Inspection on 20/02/06 for Derwent Road (14)

This inspection was carried out on 20th February 2006.

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 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Derwent Road (14) 10/12/04

Derwent Road (14) 01/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Derwent Road (14) 14 Derwent Road Fulford York YO10 4HQ Lead Inspector Rob Padwick Unannounced Inspection 20th February 2006 4:00 Derwent Road (14) DS0000015811.V274559.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 Derwent Road (14) DS0000015811.V274559.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. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Derwent Road (14) Address 14 Derwent Road Fulford York YO10 4HQ 01904 640551 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) None United Response ****Post Vacant**** Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for a maximum of 5 persons with a learning disability who may also have a physical disability. 20th July 2005 Date of last inspection Brief Description of the Service: Derwent Road is registered to provide residential, personal and social care for five people under 65 years of age who have learning disabilities and may also have physical disabilities. The home is a detached two-storey house in the residential area of Fulford within easy reach of local shops. It is about two miles from the centre of York and has good access to the Citys services and amenities. The home is part of the United Response organisation and benefits from the support of the companys training and management structure. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 4 hours including preparation time. The inspection focussed on the requirements and recommendations from the last inspection and the outcomes of the remaining standard that the Commission for Social Care Inspection has required as being necessary to assess during a given year. During this inspection, a tour of the premises was undertaken, and time was spent talking with staff and observing the interactions within the communal areas of the home. The service users accommodated have a variety of complex needs and no verbal communication, but they appeared content and relaxed throughout this inspection. Further time was spent inspecting records and files and talking with the manager. A management restructure in the parent company together with the appointment of a new manager, has resulted in little progress being made since the last inspection in implementing the previous requirements and recommendations. These issues must therefore be addressed as a priority, in order to ensure that the needs of the service users continue to be met. What the service does well: What has improved since the last inspection? What they could do better: The kitchen facilities need upgrading and made accessible to people in wheelchairs and staff sould undertake accredited training in the administration of medication. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 6 The recuitment proceedures should be developed to ensure that satisfactory checks of the staff employed can be checked in the home. Staff records in the home should be better maintained. The Manager should ensure that she obtains an appropriate qualification in Management. 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. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 20th July 2005 inspection report. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 20th July 2005 inspection report. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 20th July 2005 inspection report. Derwent Road (14) DS0000015811.V274559.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): 20 Staff had received some training in the safe use of medication, but more was needed in order to ensure that service users were properly safeguarded. EVIDENCE: The home has a clear policy for the storage and administration of medication in order to protect the service users. The Boots monitored dosage system is used by the home, which a pharmacist checks and provides a report. Discussion with staff and inspection of the home’s training log confirmed that they had received medication training. However none had undergone approved training in this respect as previously recommended. This recommendation is again repeated, since errors had previously been found in its use. Derwent Road (14) DS0000015811.V274559.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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 20th July 2005 inspection report. Derwent Road (14) DS0000015811.V274559.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, 29 Service users live in a safe environment, but the kitchen needs upgrading and made fully accessible to them. EVIDENCE: Inspection of the building indicated that service users lived in a safe environment. However the kitchen was showing signs wear with some doors missing from cupboards and the previous requirement to make it accessible to the home’s 3 wheelchair users, not yet implemented. The home’s new manager stated that she had contacted the Landlord of the building about this on a number of occasions, but had not yet received a satisfactory response. Derwent Road (14) DS0000015811.V274559.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): 34 The recruitment procedures needed to be strengthened in order to ensure that the home can demonstrate that service users have been correctly safeguarded in this respect. EVIDENCE: A robust recruitment procedure was in place to ensure that service users were protected from abuse. However, the staff recruitment records were not available to be inspected, as the manager indicated that these were kept centrally by parent organisation. It was therefore not possible to verify that these procedures were being followed appropriately. Derwent Road (14) DS0000015811.V274559.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 The home was being well run in order to meet the service users’ needs, but the manager needed to undertake appropriate management training. EVIDENCE: Discussion with staff and observation of the care practices in the home indicated that it was well run to ensure the service users needs were met. Since the last inspection the parent organisation had implemented a management restructure and a new manager appointed 2 months previously. The manager is a qualified Social Worker with substantial experience of working with the client group accommodated. However, discussion with her confirmed that she needed register with Commission for Social Care Inspection and undertake appropriate training to manage the home. Staff stated that the management style was open and supportive and confirmed that regular meetings were held to ensure effective communication and that they were being supervised to do their jobs. Derwent Road (14) DS0000015811.V274559.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 1 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 1 35 X 36 X 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 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 2 X X X X X X Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 17 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard Regulation Requirement The Registered Persom must ensure that the kitchen facilities are upgraded and made accessible to people in wheelchairs. Previous timescale of 30/11/05 not met. The Registered Person must ensure that the home can demonstrate that satisfactory recruitment checks have been carried out and that the required documentation is available in the home for inspection. Timescale for action 31/03/06 YA24YA24YA29YA29 23 2 YA34YA34 19 Schedule 2 31/03/06 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 YA20YA20 Good Practice Recommendations The Registered person should ensure that staff receive DS0000015811.V274559.R01.S.doc Version 5.1 Page 18 Derwent Road (14) 2 3 YA34YA34 YA37YA37 accredited training in the administration of medication. The Registered Person should ensure that staff records in the home are better maintained. The Manager should ensure that she obtains an appropriate qualification in Management. Derwent Road (14) DS0000015811.V274559.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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