Inspection on 12/01/06 for Cranmer Scheme

This inspection was carried out on 12th January 2006.

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

Cranmer Scheme 20/06/07

Cranmer Scheme 03/08/05

Cranmer Scheme 18/11/04

Cranmer Scheme 11/05/04

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 Cranmer Scheme Lynda Cohen House 1 Cranmer Road Leeds West Yorkshire LS17 5PX Lead Inspector Sue Dunn Unannounced Inspection 12th January 2006 10:00 Cranmer Scheme DS0000001476.V276481.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 Cranmer Scheme DS0000001476.V276481.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. Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cranmer Scheme Address Lynda Cohen House 1 Cranmer Road Leeds West Yorkshire LS17 5PX 0113 237 1052 0113 2687470 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) Leeds Jewish Welfare Board Mr Keith Robinson Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (16) of places Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd August 2005 Brief Description of the Service: The Cranmer Scheme is part of the Leeds Jewish Welfare boards Rainbow Project. It incorporates two houses, domestic in style, each with a small garden. Both houses are purpose built to provide a residential setting for Jewish people with a learning disability. The houses are situated on either side of a narrow access road into a housing estate. They are within easy travelling distance for the wider Jewish community and the city centre. Eight people are accommodated in each house. Both houses have ground floor accommodation suitable for people with mobility problems. Lynda Cohen House has lift access to the first floor. The scheme operates in accordance with Jewish Cultural requirements. The service aims to provide residents with opportunities to participate in activities of normal daily living inside the home and in the wider community. The manager and staff perform this task to a high standard. Admission to the home is subject to the homes ability to meet an individuals assessed needs and follows a process of introduction and consultation with prospective and existing residents. Twenty four hour staff cover is provided, with a member of staff sleeping on the premises in each of the houses at night. The home has a comprehensive induction training for all staff leading on to the NVQ award programme. The inspector was informed that the people who live in the house prefer to be called residents and this term has been used for the purpose of the report. Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on an unannounced inspection carried out by one inspector between 10am and 12.45pm. The inspector visited both houses, spoke with the manager and two care workers in each house and briefly with four residents. All the documentation in preparation for a person due to be admitted to the home was examined. What the service does well: What has improved since the last inspection? The home’s pre admission assessment pro forma has been redesigned to cover the full range of needs of anyone considering moving into the home so that arrangements can be made for their needs to be met. The assessments requested from other professionals were thorough. Cranmer Scheme DS0000001476.V276481.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. Cranmer Scheme DS0000001476.V276481.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 Cranmer Scheme DS0000001476.V276481.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): 2,3,4 The admission process is good, includes a thorough assessment and introductory visits to which plan to meet the needs of each person on their admission. EVIDENCE: The social work ‘Easy care’ assessment was of a good standard and the home’s pre admission assessment for a person wanting to move into the home was thorough. It was clear that the prospective service user had been involved in the process. The documentation was in the form of tick boxes backed up by relevant comments. As the admission process has been prolonged due to the length of time it has taken for approval for funding the manager had asked for an updated summary of needs from the previous placement. This had been done in a way which focussed on the positive abilities and identified where assistance would be required. The prospective service user has been visiting the home regularly during the waiting period. Cranmer Scheme DS0000001476.V276481.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): 7 Staff are aware of the residents’ needs and there is good communication amongst the staff group. Residents are valued and supported to make decisions about their own lives. EVIDENCE: The majority of service users were out for part or all of the day depending on their choices. One person who was feeling unwell had stayed at home and two others returned for lunch having spent the morning at the community centre. Although part of the group, residents are assisted to conduct their lives independently of each other. Cranmer Scheme DS0000001476.V276481.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): 11,12,13,17 Residents are encouraged to be part of the decision making process and make choices about their lifestyle. The social and recreation programme is varied according to age and individual preferences and interests. EVIDENCE: A member of staff discussed the whereabouts of the residents on the day of the inspection. One left for the community centre and another for a clinic appointment followed by computer class shortly after the inspector’s arrival. Other activities included, T.A.C.T, an inclusive learning class, music class, shopping and several different training centres. Several residents had been to the pantomime in Bradford the previous night and had a range of other evening social commitments each week. One member of staff in each house has the task of researching and coordinating social activities. The operations manager confirmed that some residents have a cooked breakfast each morning. Lunch was a substantial snack lunch with fresh orange juice. Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 11 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): 18,19,21 The home is able to meet the health and personal care needs of service users. Staff are aware of the residents’ needs and there is good communication amongst the staff group who monitor and identify any changing health care needs. Residents are treated with respect and their dignity and privacy is maintained at all times. EVIDENCE: It was apparent that staff were aware of the health care needs of each of the residents and made satisfactory arrangements for staffing and transport to ensure peoples’ needs were accommodated. One person leaves home later than others as the district nurse visits in the morning. Another who is getting older and has difficulty making an early start was also taken to the centre later. A member of staff accompanied a resident for a routine clinic appointment. Staff are able to identify their training needs as residents care needs change. The staff have had dementia training and are to have training to increase their knowledge of Multiple Sclerosis. Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 12 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): Not inspected EVIDENCE: Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 13 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): 24,28,29,30 The home offers a clean, ‘homely’ environment for the residents. Staff ensure people are assessed for the specialist equipment required to maintain their quality of life and continuing care. Systems are in place for the safety and maintenance of the building. The communal room in one of the houses is still being used as office space for the organisation. This situation, which was only agreed as a temporary arrangement during building work, must be resolved. EVIDENCE: The atmosphere on entering the two houses gives the feeling that the homes are clean warm and comfortable. Observation of staff practices indicate that staff respect the residents’ home and pay attention to the details which keep the environment looking well cared for. Occupational therapy assessments are undertaken to ensure that individuals receive the correct equipment to aid their independence and allow their care need to be met with dignity. Some equipment is being provided due to the generosity of people in the local Jewish community. It was agreed that the conservatory in Lynda Cohen House, which was used as a sensory and relaxation area for the residents, could be used temporarily as Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 14 office space for the operations manager and outreach worker whilst the new community centre was under construction. It was agreed on the basis that it could be accessed without anyone having to walk through the residents house. The centre has been now been completed but lacks space to accommodate them. The organisation must look at alternative arrangements which do not encroach on communal space in what is the residents’ home. Cranmer Scheme DS0000001476.V276481.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): 32,33,35,36 The staff training and supervision programme aims to ensure staff are trained to be able to understand and meet the needs of the service users. The organisation should make it a condition of service that all new staff who are employed agree to undertake any training required. EVIDENCE: The staff training records were inspected but did not give a complete picture of what the manager and staff said they had done. For example, it appeared from the records that some staff needed fire training updates but the manager said everyone had received this training over three separate dates. A member of staff said she had a two week induction training when she joined the organisation. Staff said supervision takes place 4-6 weekly at which time the progress of care plans is checked and discussed with the manager. Training needs identified during supervision are acted upon. The home has an NVQ programme and one person was able to describe the way staff who were on the programme had developed and improved their practice. Time is rota’d into the working week during each month for staff to work towards the award. It was of concern to find that despite the support of the home one person did not see the need for professional development and was not prepared to do NVQ. Cranmer Scheme DS0000001476.V276481.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): 37,38,41,42 The manager has the skills and knowledge to provide effective leadership. Staff are well motivated, residents are consulted and their interests are safeguarded at all times. EVIDENCE: The manager who has had long experience in the management of the home has achieved the NVQ4 award in Management and care. He is well supported by the scheme operations manager. The staff confirmed that there are regular staff meetings. Everyone is expected to read the minutes to keep up to date with the topics discussed and make a contribution to the development of the service for the benefit the residents. Records are securely kept but the manager should ensure that the training records are a true reflection of the training staff have received. A pro forma is used each month to check all aspects of health and safety in the home Cranmer Scheme DS0000001476.V276481.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 4 3 4 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 2 29 4 30 4 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 x x x LIFESTYLES Standard No Score 11 3 12 4 13 3 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x 3 3 3 x x 3 3 x Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 18 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. 2. Refer to Standard OP6 OP34 Good Practice Recommendations Staff should avoid the use of generalised terms when recording in the daily log. Daily records should provide continuity of information The wording of the staff application form should be reviewed to ensure candidates provide a full employment history Cranmer Scheme DS0000001476.V276481.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 © 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 Cranmer Scheme DS0000001476.V276481.R01.S.doc Version 5.1 Page 20 - 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!