CARE HOME ADULTS 18-65
Resource Centre, Valley Road - North Yorkshire CC Resource Centre - Valley Road 65a Valley Road Northallerton North Yorkshire DL6 1SH Lead Inspector
David Martin Unannounced Inspection 17th November 2005 13:30
Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.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 Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.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. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Resource Centre, Valley Road - North Yorkshire CC Resource Centre - Valley Road 65a Valley Road Northallerton North Yorkshire DL6 1SH 01609 760337 01609 760337 Address 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) North Yorkshire County Council Mrs Barbara Ann Bird Beadle Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (7) of places Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service Users up to 7 LD and 7 LD(E) up to a maximum of 7 Service Users 4th February 2005 Date of last inspection Brief Description of the Service: The Resource Centre, Valley Road, Northallerton is registered to provide residential care for up to 7 adults aged between 18 and 65 years with a learning disability and up to 7 adults aged 65 years and above with a learning disability. The maximum number of places available at any given time is 7. The registered provider is North Yorkshire County Council. The home offers placements to service users and their families who require respite care. There is one bed available for emergency admissions. The accommodation is set on the ground floor and has level access. It is situated approximately 10 minutes walk from Northallerton town centre where there is a wide range of amenities. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.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 17 November 2005. It was unannounced and took 4 hours to complete. The majority of time was spent with the service users in the home at the time of the inspection and with the staff on duty. There were opportunities to observe staff interaction with the service users. A sample of service user files was examined and a check was made as to whether the home had complied with requirements and recommendations from the last inspection. Feedback was given at the end of the inspection to the Registered Manager. What the service does well: What has improved since the last inspection? What they could do better:
Only one requirement was made as a result of this inspection. It concerned the placement of two service users who have been staying in the home over a longer term. This fall outside the home’s stated purpose of providing a respite service. This irregularity needs to be resolved to make sure that the service users receive care and support in the appropriate setting and that the service offered to other service users is not adversely affected. This has been taken up in correspondence separate to this report. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 6 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. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.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 Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.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): 2 Prospective service users are enabled to make a positive choice about attending the Centre. EVIDENCE: Many of the service users being referred to the Centre are from a younger age group and some are making the transition from children’s service to adult provision. In the latter case there is a worker who specialises in the transition process. The staff work closely with service users’ families to make sure that the service users’ routines and interests are maintained. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 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): 6, 7 & 9 Service users’ needs are well documented and support is provided on an individual basis but two placements fall outside the home’s stated purpose. EVIDENCE: A sample of service user plans was inspected. They provided background information and a description of the day-to-day task that service users can accomplish and those where assistance and support is required. The information is well-presented and comprehensive. Risk assessments have been completed and including those concerning the management of challenging behaviour. There are two placements that have been made recently which involve service users staying in the home over a longer term. This fall outside the home’s stated purpose of providing a respite service. This irregularity needs to be resolved to make sure that the service users receive care and support in the appropriate setting and that the service offered to other service users is not adversely affected. This has been taken up in correspondence separate to this report. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 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 & 17 Service users are enabled to follow their usual routines. EVIDENCE: The home has established good working relationships with service users’ families and this ensure service users’ interests and routines are known. Any changes can be picked up quickly. The home makes use of leisure facilities in the town but otherwise has little contact with the local community. Staff interaction with service users was observed to be respectful and, on arrival at the home, service users were enabled to follow their usual patterns without any fuss. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 11 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 - 20 Service users health and personal care needs are met. EVIDENCE: Responsibility for the health care needs of service users remains with parents but staff will assist in enabling service users to attend appointments if required. Some service users have gastrostomy tubes fitted and staff have received appropriate training in using them safely and stoma care. The systems for the administration of medication were inspected and were found to be satisfactory. Since the last inspection a community pharmacist has also carried out an inspection and the subsequent report is very positive and makes no recommendations. Medication administered via gastrostomy is in liquid form. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 12 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 & 23 Service users are safeguarded from abuse. EVIDENCE: The home has a copy of the multi-agency procedures for the protection of vulnerable adults and staff have been issued with the Codes of Practice. The staff on duty confirmed that they had access to a copy of ‘No Secrets’ and had completed training specifically dealing with the protection of vulnerable adults. The staff were clear about reporting any concerns they may have. Service users are enabled to express their views and staff were observed to be talking to service users about what they wanted to do for the evening. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 13 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 & 30 The environment is well-maintained and clean EVIDENCE: The premises provide service users with a comfortable and safe environment. The communal areas are spacious and light and are in good decorative order. Bedrooms are also spacious and there is ceiling tracking in some to enable easy transfer to bathrooms and bed. All parts of the home inspected were clean and tidy. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 14 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 & 35 Service users are supported by a qualified and competent staff team. EVIDENCE: The staff on duty confirmed that the home is well staffed and that staffing arrangements are applied flexibly depending on the individual needs of service users. Many of the staff have obtained NVQ2 qualifications and have access to other training courses. The most recently employed member of staff confirmed that she had completed induction and foundation training and is due to start NVQ training in the near future. Staff records provided evidence that robust recruitment practices are in place. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 15 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 & 42 The home is managed in the best interest of service users. EVIDENCE: The Resource Centre is well managed and examination of records provided evidence of good organisation. The staff expressed the view that the management team is approachable and knowledgeable and the staff team is very supportive. Health and safety records are maintained. No concerns regarding the safety of the premises were identified on this occasion. Staff confirmed that they have received training in first aid, fire safety and food hygiene. Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 16 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 X 3 X X X
X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 17 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 YA6 Regulation 4 Requirement The placement of two service users falling outside the home’s stated purpose of providing a respite service should be reviewed to make sure that the service users receive care and support in the appropriate setting and that the service offered to other service users is not adversely affected. Timescale for action 01/01/05 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 Resource Centre, Valley Road - North Yorkshire CC DS0000034543.V263324.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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