Inspection on 31/01/06 for Derby House

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Derby House 21/06/07

Derby House 01/06/05

Derby House 09/03/05

Derby House 15/10/04

Derby House 11/02/04

Derby House 08/01/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Derby House 25 Derby Street Barnsley South Yorkshire S70 6ES Lead Inspector Christine Rolt Unannounced Inspection 31st January 2006 09:30 Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Derby House Address 25 Derby Street Barnsley South Yorkshire S70 6ES 01226 203265 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) Mrs Janet Barlow Mrs Janet Barlow Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Derby House is a three-bedroom terraced property in a residential area of Barnsley It is one of several domestic properties owned by Mrs. Janet Barlow. The home, which is registered for three persons with mental health needs, is within walking distance of the town centre and is also on a bus route. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 09.15 am to 11.00 am. All three residents, the owner/manager and a member of staff were seen. This was the home’s second inspection as required by law for the period April 2005 to March 2006. The main aim for this inspection was to cover key standard that had not been checked at the previous inspection, to sample records, chat to residents and staff and to inspect the environment. 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. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 6 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 Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standard was inspected at the last inspection and met the required standard. EVIDENCE: Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were checked at the last inspection and met the required standards. EVIDENCE: Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Residents had opportunities for personal development. They participated in activities within the home and the community, and were encouraged to maintain contact with family and friends. They enjoyed a healthy diet. Residents had a certain amount of privacy but could not lock their bedroom doors. EVIDENCE: The manager and a member of staff said that residents participated in the dayto-day running of the home and were supported and encouraged by the staff. The residents confirmed this. The home was clean, tidy and homely. Residents spoke about their families and friends, their leisure activities and their participation in the local community. One of the residents took responsibility for compiling the shopping list with input from the other two residents. Staff and residents did the shopping together. One of the residents kept the home’s record of all main meals. This was up-to-date and showed that meals were nutritionally balanced. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 10 Through observations during the inspection, and discussions with the residents, the manager and a member of staff, it was demonstrated that independence and choice were promoted Staff were observed to respect residents’ privacy and dignity. Privacy locks were fitted to bathroom doors but there were no locks to bedroom doors. The manager and the member of staff said that residents respected each other’s privacy. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Residents physical and emotional health needs were met. EVIDENCE: Residents were relaxed and chatty during the inspection. They said that they were comfortable and settled within the home. One resident spoke about their health needs and how these were being met. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Residents were protected from abuse and their views were listened to. EVIDENCE: Residents were relaxed and happy during the inspection. They said that they liked the staff and had no problems. The complaints procedure and complaints record book were checked during the inspection. The manager said that residents had a copy of the complaints procedure in their personal copies of the service user guide. There were no allegations of abuse. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home was clean, safe and comfortable. EVIDENCE: Residents said that they liked living at the home and were settled. The home was warm and welcoming. Residents had personalised their bedrooms. The manager said that two residents had chosen to exchange their bedrooms and she was in the process of renovating these bedrooms to ensure that the décor was suited to these two people. New flooring had been fitted in the kitchen and bathroom. The bathroom was clean and tidy, and a lock was fitted to the door to ensure privacy. The home was clean and hygienic. No hazards were noted during the inspection. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Residents had good relationships with the manager and the staff. Staff were competent and the home’s recruitment practices supported and protected residents. EVIDENCE: Staff worked six hours per day and this suited the residents. They said that they liked the staff. The manager and the member of staff seen during the inspection had a good knowledge of the residents’ needs, strengths and aspirations. Staff files were checked and these contained all the required information as per the regulations. There were written records of individual staff supervision sessions. Mandatory health and safety training was up to date. One member of staff was an ex-nurse and the manager said that the other member of staff was nearing completion of her NVQ 2 in care course. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 42 Residents’ health safety and welfare were promoted and protected and they benefited from a well run home. The ethos, leadership and management approach of the home benefited staff and residents. The manager had the skills and experience to provide a good service. EVIDENCE: The registered manager/owner had many years experience within the caring profession and provided a clear sense of leadership to staff. She had been accepted on the Managers Award course and was due to commence February 2006. There was a relaxed and friendly atmosphere within the home and positive relationships were observed between the manager and residents. The manager visited the home regularly, was easily contactable and was knowledgeable about residents, and supportive to staff. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 3 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 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 3 X X X 3 X Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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 YA16 Regulation 12,16 Timescale for action The registered person must 28/03/06 provide locks on bedroom doors and service users must be offered a key (subject to their risk assessments). (This is an outstanding requirement from the inspection on 17th October 2002) Requirement 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 YA37 Good Practice Recommendations The registered owner/manager should attain the Managers Award. Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 18 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 Derby House DS0000018222.V274154.R01.S.doc Version 5.1 Page 19 - 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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