Inspection on 24/08/05 for Don View

This inspection was carried out on 24th August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Don View 12/11/08

Don View 30/11/07

Don View 19/01/07

Don View 03/11/05

Don View 01/11/05

Don View 07/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 DON VIEW 22 Thellusson Avenue Scawsby Doncaster, South Yorkshire DN5 8QN Lead Inspector Ian Hall Unannounced 24 August 2005 : 09.00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and 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. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Don View Address 22 Thellusson Avenue, Scawsby, Doncaster, South Yorkshire, DN5 8QN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01302 785257 01302 789457 Doncaster Metropolitan Borough Council Gareth Bishop Care home only 25 Category(ies) of Learning disability (25) registration, with number of places DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The support of a day care centre must not impact on the staffing needs of Don View. There must be no removal of staff from the home`s rota to meet a shortfall in the day centre staffing or to meet needs of the persons who reside in the independent living house. 2. Wheelchair dependent service users must be allocated private accommodation that has 12 square metres of useable floor space. 3. The home is registered to admit service users over the age of 50 years. Date of last inspection 3 - November - 2004 Brief Description of the Service: Don View is a care home that provides personal care for up to 25 persons who are aged over 50 years with a learning disability. The majority of residents are aged between 50 and 65 years the remainder are aged over 65 years. The home is owned by Doncaster Metropolitan Council. It is located in the small community of Scawsby which is approximately 4 miles from Doncaster. It is easily accessed from the A1M with frequent bus services stopping a short distance from the home. Adequate carparking spaces are available with unlimited on street parking within the quiet residential area. The home is well integrated into the local community. The home was built in the late sixties with change of purpose to its current registration over 20 years ago. It is a three storey building with staircases to all floors. There is lift access from ground to the first floor. The second floor is accessed by means of a short staircase. All residents are accomodated in single bedrooms. Toilets and bathrooms are readily accessible on each floor. The dining area is located on the ground floor adjacent to the kitchen. There are several lounge areas located on both the ground and first floor, their useage is varied and distinct : TV/music lounge, quiet lounge and smoking lounge. Each floor has level access throughout with handrails and wide corridors. The home is set within its own grounds and well maintained gardens. There is a large sheltered easily accessible patio/barbecue area that is popular with residents. Unregistered day-care and sheltered housing is provided within the curtilage of the home. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six and a half hours and was the first of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet the residents, visitors and the staff team to obtain the residents views of life at the home. Four residents care documents/files were “case tracked” along with any associated records that were maintained. The Inspector toured the home with the Senior Officer in Charge to monitor the works and changes that the Local Authority had undertaken since the last inspection. What the service does well: What has improved since the last inspection? The Authority has continued with the programme of refurbishment and redecoration of the home. Residents confirmed their involvement in choosing colours and materials in both communal areas and their individual bedrooms. There has been a substantial investment in upgrading/re-equipping the sluice area, protecting radiator surfaces, fitment of UPVC windows, renewal of electrical fittings, partial re-roofing, resurfacing paths, providing handrails, providing a readily accessed patio/barbecue area, re-carpeting, redecoration of some bedrooms and communal areas, new TV sets, set-top boxes and window blinds. Staff had compiled a written policy to ensure “obtaining consent” of residents was conducted in a safe and professional manner. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 6 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. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 Residents and their advocates are involved in choosing to live at Don View. Discussion with management demonstrated that they clearly consider the needs of existing residents when they assess potential residents needs to ensure that all can live amicably together. EVIDENCE: Case records examined contained copies of individual resident care assessments, plans and written contracts stating terms and conditions of residence and service/ care to be provided. Residents confirmed that they had visited the home and spent time there before finally deciding to live at Don View. Intermediate Care is not provided at Don View. