Inspection on 28/06/07 for Daniel Yorath House

This inspection was carried out on 28th June 2007.

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

Daniel Yorath House 14/02/06

Daniel Yorath House 20/10/05

Daniel Yorath House 18/02/05

Daniel Yorath House 24/08/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Daniel Yorath House 1 Shaw Close Garforth Leeds West Yorkshire LS25 2HA Lead Inspector Stevie Allerton Key Unannounced Inspection 28th June 2007 11:15 Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 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 Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 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. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daniel Yorath House Address 1 Shaw Close Garforth Leeds West Yorkshire LS25 2HA 0113 287 3871 0113 287 3278 dyh@birt.co.uk 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) The Brain Injury Rehabilitation Trust Mrs Ann Buckler Care Home 20 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (20) of places Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Shaw Close 20 Service Users - No more than two service users aged 16 or 17 years of age 14/02/06 Date of last inspection Brief Description of the Service: Daniel Yorath House is situated in a quiet cul-de-sac in the village of Garforth. Its position allows easy access to local amenities and services. Accommodation is provided on two floors assisted by the provision of an internal lift. The home has an extensive rear garden and a small garden to the front. There are ample parking facilities to the front and side of the building as well as the availability of on road parking. Established in 1992 the unit provides a specialist rehabilitation service to people with acquired brain injury. Their aim is to help and support individuals to be able to live in the community as they did before. A complete psychological and rehabilitation support care package is provided to the people using the service, and to their relatives if needed. The multidisciplinary team within the home is made up of professional medical and healthcare workers who can best assist the needs of the people who use the service. The Registered Manager, Ann Buckler, is currently on secondment to a new project being commissioned. The Assistant Manager, Sandra Hughes, has been designated Acting Manager in her absence. Current care fees are £1908 per week. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over the course of a day, from late morning until early evening. It was done without any prior notification. The Acting Manager and Assistant Manager were both on duty and assisted throughout the inspection. Prior to the visit, a review of information about the service was carried out. The Manager had supplied statistical information in a questionnaire in January 2007, and had also regularly provided information regarding any accidents or untoward incidents occurring to the people who use the service (the “clients”). Surveys were sent out to health and social care professionals who have contact with the unit, though none were returned. A comment card left at the unit following the last inspection was used by a client to tell CSCI her feelings about the service: “ I think that this unit is great, as I have made such a big improvement since I came in here”. Some of the newer easy-read survey forms were left with the staff, to use with the clients as appropriate. During this visit, information was gathered through discussion with the Manager and other staff, looking at care plans and talking with people who live in the unit, a process called “case tracking”. Records were looked at, and parts of the building were seen, accompanied by one of the clients. Apart from one person who has become a long-term resident, people usually stay for six to nine months; hence the preferred term of “client”, reflecting the unit’s philosophy of progressive rehabilitation work rather than the traditional residential care home model. What the service does well: Written information about the unit is presented in a format that is easy to read. This can also be produced in other languages, or onto audio tape for people who have difficulty with their eyesight. People are assessed thoroughly, to make sure their needs can be met within the unit, then reassessed and reviewed at regular intervals throughout their stay. People are fully involved in agreeing and drawing up their own rehabilitation contract and support plan. There is a good balance being achieved between promoting individuals’ rights and protecting those who may be vulnerable. People are supported to make their own decisions and to take responsible risks. They are also encouraged to be part of the running of the home, to attend meetings and voice their opinions, or to become a Clients’ Representative. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 6 The unit is good at providing structure and consistency, so that people can acquire or re-learn the skills they need to live more independently, even to the extent of having time built in for no structured activity to take place, to assess how the individual plans their time. There are opportunities to practice independent living in the bungalow next door to the unit. People say they feel well supported and some were able to identify the improvements in their own health, well-being and abilities since living there. The complaints procedure is very clear and accessible and the clients spoken to said that they knew what to do if they had a concern and had confidence that staff would listen. Written information for clients on how to protect themselves from possible abuse is well presented and easy to understand. The maintenance man also acts as the fire warden and not only trains staff but also gives tutorials to clients regarding fire safety, repeated as regularly as needed to accommodate people with memory problems. Training is comprehensive for all levels of staff; the organisation recognises the value of a well trained team and supports staff to attend external courses as well as in-house training. There are good relationships in evidence between clients and the staff who support them. The unit is well managed, with the best interests of the clients at heart. People are encouraged to have their say in how the unit runs by a range of means: clients’ meetings, quality surveys and through the clients’ representative. What has improved since the last inspection? What they could do better: Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 7 Consideration should be given to ensuring that letters to clients are written in plain English, so that they can be more easily understood. 