Inspection on 17/11/06 for JS Care

This inspection was carried out on 17th November 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

JS Care 13/12/05

JS Care 08/09/05

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 Respite Solutions Richmond House Greenways Carr Lane South Kirkby Pontefract WF9 3DB Lead Inspector Tony Railton Unannounced Inspection 17th November 2006 14:30 Respite Solutions DS0000063763.V320588.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 Respite Solutions DS0000063763.V320588.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. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Respite Solutions 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) Richmond House Greenways Carr Lane South Kirkby Pontefract WF9 3DB 01977 652288 Respite Solutions Limited Mrs Alison Wilson Care Home 4 Category(ies) of Learning disability (4), Physical disability (2) registration, with number of places Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Situated in a residential part of South Kirby Richmond House is a large detached house offering personal care and accommodation to four people who have learning disabilities, two of whom may also have a physical disability. Set back in its own grounds Richmond House provides parking to the front and a large, established private garden to the rear. There is wheelchair access provided for those who require it to the front and rear of the home. All accommodation offered is single and there are assisted bathing facilities provided for those who require it. The care provided by the home is underpinned by ordinary living principles and service users are encouraged and assisted to do as much for themselves’ as possible. There is a large television lounge to the rear along with a large conservatory with access to the garden. There is also a large domestic type kitchen/dining room. The home is close to a main bus route and there are local shops, public houses, churches and community centre within walking distance of the home. On 17 November 2006 the provider said that the fees for living in the home ranged from £1600 to 1995 per week and that there are no additional charges. Further information regarding the services provided can be obtained from the home. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key visit to the home commenced at 14.30 and ended at 16.45. During this visit there was the opportunity to speak to two service users, three support workers and the registered provider. There was also the opportunity to look at three service users records including assessments, care plans, medical and daily records. Six support workers records were also seen and included references, CRB checks, training and supervision notes. A tour of the home was also undertaken. It was noted that the home continues to meet all statutory requirements and most minimum standards. The judgements in this report are based on evidence gathered before and during this visit to the home. The inspector would like to thank service users and support workers for their warm welcome and hospitality during this visit to the home. What the service does well: What has improved since the last inspection? There have been a number of improvements since the last visit to the home. Bedrooms have been decorated and new floor coverings provided. The home has a new people carrier for taking service users to day care services and on outings. A new toilet has been provided and new grab fails in the shower room. The daily records contain descriptive words to reflect and show service users choices and preferences. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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 Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 was looked at. Service users have a comprehensive assessment of their personal and healthcare needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two permanent and one respite service users record show that their personal and healthcare needs are fully assessed before they are admitted to the home. The registered provider said that the home holds the same information about those using the respite service as the permanent residents. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 6,7 and 9. Service users changing support needs are reflected in their individual plans and they are supported to make decisions about their lives. Service users are supported to take risks as part of living an ordinary lifestyle. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users care plans or ‘action plans’ show that their personal care needs are identified and that a description of what support workers must do is provided. The daily records use descriptive words to show that service users do have choices and preferences and that they make decisions about how they live their daily lives. Support workers discuss Service users progress on a monthly basis in line management supervision. However, the care plans should be signed and dated to reflect this monthly review. The service users records show that a six monthly multidisciplinary review of their care includes specialist Social Workers and Learning Disability Team Nurses. Records show that service users are supported to be part of the local community and take advantage of ordinary community based leisure services. Respite Solutions DS0000063763.V320588.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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 12,13,15,16 and 17. Service users have opportunities to participate in age appropriate activities in the local community, have personal and family relationships, and have their rights respected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users care plans and record of activities show that they attend local authority run day services during the week. Records also show that they are encouraged and supported to use ordinary community based leisure services including shops, public houses and restaurants. The registered provider said that the care provided by the home is based on ordinary living principles and service users are supported to take full advantage of ordinary services found locally. The support workers are to be commended for their efforts in promoting a positive community presence for two service users whose behaviour can often be disruptive and may be perceived as ‘anti social’. The daily records show that activities and outings into the community are a daily occurrence. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 11 Records show that service users assist in food shopping and in meal preparation as part of living an ordinary lifestyle. The menus show that service users receive a wholesome and balanced diet. The daily records show that they also have a choice and often show preferences. Respite Solutions DS0000063763.V320588.