Inspection on 16/01/06 for Doncaster Road 54

This inspection was carried out on 16th 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Doncaster Road 54 24/01/09

Doncaster Road 54 02/04/07

Doncaster Road 54 15/08/05

Doncaster Road 54 15/03/05

Doncaster Road 54 23/08/04

Doncaster Road 54 18/03/04

Doncaster Road 54 09/10/03

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Doncaster Road 54 Clifton Rotherham South Yorkshire S65 2BU Lead Inspector Ian Hall Unannounced Inspection 16th January 2006 09:00 Doncaster Road 54 DS0000003129.V278048.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 Doncaster Road 54 DS0000003129.V278048.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. Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Doncaster Road 54 Address Clifton Rotherham South Yorkshire S65 2BU 01709 836809 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 House of Light Trust Maurice Bartley Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A condition of registration is that the home can provide care for one named individual residing at the home that is over 65 years of age. 15th August 2005 Date of last inspection Brief Description of the Service: 54 Doncaster Road Canna is a residential care home registered to provide personal care and accommodation for 3 persons with a learning disability. It is owned by the House of Light Trust, a charitable organisation and has other care homes in the area for people with a learning disability. The home is a three bedroom semi-detached house. It is situated in a residential area of Rotherham close to a park and other community facilities such as shops and public houses. The homes facilities are domestic in scale and reflect ordinary living principles. Two of the residents rooms are on the first floor. The third resident has a bedroom on the ground floor and is accommodated within a recently built extension. The alterations to the home have also provided a downstairs bathroom, a larger refurbished kitchen and a refurbished lounge/dining area. The room previously used as a downstairs bedroom is to provide an extra lounge area for the residents. The home is tastefully decorated and residents have personalised their rooms to their own tastes. There are pleasant gardens to the front and rear of the property and a patio area is accessible via the dining room and the downstairs bedroom patio doors. Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4.5 hours and was the second 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 both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. Three residents care files were “case tracked” and the associated records checked. Service users interviewed expressed their satisfaction with the care and services they receive. Staff met and interviewed was service user focussed and well motivated. What the service does well: What has improved since the last inspection? The homes owners have continued their programme of redecoration and refurbishment of the communal and individual bedroom areas. Bathing facilities have been altered to meet the changing needs of the resident Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 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. Doncaster Road 54 DS0000003129.V278048.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 Doncaster Road 54 DS0000003129.V278048.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): 1,2,3,4,5. Examination of case files and discussions with staff, relatives and residents demonstrate their involvement in choosing to live at Arran House. During the officers discussion with management it was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. EVIDENCE: Residents and their carers confirmed that they had discussed the care and service provision before admission to Canna. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. The care plans are very comprehensive and include an in depth profile of each individual. Their likes and dislikes, choices and wishes and preferences are recorded. The plans focus on abilities of the individual and promote and encourage independence. Doncaster Road 54 DS0000003129.V278048.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): 6,7,8,9,10. Staff was focussed upon meeting the needs of both residents and their families. Staff was observed to interact with residents skilfully, professionally and with obvious empathy for each individual. EVIDENCE: Service users are encouraged to take responsible risks within their daily lives. These are monitored with risk assessments recorded and continuously evaluated. Examples of risk assessments seen within care plans included awareness of emergency procedures and going out alone. Evidence indicates that health and safety risk assessments are undertaken for each room. Flexible staffing linked to the assessed needs of the service user means that the care and support offered, does not limit their choices and preferences. Doncaster Road 54 DS0000003129.V278048.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): 11,12,13,14,15,16,17. The homes owners and their team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely. EVIDENCE: Service users from the three House of Light care homes regularly socialise at each other’s homes. Christmas celebrations had been shared with their friends who reside in the sister homes of 54, Doncaster Road. The three houses are in close proximity to each other. The service users all enjoyed shopping both locally and in Rotherham town centre. The service users used both bus and taxi to travel to town. They visit the local library and church. Care plans contained information to support the home has an open visiting policy and that service users have close links with their families and friends. Doncaster Road 54 DS0000003129.V278048.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): 18,19,20,21. Staff provides personal support agreed with service users within their care plan. Service users are facilitated and enabled to access healthcare resources, as they require. Service users are assisted with their personal medication by staff that has received appropriate training. EVIDENCE: Care plans contain records of access to local health services as service users required. Staff support and facilitate service users with this process. Boots has provided the Chemist accredited professional training in medication storage and administration for staff. The home has policies and procedures for the storage, safe handling, administration and disposal of medicines. Doncaster Road 54 DS0000003129.V278048.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): 22,23. Service users and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to the manager and that any small points raised were dealt with promptly. EVIDENCE: Residents and staff stated that they had no concerns or complaints about care or services provided. They confirmed that they had regular and easy access to The manager and that any small points raised were dealt with promptly. Staff receives training in recognition and prevention of abuse. Doncaster Road 54 DS0000003129.V278048.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): 24,25,26,27,28,29,30. The home both clean and smelled fresh. The homes owners and team works hard to both maintain and improve the service users’ environment. The uneven kitchen floor covering must be levelled to reduce the trip hazard. EVIDENCE: The homeowners continue to redecorate and refurbish the home in line with their business plan. The bedroom visited appeared comfortably furnished and decorated. Service uses and their families had taken the opportunity to personalise their space with personal effects and memorabilia. Toilets and bathrooms were readily accessible and equipped with aids and adaptations as required. Service users spoken with were very satisfied with the building and its cleanliness. The kitchen floor covering was uneven and presents a trip hazard. Doncaster Road 54 DS0000003129.V278048.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): 31,32,33,34,35,36. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. EVIDENCE: The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff had undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and is involved in national vocational qualification training and medication administration training. Staff described the induction and training they had received and confirmed that they were well supported in their roles. Doncaster Road 54 DS0000003129.V278048.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): 37,38,39,40,41,42,43. The home is well organised and managed with all statutory servicing and checks complete. The management teams enthusiasm and positive approach to care has clearly influenced the whole team and benefited the service users. EVIDENCE: Staff stated here was always a senior member of staff on duty with advice and support readily available. Responsibilities were shared between senior members of the team. Risk assessments had been completed and were reviewed regularly Service users stated that they had ready and easy access to the homes owners and management and that they felt confident in them. Doncaster Road 54 DS0000003129.V278048.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 3 2 3 3 3 4 3 5 3 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 2 25 3 26 3 27 3 28 3 29 3 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 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 Page 17 NO 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 YA24 Regulation 13(4), 23(2). Requirement The uneven kitchen floor covering must be made level to reduce risk of trip injury. Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Doncaster Road 54 DS0000003129.V278048.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr 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 Doncaster Road 54 DS0000003129.V278048.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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