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. The summary of this inspection report can be made available in other formats on request. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 8 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 Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of information about the unit is presented in a range of formats, to include as many people as possible who might find accessing written information difficult. This means that people can make an informed choice about whether to stay for rehabilitation. The assessment process prior to admission and during the first 12 week period is very detailed and thorough, which ensures that people are receiving the correct service for them. EVIDENCE: Information was gathered through discussion with the Manager and other staff, looking at care plans and talking with people who live at the home. A copy of the Service User & Family Handbook was provided. This is written in plain English and supported by pictorial images to ease understanding. It states, and the Manager confirmed, that the handbook can be translated into other languages or onto audio tape. The latter has been done for people with visual difficulties. The unit’s Mission Statement and philosophy embraces equality of opportunity for each client, to reintegrate back into the community with appropriate social Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 10 skills. Every person staying in the unit has a file in their bedroom, containing their own personal copy of the handbook and signed contract. This was shown to the inspector by one of the clients. Assessment information was seen in all of the case files of the people who were case tracked. Rehabilitation and therapeutic needs are assessed by clinical practitioners employed in the unit. People sign up to a rehabilitation contract for 12 weeks, that has built-in assessment and review processes and which may then be extended in 3 month periods. People generally stay for 6 to 9 months, but one person is a long-term client. Because of the nature of the brain injuries that people have had, there may be restrictions on choice or freedom initially, which are discussed and agreed with the person during assessment. Funding for the first 12 weeks is through the Primary Care Trust (or Ministry of Defence in the case of members of the armed forces), then shared between the PCT and Social Services for the remainder of the time. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clients know that their assessed and changing needs and personal goals are reflected in their plan of care, and they are involved in drawing up their own plans. Staff provide people with a high level of information and support, so that they can make decisions about their own lives. A good balance is being achieved between promoting individuals’ rights and protecting people who may be vulnerable, so that people can take responsible risks safely. The opportunities to take part in the running of the unit, ensure that clients can have a say in what happens there. EVIDENCE: Case records were looked at in depth for four people, the findings crossreferenced with other records, discussion with the person where possible and general discussion with members of the staff team. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 12 People confirmed that they knew about their support plans and the process of assessment and review; one person said that he had had a recent review, which he had been able to be totally involved in and which was quite positive about his progress. Clients are risk assessed for many areas of their lives, following which, some activities and generally expected freedoms may be restricted for the person’s own safety. These instances were clearly recorded, agreed with the individual client and regularly reviewed. For one person case-tracked, whose family do not speak English well, a translator was arranged by the unit so that they could take a full part in their relative’s review meeting. People have support to make decisions, although their right to do so may be limited initially, particularly those who are on leave under a section of the Mental Health Act. Those who need help to manage their finances are able to make use of the unit’s ‘bank’. The daily records, seen in the Duty Room where staff have ready access to them, reflected the programme of activities each person takes part in each day, along with their general health and well-being. The programme of activities, including sessions with the clinical specialists, such as Speech & Language Therapist, Occupational Therapist or Psychologist, is not led by the individual, but has been agreed with them as part of their rehabilitation. A Behaviour Reward Programme was in place for one younger person; for example, tokens could be earned each day for not behaving in a particular way, to be ‘spent’ on a trip out at the end of the week. Unexplained absences by the clients are responded to and reported to CSCI as required. People are offered opportunities to participate in the daily running of the unit and to contribute to the general decision making about the place they live. The latest minutes from the Clients’ Meeting were provided, which demonstrated the involvement of the clients, including their elected representative. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a strong commitment to enabling clients to develop their skills including social, emotional, communication and independent living skills. Clients are supported to maintain appropriate personal, family and intimate relationships. They are encouraged and supported to join in with appropriate social, leisure, educational, work and day-to-day living activities. EVIDENCE: The daily menu is posted on the noticeboard. This informs clients of the meals that are planned for that day. Specialist diets can be catered for, including vegetarian and Halal foods. There is a small clients’ kitchen where people can learn to self cater, or make their own drinks. Clients said that the food was nice. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 14 An orientation meeting is held at 9:45 a.m. each day. This sets the day’s events for the clients and also gives the opportunity for staff to reinforce house rules such as the rules about smoking or lending money. Each weekday is structured for people and they have free time during the evenings and weekends. In the care plan of one client it could be seen that they could earn tokens for a trip out as part of a behaviour reward programme. One client explained his weekly programme and that he had things to practice to improve his speech and language. He said he was enjoying learning how to make meals but that he sometimes got bored. He was one of a small party going to the cinema that evening. Clients make use of the local shops and pubs, following assessment of their abilities to be able to carry these tasks out alone. People have the opportunity to live alone in the bungalow next door, usually for around eight weeks before they return home or to their own independent tenancy in the community. Some clients are able to undertake vocational placements in preparation for returning to the world of work. Friendships between clients are carefully monitored to ensure that no exploitation is taking place. Families are encouraged to take a full part in their relative’s care plan and home visits may be one of the goals that are being worked towards. A recent initiative is a family support group for relatives of people who have suffered brain injuries. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective systems are in place to ensure clients receive the proper personal and health care support for them. The units policies, procedures and guidance support and inform staff practice. This ensures that clients’ physical, emotional and healthcare needs are met. EVIDENCE: Clients receive a high level of personal and health care support, the clinical practitioners based in-house liaising with each other and with local GPs; for example, the visiting Consultant Psychiatrist can prescribe medication on the Clinical Psychologist’s recommendations and writes to the GP to follow treatment on. The unit does not provide nursing care, although the Head of Care is a qualified nurse. The Manager feels that this brings very useful skills and a good health overview to the team. The care records provided evidence of health-related input. Some clients have behaviour monitoring forms in place, which the staff complete; these are collated weekly by the Assistant Psychologist and put into Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 16 graph format, so that changes in behaviour can be seen. There are very detailed guidelines for staff for all aspects of support for clients, including support about personal relationships, vulnerability, and safe sex. Professionals at the unit have developed links with the local gym so that clients can attend there. Information about the unit is available on tape for people with visual impairment; there are already discussions about improving communication for people with hearing impairments. One of the senior staff was observed as they administered medication at teatime; they demonstrated good practice. There is a large room where the medication is stored, which is well-organised. There are safe systems in place, including the medication audit carried out every month. There are clear guidelines in place regarding the use of “as and when required” (PRN) medication. People say they feel well supported. A former service user said “I think that this unit is great, as I have made such a big improvement since I came in here, my family and myself can see that”. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Examples from the complaints records showed that there is an open and honest approach towards complaints by the management team. This ensures that clients feel confident about raising concerns. Staff receive training in the protection of vulnerable adults which means that they have good awareness around keeping people safe. EVIDENCE: The unit has a highly developed and very clear complaints procedure that highlights the importance of complaining. This is described in detail in the clients Handbook. Clients confirmed that they knew how to make a complaint and felt confident that their concerns would be listened to. Complaints records showed that this was the case. On the day of the site visit staff were undergoing training on the Protection of Vulnerable Adults. The green files in the clients’ bedrooms contain a copy of the “Say No to Abuse” booklet, in an easy to read format. Staff records showed that they had received a copy of the whistleblowing policy on commencing employment. Statutory notifications made to CSCI under regulation 37 show that the staff team have good awareness of issues of potential abuse. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clients live in a clean, tidy and well maintained unit, which is appropriate for the lifestyle and needs of the clients. The provision of a kitchen where clients can practise their cooking skills, is an important part of developing their independence. EVIDENCE: A full tour of the building was not carried out, but the communal areas, the clients’ kitchen and one of the bedrooms were seen. Aids and adaptations are in place to meet the assessed needs of the clients who live there. The bungalow has recently been refurbished, the bath removed and a level access shower put in. Everywhere is now wheelchair accessible. All of the areas seen on the day of the site visit were clean, comfortably furnished and kept to a good standard of repair. Clients confirmed that they help to keep the house clean and tidy. The maintenance man also acts as the Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 19 fire warden and not only trains staff but also gives tutorials to clients regarding fire safety, repeated as regularly as needed to accommodate people with memory problems. There is an up-to-date smoking policy that reflects the changes in the law from 1st July. The house is completely non-smoking with a designated area in the garden for those who do. