Inspection on 19/09/05 for Quarry Hill Resource Centre

This inspection was carried out on 19th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Quarry Hill Resource Centre 13/06/07

Quarry Hill Resource Centre 04/02/06

Quarry Hill Resource Centre 01/03/05

Quarry Hill Resource Centre 22/09/04

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 Quarry Hill Resource Centre 58 Quarry Hill Road Wath Upon Dearne Rotherham South Yorkshire S63 7TD Lead Inspector Ramchand Samachetty Unannounced Inspection 19th September 2005 09:00 Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Quarry Hill Resource Centre Address 58 Quarry Hill Road Wath Upon Dearne Rotherham South Yorkshire S63 7TD 01709 879754 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) ss.Quarryhill@rotherham.gov.uk Rotherham Metropolitan Borough Council (LDS) Christine Corton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That users admitted to the respite service are not over 65 years of age, with the exception of one named user who is currently over 65 years old. 29th April 2003 Date of last inspection Brief Description of the Service: Quarry Hill Resource Centre is a six- bedded residential facility, which provides care and support to younger adults with a learning disability. It is owned by Rotherham Metropolitan Borough Council and is managed jointly with the local health services, under the ‘Learning Disability Service’. Quarry Hill is situated in a residential area of Wath-Upon-Dearne, with access to public transport, local shops, social and recreational facilities. It is a twostorey house with six bedrooms, one of which is on the ground floor. Access to the top floor is through the stairs. There is a lounge, dining room and a kitchen, on the ground floor. There are garden areas in front and at the back of the house. The garden at the back and the patio area are specially designed and adapted for service users with sensory impairments. There is a small parking area at the front of the house. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 19 September2005, starting at 14.30 hours and finished at 18.30 hours. The inspection included a tour of the premises, conversations with two service users and one relative. Three members of staff were also spoken to, and issues were discussed with the manager. Care documentation and other records were checked and interaction between staff and service users were observed. What the service does well: What has improved since the last inspection? The environment has been improved. New floor coverings have been laid in some of the communal parts of the building. An outside agent, away from the building, now handles laundry from the Centre. A system of monthly audits and satisfaction questionnaires has been put in place to get feedback from service users and their carers. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 4. Quarry Hill offers adequate information about its respite care services, to enable service users and their carers to make a choice of service. However, both the statement of purpose and the service user guide require some amendment, in order to reflect changes in the facilities offered and to meet the Regulations. The needs and aspirations of individual service users are appropriately assessed and reviewed on admission, to ensure that the required care and support can be provided. Potential service users are encouraged to visit and to familiarise themselves with the Centre, its staff and other service users. EVIDENCE: A statement of purpose and a service user guide have been developed and made available to service users and their carers. Both documents are well laid out with pictures to facilitate their use by the resident group. However, they do not contain all the required information. There were omissions, such as the criteria for admission, including emergency admission, arrangements for providing social/ leisure activities and for consultation with service users and their representatives. Changes in the provision of laundry facilities at the Centre must be reflected in these documents. Service users, who spoke to the inspector, commented that they were satisfied with the care and support they were receiving from staff. One new service user was recently admitted for respite care. Besides the assessment received from the placing social worker, a senior member of staff had also undertaken an assessment and organised visits to the Centre for the Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 9 service user. When existing clients are admitted for new episode of respite care, their assessments are appropriately reviewed. Both service users and their carers are involved with the assessments and reviews of care needs. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Individual care plans are appropriately developed and reviewed, with the involvement of service users, their representatives and other professionals as necessary. This ensures that their agreed needs and goals are appropriately reflected in their care plans. Service users are well supported in making their own decisions about their activities of daily living. If they face any risks, the latter are appropriately assessed and managed, thus allowing them to benefit from a range of activities. EVIDENCE: A sample of individual care plans was checked. They were developed from needs assessments, which had been reviewed. Care plans were signed by service users and their carers to indicate their involvement and agreement. Risks were well assessed and managed. One service user was identified as being at risk in using the road. The risks involved were assessed and an action plan was put in place to help him manage the risks and to improve his skills in that area. Service users, who spoke to the inspector, said that they were happy with the care and support that staff were providing for them. They felt they were given enough help to carry out their activities of daily living, as independently as possible. Some service users were observed to be preparing their own meals, Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 11 under staff supervision. Service users were observed discussing with care staff about their leisure activities for the evening. Service users were encouraged to take part in making decisions about the Centre. Some service users and staff had met and discussed how the amenities fund could be used. