Inspection on 29/06/07 for John Street Nursing Home

This inspection was carried out on 29th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

John Street Nursing Home 07/03/06

John Street Nursing Home 29/09/05

John Street Nursing Home 29/11/04

John Street Nursing Home 25/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

Pennine Camphill

Whitwood House

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 John Street Nursing Home 2-8 John Street Thurcroft Rotherham South Yorkshire S66 9HJ Lead Inspector Tony Brindle Key Unannounced Inspection 29th June 2007 1:00pm DS0000003095.V330611.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 DS0000003095.V330611.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. DS0000003095.V330611.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service John Street Nursing Home Address 2-8 John Street Thurcroft Rotherham South Yorkshire S66 9HJ 01709 532697 01709 545580 NONE none South Yorkshire Housing Association 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) Alison Cheryle Carter Care Home 15 Category(ies) of Learning disability (15) registration, with number of places DS0000003095.V330611.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That one service user over the age of 65 be allowed to reside at the home. If this service user leaves, the condition will be removed. 7th March 2006 Date of last inspection Brief Description of the Service: John Street is a care home for adults aged 18 - 65 with learning disabilities; it consists of three bungalows with 5 service users in each. Each bungalow has its own kitchen and laundry facilities with dining and lounge areas in each. Assisted baths are in each bungalow. There are patio areas and adequate parking facilities. John Street is in Thurcroft, which has shops, pubs, and restaurants walking distance from the home. In June 2007, the weekly fees were £436.17. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. DS0000003095.V330611.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. EASY READ SUMMARY What the service does well. The information people are given is very good. It is easy to read. People have very good care plans. People help to write their own care plans. Staff at the home talk to people about their care and support. People’s views about their care and support are listened to and acted upon. DS0000003095.V330611.R01.S.doc Version 5.2 Page 6 People living at John Street get to go out and take part in different activities with different people. People have their bedrooms. The bedrooms are nicely decorated. People have their own things in their own rooms. The staff respect people’s privacy. Staff talk and listen to people living at the home. The staff respond to people living at the home properly. John Street is well managed. People say that the staff are friendly. DS0000003095.V330611.R01.S.doc Version 5.2 Page 7 The staff are well trained. The staff look after people. If people are worried about something or angry, they tell the manager or a staff member. The manager makes sure problems are looked into and that people are kept safe. DS0000003095.V330611.R01.S.doc Version 5.2 Page 8 What has got better. All the staff now have good training about the use of medication. What the service could do better. After we visited, we couldn’t find anything that the staff at John Street needed to improve. DS0000003095.V330611.R01.S.doc Version 5.2 Page 9 What the service does well: 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. DS0000003095.V330611.R01.S.doc Version 5.2 Page 10 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 DS0000003095.V330611.R01.S.doc Version 5.2 Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service they will receive. EVIDENCE: The records show that the manager and staff have a high quality approach to making admissions right for individuals, and they are clear when they feel the home might not be able to meet the needs of a person. The manager explained that decisions are based upon a wide range of evidence and the records show that person and their relatives are kept informed and involved in the decision making process as much as possible. The records show that one person who had recently moved into the home had had the chance to visit the home, have a look round, talk and spend time with people already there. The manager said that people who want to move into the home, and their relatives are told that being able to visit the care home and spend some time in it, talking to people who live there and members of staff, is essential to making a positive choice about moving in. The manager DS0000003095.V330611.R01.S.doc Version 5.2 Page 12 confirmed that all the people living in the home receive a contract. The records show that the person, or their representative agrees and signs the contracts. DS0000003095.V330611.R01.S.doc Version 5.2 Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The manager explained that the care plans are developed with the people living in the home. The service sees care plans as belonging to the people living in the home. The records show that the plans are based on a full and up to date assessment, and the plans are written in a person centred way and focus on people’s strengths and personal preferences. The manager said that care plans can include photos, pictures and are written in plain language. The records confirmed this, and it was clear from looking at the details within the plans that they are an up to date and working tool. The way that the plans are set out would help someone not familiar with the person to deliver a personalised care and support service when necessary. DS0000003095.V330611.R01.S.doc Version 5.2 Page 14 The records show that the care plans includes a comprehensive risk assessment, which is regularly reviewed. One staff member who was spoken with talked about the service having a ‘can do’ attitude and added that risks are managed positively to help people using the service to lead the life they want. The records show that any limitations on freedom, choice or facilities are always discussed in detail and if placed on a person done so in the person’s best interests. The records show that reviews take place, and the manager said that this helps to protect the rights of people living at the home. The records show that people are consulted on how the service is run and are able to influence key decisions in the home. People who live in the home said that they are involved in decisions about day-to-day life in the home, such as cooking, cleaning and activities. DS0000003095.V330611.R01.S.doc Version 5.2 Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. EVIDENCE: Feedback from people living at the home, and from the relatives who responded to our survey indicated that people are given the opportunity to develop and maintain important personal