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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 18,19 and 20. Service users receive personal support in a way they prefer and require and their healthcare needs are met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service user, care plans, reviews, medical and daily records show that their healthcare needs are met. Records and in particular reviews show that since living in the home service users behaviour has improved which indicates they are happy living in the home. Service users are supported and encouraged to use ordinary community based healthcare services. However, records also show the involvement and support of the Community Learning Disability Team including specialist Social Workers and Community Nurses. Support is also given from hospital-based consultants. Medical records show that service users healthcare needs are met. Examination of the medicine ordering, storage, administration and recording systems show that service users are safeguarded and protected. The registered provider said that the home has recently changed to the Boots medication system, which appears to work well. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Both of these standards were looked at. The home provides a complaints policy and procedure and service users are protected from abuse, neglect and self- harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the registered provider and examination of the record of complaints and pre inspection questionnaire shows that the home has not received any complaints since the previous inspection report. Staff training records show that all staff has received training in Adult Abuse and Behaviour Management It was noted that adult abuse forms part of the induction training for all staff. It was also noted that the home continues to use the Wakefield Social Services and Health Adult Abuse and Protection Policy and Procedure. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at were 24 and 30 Service users live in a homely, comfortable and safe environment, which is also clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home found it to be homely, comfortable and clean. It was also noted that the bedrooms have new floor coverings and that an additional toilet has been provided. The registered provider also pointed out that new grab rails have been installed in the shower room. It was also noted that bedrooms remain personalised, homely and comfortable. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 32, 34 and 35. Service users may benefit from more support workers having a National Vocational Qualification, however, service users needs appear to be met by an effective staff team. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff training records show that Learning Disability Award Framework training is provided. However, only three are trained to NVQ Level 2 or above. Examination of six staff files show that service users are protected and safeguarded by the staff selection and recruitment processes. Training records also show that support workers have POVA and Behavioural Management training. Staff spoken to said that they are happy and that they feel supported in the work that they do. All three-support workers said that they have worked with people with learning disabilities previously and all said that the care provided by this home is good. All support workers have a good understanding of the care needs of people with learning disabilities and positive relationships were observed between staff and service users. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 37,39 and 42. Service users benefit from living in a well run home and are safe, but would also benefit from having a quality assurance monitoring system which asks their and their relatives and others opinion about the quality of care provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of the homes documentation including assessments, care plans, reviews and daily records show that service users live in a well run home where their personal and healthcare needs are met. The registered person said that the home has not had the opportunity to seek the views of service users, their relatives and other healthcare visitors on the quality of care provided by the home. She said that there are plans to survey everyone in January 2007 when the home will have been open for a year. The reviews of both permanent residents show that they are happy living in the home. The registered person said that the manager has resigned, however, she has not had written confirmation of this. She went on to say that a senior support Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 17 worker is currently the acting manager and that it is her intention to make an application for her to become the registered manager. Discussion with the registered person and examination of the pre inspection questionnaire show that appropriate health and safety checks have been carried out. And that appropriate health and safety training is provided for staff. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 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 2 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 3 X 2 X X 3 2 Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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 YA37 Regulation 8 (2) (a) & (b) Requirement The registered person shall inform the CSCI of any appointment of a person to manage the care home. Note; further confirmation should be obtained of the current registered managers resignation. Timescale for action 01/01/07 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 2. 3 Refer to Standard YA6 YA32 YA39 Good Practice Recommendations As a matter of good practice care plans should be reviewed signed and dated on a monthly basis. 50 of care staff should have a NVQ Level 2 or above. The views of service users their families, friends and other visitors on the quality of care provided by the home should be sought. The information gathered as part of quality assurance monitoring should be collated and a report published reflecting the outcomes for service users. DS0000063763.V320588.R01.S.doc Version 5.2 Page 20 4. YA39 Respite Solutions 5 YA43 Two signatures should be obtained for each service user financial transactions. Respite Solutions DS0000063763.V320588.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection St Pauls House Park Square South Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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