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 12 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. Quarry Hill continues to offer good opportunities for service users to participate in a range of social and leisure activities so that service users can make the most of their respite stays. They are also encouraged to participate in local community activities as ordinary citizens, whilst maintaining their own networks of family and friends. Service users are encouraged and supported in planning and preparing meals, at the Centre, in order to meet their nutritional needs and preferences and also to develop their independent living skills. EVIDENCE: Service users who were in, on the date of this inspection, had planned to spend the evening a local ‘Social Club’. Staff commented that some service users had previously attended the local ‘ Working Men’s Club’. Others had taken part in a sponsored walk to raise money for the Centre’s amenity’s fund. Service users are encouraged and supported in undertaking shopping trips for themselves, and for the Centre. One service user commented that he was supported in making friends, outside the Centre. Relatives keep an active involvement in the life of the Centre. This is evidenced through their attendance at the coffee mornings, which are held at the Centre. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 13 On their return to the Centre, from their daytime activities, service users were observed making their choice of meals. They were assisted in preparing their meals. One service user stated ‘ I am happy because staff helps me prepare my favourite meal, whenever I want.’ Other service users confirmed that they were satisfied with the meals offered to them at the Centre. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 14 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. Staff provide service users with very personalised care and support, thus allowing for specific needs and preferences, of individual service user to be met. Service users are well supported in taking their medicines, if prescribed, and in accessing their normal entitlement of community health care services. This ensures their continued health and wellbeing. EVIDENCE: Individual plans of care and other records show that, care and support provided to individual service users, is designed to meet their specific needs and their preferences. A copy of a health action plan for individual service users is kept in their files and it is implemented as necessary. Service users are encouraged and supported with ‘healthy living’ options. Carers confirm that staff are proactive in ensuring that any necessary health care needs of service users, are adequately addressed, during their respite stays. Policy and procedures for the administration of medicines are in place. Records of medicines handling, storage and administration show that medicines were appropriately managed at the Centre. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 15 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. Complaints and concerns are handled properly. However, the Service acknowledges that the corporate complaint procedures it uses, present some difficulties for use by its client group. Staff are looking at ways to improve service users’ access to the complaint process. There is adult protection procedure in place to ensure that service users are protected from abuse. EVIDENCE: There is good communication among staff, service users and carers. This allows for concerns to be dealt with in a prompt and open way. In discussion, staff spoke about the apparent difficulties that the client group face in using the official complaint procedures. It was felt that it would be more beneficial for service users, to have the procedures communicated to them in ‘makaton’. The Centre has received no complaint since the last inspection (March 2005). Copies of the complaint and adult protection policies and procedures were available at the Centre. Staff have received appropriate training on adult protection issues and were aware of the local multi-agency procedures. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 16 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 accommodation provided at Quarry Hill is domestic in style and function. Service users are satisfied that the environment is comfortable and safe. Both private and communal areas are kept clean. However, some internal decoration and repair to the building externally, are now needed. Some furniture in the communal area appeared worn out and damaged. They need to be replaced. EVIDENCE: New carpets have been laid in the entrance hall and on the stairs. Service users’ bedrooms were appropriately decorated and furnished. However, in one area, the wallpaper was found torn from the wall. A number of chairs in the dining area appeared heavily stained and worn out. One of the chairs was loose and one had a torn seat. The rubber seal around a shower tray on the top floor was loose and could be a potential tripping hazard. The shower room/ toilet on the ground floor was cluttered with bins and a storage box. Externally, the soffit boards were starting to deteriorate. Quarry Hill does not provide a laundry facility for use by its service users, any more. This is due to the physical constraint regarding the space available. The Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 17 bulk of the laundry is now done externally. This change in the facilities offered at the Centre must be reflected in the Statement of Purpose and the Service User Guide. