Inspection on 30/01/08 for Godfrey Robinson Home for the Disabled

This inspection was carried out on 30th January 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Godfrey Robinson Home for the... 24/02/09

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Godfrey Robinson Home for the Disabled Fouracres Woodgates Lane North Ferriby Hull East Yorkshire HU14 3JR Lead Inspector Rob Padwick Key Unannounced Inspection 30th January 2008 12:00 Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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 Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Godfrey Robinson Home for the Disabled Address 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) Fouracres Woodgates Lane North Ferriby Hull East Yorkshire HU14 3JR 01482 632209 amanda.short@LCDisability.org www.leonard-cheshire.org.uk Leonard Cheshire Disability Amanda Louise Short Care Home 19 Category(ies) of Learning disability (11), Physical disability (19) registration, with number of places Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD; Physical disability - code PD. The maximum number of service users who can be accommodated is: 19 N/A 2. Date of last inspection Brief Description of the Service: The Godfrey Robinson Home is a care home registered to provide care and accommodation to 19 people whose primary disability is physical although some may have additional learning disabilities as well. The home is owned and operated by Leonard Cheshire Foundation, which is a registered charity The home is situated in the village of North Ferriby, which is residential satellite community near to the city of Hull and is close to some local village facilities. The accommodation is on two floors and people using the service have access to the top floor by means of a passenger lift. All the bedrooms are single and there is good communal space and gardens. The home has ample car parking facilities. Information provided by the manager indicated the current scale of fees range from £ 500 to £ 1,190 with additional charges made for hairdressing, holidays, and transport. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. ______________________________________________________ The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. ______________________________________________________ This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since it was registered on 20th September 2007 and includes information gathered during a site visit to the home. A questionnaire asking for information about the service was sent to the manager before the inspection visit and information from this was included as part of the inspection process. Other information used, included feedback from questionnaires sent out to 2 Link Residents, who distributed these to people living in the home, responses from questionnaires sent to relatives and professional staff who are involved and know people living in the home as well as official notifications received by the Commission for Social Care Inspection about the home. The inspection visit for this service lasted for 8.5 hours and during this period, time was spent talking with people living in the home and observing their daily lives. Other time involved inspecting the building and looking at care plans and other records and talking to staff. In order to improve the way the Commission for Social Care Inspection involves and engages with people who use services, someone with experience of receiving similar services known as an “Expert by Experience” assisted with this inspection visit. This person, Victoria Bowman, spoke to people living in the home and helped to look round the service as well as speaking to staff. Information collected by Victoria is included within this report. What the service does well: The needs of people living in the home are assessed before they move in so it can ensure it will be able to meet these satisfactorily. People are encouraged to be involved in their health and personal care to ensure their wishes and needs about these are met. A good training programme is provided for staff to ensure they are able to do their jobs and that people living in the home are safeguarded from harm. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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 Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 People who use this service experience adequate outcomes in this area. People are involved in decisions about moving into the home and their needs are assessed and considered before it agrees a service can be provided to them, but up to date written information about the service would help them to reach a more better informed decision about using it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of people that had recently moved into the home contained information about their needs that had been obtained from the Local Authority, before they had been admitted to ensure the service was able to meet these satisfactorily. People living in the home told us they had visited as part of the admission process, so they could try it out before making their minds up about it and that they been involved in decisions about moving into the home. Up to date written information about the new service was not yet available and a requirement is made about this, so people can make a more informed decision about using the home. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use this service experience adequate outcomes in this area. Whilst people living in the home are able to make choices and decisions about their lives, additional information and further staff training about these issues would enable people to better supported with this aspect of their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The group of people living in the home have a mixed range of needs and abilities and the service has mechanisms in place to ensure they can be involved in making decisions about their lives. People living in the home told the Expert by Experience they were able to choose things like times of getting up and going to bed and how their bedrooms are decorated, although a number told us staffing issues sometimes resulted in them not getting the type of support they wanted or limited the extent they could make choices. One person said “I would appreciate more one to one time” whilst another commented “I cannot always achieve what I want... there are some staff that do not listen or give me enough time to answer…I