Inspection on 04/02/06 for Quarry Hill Resource Centre

This inspection was carried out on 4th February 2006.

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 2 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 19/09/05

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 4th February 2006 09:00 Quarry Hill Resource Centre DS0000033497.V273328.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 Quarry Hill Resource Centre DS0000033497.V273328.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. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 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 873404 01709 879754 ss.Quarryhill@rotherham.gov.uk 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) 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.V273328.R01.S.doc Version 5.1 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. 19th September 2005 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.V273328.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on Saturday 4th. February 2006, starting at 10.00 hours and finished at 14.00 hours. The inspector met Ms Julie Wood, who was in charge of the Centre at the time of this inspection. The inspection included a tour of the premises, conversations with three service users and three members of staff. Care documentation and other records were checked and interactions between staff and service users were observed. What the service does well: What has improved since the last inspection? Some parts of the service users’ accommodation, have been decorated and made more pleasant. Staff training and development continues to progress well. The registered manager’s role and responsibilities have been reviewed and the tasks of overseeing the operation of community support services in the locality are being transferred to another post holder. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 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.V273328.R01.S.doc Version 5.1 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.V273328.R01.S.doc Version 5.1 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 Quarry Hill provides an adequate range of information to its client group, but progress in improving its statement of purpose is too slow. This document must now be finalised and made available to interested parties. EVIDENCE: A range of leaflets and other publications, including a service user guide were available at the Centre for the benefit of service users. A number of these leaflets was in easy to read and in pictorial forms. However, the statement of purpose had not been improved since the previous inspection. Staff explained that a working group would be considering the necessary improvements to that document. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 9 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): The key standards were checked at the previous inspection and were fully met. EVIDENCE: Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 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, 14 Service users are provided with good opportunities to live as equal citizens, who are able to participate in the local community and engage in their own leisure pursuits. EVIDENCE: This inspection took place on a Saturday, when all the respite users were in. The inspector was appraised of the day’s programme. Service users were observed making arrangements and agreeing with staff about their chosen activities for the weekend. In discussion, staff members explained that they considered the plan of each group or of each service user, in relation to potential risks and their management. One service user went shopping with one member of staff and planned to return by lunchtime. Another group of four service users also decided to go shopping with the support of two staff members. One service user decided to stay in, as he had been out the night before and wanted to have a rest. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 11 For the rest of the day, service users said that they would probably help with meal preparation, watch television or videos or go out to social clubs in the local area. Service users commented that staff always encouraged them to take part in the activities and leisure they choose. Some service users were also helped to express their preferences with regards to how they want to spend their time. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 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): The key standards were checked at the previous inspection and were fully met. EVIDENCE: Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 13 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): The key standards were checked at the previous inspection and were fully met. EVIDENCE: Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 14 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 Quarry Hill offers a homely and safe environment for its service users, but now needs to improve on some of its furniture in order to provide more comfort to those who use them. EVIDENCE: The inspector undertook a tour of the premises. It was noted that the downstairs bedroom has been decorated and new carpets has been laid down. The main shower room was noted to be free of clutter, although some storage units were still kept in it. Staff were noted to be using the laundry facility. They stated that the laundry was still being used but by staff only and to wash residents’ clothing. Staff attention was drawn to the fact that the laundry area was still unsafe and that until a health and safety report is obtained, service users should not access it. The inspector was concerned that the furniture in the dining room, in particular the chairs which appeared worn out and one of which was ‘wobbly’ had still not Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 15 been repaired or replaced. This was a requirement of the previous inspection, (September 2005). The inspector identified the chair asked for its removal. The dining room furniture must be repaired or replaced in order to ensure the safety and dignity of service users. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 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): 34 The recruitment and selection policy and procedures of Quarry Hill are robust enough to protect its vulnerable client group. However, in recruiting staff, the service should consider the need for an appropriate gender mix for the benefit of its service users. EVIDENCE: One new member of staff has been recruited since the last inspection. The recruitment procedures were appropriately implemented. All pre-employment checks, including two written references and disclosure from the Criminal Records Bureau have been carried out before the new recruit started work at the Centre. In discussion with staff, it was noted that there was only one male member of staff, working seven hours per week within the respite care service, when approximately 50 of the service users are male. It is recommended that an appropriate gender balance be considered in future staff recruitment. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 42 Quarry Hill continues to be well organised and well managed as a respite care service, which is highly valued by its client group. The Centre is proactive in ensuring and promoting the safety and wellbeing of its service users. EVIDENCE: The service has now appointed a worker to manage the other community support services that were the responsibility of the registered manager. This will free up the manager’s time for the benefit of the respite service. Service users and their carers remain very satisfied with the standard of service that is provided by staff at the Quarry Hill. Staff are provided with appropriate induction and training on health and safety issues. These include topics like, moving and handling, first aid and fire safety. One member of staff has been assigned the role of health and safety officer for the Centre. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 18 The manager and her staff have been prompt in addressing the potential safety hazards in the laundry area, which were highlighted by the previous CSCI inspection. A health and safety assessment has been carried out. Service users are no longer making use of the laundry facility themselves, on health and safety grounds. Risk assessments for the premises, and for various working practices have been carried out and their outcomes implemented. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 19 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 3 2 X 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X 3 X Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 20 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 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. (Previous timescale of 21/12/05 not met) The chairs provided in the dining area must be replaced or repaired to ensure they are fit for use and comfortable. (Previous timescale of 16/01/06 not met) Timescale for action 26/05/06 2. YA24 12, 23 15/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations An appropriate gender balance should be considered in future staff recruitment. Quarry Hill Resource Centre DS0000033497.V273328.R01.S.doc Version 5.1 Page 21 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.V273328.R01.S.doc Version 5.1 Page 22 - 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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