Inspection on 15/12/05 for Darnall View

This inspection was carried out on 15th December 2005.

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

Darnall View 28/08/07

Darnall View 19/09/06

Darnall View 01/09/05

Darnall View 07/09/04

Darnall View 22/06/04

Similar services:

Elmleigh Convent

Eastfield Farm Residential Home Limited

Cranwell Court Care Home

Fairview

Cottingham Hall

Cranmer Scheme

Fairburn Mews

Claremont House

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

CARE HOMES FOR OLDER PEOPLE Darnall View 37 Halsall Avenue Darnall Sheffield South Yorkshire S9 4JA Lead Inspector Shirley Samuels Unannounced Inspection 15th December 2005 10:30a X10015.doc Version 1.40 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 Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 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 Older People. 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. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Darnall View Address 37 Halsall Avenue Darnall Sheffield South Yorkshire S9 4JA 0114 243 3323 0114 243 3323 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) Fisherbell Limited Vacant Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: Since the last inspection an extension has been added to the home. The home is situated in the Darnall area of the city. Accommodation is provided on two floors. Lounge dining, toilets and bathrooms or placed close to each other and all bedrooms are en suite. An application has been made to the CSCI to increase the number of beds from 8 to 23, and a change of category to include service users living with dementia. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out over two and a half hours to check on the progress regarding the extension of the building. Discussion took place with the owner and responsible person about the application made to the CSCI to increase the number of beds and the change of service user category. There were no service users living at the home at the time of the inspection. What the service does well: 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. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, The home is preparing information to be provided to service users to help them to make a decision about where to live. EVIDENCE: Draft copies of these are in place, final draft of the statement of purpose and the service user guide are to be submitted to the CSCI. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed on this occasion. EVIDENCE: Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed on this occasion. EVIDENCE: Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed on this occasion. EVIDENCE: Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, The environment is safe and well maintained and service users have access to safe and comfortable indoor and outdoor communal facilities. There are sufficient and suitable lavatories and washing facilities for the number of service users who will be living at the home. Service users have the specialist equipment they require to maximise their independence. Bedrooms are safe and comfortable and service users are able to have their own possessions around them. The home was clean pleasant and hygienic. EVIDENCE: The home has been extended to accommodate up to 23 service users when completed. The lighting is domestic in character and positioned to facilitate reading and other activities. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 12 Sufficient toilets and bathroom are provided for the increased number of service users, in addition to all bedrooms being en suite. Aids, hoist and assisted toilets and baths are installed, which are capable of meeting the assessed needs of service users. Grab rails were fitted in the en suite this reducing the risk of falls. The main dining and lounge area is sited on the ground floor. In addition a small dining/ lounge has been created on the 1st floor. In some areas the wrong locks had been fitted to doors in one bedroom obscure glass was used in the bedroom window and signage was not yet in placed on doors. The kitchen flooring had bubbles in it and needed to be replaced the owner said a date had been agreed for this to be completed. The temperatures in the en suites were below 21 degrees centigrade, and felt chilly. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 30 The owner and responsible person are committed to ensuring the numbers and skill mix of the staff meet the needs of the service users. And that the staff receive the training they need to deem them competent to do their jobs. EVIDENCE: Staffing levels were discussed at the inspection. CSCI are awaiting staff rotas and details of the training provided to be submitted. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 37 The owner and the responsible person are committed to ensuring that the home is managed by a person who is fit to be in charge, of good character and able to discharge his responsibilities fully. EVIDENCE: Some documentation regarding the variation to registration remains outstanding. A manager has been identified who is currently registered with the CSCI. The owner is preparing to submit an application for him to be registered as the manager for this service. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x 2 2 Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 16 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. 1. Standard OP1 Regulation 5 Requirement A statement of purpose and a service user guide that takes account of the variation in the service must be submitted to the CSCI. In the downstairs lounge Consider ways of obscuring the glass in the fire door, which allows service users to see out while maintaining privacy. The locking devices on the doors identified must be changed to ensure they meet the national minimum standards. Signs must be placed on doors as appropriate to the needs of the service users. To create a more homely feel, Consider the use of blinds or other form of dressing for the toilet and bathroom windows. The temperatures in the en suites must be monitored recorded and submitted to the CSCI once the heating is running continuously. Standard 25.3 of the National Minimum Standards state that DS0000002954.V273524.R01.S.doc Timescale for action 30/01/06 2. OP19 23 30/01/06 3 OP19 23 30/01/06 4 5 OP19 OP19 23 23 30/01/06 30/01/06 6 OP25 23 30/01/06 7 OP25 23 30/01/06 Darnall View Version 5.0 Page 17 8 9 10 11 OP27 OP30 OP31 OP37 18 13 9 17 12 13 OP37 OP37 17 17 14 15 OP37 OP37 17 17 16 17 OP37 OP38 17 13 the height of the windows should allow service users to see out while sat in bed. While the window is at an acceptable height the glass is obscured. This window should be replaced or discussed as an option with any service user. (Room 10) A four-week sample staff rota must be submitted to the CSCI. A training plan must be submitted to the CSCI, detailing the training provided to staff. The application to register the manager for the home must be submitted to the CSCI Written confirmation that the variation is for 23 beds and not 24 must be submitted to the CSCI. Details of the phased admission of service users must be submitted to the CSCI Policy documents that have been amended to take account of the variation in client group must be submitted to the CSCI. Submit to the CSCI, when received the fire officer report. Submit to the CSCI when received the health and safety and environmental health reports. Submit to CSCI when received the building control final report. The kitchen floor must be replaced as instructed by the environmental health officer. 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 18 No. Refer to Standard Good Practice Recommendations Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Darnall View DS0000002954.V273524.R01.S.doc Version 5.0 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. 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