find this very frustrating”. A Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 10 recommendation is made that further staff training is provided, so they are able to engage and communicate better with people living in the home and ensure that they feel respected and valued as individuals. Information given to us by the manager indicated three care staff vacancies had been frozen as a result of issues connected with the new Provider taking over the service, however evidence was seen of plans to address this and that these posts were currently being advertised. People living in the home were generaly possitive about the caring nature of the staff and a comment in a questionnaire returned to us stated “Staff treat me very well and are very kind”. The case files belonging to people living in the home contained plans of their care, which provided details about their needs and the actions staff needed to take to help them be supported with these. Some of the care plans were better than others however, and the manager indicated she was aware of this and that plans were in place to develop them further. People recently moved into the home confirmed they were being consulted about the planning of their care and feedback received from Health and Social Services Professionals confirmed the home’s staff were good at seeking support and assistance and that reviews of their care regularly took place. Assessments about risks to people living in the home were contained in the case files inspected. Some were however somewhat basic in detail and needed clearer information on how staff could assist and enable people living in the home to take sensible risks and responsibility for managing this this aspect of their lives. Information provided by the manager, indicated she was hoping to include people living in the home more directly in the process of identifying risks to themselves and following discussion with some of them, evidence was seen of arrangements to enable this to occur. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use this service experience adequate outcomes in this area. Whilst people living in the home are able to make some decisions about their lives, greater opportunities for these would help them better to achieve their personal goals, aspirations and promote their rights to independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home told us that some attended college or took part in clubs in the community to pursue interests and develop their skills. The manager provided information about plans to develop this aspect of the service and explore work opportunities, voluntary placements and leisure pursuits. People living in the home told the Expert by Experience that activities needed developing however, “We used to have a gardening class and a keep fit class, but all that’s stopped because we are short of staff.” One person said in a comment returned to us “I would like to see more activities for those that cannot help or entertain themselves, more trips out. I think we would all benefit from this…It would help a feeling of usefulness”. Evidence was seen of Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 12 plans to remedy these issues, with staff meeting minutes containing details of successful fundraising to obtain an additional minibus and information provided by the manager, indicated a new activities and volunteer organiser was due to be recruited early in the new financial year. Relative comments were generally possitive with one stating the home “Takes care of my brother and keeps him having a happy life”; whilst another said “Our son’s support worker has extended his daily activities to fulfil his time at the home well”. A person living in the home indicated a wish for greater independence and a desire to fulfill their rights and responsibilities further. “I don’t get enough time to support me to keep my room clean as I would like”. A recommendation is made about this to ensure staff are provided with the skills needed to promote the independence of people living in the home and enable them to take more active control of their lives. People living in the home told us they were able to contribute ideas about choice of menus and evidence was seen of meetings for them to discuss these with the chef. People told the Expert by Experience that food was generally of a good standard and that there was always a healthy option available. The Expert by Experience noticed the dinning room was very cramped at mealtimes however and suggested that these are staggered to provide greater flexibility and choice, so giving people more room to receive support if this is needed. People told the Expert by Experience they enjoyed going out shopping for clothes and personal toiletries but that staff generally did the food shopping for the home. The Expert by Experience suggested consideration is given to help them assist with this aspect of life in the home, so they can contribute more directly and feel more involved in the running of the service. A recommendation is made about this. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use this service experience good outcomes in this area. People living in the home are supported to be involved in their care in order to ensure their health and personal care is delivered in accordance with their individual needs and wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home told us their heath and personal care needs were met and evidence was seen of a person centred approach and that staff generally supported them very well with this aspect of their lives, although one relative indicated staffing pressures sometimes compromised their ability to do this as well as required. People living in the home told us staff involved them in planning their care and support and relative comments spoke of the caring nature of the staff. Comments from Health and Social Care Professionals were equally positive and confirmed staff worked closely with them to achieve good outcomes for people living in the home. A Health Protection Nurse said that staff had been proactive in their approach and “sought advice over the past year on a few clients with health acquired infections” whilst a Specialist Epilepsy Nurse stated that staff monitor health issues well and “Treat service users with respect”. A Medical Consultant who was approached, commented “My experience is that all instructions for observation, care or change in clinical Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 14 management have always been adhered to...I have been impressed by the dignity, privacy, compassion and concern that care staff have shown to the residents at the home”. Specialist aids and equipment were available to maximise independence and evidence was seen in staff meeting minutes of actions taken to ensure these continued to be appropriate for use. Medication Policies and procedures were available to guide staff and evidence was seen of good practice issues and new working protocols being implemented to support them with these. Most people living in the home have previously not self medicated, although discussion with them indicated plans were in place to enable those choosing to do so, to manage this themselves, following a risk assessment of their ability to do this safely. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use this service experience good outcomes in this area. Whilst staff had received training in the Protection of Vulnerable Adults and people living in the home were generally happy with the service, a more simple complaints procedure would help people understand their rights better and know what to do if they need to make an official complaint. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home told us they were generally happy living in the home although some indicated concerns associated with recent changes in the service. The home had an official complaints procedure, which people said they knew about, although some told the Expert by Experience they thought parts were a bit hard to understand. The Expert by Experience suggested this be developed in an easy read format with pictures and words, so people living in the home can understand their rights better. The Commission for Social Care Inspection had had received no complaints about the new service before this inspection visit, and the home’s complaints book confirmed none had been received directly by the home. The service had policies and procedures to ensure people living in the home were safeguarded from abuse and staff training had been provided on this. A recent safeguarding allegation had been correctly referred to the Local Authority, with appropriate action taken by the home. Records of money held on behalf of people living in the home that we inspected were being appropriately maintained to ensure that their financial interests were protected. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use this service experience adequate outcomes in this area. Although old, the building was being appropriately maintained and generally meeting the needs of people living in the home. Closer attention to ensuring the home is kept clean would better safeguard people living in the home from potential risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home occupies an old building and when the Expert by Experience looked around it she felt parts of it needed redecorating. Evidence was seen of action taken by the new Provider, to remedy priority issues and further planned investment to ensure people living in the home are kept safe. Since the service was taken over in October 2007, the electrical circuits had been rewired and evidence was seen of maintenance and development programme and a full time handyman/driver was employed. Handrails and specialist adaptations were in place to maximise independence, although the Expert by Experience commented the age of the home made access around the home more difficult for people using wheelchairs. Information provided by the manager indicated a positive outcome from a recent Environment Health Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 17 Department visit, although the Expert by Experience noticed some of the bathrooms had been left untidy, with plastic gloves and sacks of soiled clothing not put away. The Expert by Experience said “ I think these should be kept locked away to protect peoples dignity”. A requirement is made about this and to reduce risk from cross infection. People living in the home told us they were generally unable to lock their bedroom doors and the Expert by Experience noticed a number of them were left open. The Expert by Experience said “I think residents should be able to close and lock their bedroom doors so they can have privacy and keep their belongings safe”. A recommendation is made about this. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 People who use this service experience adequate outcomes in this area. The service had an appropriate recruitment procedure to ensure staff were safe to work with people living in the home and although they had received training to do their jobs, additional staff and further specialist training would help them support the needs of people living in the home better. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with staff and observation of them indicated they generally possessed attitudes and skills needed to do their jobs. However, as previously noted comments received from people living in the home indicated some would benefit from further training in how to support and empower them to fulfil their aspirations and potential better. As part of the arrangements of taking over the service, the Provider organisation had carried out a thorough audit of staff skills and training needs, and evidence was seen of robust plans to remedy deficiencies noted. Information provided by the manager indicated a good NVQ training programme was in place, with over 50 of them possessing this qualification at level 2 or above and with others working towards this award. Measures had been taken to improve and restructure the staff team, in order to reduce the impact of the more institutional aspects of the service and the previously long hours covered on duty, were no longer Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 19 allowed and new seniors appointed to cover each shift. People living in the home told us however that staff numbers on duty during the afternoon shifts had been reduced and this sometimes limited their availability. Although evidence was seen of action being to recruit further staff, a requirement is made that the provider evaluates staffing levels to ensure there are sufficient numbers on duty to meet the needs of people living in the home at all times. The files of newly appointed staff contained evidence of a thorough recruitment process to ensure they were safe to work with people living in the home. Information provided by the manager indicated plans were in place to involve people living in the home in staff recruitment and selection, in order to enable them to contribute and develop a greater sense of control of their lives. The disabilities experienced by people living in the home are mostly of a physical nature, although some have additional learning disabilities as well. No evidence was seen however of formal staff training relating to this and a recommendation is therefore made about this. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use this service experience good outcomes in this area. The management systems, although adequate were being strengthened to ensure the effective running of then home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The information we asked for about the home was completed by the manager to a good standard and indicated clear awareness of her roles and responsibilities. The manager advised since the new Provider had taken over the service, she was receiving additional support and training to fulfil her role. Confirmation of this was seen in the home’s records together with regular visits from an Area Manager for the Provider Company and monthly reports of visits undertaken by the Provider as required. An additional part time office staff member had recently been recruited, providing a total of 37 hours of administrative support and evidence was seen of new systems being developed in relation to this. The manager stated she had previously completed her Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 21 Registered Managers Award, but that the company responsible for verifying this had subsequently gone out of business and had therefore re registered elsewhere to repeat this and had now two units left to do. As indicated previously, the service had recently undergone a period of significant change and uncertainty and this will continue to need to be carefully managed. Concerns about staffing availability and need for additional training have been highlighted in this report, however evidence was seen of robust plans to address these issues. Quality Assurance systems were in the process of being developed to monitor the service against its aims and objectives and evidence was seen of consultation mechanisms to ensure the views of people living in the home could be included in the management arrangements for running the service. A random sample of the homes maintenance and equipment records we inspected contained evidence of regular checks being carried out to ensure the health and safety of people living in the home. A recent fire drill had resulted in a poor response; however, evidence was seen of appropriate action being taken to remedy this. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 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. 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 1 2 3 3 3 4 3 5 X 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 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 2 X X 3 X Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 YA1YA1 Regulation 4,5, Requirement The Registered Person must ensure that an up to date Statement of Purpose and Service Users guide is developed for the home to provide people thinking of using it with written information about it on which to make an informed decision. The Registered person must ensure that bathrooms are kept clean and that soiled items are disposed of correctly to protect the dignity of people living in the home and to reduce the risk of cross infection in the home. The Registered Person must ensure there are sufficient numbers of appropriately trained staff on duty to meet the needs of people living in the home at all times. The Registered Person must ensure there is a Quality Assurance system for the home to monitor it success in meeting its aims and objectives. Timescale for action 01/04/08 2. YA30YA30 13, 16 01/03/08 3. YA33YA33 18 01/04/08 4. YA39YA39 24 01/04/08 Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 24 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 YA6YA6 Good Practice Recommendations The Registered Person should ensure that care plans are further developed to provide staff with information about how to support the individual strengths, abilities and areas of need for people living in the home, so that a more holistic and person centred approach to their care can be delivered. The Registered Person should ensure staff receive training on aspects of communicating with people living in the home in order they are able to engage with them better about their individual needs and choices. The Registered Person should ensure people living in the home are enabled to take sensible risks and that clear information is provided to help staff support them to be as independent as possible and take responsibility for this aspect of their lives. The Registered Person should ensure staff are provided with skills needed to enable people living in the home to take more active control of their lives in order to promote their independence and general sense of wellbeing The Registered Person should consider involving and enabling people living in the home in assisting with the process of food shopping in order they can feel more directly involved in the running of their home. The Registered Person should consider staggering the main meal times in the home in order to provide greater flexibility and enable people living in the home with more room to receive support if this is needed. The Registered Person should ensure that the complaints procedure is developed into an easy read format with pictures and words, so people living in the home can understand it better and know what to do if they are unhappy with the service. The Registered Person should ensure that people living in the home are able to choose to lock their bedroom doors in order their individual wishes for personal privacy can be better promoted. The Registered person should ensure staff are provided DS0000070664.V358691.R01.S.doc Version 5.2 Page 25 2. YA7YA7 3. YA9YA9 4. YA16YA16 5. YA17YA17 6. YA22YA22 .7. YA24YA24 8. YA35YA35 Godfrey Robinson Home for the Disabled with accredited Learning Disability Award Framework training (LDAF) to ensure they are equipped with the skills needed for meeting the needs of people living in the home. Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Godfrey Robinson Home for the Disabled DS0000070664.V358691.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!