Inspection on 12/07/05 for Daleholme

This inspection was carried out on 12th July 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

Daleholme 15/08/07

Daleholme 23/08/06

Daleholme 09/01/06

Daleholme 16/11/04

Daleholme 15/06/04

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 Daleholme Station Road Settle North Yorkshire BD24 9AA Lead Inspector Maggie Coxon Unannounced 12 July 2005 4:00 pm 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. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Daleholme Address Station Road Settle North Yorkshire BD24 9AA 01729 825769 01729 825769 sean-martin@tiscali.co.uk St Annes Community Services 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 Sean Martin Care Home 5 Category(ies) of Learning disability (5) registration, with number Learning disability over 65 years of age (1) of places Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 Service Users with Learning Disabilities some or all of whom may also have Physical Disabilities 2. Persons in the category of LD(E) are restricted to current service users who reach that age whose needs can still be met within this service. Date of last inspection 16/11/04 Brief Description of the Service: Daleholme is a care home registered by St. Annes Community Services to provide personal care and accommodation for up to five adults with learning disabilities some or all of whom may have physical disabilities. The home consists of a purpose built, detached bungalow situated on a busy road on the outskirts of the market town of Settle. The town is within easy walking distance of the home and has numerous and varied facilities including shops, cafes, churches and pubs. All five bedrooms are for single accomodation, one of which has en-suite facilities. Shared areas consist of a kitchen, a dining room/lounge and a conservatory. The home has a garden area to the side and rear of the premises with an area of hardstanding for parking to the front. There is level access to the home. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 12th July 2005, at a time when all of the people living in the home would be present. It took 2 hours plus 1 hour’s preparation time. Discussions were held with the five people living in the home, with a relative of one of the residents, with a visiting community nurse and with care staff on duty who assisted with the inspection in the absence of the registered manager. A number of records and most areas of the home, including bedrooms and shared areas, were seen. What the service does well: What has improved since the last inspection? What they could do better: Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 6 The home could provide staff with more support to complete their NVQ training. The registered manager could complete his management qualification. The home could ask more people in the community who have links with the home what they think about the services provided to residents of the home. These views could then be used to improve the quality of services. 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. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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) 1,2,3 and 4. Well-detailed information about the home is made available to any prospective residents and/or others involved in arranging a placement within the home enabling them to make an informed choice. EVIDENCE: A well-detailed statement of purpose and service user guide have been produced. These provide a lot of information concerning services and facilities provided within the home to prospective and current residents and anyone else involved in arranging a placement within the home. The acting manager and staff had undertaken a robust assessment of the needs of the resident who had recently moved into the home having met with this individual and their family on several occasions. The resident’s mother explained that she and her family had visited the home to look around it and to meet the staff team. A well-structured introductory programme had been followed and the resident had visited the home on a number of occasions before moving in for a trial stay. The views of the other residents had been considered before the placement was offered. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 and 9. People living in the home make as many decisions about their personal lives and about the day-to-day running of the home as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Every resident has a well-detailed individual life plan that clearly describes his strengths and needs and informs how these needs are to be met. All of the residents have active lives with the support from the staff team as and when needed. They make as many decisions and choices for themselves as possible and are as involved in the running of the home as they want to be and are able to be. Examples of this were seen during the inspection. Staff talk to residents about any potential risks as these arise and the individual is supported to make a choice taking this information into account and looking at means of minimising any risk. These risk assessments are then recorded and included within the individual’s care plan so that all those involved can be fully aware of any issues and how these are to be managed. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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) 12,13,14,15,16 and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. They enjoy a wide choice of home cooked, good quality food. EVIDENCE: Residents have a weekly programme of activities arranged on an individual basis with the local APS scheme who staff support the individuals to access a variety of community based facilities. One of them was attending the Yorkshire Show and when he got home, said that he had enjoyed this very much. The staff team is keen to identify new activities that the residents might enjoy and all the residents enjoy lots of outings and events within their local community and beyond supported by them. They can choose from a number of activities and outings organized on a daily basis and are as involved in the running of the home as much as possible. Those who wish to, have a holiday each year organized by staff in consultation with them. One of them was on holiday with their family at the time of the inspection. Support was being provided by two of the residential care officers. