Inspection on 03/08/05 for Cranmer Scheme

This inspection was carried out on 3rd August 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

Cranmer Scheme 20/06/07

Cranmer Scheme 12/01/06

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 Announced 3 August 2005, 9:30am 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 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 Stationary 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 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 lynda@cohenhouse.fsnet.co.uk Leeds Jewish Welfare Board Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr 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 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18/11/04 Brief Description of the Service: The Cranmer Scheme is part of the Leeds Jewish Welfare board’s ‘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 also has lift access to the first floor and a sensory activities room. The scheme is managed by Mr Keith Robinson, supported by a deputy manager, and 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 home’s ability to meet an individual’s 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 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on an announced inspection undertaken by one inspector. The inspection took place over a period of approximately 6 hours. Comment cards were sent to the home prior to the inspection inviting residents or their relatives to express their views about the service. Some of the judgements made during the inspection are based on information provided by the manager in a pre inspection questionnaire. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. The inspector spoke to residents in both houses, care workers and the manager. Records inspected, included a random selection of resident’s care files and daily progress reports, Accident/incident records, staff recruitment and training files, and service records. Staff and residents were very positive about life in the home and the quality of care. What the service does well: The pre admission planning for the person recently admitted to the home had been thorough and at a pace suited to the needs of the prospective resident. The staff in the home provide a level of care which is ‘tailor made’ to suit the needs of each person. Residents are consulted and activity programmes are centred around each personality and range of interests and abilities. People are valued and have been seen to gain confidence as they are encouraged to express views which are listened to. The staff try to ensure that residents understand the balance of rights and responsibility and intervene appropriately if disputes occur. The home provides a secure and homely environment for people who wish to live a Jewish lifestyle. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 2,3,4 The information pack for residents and their families describes the service and facilities in a way which enables them to make an informed choice about the home. The admission process is good and includes introductory visits. Residents are given as long as necessary to get to know the home and the people they will be living with. EVIDENCE: The pre admission assessment documentation for the most recently admitted resident was inspected. A new pro forma had been used which provided a prompt for all the areas of relevant information and a section for comments stating what resources the home would provide. The person completing the form had not included any past life history but a report of a planning meeting dated two days later gave good background history and clear evidence of forward planning prior to admission. It would have been helpful if the uncompleted area of the form had referred the reader to the documents where the information could be found. The outcomes of all pre admission visits to the home were well documented. The admission process took place at a steady pace during the period of February to August Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 6,7,8,9,10 The staff in the two houses give person centred care based on the needs and aspirations of each individual. The inspector has seen people living in the houses gain confidence and a level of independence which suits their personalities and abilities. EVIDENCE: The care file of the new resident contained a good list of his preferred routines and food preferences. Key areas of risk had been noted and a written action plan introduced to minimise any identified risks. This was based on the resident’s strengths and level of independence. It was clearly recorded how the resident communicated his needs. The daily log needed some further work to avoid terms such as ‘all needs met’ and to ensure continuity and relevance of information from one day to the next. A care worker had recorded ‘urine sample could not be obtained’ but there was no preceding information to indicate why this was required. The level of independence varies between the two houses. One person has a front door key and is able to remind staff who is working which shift and when various people have appointments. Residents are aware of their care files and know they are safely stored. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 11,12,13,14,15,16,17 Residents are participate in social and leisure activities, maintain links with their friends and families and to are encouraged to exercise choice and control over their lives. Residents in both houses lead active and fulfilling lives. EVIDENCE: An activity programme had been agreed with the new resident and his family to introduce him to the routines of the house and facilities in the wider community. Other residents described their day to day activities, holidays and health care appointments. Three people returned home after lunch at the community centre and were relaxing in the lounge. Other residents arrived home later in the afternoon and talked to the inspector. Activities and outings are very much based on individual interests and choice. One person is an Al Jolson fan and had been to a concert in Newcastle, another had been to Scarborough for an overnight stay. Others were talking about whether or not to go to the pub that evening. