Inspection on 08/12/05 for Long Yard

This inspection was carried out on 8th December 2005.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Long Yard 17/01/07

Long Yard 24/06/05

Long Yard 12/10/04

Long Yard 20/05/04

Long Yard 03/02/04

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Hartley House

Brook Drive, 124

Rugby House Project

City Roads Crisis Intervention

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

CARE HOME ADULTS 18-65 Long Yard 8 - 9 Long Yard London WC1N 3LU Lead Inspector Ms Franki Solomon Unannounced Inspection 10:00 8 December 2005 th Long Yard DS0000010346.V250846.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 Long Yard DS0000010346.V250846.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. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Long Yard Address 8 - 9 Long Yard London WC1N 3LU 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) 020 7404 1117 0207 242 2206 Rugby House Project Mr Radomir Lazarevitch Care Home 13 Category(ies) of Past or present alcohol dependence (13), Past or registration, with number present alcohol dependence over 65 years of of places age (13) Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home must first inform the Commission, by telephone or fax of the prospective referral, if over 65 years old. Prior to the signing of the license agreement the home must first fax a copy of the relevant Needs Assessment to the commission. The home must highlight any incapacity and demonstrate how any physical or psychological need or incapacity is to be met by the home. The home shall have specific regard to regulation 13.6; 14.1 (a)-(d); 14.2 (a)-(b) The home must amend its statement of purpose in accordance with regulation 4.1 24th June 2005 Date of last inspection Brief Description of the Service: Long Yard (previously known as The Rugby House Project Crisis Centre) is registered under the Care Standards Act 2000 by the Commission for Social Care inspection (CSCI) as a Care Home. The project runs a non-medical detoxification programme and is just one of a small number of regulated alcohol rehabilitation services inspected by CSCI. Long Yard is registered to accommodate 13 adults. The property is owned by Circle 33 Housing Association and has no disabled access. There are four double and five single bedrooms. Two single and one double are allocated specifically for detoxification of service users on arrival. The registered provider, Rugby House, has a range of innovative specialist alcohol and drug services and there is the opportunity for ongoing referral to access other rehabilitation options within the service. The service is for men and women who for a variety of reasons need a place of safety for stabilisation, a full assessment and detoxification from alcohol as part of an overall care package because they cannot access or make use of a community service. The stay is 2 – 3 weeks. The home provides support to adults who through chronic alcohol misuse have become a threat to themselves or others. Some 50 of the service users who come to Long Yard have more complex needs such as alcohol misuse, mental health problems, some drug misuse or dependency/ long term use of prescribed drugs and housing instability. The home is situated in a cul-de-sac off Guildford Street in Central London halfway between Russell Square Tube Station and Holborn Tube Station. The home is in a small area of residential flats and offices and has a small shopping Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 5 area within walking distance. There is no parking available. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the year April 2005 – March 2006. The inspection was unannounced and was conducted over half a day. The registered manager was not on duty on the day and the inspector met with the Person-in-Charge, the Referrals and Contracts Co-ordinator assisted and was available during the inspection. The inspection was to check on requirements made during the last inspection, to tour the building, to inspect documents, policies and procedures and any key standards not inspected at the last inspection. The inspector also met with service users and staff. The inspector would like to thank the staff team and residents for the hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Documentation, policies and procedures need to be reviewed on a regular basis such as Statement of Purpose and Regulation 26 Visit reports. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 7 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. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 8 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 Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 9 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): 1. There have been some changes at the home and the Statement of Purpose needs to be reviewed and updated. EVIDENCE: Long Yard’s Statement of Purpose is generally detailed and gives good information for prospective service users. However, their Aims and Objectives need to be incorporated into the Statement of Purpose. Also, there have been changes at the home which are not reflected, one of is that Long Yard is still referred to as “Crisis Centre”. This was discussed with the Person-in-Charge. A requirement has been made. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Service users can feel confident that the home will treat information with professional confidentiality, and that they are treated with respect and dignity. EVIDENCE: All arrangements were in place in terms of Confidentiality. The policy on Confidentiality is well set out and fully repeated in handbooks. The home does literacy checks to ensure that service users are well informed. The home’s confidentiality policy is repeated throughout the programme at the various forums. Both staff and service users confirmed that Confidentiality is treated seriously. Service users said they felt confident with staff’s professionalism and were treated with dignity and respect. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 & 15. Because of the nature of the Service Users’ needs the home is not always able to succeed in it’s Aims and Objectives during the 2 – 3 weeks stay to develop Service Users’ practical life skills. The nature of the detoxification programme is such that certain relationships are not encouraged. The home works within a specific risk assessed programme. EVIDENCE: Service Users arrive at the home in a very unwell condition. The home sets about to stabilise the service user from their chronic alcohol misuse and all of its health and social consequences. However, this is within a framework of respect and choice. The service user may not stay the course and is free to refuse the intervention at any time and leave. The programme at the home is for 2 – 3 weeks detoxification when service users are vulnerable. The home has a specific programme which sets out clearly the boundaries of relationships. Service users confirmed that the Assessment was undertaken, and an Individual Plan and Contract was drawn Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 12 up and made clear at the initial assessment interview and throughout the programme. They spoke highly of the staff group and acknowledged that, finally, they had to take responsibility for their own recovery. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 13 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): These standards were not inspected on this occasion. EVIDENCE: Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 14 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. These standards were not reassessed. The requirement made at the last inspection has been addressed. EVIDENCE: Documentation received demonstrates that a requirement made at the previous inspection in relation to an Adult Protection Issue has been addressed. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 15 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): 30. The building is old and within these limitations, the home is kept clean and hygienic. EVIDENCE: The building and decoration is old, collects dust and scuffs easily. On the day of inspection the housekeeper was off sick. Arrangements were made to ensure the home was cleaned. The home was being cleaned when the inspector arrived at the unannounced inspection. Service users’ programme also includes their involvement in the cleanliness of the home. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 16 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): These standards were not inspected on this occasion. EVIDENCE: Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 17 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): 39. The Quality Assurance monitoring is not used appropriately. EVIDENCE: The home still did not have copies of the Provider’s Regulation 26 monthly visits. This means that the Registered Manager is unable to act upon any issues raised at the home. This deficiency has a direct impact on service users’ well being. This requirement has been re-stated. Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 18 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 2 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 4 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Long Yard Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 1 X X X X DS0000010346.V250846.R01.S.doc Version 5.0 Page 19 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 YA1 Regulation Requirement Timescale for action 28/02/06 2. YA39 4(1)(a)(b)(c); The Registered Person must 4(2) ensure the Statement of Purpose is up to date and includes all relevant information. 26 The registered person must comply with regulation 26, to undertake monthly unannounced visits to the care home and maintain and provide up to date reports of such visits on site. This requirement has been restated. 29/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Long Yard DS0000010346.V250846.R01.S.doc Version 5.0 Page 21 - 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. 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