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 Residents (and their advocates) had been involved in the compilation of their care plan. These reflected individual choice and any help required. Minutes from Residents meetings were available and provided evidence of consultation and involvement in decision making at Don View. Care plans contained additional lifestyle risk assessments. EVIDENCE: Four Residents case files and associated records were inspected. Each contained “individual” needs and risk assessments. These reflected a whole range of activities and care needs; including input from a District Nurse to maintain and improve physical health and assessing the risk for an individual to travel to town, spend a prolonged period alone and return safely at the end of the day. These had been discussed with the individual concerned and their DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 10 thoughts, wishes and decision incorporated into the care plans. The records were detailed and maintained correctly. Changes to plans and reassessments for physical, social and psychological needs were ongoing ensuring that the correct level of care is provided. Several residents were facilitated to self-medicate to maximise their independence. Staff had received additional accredited medication training for the administration and management of medicines to ensure safe practises are followed. Staff was observed dispensing medications and enabling/assisting residents to take them in line with safe practice. Service users confirmed that they were happy living at the home and that staff were “good to them”. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17, and OP 10, 12, 13, 15 The Manager and his team provide a homely, welcoming, stimulating and inclusive atmosphere for all residents of Don View. There are strong links and involvement with the immediate and wider community. Residents are encouraged and enabled to exercise choice within their lives. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 12 EVIDENCE: Discussions with residents and staff and examination of case files demonstrated that individuals are able and encouraged to pursue their personal hobbies and interests. Many of the residents attended their “work” or “educational” placements throughout the day. They utilise one of the many Local Authority minibuses provided to enable them to attend their placements. Residents visit local shops and facilities with a number of them visiting Doncaster in line with a daily living pattern. Some require assistance whilst others are self-sufficient. Residents had chosen from a variety of destinations an annual holiday they had all enjoyed. Some residents are able to enjoy the company of family and friends and spend time away from the home with them. Visiting is “open” and encouraged at any reasonable time. Residents confirmed their satisfaction with the support and encouragement they receive from the staff. Residents had a choice from the menu for breakfast and midday meal. Special diets were available for residents requiring this service. Staff sought the dietician’s advice as residents needed advice or assistance. Drinks and snacks were available throughout the 24-hour period. Staff assisted residents with diets as required. The midday meal both smelled and appeared appetising. Additional or larger portions were available for residents with a larger appetite. Residents confirmed their satisfaction and enjoyment of food provided. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. OP 8, 9, 10. Residents and their advocates are involved in the social, physical and psychological care planning and provision. Healthcare services are accessed in accordance with residents needs. EVIDENCE: Records of four residents demonstrated that individual residents needs were assessed, plans compiled with the resident’s involvement to meet their needs. These were regularly reviewed and updated to meet any changes. A number of service users were enabled and facilitated to manage their own medication with support to provide independence. The home has a comprehensive range of policies and procedures to guide and support staff with this role. Additional accredited training had been provided to ensure staff DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 14 competence and extend skills and knowledge base enabling them to perform their roles. Staff had compiled a policy for ensuring consent was legally and lawfully obtained. Staff was observed to be assisting and supporting residents with their medication when needed. The ordering, recording, storage and disposal of medicines is monitored quarterly by the supplying pharmacist ensuring safe practises are followed. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 26. OP 16, 18. Staff members were confident to respond to any concerns or complaints brought to their attention. EVIDENCE: Staff was aware of the Local Authority Policy and Procedures. Staff interviewed expressed their confidence in dealing with any complaint, seen or suspected abuse ensuring resident safety. Records kept were examined and all issues raised were dealt with swiftly and appropriately. Records of residents meetings were available and demonstrated involvement and choice in management of the home. