CARE HOME ADULTS 18-65
Constance Way 2 Constance Way Leicester Place Leeds West Yorkshire LS7 1HX Lead Inspector
Stevie Allerton Unannounced Inspection 10th January 2006 2:30 Constance Way DS0000001439.V275340.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 Constance Way DS0000001439.V275340.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. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Constance Way Address 2 Constance Way Leicester Place Leeds West Yorkshire LS7 1HX 0113 2457991 (0113) 2457993 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) SIGN Miss Susan Gill Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Mental disorder, excluding of places learning disability or dementia (6), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Sensory impairment (6), Sensory Impairment over 65 years of age (6) Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: 2 Constance Way provides care and support in individual purpose-built flats for six profoundly deaf people, who have additional needs due to some learning disability or mental health problems. The service is managed by SIGN, a national charity specialising in this area of care, whilst the building is owned and maintained by a housing association. The service is situated in a mixed residential/business area close to the universities in Leeds and within walking distance of key facilities, such as the centre for deaf people. The two storey building stands within a development of mixed housing and there is nothing from the exterior that identifies it as anything other than a complex of flats. However, internally the accommodation has been designed around the needs of deaf people and is fully equipped for this purpose. One of the ground floor flats is also equipped to accommodate a wheelchair user, although no-one with this type of disability currently lives there. This is a highly specialised service for culturally deaf people. The language of the house is British Sign Language (BSL). Service users are expected to use this form of communication, as are all of the staff team, the majority of whom are deaf themselves. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out without prior announcement and took place over one afternoon. This was the second of two inspections scheduled to take place during the year ending 31st March 2006. The purpose of this inspection was to examine the key National Minimum Standards that had not been inspected at the last visit, and to establish how well the home was continuing to maintain the levels of service user satisfaction expressed during previous visits. A British Sign Language Interpreter, Karen Seabrook, accompanied the inspector, to aid communication with deaf service users and staff. The service users at this project are known as “tenants” and will be referred to as such during this report. What the service does well: What has improved since the last inspection?
There had been no requirements or recommendations to improve practice from the last inspection. Staff have continued to work with people living in neighbouring houses, to try to resolve some issues about excessive noise caused by one of the tenants. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 6 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. Constance Way DS0000001439.V275340.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 Constance Way DS0000001439.V275340.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): None of this group of standards was looked at on this visit. EVIDENCE: Constance Way DS0000001439.V275340.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): None of this group of standards was looked at on this visit. EVIDENCE: Constance Way DS0000001439.V275340.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): 17 Staff provide tenants with good support to promote a varied and healthy diet, whilst respecting the tenants’ choice not to follow this advice. Some examples of good practice were seen in the format of the written support plans. EVIDENCE: The home does not provide meals as part of the care and support package, but offers tenants support and advice at whatever level they need to achieve this for themselves. It could be seen from the written support plans that there are very varied levels of staff input, based on assessment and continuous review as tenants’ abilities and confidence increase. The two tenants that were asked about food both described how staff supported them; one said that, when he had first come to live at the service, he had no skills and staff had to help him with everything, but now he was more confident he only asked for help occasionally, mainly to understand instructions on packets. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 11 Some tenants are fully self-sufficient, planning their own menus and shopping list, perhaps asking staff to check them, then shopping and cooking for themselves. Two have pooled their resources, sharing costs, etc. One tenant has full support with meal planning and shopping and it could be seen from the detailed support plan in place that staff try to encourage healthy choices, reducing sugar intake, for example. There was a written agreement to the support plan regarding “rationing” of sweets, signed by the tenant and the key worker. Some of the service users (and staff) have raised concerns about weight control, so there is a current weekly weigh-in for those concerned. The support workers are trying to work with tenants to promote healthy eating and reduce their reliance on takeaway meals. Constance Way DS0000001439.V275340.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): None of this group of standards was looked at on this visit. EVIDENCE: Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 13 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): 23 There are robust systems in place to protect tenants from possible abuse. Staff are well trained and show awareness of wider issues in adult protection. EVIDENCE: The home’s Adult Protection policy was readily available for staff to access and was quite easy to read and understand. It makes reference to the home having a copy of the local Adult Protection Procedures for each of the authorities that places clients in the service. The relevant ones were present in the file. There is a log for recording serious incidents, including allegations of abuse, which details all phone calls and contacts with the relevant authorities. Staff have had recent training in Adult Abuse, amongst other related courses run by Leeds Social Services, including Self Harm and Mental Health and the Law. In discussion with the Manager she felt that the staff team had a good level of awareness of wider issues, such as the potential for power and exploitation issues between tenants. In discussion with a tenant, he said he felt confident to tell someone if he witnessed abuse or experienced something that caused him concern; he was clear about what he thought was unacceptable behaviour. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 14 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): None of this group of standards was looked at on this visit. EVIDENCE: Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 15 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): None of this group of standards was looked at on this visit. EVIDENCE: Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 16 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): 41 The home’s policies, procedures and standard of record keeping ensure that tenants are safeguarded. EVIDENCE: A sample of records and written policies were looked at during the inspection, including: • Tenants’ support plans • Adult Protection policy • Staff training records These were readily available and easy to read and understand, providing information about the standards of support offered to tenants. Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 17 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 X 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 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X 3 X X Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 18 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 Constance Way DS0000001439.V275340.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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