which reflects the needs and wishes of the individual and details the services to be provided by the home to achieve this. The plan details health, social and personal care needs. Regular reviews ensure that the plan develops as the service users life and circumstances change. The home operates a key worker scheme and the key worker works closely with the service user using their understanding of the persons needs to produce a plan that helps individuals to achieve their goals. Staff aim to promote service users independence in a safe manner. Comprehensive risk assessments are completed and reviewed on a regular basis Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 9 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): 12,13,15,16 and 17 Service users enjoy a fulfilling lifestyle both in and outside of the home and links with the local and wider community promote social opportunities. EVIDENCE: Service users engage in arrange of activities that interest them. They make good use of local services and amenities. Shopping trips and other outings are arranged as well as visits to local pubs and cafes. Family and friends are encouraged to visit the service user at home. Daily routines are flexible and worked around people’s individual needs. Staff training includes the provider’s philosophy of care, which promotes the importance of respecting and protecting service users. Service users are involved in menu planning and the food shopping. Menus are based on the likes and dislikes of the group. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 10 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 The personal and healthcare needs of the service users are met. Service users have access to all specialist healthcare services. EVIDENCE: Staff aim to promote the independence of the service users. Service users preferences as to how they are supported are recorded within their individual care plan. Each service user has a GP and access to all the primary healthcare team. Hospital services are accessed as needed. Proper medication procedures are in place for the safe administration, recording, storage and return of unused medicines. The community pharmacist visits annually to check that the systems in place remain satisfactory. Staff receive training in this aspect of their work. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 11 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 Robust procedures and staff training ensure that complaints are dealt with properly and that service users are protected from abuse. EVIDENCE: There is a clear user- friendly complaints procedure, which can be made available on audiotape. The copy of the procedure given to service users is in a format that suits their communication needs. There have been no complaints reported. There is an adult protection procedure and staff are trained in abuse awareness. Discussions with one member of staff confirmed that she knew to report any allegations or suspicions of abuse to the manager. In order to minimise the risk of financial abuse, sound accounting and recording systems are in place for all financial transactions completed on behalf of service users. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 12 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 Service users live in a clean comfortable home that is designed and arranged in a way that meets their individual needs. EVIDENCE: The house is furnished and decorated like any ordinary domestic household. It is clean warm and comfortable. Bedrooms reflect service users individual style and wishes and provide sufficient space to house their belongings. All bedrooms, bathrooms and toilets are fitted with door locks to ensure privacy. The premises are owned by a housing association, which has a planned maintenance programme. On the day of this visit the outside of the house was being painted and some indoor redecoration and refurbishment has been completed. Work required to improve fire safety following a fire service inspection has been done. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 13 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): 33,34 and 35 Service users benefit from a well informed and appropriately trained work force. EVIDENCE: There is a stable staff team, no recruitment has been needed in the last four years. Staff files examined showed that the recruitment process is rigorous enough to ensure that unsuitable people are not employed. All staff are recruited subject to a probationary period and have to complete induction and foundation training. Training needs are identified and a training programme developed. Of the ten staff employed three have completed National Vocational Qualification level 3,three have completed NVQ level 2 and one is doing NVQ level 2. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 14 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 Service users best interests are met through competent management. . Service users are protected from harm through sound health and safety procedures and staff training. EVIDENCE: The registered manager has an NVQ level4 qualification in management and has started on the additional units that have to be completed to satisfy the care component of The Registered Managers Award. There is an annual internal audit of the home completed by two Mencap managers from which an action plan is developed. Due to communication difficulties service users are unable to complete satisfaction surveys. Discussed with the manager that the quality assurance process would benefit from external viewpoints. A range of people who have contact with the home could be surveyed to canvass their views about service delivery. The Health and safety of service users is protected through comprehensive risk assessments, regular safety checks in the home, written procedures and staff training. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Conroy Close (2) Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x DS0000007947.V253907.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 39 Good Practice Recommendations The quality assurance process should canvass views from a wider group of people. Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Conroy Close (2) DS0000007947.V253907.R01.S.doc Version 5.0 Page 18 - 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!