Inspection on 26/07/05 for Doublegates Green (47)

This inspection was carried out on 26th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Doublegates Green (47) 01/10/08

Doublegates Green (47) 04/10/06

Doublegates Green (47) 24/01/06

Doublegates Green (47) 17/02/05

Doublegates Green (47) 01/09/04

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 Doublegates Green (47) 47 Doublegates Green Ripon North Yorkshire HG4 2TS Lead Inspector Terry Downey Unannounced 26 July 2005 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Doublegates Green (47) Address 47 Doublegates Green, Ripon, North Yorkshire, HG4 2TS 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) 01765 607381 United Response Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may also admit people who have a learning disability and a physical disability. Date of last inspection Brief Description of the Service: 47 Doublegate Green is registered to provide residential, personal and social care for 5 people under 65 years of age who have learning disabilities and may also have physical disabilities. The home is a purpose built bungalow with five single bedrooms. It is situated close to Ripon City centre and provides good access to the citys services and amenities. The home is part of the United Response organisation. The responsible individual is Ms Naomi Atkinson. At present the home does not have a registered manager but the acting manager Mrs Stephanie Thornton will be applying for registration. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 26th July 2005. The acting manager was not available for the first hour of the inspection but there were three members of staff and 4 residents in the home. All of them were spoken to and care practices were observed. It was very clear that the staff were aware of their duties and that the care of the residents was their priority. The inspection also involved a check on the requirements from the previous inspection, a tour of the premises, and a check on some of the records. The inspection took 8.5 hours which includes preparation. The home was clean, well decorated and furnished, and there was a pleasant atmosphere. The residents were supported to take control of their lives and the staff were encouraging and helpful. The four residents all communicate in special ways but they were able to make their wishes known to the staff. They were clearly happy living in the home. The fifth resident had gone to his day service but it was reported that he is always telling people that ‘he loves it here’. The inspection showed that the home was well organised and that the staff were aware of their duties, and the residents were well cared for and had full well structured lives. What the service does well: What has improved since the last inspection? The record keeping in the home is being improved. The manager said that the home has developed good relationships with their neighbours making it a friendly place to live. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.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. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 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 standard(s) 2,4,5. Residents know that if they choose to live in the home that they will be well cared for. EVIDENCE: Four of the residents have lived in the home for several years but one was admitted last year and records showed that a comprehensive admission procedure was undertaken. This included assessments involving the resident, the resident’s family, other professionals, introductory visits, and a trial stay in the home. All residents have an individual contract and reasonable steps have been taken to ensure that it is explained to them. This makes sure that they are aware of the terms and conditions of their stay in the home and that their needs can be met by the staff in the home Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10. The residents’ health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: Care plans identify the residents’ personal and social care needs. Some plans were not up to date and some were being written in the first person and not being signed by the writer who clearly was not the resident. This gave a false impression of the facts and it was recommended that the process cease or consultation takes place with carers and other professionals. Risk assessments are included in the care plans so that both staff and residents are aware of the support required. The residents are involved in all aspects of running the home and it was clear that they valued and enjoyed this. Residents hold regular meetings to decide on menus, leisure and social activities. The daily record maintained by the staff in the home included relevant information of the residents’ day and night activities. The way the records Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 10 were kept did not follow confidentiality or data protection guidance. Advice was given as to how this could be done. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12,13,14,1516,17. Residents eat well and enjoy a wide range of activities both inside and out of the home and are part of the local community. EVIDENCE: Each resident had an individual programme aimed at developing their skills and staff are available to support them. The residents have very active lifestyles supported by a very committed staff team. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. All residents use the local facilities in Ripon and more recently have been building good relations with their neighbours and invite them to various activities in the home and join in others outside. Residents are supported to maintain links with family and friends. Food is an important part of the residents lives and they help to choose the menus weekly and each resident will take part in helping with the shopping. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 12 They also like to eat out and are well known locally. Although the residents have few verbal skills, communication is not a great problem and lunch was a very noisy affair with a lot of interaction and enjoyment. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 18,19,20. The residents’ physical and emotional health needs are met. EVIDENCE: Each resident is registered with a GP and specialist healthcare is organised through the practice. The home was able to demonstrate good communication and joint working with the health care professionals to benefit the residents. None of the residents self medicate. A monitored dosage system is in operation and the staff member responsible for medication was able to show the effectiveness of the system. All staff have had medication training. Staff induction and on going training includes care practice that ensures and promotes privacy and dignity. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22,23. Residents are protected from abuse, neglect, and self harm. EVIDENCE: There is a complaints procedure in various formats but it is difficult to say that residents are aware of its implications. Staff said that they need to be vigilant and observe any changes in behaviour and monitor to see if it is because residents are concerned or have a problem. The protection of vulnerable adults procedure is available in the home and training of staff has been recorded. The manager was aware of the procedure but it was recommended that it should be reinforced to staff at regular intervals to ensure they are aware of its conditions. All the residents go out regularly and meet with many people who could be advocates for them if they were not being cared for properly. The home has a robust recruitment procedure to help to protect residents. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24,25,28,29,30. The residents live in a safe, comfortable and clean environment which meets their needs. EVIDENCE: The home was clean and well maintained and provided comfortable living accommodation for the residents. All residents had personalised their rooms to make them homely. The space provided was flexible enough to cater for a range of activities. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35. The staff are well trained and well organised which ensures that residents feel supported and staff are aware of their duties. EVIDENCE: The staff rota is organised around the needs of the residents. Staff felt that there were enough staff on each duty to meet these needs. The three senior staff all have individual responsibilities and there were clear lines of accountability in the home which meant that everyone was clear about their role. The home has a very settled staff team and some of the staff have worked with the residents for over 15years. The staff on the day of the inspection were very enthusiastic and committed to meeting the needs of the residents. Staff training is on going and relates to the specific needs of the residents which makes staff more confident in their role. A robust recruitment procedure ensures that suitable people are employed in the home. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42. The health, safety and welfare of the residents is promoted at all times. EVIDENCE: The residents’ needs take priority in the home and the manager and staff maintain the records to safeguard their best interests. Health and safety is a high priority in the home and regular checks and audits ensure that it is a safe place to live and work. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 3 3 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Doublegates Green (47) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 19 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 6 Regulation 15 Timescale for action Residents care plan must be kept 30.09.05 up to date 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. 2. 3. Refer to Standard 6 10 23 Good Practice Recommendations Residents care plans should not be written in the first person unless it can be shown that they have actually expressed those views. Residents records of their day activities should be kept in accordance with confidentiality and data protection guidance. It was recommended that the adult protection procedure is reinforced with staff at least quarterly. Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Doublegates Green (47) J53-J04 S7893 Doublegates Green V235390 260705 Stage 4.doc Version 1.40 Page 21 - 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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