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Inspection on 11/01/06 for Parkfields (Jaffray Care Society)

Also see our care home review for Parkfields (Jaffray Care Society) for more information

This inspection was carried out on 11th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The person centred planning approach adopted by the home goes into some depth which enables the staff group to understand and therefore more easily meet the needs of the individuals concerned. The home provides enough staff to make meeting those needs an achievable target.

What has improved since the last inspection?

This is the first statutory inspection of this service since it was registered.

What the care home could do better:

Not all of the service user plans had been completed at the time of the visit. Some other records needed to be maintained in that water temperature monitoring records were not available nor were the photographs of the staff.

CARE HOME ADULTS 18-65 Parkfields (Jaffray Care Society) Parkfield Crescent Parkfields Wolverhampton West Midlands WV2 2DF Lead Inspector Mike Moloney Unannounced Inspection 11th January 2006 10:00 Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkfields (Jaffray Care Society) Address Parkfield Crescent Parkfields Wolverhampton West Midlands WV2 2DF 01902 405031 01902 405036 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) Jaffray Care Society Miss Lian Marie Hargreaves Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide a service for adults aged 18-65 years of age with Learning disabilities. Date of last inspection Brief Description of the Service: This is a home registered for 8 people with learning disabilities. It consists of two neighbouring bungalows which were recently purpose built in a residential estate in Parkfields which is to the south of Wolverhampton City centre. Jaffray Care is the organisation that provides the care at this home. Each bungalow is designed to accommodate four people and are managed by Lian Hargreaves with each of her two deputy managers having particular responsibility for one of the buildings. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two and a half hours during the morning. Information was gained from documentation made available by the home, by discussions with the managers, the staff and those service users who had not gone out, as well as by reading documents kept within the home and by looking around the building. 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. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 6 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 Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 7 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): 2 The home has a comprehensive pre-admission assessment process. EVIDENCE: Assessments were seen to have been carried out on the residents when they first came to the home and these were seen to have covered the areas that are necessary to create a comprehensive plan of care for the individuals concerned. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 The home has a person centred planning approach to the delivery of care to the residents. However, there have been some delays in fully developing these which needs to be addressed as a matter of urgency. EVIDENCE: The home develops care plans within the Person Centred Planning approach that they have adopted. These were, in the main, seen to be adequate but on the day of the inspection the documents relating to one of the residents was not available and so could not be evaluated. In the plans seen there were instructions on how to help the individual concerned make decisions in a variety of circumstances and it was clear from talking with one of the residents that this does happen. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 9 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): EVIDENCE: The standards in this section were not assessed on this occasion. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 10 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): 18, 19 and 20 The service users receive personal and medical support in a timely and appropriate manner. EVIDENCE: The records of the person centred planning seen during this visit outlined the ways in which assistance should be given to the individual in terms of both personal and medical support. Medication was seen to be stored, recorded and managed in such a way that the right person would get the right medication at the right time and in a safe manner. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: The standards in this section were not assessed on this occasion. However, the manager confirmed that they had received no formal complaints since the home was registered last year. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: The standards in this section were not fully assessed on this occasion. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 13 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): 31 and 34 There are appropriate numbers of appropriately recruited staff available to meet the needs of the service users. EVIDENCE: Checking the staff rotas and talking with the staff on duty at the time of the visit confirmed the number of staff on duty and available to the service users. The records held at the home contained evidence of all of the required background checks being carried out on staff before they were allowed to start working with the service users. None of the personnel files contained photographs of the individuals concerned as required by law. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The home can not show that the water temperatures are safe for the service users to bathe in. EVIDENCE: The standards in this section were not fully assessed on this occasion. It was, however, noted that there were no records available to show that bathwater temperatures are checked on a regular basis to ensure that they do not exceed 43°c at the taps and thereby reducing the risk of a service user scalding themselves. Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 15 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 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 3 32 x 33 x 34 2 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x x x x 2 x Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 16 no 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 2 Standard YA6 YA34 Regulation 15(1) 17(2) Requirement A service user plan must be prepared and be available for all of the service users at the home. There must be a photograph identifying each member of staff available for inspection at the home. Records of checks that show that hot water from the bath taps does not exceed 43°c must be maintained and available for inspection. Timescale for action 31/01/06 28/02/06 3 YA38 13(4)a 31/01/06 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 Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Parkfields (Jaffray Care Society) DS0000064571.V277795.R01.S.doc Version 5.1 Page 18 - 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. 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