Inspection on 11/07/06 for Parkfields (Jaffray Care Society)

This inspection was carried out on 11th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

Other inspections for this house

Parkfields (Jaffray Care Society) 11/01/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Parkfields (Jaffray Care Society) Parkfield Crescent Parkfields Wolverhampton West Midlands WV2 2DF Lead Inspector Mike Moloney Key Unannounced Inspection 11th July 2006 08:30 Parkfields (Jaffray Care Society) DS0000064571.V294729.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 Parkfields (Jaffray Care Society) DS0000064571.V294729.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. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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.V294729.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 Brief Description of the Service: This is a home registered for 8 people with learning disabilities. It consists of two neighbouring bungalows which were purpose built in a residential estate in Parkfields which is to the south of Wolverhampton City centre. This gives good transport access to the local facilities for the residents. The location of the home also makes it easily accessible to the relatives and friends of those living there. 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. Information about how care is delivered is given in a service user guide that is being developed in a format that is designed for easy understanding. The fees range from£1721 to £2159 per week. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports, the quality assurance process and observation of care experienced by people using the service. 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.V294729.R01.S.doc Version 5.2 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.V294729.R01.S.doc Version 5.2 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 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective users’ individual aspirations and needs are assessed. The service users expectations about how much the home would be involved in meeting these would be clearer if there were a contract in place outlining each party’s responsibilities towards the other. EVIDENCE: There have been two service users admitted to the home in recent months and looking at the records of one of them showed that assessment records were in place that covered all of the areas required to identify the full range of needs of that person. The manager described the process that had been followed to ascertain the information and other staff confirmed that this had been the case. There was also a care plan in place for this person and the manager explained that this had been developed from the information obtained during the assessment and the contents of the plan was entirely consistent with this. The manager confirmed that there were no contracts outlining the service users rights and responsibilities in place. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans and the assessments of activities contained the information that enable staff to work towards the service users’ goals. Talking with some of the service users it was clear that they could make their wishes understood and that they were happy to undertake the activities that had been organised for them that day. The records contained evidence that these plans had been reviewed by staff on a regular basis. In talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed if this could not happen for safety reasons. Those that could spoke of times when they had received the support of staff an example of this Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 9 being that one of the residents, whose birthday it was, went out for a birthday lunch with staff at his request. A second service user’s plan had also been seen by a number of people such as social services staff and community nursing staff and had previously communicated to Commission for Social Care Inspection that this had been developed appropriately to meet what are thought to meet the needs of the person concerned. Various elements identified within the Individual Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are helped and encouraged to keep in contact with their families and make good use of the local facilities. The home provides good quality food in appropriate quantities. EVIDENCE: The regular weekly activity time-table for both of the service users whose files were looked at were found in their individual files. Activities ranged from attendance at a local day centre to helping with some of the household duties. During the visit the one service user was collected by the day centre staff and he appeared enthusiastic about going with them. The residents living in the home come from a variety of ethnic backgrounds and through talking with and listening to both the service users and the staff as well as people from other agencies and organisations ways in which the home attempts to meet their needs could be identified. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 11 Although this visit took place during the early morning it was evident from talking with the service users that they are given a choice of meals. Each was given or obtained for themselves a different breakfast and they clearly enjoyed what they had. Those service users who were spoken to confirmed that all of the meals that they had been given were to their liking and looking at the menus showed that a wide variety of meals are offered. On the day of the visit one of the service users went out for lunch as it was his birthday. He was also looking forward to his parents visiting for tea. At recent adult protection meetings the manager and the responsible individual nominated by the provider have expressed their views around how residents must keep in contact with their families and how this must be balanced within the context of their personal safety and welfare. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of the service users are met. EVIDENCE: The residents care plans showed how each individual should be approached and how different types of help should be given. It was seen during the visit that when personal support was needed the person concerned was discreetly taken to a bathroom or their room making certain that their personal care needs are met whilst their dignity is maintained. Numerous entries in the individuals’ records that were confirmed by either the staff or the service users showed that the help of various healthcare professionals was obtained when necessary. Further information that had been provided by local healthcare and social services professionals also confirmed this to be the case. The storage and recording of medication was looked at and was seen to be appropriate. Records showed and the staff on duty confirmed that they all receive training in the safe handling of medication. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 13 Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are protected from abuse and have access to a complaints procedure should they need it. EVIDENCE: The manager confirmed that there had been no complaints received. A copy of the complaints procedure was seen to be contained within the service user guide. The home has recently been involved in the local processes designed for the protection of vulnerable adults around allegations against a third party. They have carried out all of the action points agreed during the meetings as well as providing feedback to the meetings in a professional way thereby helping to ensure that actions are taken that are in the best interest of the person concerned. Looking at the staff training records and talking with staff established that they receive training in the identification of abuse and the procedures for reporting it so that should it be occurring it will be identified and action taken to prevent it. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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): 24 and 30 The standard of the environment is good providing service users with an attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated on a housing estate in Parkfields and is two single storey purpose built buildings designed in a sensitive and practical manner. Both the houses and the gardens are well maintained with all décor and furnishings being clean and bright. Each house has a laundry area that is clean and contains the equipment necessary to keep service users’ clothes and bedding clean and hygienic. The staff training records showed that they receive training in infection control to further enable this. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that staff are available in adequate numbers and with appropriate training to meet the needs of the service users. EVIDENCE: Observing and talking with the staff on duty at the time of the inspection confirmed that enough staff are present at all times to meet the current needs of the service users. Looking at the records and talking with the staff and the manager confirmed that they receive all of the mandatory safety training and over 50 were qualified to NVQ2 in care. Looking at the records also confirmed that all of the required background checks had been carried out before each new employee had been allowed to start working with the service users so as to ensure that they were suitable to do so. Each personnel file contained a photograph enabling individuals to be recognised from their records. Talking with the manager and newly recruited members of staff who were receiving training at the time of the inspection as well as by looking at their Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 17 records confirmed that an appropriate induction programme was available and implemented ensuring that new staff are given a good understanding of what their job entails. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 18 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): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is a safe environment for the service users to live in. EVIDENCE: Talking with the registered manager established that she has some qualifications that are appropriate to the managing of this type of service, however, it has not been verified that these are the equivalent of NVQ 4 in care and management which are considered to be the appropriate qualification for managing a care home. The Commission for Social Care Inspection have been receiving copies of the reports on visits made by the responsible individual required by Regulation 26 of the Care Homes Regulations 2001 and these show that important areas of the home’s performance are reviewed on a regular basis. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 19 During this inspection a number of records were looked at that monitor safety issues within the home such as the fire prevention records, water temperature records and portable appliance tests as well as the accident records. All of these records were found to be appropriately maintained and action taken where necessary. The exception to this was that although product data sheets were available for each of the dangerous substances used for activities, such as cleaning, were available the products had not been risk assessed by the home to ensure that they were used in a safe manner. Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 20 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 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 2 x Parkfields (Jaffray Care Society) DS0000064571.V294729.R01.S.doc Version 5.2 Page 21 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 YA5 YA37 Regulation 5(1)(c) 9(2)(b)(i) Requirement Timescale for action 31/10/06 3 YA42 13(4) The home must develop a care contract with each of the residents The manager must ascertain 31/10/06 whether or not her qualifications are the equivalent of NVQ4 in care and management and undertake any training necessary to ensure that they are. CoSHH risk assessments must be 31/10/06 developed for all hazardous substances used within the home. 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.V294729.R01.S.doc Version 5.2 Page 22 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.V294729.R01.S.doc Version 5.2 Page 23 - 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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