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clients’ needs are met by a well-trained, qualified and competent staff team. Robust recruitment procedures support and protect clients. The varied age range, skill mix and background of members of the staff team demonstrates the unit’s approach to diversity. EVIDENCE: The staff team comprises a varied age range, background and skill mix. Staff recruitment follows good practice guidelines. There was evidence in the personnel files of application forms, written references and appropriate Criminal Records Bureau (CRB) checks. There was also evidence that clients are involved in the recruitment process, for example, potential recruits touring the building with the client representative. The Skills for Care Common Induction Standards are in place, along with mandatory training in fire, health and safety, first aid, etc. National Vocational Qualification (NVQ) training is in progress, with one in-house assessor and Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 21 some candidates undertaking level 2. Three of the senior management team are also undertaking the Registered Managers Award. One of the team seniors were spoken to about his role; theirs is a pivotal role which involves assigning tasks on each shift according to the individual plans of each client, and the staff resources available. There is a handover meeting every morning, from the team senior to the whole clinical team, with handover record sheets in use. Three residential support workers were spoken to or observed as they went about their work after tea; there was evidence of good attitude and approach to clients and a good rapport between them. Due to the current secondment of the General Manager, the Assistant Manager is acting up and the Head of Care in turn acting up as Assistant Manager. A learning disability nurse has been drafted in from another brain injury unit in York for six months, to strengthen the nursing input within the team during this period. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The unit is managed and run in the best interests of the clients. They are encouraged and supported to be involved in the running of the unit, which promotes their rights. The provider’s willingness to subject the unit to close scrutiny, in order to gain accreditation for the quality of its’ clinical practices, demonstrates confidence that the unit is being managed well. The resultant changes in some of the systems in place have benefited the people who use the service. Record keeping is of a high standard and shows that the staff team are continuously looking at ways in which they can improve, so that people who use the service receive quality care and support. Consideration should be given to ensuring that letters to clients are written in plain English, so that they can be more easily understood. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 23 EVIDENCE: A selection of regulatory and operational records were seen during the day, including individual care plans, staff personnel files, training records, reports of monthly management visits, fire safety records, minutes of clients’ meetings and quality surveys. The results of the last quality survey were displayed on the noticeboard. The fire safety records include a brief report after every fire drill that is carried out, looking at what could be improved. The unit has built a good relationship with the local branch of Barclays bank, who hold “clinics” for clients within the unit; families also help to manage individuals finances. Clients are encouraged and supported to be involved in all aspects of the running of the unit, including the informal interviewing of potential staff, and by selecting a clients’ representative. The Registered Manager, the Acting Manager and the Head of Care are all in the process of working towards the Registered Managers Award. The Registered Manager also holds the Certificate in Managing Health and Social Care Organisations. The unit has recently undergone an accreditation of their clinical practices through the Commission for Accreditation of Rehabilitation Facilities (CARF), an American quality standard organisation. The Brain Injuries Rehabilitation Trust is the first in England to get this accreditation and the staff at Daniel Yorath House found it a very positive experience. They have been granted accreditation for three years. One of the positive outcomes was that links have been made with other services in the North of England, e.g. Liverpool. The manager said that she felt it had empowered the client group living here at the time. In-house surveys were carried out anyway but there have been some small changes made as a result of the CARF process. The feedback interview was videotaped so that it could be shown to the staff team at a later date. In one of the clients’ files there was a copy of a letter written to them by the Manager, regarding undesirable behaviour. This was written in a formal, “professional” style. Whilst it is understandable that clinicians would prefer to use technical terms and professional language in their reports, this requires a fairly high level of education to understand its’ meaning. Staff should be mindful of the need to communicate with clients in plain English. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 24 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 4 2 4 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 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 4 X 3 4 X Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard RCN Good Practice Recommendations Consideration should be given to ensuring that letters to clients are written in plain English; this is so that people are not unduly disadvantaged by either their level of education or their acquired brain injury. Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Daniel Yorath House DS0000001443.V325600.R01.S.doc Version 5.2 Page 27 - 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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