Inspection on 26/04/07 for Newfield View - 6-8 Gleadless Avenue

This inspection was carried out on 26th April 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 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newfield View - 6-8 Gleadless... 19/06/09

Newfield View - 6-8 Gleadless... 07/12/05

Newfield View - 6-8 Gleadless... 14/06/05

Newfield View - 6-8 Gleadless... 10/01/05

Newfield View - 6-8 Gleadless... 09/08/04

Newfield View - 6-8 Gleadless... 24/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Newfield View - 6/8 Gleadless Avenue 6/8 Gleadless Avenue Sheffield South Yorkshire S12 2QH Lead Inspector Paula Loxley Key Unannounced Inspection 26th April 2007 11:40 Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.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 Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.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. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newfield View - 6/8 Gleadless Avenue Address 6/8 Gleadless Avenue Sheffield South Yorkshire S12 2QH 0114 281 0818 F/P 0114 281 0818 newfieldview6@hotmail.com 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) Mrs Mandy Billard Mr Clifford Anthony Billard Mrs Mandy Billard Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2005 Brief Description of the Service: Newfield View is a large domestic style detached house located in an attractive residential area in the south east of the city, situated close to local amenities and public transport. The home is currently registered to provide 24-hour care for 8 younger adults with a learning disability. The home has 8 single bedrooms and all rooms were well maintained and decorated and furnished to a high standard. Two bedrooms had en-suite facilities provided and one bedroom had an en-suite shower/wet room. All bedrooms had been personalised by each service user according to their individual preferences. The registered providers continue to be committed to making sure that all areas of the home are regularly redecorated and upgraded and this has ensured that the home is exceptionally well maintained, welcoming and homely. There is a large, private and attractive rear garden with patio area. This had recently been restocked with flowering plants and shrubs. A large shed, external lighting, out-door seating with sun parasols and an awning had also been provided in-addition to potted plants and ornaments. Details relating to the service, the fees charged and the nature of the support provided by staff could be found documented in the homes statement of purpose and service user guide. The current scale of charges range from £292 to £889 per week and these are dependant on the level of staff support provided to each person. The fees include one annual holiday for all service users and additional charges are made for hairdressing, chiropody, toiletries, transport, magazines, additional holidays or outings and personal items. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over one day from 11:40 am to 18:40 pm. As part of the inspection process the inspector met with seven service users and four staff, including the registered manager/provider. A number of records were checked in detail and several areas of the building were inspected. All key standards were checked in addition to the progress made on any outstanding requirements. Service users continued to appear happy, relaxed and comfortable at the home. Observations of staff interaction with service users confirmed that staff had developed positive and supportive relationships with service users. Six service users were keen to speak to the inspector about their life at the home. They invited her to see their bedrooms and individually they all said they were really pleased with their personal space and the facilities provided. They confirmed that they liked living with each other and that they did not think of the registered providers and their key workers as staff but as extended family members or friends. The inspector would like to thank service users, staff and the manager for their help with the inspection process. It was agreed during discussions with the people who live at the home that they would be referred to in this report as service users. What the service does well: The registered providers continue to maintain the home to an extremely high standard and all service users spoken with said they enjoyed life at the home and loved the refurbishment and redecoration. Service users were satisfied with their personal space and had decorated and furnished their rooms according to their individual preferences. Service users were provided with a number of rooms where they could choose to spend their time alone or with each other. They said they got on well with the people that they lived with and that they could choose who they wished to spend time with. Each person had developed a range of interests and involvement in social activities outside of the home, as determined by each service user. Service users maintained regular contact with family and friends and they said any visitors to the home were always made to feel welcome. Service users spoken with were excited about their annual holiday provided by the home and they said they were happy that the registered providers and their family were accompanying them as they enjoyed this time together. Three service users confirmed that they also had a holiday booked via Enable to go to Spain later in the year. The manager and staff continue to work positively with all service users to make sure that their assessed needs are met and regularly reviewed. Staff and service users had been involved in the development of care plans. Staff had developed positive and respectful relationships with service users and each person seen appeared comfortable and relaxed in the presence of staff. Service users were provided with a healthy and nutritious diet and they all confirmed that they were very satisfied with the meals provided. Individual Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 6 choices and any special requests were also catered for. The appropriate systems were in place for the control and administration of medication and all staff had completed the required training. Service users health care needs had been prioritised and as a result of the regular monitoring and positive support provided by staff, two service users had been able to reduce their regular medication. The manager and staff team remained committed to undertaking training on a regular basis and all staff had now successfully completed NVQ level 2 in care. Two staff had enrolled on level 3 and the