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 11 Some people have made friendships within the group but inevitably disagreements occur from time to time. There was evidence to show that staff help people to recognise the impact of their own actions on others and reach an amicable solution. All residents take an active part in decisions about the menu and preparation of meals depending on their ability. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 18,19,20 The home is able to meet the health and personal care needs of service users in accordance with each person’s preferences. Health care needs are monitored and identified. EVIDENCE: The two houses accommodate people of mixed ages, abilities and health care needs. Conversation with several residents confirmed that their health care needs were met and managed as required. One person had returned from a hospital appointment accompanied by a member of staff. Preferences for health and personal care were recorded in the care files. One person has had several outstanding medical problems dealt with since moving into the home, which has improved her quality of life. There is a system for monitoring peoples’ health and well-being month by month so any problems are picked up quickly. Residents have been given support to manage their own medication, where this has been considered appropriate, but all have chosen not to do so. The home has handled the illness, ageing and death of residents in a caring and compassionate way and in accordance with the Jewish way of life. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 22,23 Residents are protected and feel safe living in the home. Residents are aware of the complaints procedure and how to use it. EVIDENCE: It was apparent from observing conversations within the group of residents that all are able, and do express their views, feelings and opinions freely. The complaints records and incident log showed that staff deal with any complaints or disagreements in an appropriate way. Staff are aware of the need to protect vulnerable adults. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 standard(s) 24,25,26,27,28,29,30 The two domestic style dwellings are furnished and equipped to give residents the maximum opportunity to lead a lifestyle suited to their needs. EVIDENCE: A brief tour of both houses showed them to be cleaned and maintained to a high standard without losing the sense that they are comfortable places in which to live. Lounges and dining kitchens were spacious and well furnished. One person was very pleased with her bedroom and new television and said she was able to use her room when she wanted to watch programmes of her own choice. Tracking hoists and other equipment is provided for those people who need additional support with personal care and to maintain independence. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 The home’s thorough recruitment and selection process ensures residents are protected. The training programme provides staff with the knowledge and skills to meet residents needs and has resulted in a confident and competent staff team. EVIDENCE: The home has a good system of recruitment and selection based on a panel of three with evidence showing how decisions regarding the suitability of candidates have been made. It is recommended that the application form be reviewed as it did not give enough information to check a full employment history. This could be due to the way the form is worded. A recently appointed care worker confirmed she was supernumery whilst doing the home’s induction training. A care worker stated she worked in all the houses and felt staff worked well together. She confirmed that care workers write monthly progress reports related to each persons care plan and will draw on the views and opinions of colleagues. Communication between shifts is based on a communication diary. This was examined and did not contain any information of a personal or confidential Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 16 nature. Staff get a verbal overview from the previous shift and ask questions for clarity. A task list has been introduced for each shift. All staff receive the LDAF training which is specific to staff working with people with Learning Disabilities and all have had training to understand autism in order to be able to understand needs of one of the residents. The home was making good progress with the NVQ award but staff turnover has left only one person who has completed the award. Seven more were working towards NVQ at the time of the inspection Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42,43 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 has been in his present role since the home opened and has recently completed the management award. He is supported by the project manager who takes an active interest in lives of people in the home Staff are all involved in day to day activities and events and are encouraged to express their views and use their initiative. Residents are kept informed and consulted about all matters which affect their lives. It was apparent that some residents were very knowlegible about what was happening and able to remind staff and each other about forthcoming events. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 18 Health and Safety check records were up to date and provided evidence of a regular routine maintenance programme. One member of staff has the role of Health and Safety officer and has recently downloaded information from the internet for the information of the staff team. Cranmer Scheme 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 19 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 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 4 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cranmer Scheme Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 3 3 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 20 no 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. 1. 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 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 21 Commission for Social Care Inspection Aire House Town Street 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 20050805 Cranmer Scheme AN Stage 4 S1476 V204683 J52.doc Version 1.40 Page 22 - 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!