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. - OP 19, 20, 21, 22, 23, 24, 25, 26. Don View both appeared clean and smelled fresh. Mr Bishop and his staff team work hard to maintain and improve the resident’s environment. EVIDENCE: The home was clean and fresh. Residents and staff were pleased with the substantial works that have been undertaken to improve the environment and safety at Don View. They were very complimentary when describing the ongoing redecoration and refurbishment of the home. Residents whose rooms DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 17 had been redecorated and re-carpeted had been offered a choice of décor/colours. The Inspector entered a number of bedrooms; the occupants had taken the opportunity to personalise their own rooms with items of furniture and memorabilia. New armchairs, TV’s, re-carpeting wallpapering and painting had continued since the last inspection. Replacement of windows was complete; windows were restricted in opening distance with radiators being protected by stylish covers to reduce risk to residents. Redecoration of toilets/bathrooms had commenced with curtains and details to finish and soften the environment being provided. One bathing facility is being replaced to meet an individual resident’s needs following a risk assessment. Toilets and bathrooms are equipped with suitable safety aids. The services of an Occupational Therapist are utilised to assist with assessment of need. Within lounges and communal areas upgrading and redecoration had commenced. New armchairs, TV’s, set-top box and carpets have been provided. There was a number of lounges ensuring choice is provided; i.e. quiet areas, music/TV areas, and smoke-room. This work is ongoing in accordance with the overall improvements required from the last inspection. Don View management team is responsible for the Day Care Service that shares the site. It currently impacts upon the quality of daily life and care provided at Don View. The Day Care Service Users access via Don View and toilet/ bathing facilities must be reviewed to improve resident’s quality of life. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36. Staff was well motivated and positive; deriving personal satisfaction from their work. Induction and ongoing training and assessment was encouraged and facilitated to maintain competent and skilled workforce. EVIDENCE: Staff are well motivated and enthusiastic about their work. They were observed to interact appropriately with the residents, encouraging, assisting as needed and displaying empathy for the individual. Visitors to the home were greeted appropriately and pleasantly, they commented that the staff were always most helpful. Following a DMBC policy change the recruitment process has been slowed considerably, several care and ancillary positions have remained vacant for a prolonged period. The Manager has been well supported DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 19 by his line manager Mr Pickersgill to reduce the effect upon residents in facilitating/providing continuity of care/support by using the same personnel. The home’s care staff has responded positively; working additional hours to meet the shortfall. The dependency/needs level of the residents continues to increase as the resident’s age increases and physical abilities wane. This places additional demands upon the care staff and is monitored by the home’s management. The Authority provides staff induction and updates and training opportunities. National Vocational Training and assessment to meet the required minimum level is ongoing. A number of personal portfolios have been submitted for assessment, their auditing had been delayed by loss of staff with the Authorities training department. Staff was positive and keen to extend their range of skills and knowledge DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 42, OP 31, 32, 33, 38. The Management team’s enthusiasm and positive approach clearly influences the team’s approach and benefited residents. Risk assessments identifying areas of concern and maintain user safety had been undertaken. The building continues to require further improvements but is a “happy” care environment DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 21 EVIDENCE: The management team had been recently strengthened by the appointment of a shift manager. Senior members of the team share managerial responsibilities and roles. There is always a senior member of the team on duty at the home. Residents confirmed that they can always talk to someone if they want or need to. Don View management team is responsible for the Day Care Service that shares the site. It currently impacts upon the quality of daily life and care provided at Don View. The Day Care Service Users access via Don View and toilet/ bathing facilities must be reviewed to improve residents quality of life. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 x 3 3 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING 2 3 3 3 3 3 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 3 3 3 3 3 3 3 3 3 x x 3 x Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 DON VIEW Score 3 3 3 x 37 38 39 40 41 42 43 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc 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 24 Regulation 23(1)b, (2)a Requirement Review the access provided for users of the daycare facility, users should not access the unit via Don View Residential Care provision, but use a seperate entrance, submit action plan to CSCI Review the bathing and disabled toilet facilities provided for users of the daycare facility, users should not access the unit via Don View Residential Care provision., submit an action plan to CSCI Timescale for action 1st December 2005 2. 24 23(1)b, (2)j 1st December 2005 3. 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 24, 25, 26, 27, 28, 29, 30 Good Practice Recommendations Continue the refurbishment and redecoration programme as listed within action plan. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 24 Commission for Social Care Inspection !st Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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. DON VIEW 20050823 Don View X00030 UN Stage 4 S31838 V184988 J55.doc Version 1.40 Page 25 - 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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