manager had completed her level 4 training in management and care. Staff recruitment and selection procedures made sure that service users were protected and all staff received regular supervision and an annual appraisal. The manager received regular supervision and an annual appraisal from an external consultant who had years of experience of learning disabilities and care services. She spoke positively of the support provided by him and said as a consequence of this she was developing her confidence, focusing on her leadership skills and had begun to network with other agencies and services. What has improved since the last inspection? Several interior areas of the home had been redecorated and the patio area in the rear garden had been repaved. Attractive shrubs and foliage had been planted in the borders and in several decorative pots. The improvements made were not as a result of requirements from previous inspections. The registered providers remain committed to keeping the home exceptionally well maintained and in good repair. Work was ongoing with each service user to further support them with the development of their independent living skills and several spoken with said they had become more involved in the preparation and cooking of their own meals. Staff meetings had been held regularly and all staff had been provided with the opportunity to attend. Minutes of these meetings confirmed that issues relating to service users, policies and procedures, social activities, staff training and development, the homes environment, care plans, time management, finances and dress code were some of the topics discussed. Risk assessments for service users had been reviewed and updated and written risk assessments had been completed for all areas of the home. Staff and the manager confirmed that these were regularly discussed and reviewed and that any identified risks had been discussed with service users. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 7 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. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 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 Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 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. 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 seen in service users files and following discussions with staff during a visit to this service”. Service users individual care needs had been fully assessed prior to their admission to the home and this made sure that the service was appropriate to meet each persons needs and that care staff were aware of their identified needs. EVIDENCE: Detailed and comprehensive full needs assessments, completed by the referring social worker, were available on service user files checked. The manager confirmed that assessments had been discussed with staff and that information from these had been used to develop the individual’s initial plan of care. Assessments contained all of the required information and service users spoken with confirmed that they were able to visit the home prior to their admission for tea or overnight stays. Service users, and their relatives or representatives, had been involved in the assessment process. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.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. We have made this judgement using a range of evidence in service user plans of care and following discussions with service users and staff during a visit to this service”. Detailed care plans had been completed for each service user and these clearly informed staff of each individuals current needs. In the main all sections were up to date and well ordered. Staff spoken with, were aware of each individual’s personal goals and care needs and this made sure that service users received the appropriate support. Service users were supported and encouraged by staff to make choices about their daily activities and routines and this guaranteed that they were actively involved in decisions that affected their own lives. Service users were encouraged and supported by staff to develop and maintain their independence. They confirmed that staff supported them to take risks as part of their on-going development and risk assessments had been completed to make sure that each person was protected as required. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 11 EVIDENCE: Two service user plans of care were checked in detail by the inspector and they detailed each person’s current needs. Care plans were regularly reviewed and updated and staff confirmed that they were discussed at team meetings and in individual staff supervision sessions. Each person had a key worker and service users spoken with said they were happy with the person that was allocated to them in this role. Service users individual support needs with finances, independent living skills, food preparation and domestic tasks, personal care and social, occupational and recreational activities had been identified. It was positive to note that the plan also included how the person communicated that they were upset or angry, their goals for the future and details of any new skills that they wanted to learn. Service users and their relatives, as appropriate to each person, had been involved in the review of their care plan and several spoken with confirmed that they were aware that they could see their care plan when they wished. The manager confirmed that staff often read out to service users the information contained in their plan of care to check that they were happy with the details recorded. Some sections of the care plans needed attention as it was not always easy to access current information and some information seen was contradictory and not up to date. The manager said that she would address this issue as she was developing a new indexing system for each file. Detailed inventories had not been regularly checked or reviewed and updated since the last inspection. Staff had completed daily records of the care and support provided to each service user. However the inspector noted that two entries had recorded that a service user had been distressed and upset when they had returned home from their day time activity and there were no details of the action taken by staff to appropriately support the person or of the outcome. Seven service users spoken with commented extremely positively of the support provided by the manager and staff employed by the home. They confirmed that they were encouraged to make decisions about their own lives, routines and individual goals. Six service users interviewed said they could do what they wanted during the day and that they were well supported by staff whom they viewed as ‘friends or family’ rather than paid carers. Staff supported service users with the management of their finances and records of any transactions had been maintained. Any restrictions or limitations of choices were made in the person’s best interests and had been agreed with each individual and documented in their plan of care. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 12 Discussions with service users and staff and documentation checked in care plans confirmed that service users were supported by staff to take risks as part of their every day life, daily routines and activities. Since the last inspection this had been further developed for each person currently living at the home. The manager confirmed that service users were now more actively involved in the preparation and cooking of some meals. Work was to continue on developing the independent living skills for each person in line with their individual abilities and personal preferences. Individual risk assessments had been completed for service users and the manager confirmed that these were to be regularly reviewed and updated. Staff had provided training and individual support for service users where it had been determined that this was initially required to minimize any identified risks. Several service users said they were confident to use local public transport, bus or tram, to travel to their place of work or social activity. Written risk assessments had been completed for the home and the general environment. Staff confirmed that they were aware of the risk assessments that were in place and that they were regularly discussed in staff meetings. Any concerns identified by staff relating to these were discussed in supervision. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 13 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 this service”. Service users were provided with regular opportunities to engage in appropriate activities, based on their personal preferences. Service users confirmed that staff had supported them with accessing activities, college courses and voluntary or paid employment that they wished to participate in and this encouraged them to feel valued and fulfilled. Service users confirmed that staff supported them to participate in activities according to their personal wishes and preferences and this made sure that they developed and maintained links with their local community. Service users were effectively supported and encouraged by staff to develop and maintain links, inside and out of the home, with their family and friends and this made sure that they had regular contact with the people that were important to them. Service users said their rights were respected and that the daily routines and house rules encouraged and developed their independence. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 14 Service users said they were provided with a varied and nutritious diet. They confirmed that they enjoyed the meals and that they were always attractively presented. This made sure that they ate well and maintained a healthy diet. EVIDENCE: Service users spoken with confirmed that staff supported and encouraged them with their chosen daily activities in the home and in the local community. Those who could were able to use local public transport, which included the bus or tram. Current daily activities enjoyed by several service users included work placements at local charity centres, attendance at college for creative arts or drama, attendance at a number of local day centres, gardening, cookery and woodwork. Six service users said they liked how they spent their time and if they wanted to do anything different they would discuss this with the manager or at their review meetings. One service user said they would like to change their daytime activities to gardening on a regular basis as they were no longer stimulated or really enjoyed playing games at the day centre. She said she ‘would like more work-based activities like other grown-ups and to do less childish things’. The inspector agreed to discuss this with the manager and it was confirmed that the day care provision was due to be formally reviewed in line with the individual’s needs and personal preferences. Service users confirmed that staff supported them with accessing facilities in the local community. One service user said staff had helped with arrangements for attendance at a local aqua aerobics group that they enjoyed each week. Other service users spoken with said that they could go out locally when they wished and that staff were always willing to support with this if it was needed. Three service users stated that they preferred to stay at home at night but that they could choose how they wished to spend their time and that they enjoyed the company of the people they lived with. Discussions with service users confirmed that they were encouraged and supported by staff to maintain and develop regular contact with their family and friends. Two service users said they liked meeting up with friends each week at a local social club and others had regular day or overnight visits home to stay with relatives. One service user she was pleased that she was going out with her advocates the following day to shop for clothes for her holiday and another confirmed that her sister often went away on holiday with her. Service users confirmed that staff welcomed their visitors to the home and that they could spend time with them in private if they wished. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 15 All service users spoken with confirmed that staff provided them with the support they needed and that they were encouraged to attempt and complete tasks for themselves. Service users shared the responsibility for a number of household chores and further discussions regarding this confirmed that this was based on the individual abilities and preferences of each person who lived at the home. Service users had been provided with a key for their own room and had chosen how they wished to decorate and furnish their own personal space. Observations of staff interaction with service users confirmed that staff were able to communicate effectively with each person and positive and respectful relationships had obviously been developed. Service users appeared comfortable and relaxed in the presence of staff and when interviewed they said they were happy with all the staff, including the registered providers, whom they viewed as family or friends because they cared for them so well. Menus were available at the home and