CARE HOME ADULTS 18-65
Handsworth Development 63-65 St Joseph`s Road Handsworth Sheffield South Yorkshire S13 9AU Lead Inspector
Mr Rob Curr Unannounced Inspection 24th February 2006 09:00 Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Handsworth Development Address 63-65 St Joseph`s Road Handsworth Sheffield South Yorkshire S13 9AU 0114 254 8291 0114 269 0381 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) Northern Counties Housing Association Ltd Ms Diane Margaret Bentley Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. This registration includes 8 places for people with an additional physical disability (PD). One specific service user, named on the application to vary registration form dated 15/07/03 who is over the age of 65 can reside at the home. This registration also includes 8 places at 101, 103, 105, 107 Hall Road, Sheffield S13 9AH. 6th July 2005 Date of last inspection Brief Description of the Service: Handsworth Development provides a service for 12 adults with learning and physical disabilities. Four people live at one bungalow, and two people live in each of the four adjoining bungalows nearby. The bungalows are all purpose built, and are situated in the Handsworth residential area of Sheffield, which has good access to public transport and shops. The bungalows are all easily accessible to wheelchair users, have single bedrooms and large landscaped gardens. Each bungalow has a car parking area. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9.00 a.m. and lasted 4 hours. The majority of the key standards were inspected and met during the last inspection therefore progress on requirements and recommendations made during recent visits to the home were assessed. Some of the clients have communication difficulties therefore the main inspection method was observation of daily routines and the quality of interaction between staff and residents. The inspector was escorted on a partial tour of the home. A variety of policies, procedures, and records were checked. One client was very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. The Manager was present during the inspection so the inspector also discussed practice at the home with her and the other staff. The inspector met five clients. This involved asking their permission to enter their bungalow, reading about their assessed needs and how the home planned to meet them. Staff recruitment, and training records were also inspected. The management and senior support staff were extremely helpful and assisted the inspector throughout the visit. What the service does well:
The manager, senior staff and support staff were attentive and caring. They have a good understanding of the emotional and psychological needs of the current clients and work hard to maintain and enhance their sense of wellbeing and value. The home’s ethos is to provide a clear sense of independence. Clients are encouraged to live their lives as it suits them. Freedoms and choice are only limited after careful thought, discussion, and agreement based on clients’ best interests. Clients are encouraged to personalise their rooms and bungalows to suit their tastes and interests, and live in a warm, secure environment. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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): 5. All clients have a written contract and terms and conditions. EVIDENCE: One client spoken to said that they had a copy of a signed ‘Licence Agreement’. This document highlights the terms and conditions of tenancy between the service and the client. Copies of the ‘Licence Agreements’ were also seen in client’s files. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 and 10. The above standards (6-9) were checked and met during the last inspection. Clients are fully involved in the day-to-day management of the service. EVIDENCE: The clients that met with the inspector expressed their views in relation to being involved in the management of the service. They said that they had regular ‘key worker’ sessions. These were an opportunity to identify their needs and wishes. One person said that the staff were ‘very supportive’ and that they could ‘depend on the staff to promote their independence’. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 and 16. Clients are encouraged to take part in community events and engage in appropriate activities. EVIDENCE: One client said that all his social needs were highlighted in his care plan. He was also busy planning his holiday to Filey. One person said that the staff team encourage him to contribute to his family life and enhance relationships. Clients were also observed spending time alone in the privacy of their own rooms. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 and 21. Age related details were clearly identified. EVIDENCE: One clients care plan was looked at in detail. This plan identified any age related issues. There were clear guidelines of support in the section for ‘physical health and well being’. Within this plan there were clear indicators for observing and monitoring any deterioration in the persons mental health. The people that were aged over 65 have their care plans reviewed monthly. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 and 23. Client’s views are listened to. EVIDENCE: The clients explained to the inspector how they were supported to make their feelings known. One client said that he was encouraged to ‘speak out’ at meetings. People said that they ‘felt safe’ and that they had confidence in the manager and the support team. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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): 24,25,28 and 30. Clients live in a homely and comfortable environment. The identified refurbishment programme was maintained. EVIDENCE: The clients clearly enjoy their living space. They talked with a positive attitude about all refurbishment work that had improved their bungalow. One bedroom in particular had been refurbished to create a more sensory stimulating environment. Washing machines and cookers had been replaced. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 and 36. Tenants are protected by a robust recruitment practice and comprehensive training plan. EVIDENCE: The clients explained to the inspector that they had an identified role within the recruitment process. This clearly enables people to contribute to there own life-style and influence the dynamics of the staffing structure. Pre-employment vetting is undertaken thoroughly. All staff members had an appropriate CRB disclosure. Further staff have commenced NVQ training and an assessors award. Four ‘key-trainers’ have been identified to deliver the moving and handling training. Two of these trainers have developed a leaflet entitled ‘On the ball with Moving and Handling’. There has been a senior staff vacancy (due to long-term sickness) for a number of months. The staff explained that this is having an effect on the timing and quality of the supervision that is offered to the staff team as a whole. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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): 37,38,39,42 and 43. The organisation constantly monitors the service. EVIDENCE: The clients said that they have ‘every confidence’ in the manager and her staff team. They told of occasions when ‘certain staff’ in particular have supported them in upholding their rights in relation to ‘certain things’. The manager confirmed that a delegated person from the organisation conducted monthly monitoring visits and produced reports. These reports are not being forwarded on to the CSCI. The inspector would like to note that this reporting process is necessary to clearly identify that the organisation are proactive at identifying good practice within the service and developing any areas that are found to be lacking. Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 X X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Handsworth Development Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 X X 3 2 DS0000002967.V267196.R01.S.doc Version 5.0 Page 17 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 2 3 Standard YA36YA33 YA36 YA39 Regulation 18 18 12 Requirement The ‘long-term’ vacancy held against sick leave should be recruited to. Staff must receive supervision at least six times a year. The results of clients and relatives surveys should be published and made available to all interested parties including the CSCI. The reports generated from the regulatory visits to the service must be forwarded to the CSCI monthly. Timescale for action 20/04/06 20/04/06 18/05/06 4 YA43 26 20/04/06 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 Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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 Handsworth Development DS0000002967.V267196.R01.S.doc Version 5.0 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. 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!
