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Inspection on 21/03/06 for High Street (80) - Resource Centre - NYCC

Also see our care home review for High Street (80) - Resource Centre - NYCC for more information

This inspection was carried out on 21st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Within the financial constraints that are placed upon them, the staff ensure that the unit is kept comfortable, clean and homely. Service users stated that they enjoyed coming to 80 High Street and that the food cooked for them was very good. Service users are supported in their daily activities, training and occupations.

What has improved since the last inspection?

Some decoration work had been undertaken to improve the appearance of the building.

What the care home could do better:

Requirements made at previous inspections remain outstanding and must be addressed. The environment could be improved further by making the building more accessible wheelchair users. Staffing hours are above the minimum required. However the unit`s management should consider and look towards making improvements in this area by employing a cook and domestic staff. Management should also implement further training in the Protection of Vulnerable Adults.

CARE HOME ADULTS 18-65 High Street (80) - Resource Centre - NYCC Resource Centre 80 High Street Starbeck Harrogate North Yorkshire HG2 7LW Lead Inspector Rob Padwick Unannounced Inspection 21st March 2006 3:00 High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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.V286571.R01.S.doc Version 5.1 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.V286571.R01.S.doc Version 5.1 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 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.V286571.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users up to 8 (LD) and up to 8 (LD(E)) up to a maximum of 8 Service Users 29th November 2005 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 home offers placements exclusively to service users 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 home is situated approximately 2 miles from Harrogate town centre. There are good local amenities within 20 minutes walk in Starbeck. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 3 hours including preparation time. All of the key standards that the Commission for Social Care Inspection requires to be inspected in a given year were covered in the previous inspection (November 2005). This inspection therefore focussed on the progress made in implementing the requirements and recommendations stemming from that visit. During this inspection, service records and files were checked and a tour of the respite unit was undertaken. Other time was spent talking with the service users and staff and observing the interactions within the communal areas of the home. What the service does well: What has improved since the last inspection? What they could do better: Requirements made at previous inspections remain outstanding and must be addressed. The environment could be improved further by making the building more accessible wheelchair users. Staffing hours are above the minimum required. However the unit’s management should consider and look towards making improvements in this area by employing a cook and domestic staff. Management should also implement further training in the Protection of Vulnerable Adults. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 Page 6 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. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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.V286571.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 29th November 2005 inspection report. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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 The service users’ care plans were satisfactory EVIDENCE: Care plans were in place to ensure that staff and service users knew what care was to be delivered and examination of these indicated them to be of a satisfactory standard. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 29th November 2005 inspection report. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 29th November 2005 inspection report. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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): 23 Additional staff training was needed in order to ensure that service users are fully protected in relation to potential of abuse EVIDENCE: A copy of the Local Authority policy and procedure regarding the Protection of Vulnerable Adults was in place, in order to safeguard the service users from abuse. Staff confirmed they covered this area of practice in their induction and NVQ training and discussion with them indicated that the manager was in the process of arranging additional training on this, as previously recommended. This recommendation is repeated again in order to ensure that staff are clear of North Yorkshire’s procedures concerning abuse and what action to take, if a service user discloses that they have been abused. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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 The home was clean but parts of the building needed some upgrading, in order to ensure that service users have a homely and comfortable environment EVIDENCE: All of the areas inspected were clean and free from odours and specialist equipment was available to assist the staff and service users. Staff indicated that a bathroom had been modified since the last inspection, in order to enable easier access. However, although parts of the building had recently been redecorated, it was continuing to show some signs of disrepair. A kitchen cupboard unit door that was missing at the last inspection had not been replaced and damage to the walls in the “purple” bedroom still needed to be attended to. Other previous requirements relating to wheelchair damage to doors and access to the garden similarly remained outstanding. These matters must be attended to, in order to ensure that service users have a homely and comfortable environment. A recommendation is made that the Registered Provider should consider under part 3 of the Disability Discrimination Act (1995) how well the building meets the needs of the service users for which it is intended and develops an action plan accordingly. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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): 33 A trained staff team support the service users, but these arrangements could be enhanced by the provision of dedicated domestic staff. EVIDENCE: Discussion with staff continued to highlight that on occasion the lack of a dedicated cook and cleaner impacted on the service they could provide. A previous recommendation for management to look at reviewing the current staffing arrangements, which can have a negative impact on the ability of staff to supervise service users at critical times of the day, had not been implemented. This recommendation is therefore again repeated. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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): 42 Appropriate measures were being taken to ensure that the health and safety of service users and staff was safeguarded. EVIDENCE: Discussion with staff and service users indicated that their health and safety was being safeguarded. The manager had delegated responsibility for this area of practice to a member of staff and examination of a sample of records indicated that these were being satisfactorily maintained. Accidents were now being documented and stored correctly and training, tests of equipment, evacuation and fire drills were being carried out appropriately. High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 X 23 1 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 2 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 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. Standard YA23YA23 Regulation 13(6) Requirement The Registered Person must ensure that staff are familiar with North Yorkshire County Council procedures regarding Adult Abuse and provide further training in this area of practice. (Previous timescale of 29/11/05 not met) The Registered Person must ensure that the following is attended to: Damage to the walls in the “Purple” room Damage to the doors from wheelchairs The kitchen cupboard door is replaced. (Previous timescale of 28/02/06 not met) The Registered Person must ensure that a ramp is installed to permit access to the grassed area of the gardens. (Previous timescale of 30/07/04 not met) Timescale for action 01/05/06 2. YA24YA24 23 01/06/06 3. YA24YA24 23 01/06/06 High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 Page 18 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 YA24YA24 Good Practice Recommendations The Registered Provider should consider under part 3 of the Disability Discrimination Act (1995) how well the building meets the needs of the service users for which it is intended and develop an action plan accordingly. The Registered Person should review the absence of a cook and domestic staff, in light of staff comments that the current arrangements have a negative impact on their ability to supervise service users at critical times of the day. 2 YA33YA33 High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 High Street (80) - Resource Centre - NYCC DS0000034427.V286571.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!