CARE HOME ADULTS 18-65
John Street Nursing Home 2-8 John Street Thurcroft Rotherham South Yorkshire S66 9HJ Lead Inspector
Sarah Powell Unannounced Inspection 29th September 2005 09:00 John Street Nursing Home DS0000003095.V250562.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 John Street Nursing Home DS0000003095.V250562.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. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 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 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) South Yorkshire Housing Association Ms. Alison Cheryle Carter Care Home 15 Category(ies) of Learning disability (15) registration, with number of places John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 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. 29th November 2004 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. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the homes first inspection in the year 2005/2006 and took place over one day the inspection was on 29th September 2005 at 10.25 and finished at 13.45. 5 Service users and 4 staff were spoken to. A tour of the buildings took place, observing staff and practices including activities, meals and interaction with service users. There were no requirements or recommendations following this inspection. What the service does well: What has improved since the last inspection?
There is a new day centre project opened in Thurcroft near to John Street that the service users have started using. The project arranges drop in secessions so service users can go along at any time during the secession for a drink and a chat this is well used by the service user at John Street and enjoyed. The domestic hours have been increased and there is currently a vacancy for 16 hours when this is filled each bungalow will have its own domestic. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 6 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. John Street Nursing Home DS0000003095.V250562.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 John Street Nursing Home DS0000003095.V250562.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): All service users have their needs fully assessed prior to admission. EVIDENCE: All service users have an assessment undertaken by the manager or appropriately trained member of staff prior to admission and are only offered a trail placement if they feel that all their needs can be met at John Street. For service users referred through the care management a health and social service assessment is also obtained to ensure that the needs of the individual can be met. John Street Nursing Home DS0000003095.V250562.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): All service users have a plan of care reflecting their changing needs and personal goals, including risk assessments. EVIDENCE: Various care plans were seen they were very good explained each individual’s need in detail in order that staff are able to meet there needs. All care plans are reviewed at least every six months. The staff confirmed that the service users and relatives were involved in the implementing and reviews of the plans if they wished. Each service user has individual risk assessments these were good and covered all areas of possible risks and hazards. It was evident from the risk assessments and talking to staff that service users were supported to be able to take responsible risks. Staff are fully trained to ensure they understand all risks associated with each individual service user. John Street Nursing Home DS0000003095.V250562.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): Appropriate activities are provided for service users and their rights are respected. Service users are offered a healthy diet. EVIDENCE: Each service users has a weekly programme attending various day centres and places of work to meet their needs. There is a new day centre project opened in Thurcroft near to John Street that the service users have started using. The project arranges drop in secessions so service users can go along at any time during the secession for a drink and a chat this is well used by the service user at John Street and enjoyed. The daily routines of the home promote individual choice on the day of the inspection the service users in one bungalow had a day of from the various day centres and were all having a very relaxed morning, which was their choice. They were given breakfast in bed, baths, massages, facials, nails and hair done
John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 11 and many did not come into the lounge until 11.30. The service users had enjoyed the relaxing morning and being pampered. All service users who wanted to go on holiday has had a holiday this year a further break was organised the same week as the inspection 5 service users were going to Blackpool, seeing a show and the lights. One service users had also had a special holiday this year organised for his 70th Birthday, which he thoroughly enjoyed. Holidays are organised with service users in order that their choices are considered. Each bungalow has its own menu with choices drawn up with service users input to meet their needs. The menu was varied, nutritious and balanced and met the dietary requirements of individual service users. Meals were also very flexible to fit in with the lifestyle of the service users meeting their needs. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 12 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): Service users receive personal support in a way they prefer and healthcare needs of the service users are assessed and met. EVIDENCE: It was evident from the plans of care and talking to staff that service users health is monitored and potential complications and problems are identified and dealt with at an early stage to prevent further problems. Staff seek help and advice from various health care professionals this was documented in the plans of care in order to meet the needs of service users. Personal support was given sensitively it was flexible maintaining privacy, dignity and independence; this was evident during the inspection. Service users choices were very evident in the way they were dressed in appropriate clothes for their age wearing jewellery and makeup, which reflected their personality. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 13 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): Service users views are listened to and are protected form abuse. EVIDENCE: The home has a clear and accessible complaints procedure in easy to read format for the service users. The home has received no complaints in the last 12 months. The home has an adult protection policy all staff are aware of the procedure to follow should an allegation be made. All staff have also attended training on protection of vulnerable adults in order to be aware of different types of abuse and protect service users. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 14 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): Service users live in a clean safe environment. EVIDENCE: The home is accessible, safe and well maintained and provides a homely friendly atmosphere for the service users. Many communal areas and bedrooms have been re-decorated since the last inspection the decorators were in the home on the day of the inspection painting one of the kitchens. The standard of cleanliness observed throughout the home was excellent providing a clean safe environment for service users to live in. John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 15 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): None of these standards were assessed at this inspection. EVIDENCE: John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 16 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): None of these standards were assesed during this inspection. EVIDENCE: John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 17 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 4 X X X X X 4 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
John Street Nursing Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000003095.V250562.R01.S.doc Version 5.0 Page 18 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 John Street Nursing Home DS0000003095.V250562.R01.S.doc Version 5.0 Page 19 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
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