and family relationships. Discussion with the manager showed that individual rights and choices are promoted, and the records confirmed that people are supported to make informed choices about things such as lifestyle choices, relationships and activities. The manager explained that the service has a strong commitment to enabling people to develop their skills, including social, emotional, communication, and independent living skills. The records show that individuals are supported to identify their goals, and work to achieve them. People living at the home take part in weekly activities such as attending day centres, going to town, DS0000003095.V330611.R01.S.doc Version 5.2 Page 16 shopping, going for meals, taking part in craft activities and an assistant physiotherapist attends the home to support people with movement and exercise. DS0000003095.V330611.R01.S.doc Version 5.2 Page 17 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Observations on the day showed that the care is person led. Staff were seen to respect people preferences. The records show that the manager and staff ensure that people receive effective and individualised personal and healthcare support using a person centred approach. This was supported by the views of relatives who responded to our survey. Everyone in the home have their medication requirements organized for them, and it is clear that the staff who are involved in this are knowledgeable and trained to do so, following up to date best-practice guidance. Recent developments in the accedidated training received by the staff team has ensured that the staff are fully aware of the home’s systems for giving medication: they know how to store and administer medication safely and in the way that suits people best. The Statement of Purpose sets out the competencies and specialisms offered at John Street and feedback from people who use the service and from DS0000003095.V330611.R01.S.doc Version 5.2 Page 18 people’s relatives shows that the service does deliver care and support of a high quality based on their individual needs. The deputy manager said that the staff team are working on health action plans with people. These are a record of a persons health needs. It also says what actions are going to be taken to make sure they get good health care to help them stay healthy. DS0000003095.V330611.R01.S.doc Version 5.2 Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: Following discussions with people living at the home it was clear that people understand how to make complaints. The service has a complaints procedure, which is available on tape and in an accessible format. The service has not had any complaints since the last inspection. The manager said that that a number of relatives meet 4 times a year with her and the staff to discuss issues, and more often than not, any problems or issues are quickly resolved either through meetings such as this, or by the fact that relatives are welcome to speak to the manager or any other member of staff at any time. The records show that regular training and supervision takes place to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the rights of people living at the home. Observations made on the day indicated that the views and experiences of people living at the home are valued. One member of staff spoke about how the staff team try and make sure that people have the right to feel safe and secure in all aspects of their life, including health and wellbeing. The staff records show that safeguarding training is undertaken. DS0000003095.V330611.R01.S.doc Version 5.2 Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical design and layout of the buildings and campus enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Discussions with the people living at the home showed that they are happy with their house and that the living environment is appropriate for their particular lifestyle and needs. Discussions with people indicated that they are encouraged to see the home as their own. The manager explained that she and the staff ensure that the physical environment of the home provides for the individual requirements of the people who live there, with adaptations made to the environment as and when required. The home has its own special features such as tracking hoists and adapted baths. DS0000003095.V330611.R01.S.doc Version 5.2 Page 21 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff in the home are trained, skilled and are provided in sufficient numbers to support the people who use the service. EVIDENCE: Observations indicate that there is a diverse staff team that has a balance of skills, knowledge and experience to meet the needs of people who use services. One staff explained that they are involved in a lot of training, some of which is specialist training linked to learning disability. The records confirmed this. 81 of the staff team are qualified to either NVQ II or above. The records show that the service has a well developed recruitment procedure that has the needs of people who use the service at its core. The manager explained that the recruitment of good quality staff is seen as integral to the delivery of an excellent service, and continued saying that the recruitment of the right person for the job is always seen as more important than the filling of a vacancy. People who live at the home are involved in the interviewing of people who want to work in the home. The records show that the service is proactive rather than reactive in its staffing, recruitment and training, with planning for the needs of people taking place on a day to day basis. DS0000003095.V330611.R01.S.doc Version 5.2 Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system. EVIDENCE: The records show that spot checks and quality monitoring systems are in place which provide the management with evidence that systems are working and that the health and safety of people are promoted. The manager has put in place food hygiene, health and safety procedures, and risk management systems which help to protect the best interests of everyone both living and working in the home. Discussions with people living at the home indicated that their views are listened to, and valued. The registered manager has the required qualifications and experience, and is competent to run the home. DS0000003095.V330611.R01.S.doc Version 5.2 Page 23 Discussions with the manager showed that she has a sound knowledge of both strategic and financial planning. DS0000003095.V330611.R01.S.doc Version 5.2 Page 24 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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X DS0000003095.V330611.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations DS0000003095.V330611.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. 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