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 11 Residents were seen to be generally enjoying a very relaxed lifestyle in the home. The mother of the resident who had recently moved in was visiting him and said that she is able to visit at any time and is made welcome when she does so. She also said that staff have been very supportive to her and keep in close contact with her, letting her know how her son’s placement is progressing. Residents are fully consulted about menus and are as involved as they can be in their planning. Staff were seen to prepare a nutritious and tasty evening meal for the residents. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 and 20. Residents’ personal and health care needs are fully met. EVIDENCE: All of the people living in the home are registered with a local GP through whom specialist health services are accessed as and when needed. A health care professional visited residents during the inspection and said that the registered manager and staff team work very professionally with her team and contact them promptly should a resident or the staff team need their support. She said that the staff team are very forward thinking and are committed to putting the needs of the residents first at all times. Staff were seen to communicate very well with residents and to support them with their personal care needs in a way that respected the individual’s dignity. None of the residents is able to take their own medication. There is a monitored dosage system in operation, which is securely stored. Medication administration records are well maintained and all staff have received some medication training that is to be expanded on in future months. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: There is a comprehensive complaints procedure in operation that is available in various formats and is made available to anyone who wishes to see it. Whilst some of the residents might use the formal procedure, others might not. All residents however, can make any dissatisfaction known to staff, who attempt to address this promptly and appropriately. Staff have developed very good relationships with the residents and were seen to communicate extremely well with them. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 and 30. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is well maintained and pleasantly decorated and furnished throughout. All five bedrooms are for single accommodation and are of a suitable size. They are all very pleasantly decorated and furnished in line with the taste of the individual. The resident who has recently moved into the home explained that he had chosen the colour scheme for his bedroom, which had been redecorated and refurnished before he had moved in. All bedrooms are furnished how the resident concerned chooses. One of the bedrooms has en suite facilities; shared bathrooms are appropriately situated in relation to the other bedrooms. Appropriate aids and adaptations, including ceiling tracking, are fitted in various areas of the home and there is level access to the home. A good standard of cleanliness is maintained throughout. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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) 32,33,34 and 35. The residents receive a good standard of care from a highly skilled and motivated staff team. EVIDENCE: Appropriate recruitment procedures are being followed thereby safeguarding the wellbeing of residents. Care staff said that some of them have made progress towards achieving NVQs in care to level 2 or above although none of them as yet has completed their awards. They explained that working extra hours to cover current staff shortages and attending other training has left them with less time than they would have liked to study for their NVQ awards. Two recently appointed residential care officers however have completed the induction, foundation and LDAF training. Staff have undertaken training in recent months on a number of topics including empowering individuals, promoting equality, diversity and rights along with refresher training on core topics. One of the residential care officers explained that there is a current staff shortage of 67 hours. Any job vacancies are being recruited to and the staff Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 16 team are working a lot of additional hours to cover the shortfall. The staffing roster for the week including the inspection shows that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of people living in the home are met at all times. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The current registered manager who has been temporarily absent from the home is due to return to work in the near future. During this time the registered manager from a sister home has been providing management support to the staff team. It has previously been noted that the registered manager was undertaking the registered managers award after which he was to complete an NVQ in care to level 4. It was not possible to ascertain if this had been completed due to his curent absence from the home. St Annes Community Services has a quality assurance and monitoring system in place that includes regular unannounced visits by the service manager to check on quality issues. It has previously been recommended that this system Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 18 be further developed to include ascertaining the views of people who have contact with the home. It is understood that St Annes Community Services are currently looking at quality assurance and monitoring systems available. Following a requirement made in the last inspection report all staff had since then undertaken manual handling training. No other health and safety records were looked at; this will be done at the next inspection. No issues of concern however were evident. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x 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 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Daleholme Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x 3 x J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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 None. 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. 3. Refer to Standard 32 37 39 Good Practice Recommendations A minimum of 50 of care staff should be qualified to NVQ level 2 or above. The Registered Manager should complete an appropriate management qualification. The views of families, friends, advocates and other people involved with the home, in respect of the quality of services, should be ascertained and incorporated into the quality assurance system currently in operation. Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross 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 Daleholme J04 J53 Daleholme S7872 V234632 120705 Stage 4.doc Version 1.30 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. 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