these confirmed that service users were provided with a varied and healthy diet. Service users spoken with confirmed that they really enjoyed the meals and that if they did not like anything alternatives were always available. Menus were regularly discussed at service user meetings where several ideas for alternative meals had been suggested and these were then included on the menu. The inspector noted that the meal served at teatime was attractively presented and well cooked and everyone spoken with said it had been tasty and enjoyable. Three service users said they preferred more salads and cold meals in the summer and that when this had been suggested the menus had been amended to include their preferences. One service user spoken with confirmed that she was delighted with her weight loss since she had moved to live at the home. She stated that staff had been extremely supportive and that she had received advice and guidance on healthy eating. She said her physical health had also improved as a result of this and that she felt much fitter generally. Service users were able to help with the preparation and cooking of meals and three service users said they enjoyed doing this. Records of meals had been maintained by the home. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 16 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 from records checked and following discussions with service users and staff during a visit to this service”. Service users confirmed that they received personal support from staff that was flexible and sensitive to their needs and personal preferences and this made sure that their independence, dignity and privacy were promoted. Service users healthcare needs had been assessed in detail and the appropriate action had been taken by staff to make sure that each person’s physical and emotional health needs were met. The home had the appropriate medication policies and procedures in place to protect service users. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 17 EVIDENCE: Discussions with service users and staff and information seen recorded in care plans confirmed that each persons personal care needs had been identified and staff had provided the appropriate support as documented in the daily records of care. Care plans included the person’s preferences regarding the gender of the staff they wished to support them with this and also details of their personal care routines. Service users were able to choose their preferred style of dress, hairstyle and appearance and several stated that they enjoyed shopping for clothes with staff (usually their key worker), relatives or their advocate. All service users were well dressed and had developed their own individual style with their hair, clothes and makeup as appropriate. Any specialist support required from physiotherapists, dieticians or speech therapists had been accessed as and when required and details relating to this could be found recorded in the person’s plan of care. Information seen recorded in care plans and discussions with the manager, service users and staff confirmed that each individual’s health care needs had been assessed and the appropriate support had been provided. Any concerns identified by staff, relating to a persons general physical or emotional health, medication or diet, had been discussed with the manager and the appropriate action had immediately been taken which had on occasions resulted in a referral to the GP or other appropriate medical specialist. Any action taken had been discussed with the service users and/or their relatives as appropriate, and details relating to this could be found documented in the care plan. Two service users general health had vastly improved since the last inspection as a result of the specialist medical support accessed for them, closely monitored reduction of medication and ongoing support provided by staff at the home. Service users spoken with said staff always supported them with any appointments to see the GP, dentist, optician or other medical specialist. They said they were pleased staff attended ‘because it helps us to be less anxious about the appointment’. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 18 The medication policy and procedures had been reviewed and updated since the last inspection and the manager confirmed that service users would be able to administer and control their own medication if this was assessed as being appropriate to the individual service user. Details relating to this were clearly documented in the homes service user guide. All medication received, administered and disposed of by the home had been signed for as required and all medication was securely stored. Staff administering medication, had completed accredited training and were aware of the recording systems, safety procedures and any possible side effects that specific items of medication may cause. It was positive to note that medication reviews had taken place regularly or when any concerns had been identified by staff. As a consequence of this two service users had their medication reduced with positive outcomes for each person. The manager confirmed that a local pharmacist visited the home every three months to audit the homes medication systems and the manager regularly completed random checks of the medication records. The local pharmacist had recently completed refresher training with staff on medication. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.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 available in documentation checked and following discussions with staff and service users during a visit to this service”. Service users confirmed that they could speak to the manager and staff about any problems or concerns that they may have and that they would take the appropriate action to address the issues for them. The home had the appropriate adult protection policies and procedures in place to make sure that service users were protected from abuse, neglect and selfharm. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 20 EVIDENCE: The homes complaints procedure had been reviewed since the last inspection and this was available for service users, relatives and staff. The manager stated that this would be available in alternative formats should this be requested although she did confirm that it was usual practice for staff to read out the procedures individually to each person periodically. Service users spoken with said they were always asked in service user meetings to raise any concerns or complaints that they may have and that they were able to meet privately with the manager on their own if they wished. They said they were encouraged to complain and to discuss anything that they were not happy with. Minutes of service user meetings confirmed that minor issues raised had been discussed and following this the appropriate action had been taken before the issues developed into a more serious concern. No formal complaints had been received by the home or by the CSCI since the last inspection in December 2005. Discussions with staff and the manager and staff training records checked confirmed that all staff had completed training on safe guarding adults. The policies and procedures had been updated since the last inspection and they included whistle blowing, the Department of Health Guidance ‘No Secrets’ and details of local protocols and contacts. Staff interviewed, were aware of the appropriate procedures for reporting any suspicions or evidence of abuse and of the different forms of abuse. No allegations or incidents of abuse had been reported to the home or to the CSCI since the last inspection. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 21 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 following a detailed inspection of most areas of the home during a visit to this service”. All areas of the home seen were homely and comfortable and service users were provided with an easily accessible and safe environment. The home was clean, fresh smelling and consistently well maintained to an extremely high standard. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home was extremely welcoming and homely with domestic style furniture, decoration and soft furnishings. Service users spoken with said they were happy at the home and were pleased with the refurbishment that had been taking place over the last two to three years. Furniture and fittings were good quality, modern and suitable for their purpose. The registered providers were keen to continue to maintain the home to a high standard and since the last inspection they had repaved the rear garden and patio area and attractive flowering shrubs had been planted in the borders and in several decorative pots. New outdoor tables, seating and an awning had been purchased to provide a sheltered area for service users to dine outside if they wished. The dining room/conservatory and kitchen had also been redecorated. A hut had been erected in the rear garden and this was to provide dry and freezer storage for food. The manager confirmed that they planned to dismantle the old garage in the near future to create new office space for staff with lockers and other equipment. Several service users said they enjoyed gardening and spending time outside. CCTV cameras were fitted to the entrance areas only for security purposes. All areas of the home checked were clean and fresh smelling. Service users spoken with said that they helped with the cleaning and with a variety of household chores that they could manage alone or with the support of staff. Effective cleaning routines were in place and the home had the appropriate policies and procedures in place to ensure the control of infection. Staff interviewed, were aware of these and they said any problems identified with the environment were quickly brought to the attention of the manager who was keen to see that they were addressed. The appropriate cleaning equipment had been provided and the washing machine was sited away from the kitchen and food preparation areas. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 23 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, 35 and 36. “People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence seen in documentation checked and following discussions with the manager and staff during a visit to this service”. Staff providing support to service users had a range of relevant skills and experience which made sure service users identified needs were met. Service users were well supported by the robust recruitment policy and procedures in place at the home and this made sure they were protected. The homes on-going commitment to staff training made sure that service users were supported by staff that were competent to meet their identified needs. Service users benefited from receiving care and support from staff that received regular formal supervision and were well managed. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 24 EVIDENCE: Staff spoken with, were aware of the needs of each service user in their care. They confirmed that they discussed aspects of each service users care plan with the manager on a regular basis in supervision or at team meetings. All staff employed by the home had completed a detailed and structured induction programme and details of this had been retained on individual staff files. The staff team had a wealth of experience, skills and knowledge of working with young people with a learning disability. The manager’s commitment to training and development for all staff had motivated staff to attend regular training events and all staff had now successfully completed NVQ level 2 training in care and it was confirmed that two staff had registered for NVQ level 3 in care. Service users said staff were approachable and listened to what they had to say. No new staff had been recruited by the home since the last inspection and all staff files had previously been checked and contained all of the required information. Newly recruited staff had been confirmed in post following receipt of two written references, a satisfactory CRB check at the enhanced level and a health declaration. Application forms, interview assessments, job descriptions and codes of conduct were retained on staff files in addition to full details of the induction and any additional training. There was evidence that any gaps in the CV had been checked. Service users confirmed that they had been actively involved in the recruitment and selection of staff. Discussions with the manager and staff confirmed that they were committed to further training and development that was relevant to their current role at the home. Since the last inspection staff had completed training on medication, fire safety, managing finances, communication, value base care, promoting effective communication and safe guarding adults. All staff were up to date with their statutory health and safety training and some staff had attended refresher sessions. All staff had a training and development plan and this was linked to the aims and objectives of the service and the Learning Disability Award Framework. Staff interviewed and staff files checked confirmed that all staff received regular formal one to one supervision at least six times per year and an annual appraisal with the manager of the home. Records of these meetings had been retained on individual staff files. Staff confirmed that they regularly attended staff meetings and minutes of these meetings had been retained. Service users had also been invited to attend these meetings on occasions. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 25 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, 41 and 42. “People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence available in documentation checked and following a visit to this service”. Service users benefited from a home that was very well managed. Service users views of the service provided by the home had been sought on a regular basis. The views of families, friends, advocates and other professionals had also been sought however the results had not been published and therefore service users, their relatives and other relevant parties had not been made fully aware of the information received. In the main records were well ordered and up to date and information could be easily accessed and this made sure that the best interests of service users were safeguarded. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 26 The home had the appropriate health and safety policies and procedures in place at the home and staff had completed the required statutory training, including refresher training. Written risk assessments had now been completed for all areas of the homes environment and these were regularly reviewed to make sure that the health, safety and welfare of service users was promoted. EVIDENCE: The registered manager has a wealth of experience, skills and knowledge of caring for people with a learning disability in a care setting. Having previously completed the registered managers award, since the last inspection she had also successfully completed NVQ level 4 training in care. Discussions with the manager confirmed that she was committed to further training for herself and all members of the staff team to make sure that staff kept up to date with all relevant information relevant to the service and continued to develop their skill and knowledge base. The manager had recently completed training on medication, induction for trainers, the assessor’s award and was due to start training as an assessor for NVQ in the near future. Service users and staff spoken with confirmed that the manager was approachable and supportive. Discussions with her confirmed that she was keen to develop the service further and support each service user with maintaining and developing their independence. The manager confirmed that service users views of the service provided were sought on a regular basis and any questionnaires completed had been retained by the home. The manager said that she met formally on a regular basis with each service user to discuss their care and any issues or concerns that they may have about living at the home. She was committed to making sure that support staff were continuing to meet each persons needs in line with the stated aims and objectives for the home. The views of families, friends, advocates and other professionals had also been sought however the results of all surveys had not been published or made available to other interested parties. Records were securely stored as required and in the main records checked contained all of the required information, were well ordered and up to date. There was evidence that the manager was regularly monitoring the records completed by staff and random checks were also periodically undertaken. Service users and staff confirmed that they had access to the appropriate records as and when needed. The records of fire drills and instruction did not include the action taken by those present and the records of tests of the emergency lighting system had not been maintained as required. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 27 The homes health and safety policies and procedures had been updated since the last inspection and there was evidence that these had been regularly discussed with staff. All staff had completed statutory health and safety training as required. Accident records contained all of the required information and no accidents had been recorded since the last inspection. Written risk assessments had been completed for all areas of the homes environment and staff spoken with, were aware of these and the safe working practices in place at the home. Any risks identified had been talked through with service users at their meetings and staff regularly monitored these and gave feedback to the manager regarding any concerns that they may have. Incidents had been reported as required. Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 28 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 3 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 2 X 2 3 X Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? Yes 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 YA6 Regulation 17 Requirement Inventories in care plans must be regularly reviewed and updated. This is to ensure staff are aware of the current needs of service users (Previous timescale of 28/02/06 not met). All sections of the care plan must be regularly updated to ensure that all details are consistent and so that current information can be easily accessed. The daily notes of support provided to service users, completed by staff, must include details of any action taken by staff to address any concerns or upset experienced by the service user, and the outcome. The results of service user surveys must be published and made available to service users, their relatives or representatives and other relevant parties including the CSCI. This is to give them the opportunity to be involved in how the home is run. The records of fire drills and instruction must include details of the action taken by those DS0000002988.V329388.R01.S.doc Timescale for action 31/07/07 2 YA6 17 31/08/07 3 YA6 17 15/06/07 4 YA39 24 31/08/07 5 YA41 17 15/06/07 Newfield View - 6/8 Gleadless Avenue Version 5.2 Page 30 present and the outcome. Records of weekly tests of the emergency lighting system must be maintained by the home. This is to ensure the safety of staff and service users. 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 Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 31 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. Extracts may not be used or reproduced without the express permission of CSCI Newfield View - 6/8 Gleadless Avenue DS0000002988.V329388.R01.S.doc Version 5.2 Page 32 - 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!