Inspection on 17/05/05 for Gargrave Road (24) - North Yorkshire County Council

This inspection was carried out on 17th May 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

Gargrave Road (24) - North... 13/11/08

Gargrave Road (24) - North... 15/01/07

Gargrave Road (24) - North... 06/12/05

Gargrave Road (24) - North... 18/11/04

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

CARE HOME ADULTS 18-65 North Yorkshire County Council 24 Gargrave Road 24 Gargrave Road Skipton North Yorkshire BD23 1QJ Lead Inspector David Martin Unannounced 17 May 2005 13:45 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. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service North Yorkshire County Council 24 Gargrave Road 24 Gargrave Road Skipton North Yorkshire BD23 1QJ 01756 700720 01756 795981 gargrave.road-nyccss@btopenworld.com North Yorkshire County Council Address 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) Miss Catherine Simms Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24 November 2004 North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 5 Brief Description of the Service: 24 Gargrave Road is a care home owned and operated by North Yorkshire County Council and registered to provide a service for 5 adults of either gender aged over 18 years who have a learning disability. It concentrates exclusively on providing a respite service for people living in the Craven area. There are 35 service users currently using the project. The home is located in a mid-terrace late Victorian property within walking distance of the centre of Skipton. There is a wide range of local amenities close by. All bedrooms are intended for single occupancy. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 17 May 2005. It was unannounced and took 4 hours to complete. The majority of time was taken up in discussion with the service user in the home at the time of the inspection and with the staff on duty. Both the Registered Manager and deputy manager visited the home during the inspection and made a contribution to the inspection. Service user files and were examined. A check was made as to whether the home had complied with requirements and recommendations from the last inspection. Verbal and written feedback was given at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There are long-standing problems with regard to the suitability of the premises. This includes problems of access, limited storage space and a lack of specialist facilities such as tracking and sensory equipment. There are plans to move to purpose built premises by June 2006 which should resolve the issues. In order to ensure that medicines continue to be administered safely staff should complete training. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 7 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. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 8 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 North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 9 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 Prospective service users are assured that the service will meet their needs. EVIDENCE: Each prospective service user is enabled to make a decision about spending time at 24 Gargrave Road. There is an introduction programme that includes visits to the home, the opportunity to have meals with other service users and to participate in social activities. The introductory period is not fixed but is tailored to suit individuals. The above was borne out in the files of two service users recently referred for respite stays. There were comments in the files indicating that one of the service users and his main carer had been consulted about the placement. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 10 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, & 9 Service users make decisions through the care-planning process about how they are supported and enabled to achieve the goals they have set themselves. EVIDENCE: Case files contain care management plans and service user plans which identify individual service users’ accomplishments and the areas where they need support. This enables staff to plan each day with service users, making sure there are enough staff on duty. The staffing arrangements are sufficiently flexible to allow staffing to be adjusted to meet the needs of service users in the home on a day-to-day basis. There is evidence in the service user plans that service users have contributed their own ideas and made choices about the sorts of things they want to achieve during their time in the home. Each file contains an assessment of risk and is clear about activities outside the home which service users can undertake on their own. The service user in the home at the time of the inspection had not made his mind up about what he wanted to do for the evening but was talking to staff about the options available. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 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, 15 - 17 Service users have a range of appropriate options available for personal development and social contact. EVIDENCE: The service user in the home at the time of the inspection had a timetable of weekly activities in which he could become involved. This has been drawn up by services outside the home. All service users attending the home live with family or other main carers and the activities in which they are involved in the home represent only a small part of the overall arrangements for personal development and education. Service users have the opportunity to attend the local college, and a variety of supported work based day services. The staff at Gargrave Road assist service users in accessing these facilities. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 12 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) 19 &20 Service users health and emotional care needs are met. EVIDENCE: Service Users, their families/main carers and other social and health care professionals retain responsibility for health and social care needs. There is evidence in case files that these areas are addressed appropriately and supported as necessary by 24 Gargrave Road. In the last inspection report a recommendation was made regarding the need for staff to undertake training in the safe handling of medicines. To date this has not taken place. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 13 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) 23 Service users are protected as far as possible from abuse. EVIDENCE: Service users are protected from abuse as far as possible. Staff who spoke with the inspector were clear about the reporting arrangements if they had any concerns. They have received training on this subject through compulsory modules in NVQ level 2 and 3 courses. Daily logs are kept in detail which recognises the importance of record keeping in identifying the development of patterns of behaviour, for example, which may give rise to concern. The County Council has procedures for dealing with the protection of vulnerable adults. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 14 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 & 30 Service users are provided with a safe and comfortable environment but access to parts of the building is poor. EVIDENCE: The home is in good decorative order throughout, having been painted in January 2005. Communal rooms and bedrooms are comfortably furnished and clean. There are long-standing issues related to the suitability of the premises including poor access, limited storage and the lack of specialist facilities such as tracking and sensory equipment. County Care recognised some time ago that 24 Gargrave Road was not suitable for providing care in line with the principles and values set out in the Statement of Purpose. With this in mind there is a plan to relocate the home to purpose built accommodation by June 2006. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 15 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) N/A None of the standards in this section was inspected. EVIDENCE: Not applicable. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 16 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) N/A None of the standards in this section was inspected. EVIDENCE: Not applicable. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 17 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 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 North Yorkshire County Council 24 Gargrave Road Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x Version 1.30 Page 18 J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.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 Requirement The Registered person must resolve the issues relating to access, storage and lack of specialist equipment Timescale for action 01 January 2007 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 20 Good Practice Recommendations Staff should complete training in the safe administration of medication. The training should include a test of competence. North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 North Yorkshire County Council 24 Gargrave Road J53_J04_S34639_24 Gargrave Road_V227670_170505_stage 4.doc Version 1.30 Page 20 - 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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