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 18 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, 32, and 35. Respite care at Quarry Hill is provided by a good and committed staff team. This helps to maintain a high standard of care to service users. Most staff have dual roles and responsibilities, as they also provide support to other clients with learning disability, in the community. However, the staffing level for the respite service appeared adequate, on the day of this inspection. Although staff are provided with training on a range of topics, there appeared to be a gap in the current training programme, on specific issues relating to’ learning disability’. Consideration should be given to addressing this gap. However, staff at the Centre, appear quite knowledgeable about the needs of their client group. They also work well with other professionals who support the service users in other settings, thereby ensuring that service users benefit from holistic approach. EVIDENCE: Service users and their carers spoke well of the staff team. They commented that staff at the Centre was ‘kind, caring and very helpful’. Staff knew service users well and could communicate with them. There is a training and development plan, which ensures that staff are well qualified and competent to meet the care and support needs of service users. Four members of staff are currently receiving training in NVQ levels 3 and 4. Training has been provided on fire safety, health and safety, food hygiene and first-aid. None of the planned training addressed issues relating to ‘learning Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 19 disability’ such current good practice and valuing people initiatives. Consideration should be given to addressing this gap. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 20 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 and 39. Although Quarry Hill offers a well organised and managed respite service, there is a lack of clarity about the manager’s role and responsibilities. Currently, the manager is also responsible for a ‘Community Support Service and a unit of ‘supported living’ in the community. It is unclear how these added roles impact on the management of the respite service, for which the manager is registered. A review of these added roles was advised at the previous inspection. It must now be concluded and communicated to this Commission. Staff work well with a number of stakeholders, in order to provide a good service to their clients. The views of service users and their carers are appropriately sought and the service is monitored. The feedback is used in the service development and business plans. EVIDENCE: Service users and Carers commented that they found the respite service of great help to them. A service user said ‘ I like coming here. The staff looks after me well and I meet my friends’. Carers feel that such respite service allows them to keep caring for their loved ones, at home. There were regular meetings for service users and coffee mornings for carers. These meetings Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 21 were used to consult service users and carers about issues relating to respite care. User satisfaction questionnaires were also given after each respite stays. Views and comments were collated and used in the service and business plan. Besides respite care, staff at the Centre, were also providing ‘community support’. The manager was responsible for the respite service, community support and more recently, a unit for ‘supported living’. Whilst the care staffing level for the respite service does not appear to be affected, the impact of these added roles to the functions of the registered manager is unclear. A review must now be conducted in order to assess the impact on the registered manager’s functions, in managing services other than the respite service. Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Quarry Hill Resource Centre Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000033497.V251857.R01.S.doc Version 5.0 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4, 5 Requirement The statement of purpose and service user guide must be amended to reflect changes in the facilities offered at the Centre, and to meet the regulations. The identified service user’s bedroom must be redecorated. The chairs provided in the dining area must be replaced or repaired to ensure they are fit for use and comfortable. The shower tray as identified must be repaired and made safe. The clutter in the walk-in-shower on the ground floor must be removed to allow for ease of access and safe use of the area. The ‘soffit’ boards, which are deteriorating, must be repaired. A review must be carried out, to assess the impact on the registered manager’s time and functions, in managing services other than the respite care service. The outcome of this review must be shared with this office of the Commission. Timescale for action 21/12/05 2 3 YA24 YA24 12, 23 12, 23 16/01/06 16/01/06 4 5 YA24 YA24 12, 23 12, 23 21/12/05 25/11/05 6 7 YA24 YA37 12, 23 12,18 16/01/06 16/01/06 Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 24 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 Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Quarry Hill Resource Centre DS0000033497.V251857.R01.S.doc Version 5.0 Page 26 - 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!