Inspection on 01/08/07 for High Street (80) - Resource Centre - NYCC

This inspection was carried out on 1st August 2007.

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

High Street (80) - Resource... 10/08/06

High Street (80) - Resource... 21/03/06

High Street (80) - Resource... 29/11/05

High Street (80) - Resource... 13/01/05

High Street (80) - Resource... 13/07/04

High Street (80) - Resource... 22/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 High Street (80) - Resource Centre - NYCC Resource Centre 80 High Street Starbeck Harrogate North Yorkshire HG2 7LW Lead Inspector Irene Ward Announced Inspection 1st August 2007 13.00 High Street (80) - Resource Centre - NYCC DS0000034427.V343844.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 High Street (80) - Resource Centre - NYCC DS0000034427.V343844.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. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Street (80) - Resource Centre - NYCC 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) Resource Centre 80 High Street Starbeck Harrogate North Yorkshire HG2 7LW 01423 883301 01423 881498 Julia.Glenny@northyorks.gov.uk www.northyorks.gov.uk North Yorkshire County Council Mrs Julia Heather Glenny Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. People up to 8 (LD) and up to 8 (LD(E)) up to a maximum of 8 People Date of last inspection Brief Description of the Service: The Resource Centre, 80 High Street is registered to provide residential care for up to 8 adults aged between 18 and 65 years with a learning disability and up to 8 adults aged 65 years and above with a learning disability. The maximum number of places available at any given time is 8. The registered provider is North Yorkshire County Council. The centre offers placements exclusively to people and their families who require respite care. The accommodation is set on the ground floor and is located in a building that also houses the Community Resource Team offices and rooms accessed by other community groups. The centre is situated approximately 2 miles from Harrogate town centre. There are good local amenities within 20 minutes walk in Starbeck. On the 1st August 2007 the cost of one night at the home is £114.46 or £780.22 per week, this can be reduced following a financial assessment. This information was supplied to the Commission For Social Care Inspection via the Annual Quality Assurance Assessment form received on the 21st June 2007. People who use the service/relatives and other interested parties are able to have access to inspection reports by requesting them from the resource centre. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the Annual Quality Assurance Assessment report. Surveys were sent to twelve people who use the service and their relatives/representatives. One survey was returned from a person who uses the service. Two surveys were returned from relatives. Three relatives were spoken to by telephone. An announced visit by one inspector to the centre lasting five hours. This visit included a tour of the premises; examinations of records, observation of care practices and interaction of four people who were in at the time of the site visit. Talking to one relative, care staff and the registered manager. • • Looking at three people’s care files in detail. What the service does well: The respite centre offers a friendly, clean and comfortable place for people to stay temporarily. The centre has an established staff team who are fully aware of the needs of the people. Relatives made positive comments about the centre: “Its an excellent respite care”, “Such good support for us and may I add how helpful and accommodating the staff are even at short notice.” “Really good service takes people out. Really friendly, really clean. Staff very good – always have a smile and make people welcome”. “Quite satisfied with the service. Staff very friendly and co-operative”. The centre understands the importance of keeping in touch with people until they are admitted for temporary care. This prevents the people from becoming anxious about their approaching stay there. People are encouraged and helped to continue with their normal daily routine whilst staying at the centre this provides people with some stability and enables them to settle quickly whilst on respite care. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 6 People are involved in meaningful daytime activities of their own choice and according to their individual interests and capabilities, where possible they have been fully involved in the planning of their stay. This helps them maintain control of their lives. 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. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.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 High Street (80) - Resource Centre - NYCC DS0000034427.V343844.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): 2. People who use the service experience good quality outcomes in this area. People’s needs are properly assessed prior to admission for respite care. This makes sure that their needs are met, whilst they are staying at the centre. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The process for someone obtaining respite care at the centre has not changed. Following a referral from the Care Managers for respite care and receipt of an outcome based care plan. Staff generally visit people at home prior to admission and complete an extensive assessment. Subsequently the centre then attempts to keep in contact with people who use the service and relatives until they are admitted for respite care using the telephone and a newsletter. Three people’s records were looked at all contained an assessment prior to the service commencing. From assessments and care plans seen and from observations on the day it was clear that the centre is providing care to some people who have very complex care needs. This was discussed with care staff and the registered manager. A further meeting has been arranged to ensure that where people’s High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 9 needs are complex the resource centre meets them without putting people’s needs at risk. The resource centre also offers emergency placements, which the manager said, has increased. The Statement of Purpose and the service user guide have been updated. A new brochure is to be designed for the respite centre. Contracts are in place and are available in written word and picture format, and fully inform people of their rights during their stay at the centre. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. The care provided to people is good and encourages them to make their own decisions about how they wanted to live their lives We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three people’s files were examined, each contained an outcome based care plan completed by the Care Manager prior to admission, all had a assessment, completed prior to admission with the person using the service and their representative, which included all aspects of the person’s health, welfare and social needs. The care plans have been reviewed and updated in February 2007, and now have a more person centred approach. Discussions with the Registered Manager established the assessment document is used as the service user plan, which is supplemented on each admission by information from the relatives either verbally, or by letter and by people’s communication book. Not all people who use the service choose to have a communication High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 11 book. This service plan/assessment is reviewed using this information when the person comes for each stay. However some of the recordings on the care plans were not detailed enough or abbreviations had been used. The manager told the inspector that relative’s had completed these. Whilst this is good practice it is the respite centre’s responsibility to make sure that care plans are recorded clearly so that peoples care needs are met. One person’s care plan contained a weekly programme that has been done in pictorial format. Another person’s care plan was written in the first person detailing how they liked things doing. This is good practice as people who use the service are kept involved when planning their care and this ensures that their needs are met. Whilst staff were supporting people during the afternoon it was clear they understood individuals needs. They supported people sensitively and encouraged them to make choices. Four people were in at the time of the site visit. One person’s care needs were complex. This was discussed with the manager at the time. It would seem that the resource centre provides respite care to four people whose needs are assessed as being complex. The inspector is to get advice and a further meeting has been arranged to discuss this matter. This is to ensure that people who use the service and have complex needs do not have their needs compromised. All three files seen held completed risk assessments. Individual risk assessments had been carried out to promote independence and safety. One relative was spoken to on the day and said, “ Generally very good, although the service is not as flexible as it used to be. The centre used to provide a service where people could come for tea and stay until about 11.00pm. This has stopped in the last year. There is a tea-time club until 7.00pm or people have to have an overnight stop”. This was discussed with the manager who said that this service (tea-time club) no longer operated from the respite centre and is based elsewhere. People are no longer able to just stay for several hours. This is due to; this type of service provision impacted on the centre’s staffing levels. This also impacted on the provision of care for those people who were staying for a longer period rather than just for a few hours and because of the changing needs of people who use the service. Also the respite centre’s premises are not large enough to accommodate more people than they are registered to provide for. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 12 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 the service experience good quality outcomes in this area. People who use this service are able to make choices about their lifestyle and are supported by staff to carry these out. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three people who use the service files examined contained details of their preferred daily routines and leisure interests; details included groups, and colleges. The Registered Manager explained some people carry a communication book that details the activities they have been involved in at their own home and whilst in 80 High Street, this enables the staff to provide them with a consistent lifestyle. Generally people only stay at the respite centre for short periods of time this can be for one night or up to four weeks. Therefore the centre tries to ensure High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 13 that activities carried out at home are continued when they stay at the 80 High Street. There was written information in people’s care plans on how people spend their days. The manager said that people are supported to attend activities that they already have in place. This included daytime activities such as attending Ripon College, Youth Club, Horticap and Gift People. These arrangements are discussed with people who use the service and their representatives and staff. Details about family and friends are recorded in the plans. Care plans seen recorded other activities that people enjoyed such as playing snooker and tabletop games. Staff explained that when people who had high dependency needs such as people who were wheel chair users, more staff was needed to enable people to go out. The manager said that staffing was increased where there was a need. One relative commented via the survey when asked what the home or agency does well and said, “Enables us to have respite they often give our (relative) one to one or two to one with personal care. We are very satisfied with the care given to our (relative). Another relative said, “Really good service takes people out. Really friendly, really clean. Staff very good – always have a smile and make people welcome”. A relative commented also via the survey sent, when asked how the care home or agency can improve and said, “They could provide more outside activities e.g. bowling, visits out etc.” Staff were observed cooking for people during the site visit, people were given a choice of menu and the food was well presented and nourishing. Menus looked at were varied and offered people choices. Special diets are also catered for. People who use the service who were asked about the food during the visit said the food was very good. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 14 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 the service experience good quality outcomes in this area. People’ personal and healthcare is provided appropriately and sensitively according to individual needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home operates a key worker system, and staff confirmed they attempt to maintain contact with the service user whilst they are at their own homes. However one relative commented on this and said, “My (relative) began using the service from 2007, we were introduced to the key worker at that time, but have had no 1.1 contact since.” Staff aimed to promote the independence of people who use the service where they can and provide support in a sensitive manner. People’s preferences as to how they wished to be supported were recorded within individual care plans. Daily record entries reflected the care that was being provided. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 15 Due to the length of stay at the centre people usually access their GP’s and specialist services whilst they are at home. In cases of an emergency people staying at the centre would attend Harrogate District Hospital for all A & E. The complex care needs of one person who was in at the time of the visit, was discussed with the manager. It would seem that there are a further three people who receive respite care and who have complex care needs. A further meeting was arranged at a later date to look specifically at those people’s complex care needs and to make sure that they are being met and are not compromised in any way. Following a meeting with the registered manager and senior management for the respite centre. It was clear that the needs of some people coming for respite care have changed and are becoming more complex. However staff at the centre have received all the necessary training to make sure people’s care needs and medical interventions can be met. As this is a respite centre those interventions will not be used regularly as they would be in a care home. Staff need to be regularly updated to ensure they maintain their skills. It was agreed with the management that they may want to seek further advice and establish a link with healthcare professionals and relatives of people who use the service to support the centre in order to make sure that specialist needs are always met. The Registered manager explained that people who are able to look after their own medication, a locked box is provided in their own room. However for those people who are unable to manage their own medication the centre has a medication system in place and procedures are followed accordingly. As this service is a respite centre, different medication systems maybe used according to what the person uses. Such as in bottles as they have been dispensed or in a medication system such as Nomad. Medication was stored securely and medication records were accurately maintained. There are currently no people who require controlled drugs. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 16 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 the service experience good outcome in this area. People who use the service have access to an effective complaints procedure and are protected from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service are provided with a complaints procedure, which is produced in an appropriate format such as pictorial. Two people who used the service said they knew who to speak to if they were not happy and they were aware of the complaints procedure. Relatives spoken to also said that they were aware of who they would speak to if they were not happy with the centre. Everyone spoken to said they would speak with the centre’s manager. One relative said that they were not unhappy about the service, but had an issue regarding the loss of clothes for their relative that has not yet been resolved. When discussed with the parent they said, “75 of the time the service is fine and I am reasonably happy with the service, but the problem is the loss of some my relative’s clothes”. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 17 The parent agreed for the inspector to raise this with the manager of the respite centre for this matter to be resolved. This was discussed with the manager who agreed to give this matter urgent attention and look towards having a satisfactory outcome for people who use the service. The operations manager investigates any major complaints made about the service. There has been one complaint made that had been investigated and resolved. North Yorkshire County Council policy and procedure with regard to adult protection are in place for staff to follow. Staff have a good awareness of this as they have now received training in the Protection Of Vulnerable Adults. The recruitment procedure continues to be robust, and ensures that only suitable people are employed, which helps to safeguard people from abuse. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 18 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 the service experience good quality outcomes in this area. People stay in a clean, comfortable and safe environment. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The respite centre provides good accommodation for people. This includes a large lounge/dinning room and a large kitchen. There is also a smaller lounge for people who want to spend some quite time. All accommodation is on the ground floor. The respite centre is clean and comfortable. It is decorated and furnished to a good standard. The respite centre has sufficient bathrooms and toilets that were clean and well maintained. People who use the service all have single bedrooms. All areas inspected were very clean and free from odours; specialist equipment was available to assist staff and people who use the service. There is a large garden and patio area that can be accessed by wheelchair users from the High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 19 lounge. The garden has had a ramp installed and has been paved and made safe so that people in wheelchairs can now access all the outside area’s of the respite centre including the grassed area. There is on site car parking to the front and side of the property. Two people who were staying at the respite centre at the time of the site visit showed the inspector the bedrooms they were staying in. The bedrooms are decorated in different colours so that people who use the service can easily identify them; all have a television and CD player. A range of maintenance checks is completed on a regular basis to make sure that the respite centre is safe and secure. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 20 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, 34 and 35. People who use the service experience good quality outcomes in this area. Sufficient staffing levels, proper recruitment procedures and good staff training meant that people’s needs were met and their interests were safeguarded. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The staff rota was looked at and showed who was on duty on the day of the site visit. The rota showed that there were three members of staff on duty that evening when people were in. This does not include the manager’s hours. Staff hours are increased where necessary and are based on people’s needs. Usually there is one sleeping in staff and one waking night staff on duty at night but because of people’s needs that were staying at the respite centre that week this had been increased to two waking night staff. The organisation operates an on-call service in case there is an emergency. However the previous two reports recommended the Registered Provider should review the absence of a cook and domestic staff, in light of staff’s previous comments that the current arrangements have a negative impact on High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 21 their ability to supervise people at critical times of the day. Staff had said previously the number of staff when dependency levels were high was not enough to meet the needs of people; this particularly affected the amount of time people could be escorted out of the home. This continues to be an issue as at the time of the site visit, one carer was in the kitchen preparing a meal. The other two carers were supervising and assisting people. The organisation should address this to ensure that people at not put at risk and that any social activities are missed due to the lack of sufficient staff. Responses from one person who uses the service and relatives were mixed: On one survey returned by a person who uses this service, when asked do the carers listen and act upon what you say they said, “Sometimes the young staff don’t listen properly and don’t speak to me as an adult”. A relative who returned a survey commented positively about the service and said, “The Manager and staff are very helpful and approachable”. Whilst another said, “Some staff are fine - but frequently there appears to be a lot of very inexperienced staff. Often there does not appear to be enough staff to cope with the amount of clients.” One relative spoken to by telephone said, “My relative is happy and relaxed at the respite centre. Staff are very friendly and co-operative. I am quite satisfied with the service”. The human resources department at county hall carries out recruitment. The staff files of two members of the staff team were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. This protects people who use the service. Staff training records examined showed a good training programme. Staff have undertaken training in back care, first aid, medication, food health and hygiene, protection of vulnerable adults, equality and diversity and (VIAT) visual impairment awareness training. Three staff have completed the (NVQ) National Vocational Qualification Level 2. Seven staff have completed NVQ Level 3. The registered manager has completed the National Vocational Qualification Level 4 Registered Managers Award and also holds the Assessors Award. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 22 The records and talking with staff confirmed they have mandatory training and they have access to other specialist training. Staff receive regular supervision and annual appraisals are carried out. Staff meetings are held regularly and minutes of meetings are recorded. Records of supervision were seen on both staff files. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 23 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 the service experience good quality outcomes in this area. People benefit from a well managed home in which their needs and wishes are put first. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager has been a manager at the respite centre since July 2000 and receives supervision from the Operational Manager. Quality Assurance systems are in place. The Registered Manager, records, and relatives confirmed the home operates a quality review system, where people who use the service and their relatives are asked about their views about the High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 24 respite centre, annually. This makes sure that the people who use the centre contribute to any further development of the service. People’s finances were not checked at this site as historical evidence suggests that there have not been any issues. An accident book is maintained in line with the requirements of Data Protection. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. During the inspection it was clear that the Respite Unit also provides Outreach Workers who are based at 80 High Street. This service provides various support to people in their own homes. The kind of support varies for people from assisting with shopping, cleaning to showering. This has raised concerns as such a service, which provides personal care to people in their own homes is required to be registered. Outreach Workers based at 80 High Street are not currently registered and maybe required to register under the Domiciliary Care Agencies Regulations 2002. This matter is currently being discussed between the Registered Provider and The Commission For Social Care Inspection. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 25 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 X 2 3 3 X 4 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations The respite centre needs to make people’s care plans more clear for staff when providing care. This will make sure that people’s care needs are continuously met. High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 High Street (80) - Resource Centre - NYCC DS0000034427.V343844.R01.S.doc Version 5.2 Page 28 - 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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