Inspection on 08/09/05 for JS Care

This inspection was carried out on 8th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

JS Care 17/11/06

JS Care 13/12/05

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 South Kirby WF9 3DB Lead Inspector Tony Railton Unannounced 8 September 2005 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 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 Stationary 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 J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Respite Solutions Address Richmond House Greenways Carr Lane Pontefract WF9 3DB 01977 652288 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Respite_solutions@yahoo.com Respite Solutions Ltd Mrs Alison Wilson Care Home 4 Category(ies) of Learning and Physical Disability registration, with number of places Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1, Can provide accommodation and care for respite only, 2, can accommodate and provide care for four service users with a learning disability, 2 of whom may also have a physical disability. Date of last inspection First Inspection Brief Description of the Service: Richmond House provides personal care for up to four adults who have a learning disability two of whom may also have a physical disability. Richmond House works closely with other professionals in arranging and providing a community based respite care service. The care provided is based on ordinary living principles and service users are encouraged and supported to do as much for themselves as possible. Stays at the home are usually planned, however, service users have benefited from accessing the service through an emergency admission. Set back in its own grounds Richmond House is situated in Carr Lane in South Kirby. There is a large drive with parking to the front and there are access ramps provided to the front and rear of the home. All accommodation provided is single and there is specialist bathing facilities provided. There is a large television/music lounge leading to a very large conservatory to the rear. Accessed from the conservatory is a large garden complete with patio, lawn and garden furniture for the use of service users during the summer months. There are local shops including a public house within walking distance. The home is close to a main bus route and local rail station and the A1/M62 link roads are also nearby. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced statutory inspection of Richmond House since registering as a care home with the Commission for Social Care Inspection earlier this year. This was a very positive and enjoyable first inspection. The inspector arrived at 15.30 and took the opportunity to speak to the service user, two support workers, the registered manager and owner. It was noted that there was no failure to meet Statutory Requirements, however, there are a number of good practice recommendations which require action from the homes manager. The inspector would like to thank the service user, support staff, manager and owner for their hospitality and patience throughout the inspection which concluded at 18.00. What the service does well: What has improved since the last inspection? Since registration the Respite Solutions have produced a brochure giving information about the home, where it is and the service it provides. The physical environment has improved and made more homely with pictures and ornaments. The kitchen has been inspected by the Environmental Health Department and the report indicates that there was no action to be taken by the home. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 6 All external doors are now part of a centralised alarm system which is when activated indicates which door has been opened. 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. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 2 & 5 Service users personal and healthcare needs are assessed before they are admitted to the home and service users, their relatives and other stakeholders know that the home can meet their needs. Service users would however, be safeguarded and protected by having a written contract with the home. EVIDENCE: Through discussion with the manager and owner it was established that there is only one service user currently living in the home. Examination of this service users records indicate that a number of assessments have been completed including local authority and health authority assessments. Support workers have the information they need and require to support and provide personal care for this service user. After discussion with the manager, owner and examination of service users records it was found that there is no written contract/ terms and conditions with the service user and the home. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 6,7 & 9 Service users assessed and changing needs and personal goals are reflected in their individual plan. However, service users and support workers would benefit, be protected and safeguarded by having appropriate risk assessments. EVIDENCE: Service users records showed that there are care plans implemented that show support workers how service users like to be cared for. The assessments showed that although some risks have been identified there were no up to date or current risk assessments telling staff about any risks identified and what action needs to be taken to minimise any risks to the service user themselves or others. Discussion with the manager , owner and support workers showed that everyone was very knowledgeable and aware of service users care needs including any behaviours or risks involved but these were not written down. The daily records had lots of information about service users and what they do. However, there was a lack of descriptive words to indicate and reflect when a service user made a decision about their life or to show their day to day choices and preferences. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 12,13,15,16 & 17. Service users have opportunities for personal development and to participate in age, peer and culturally appropriate community based leisure activities. EVIDENCE: Discussion with the manager, owner and examination of the Statement of Purpose it was established that the care provided by the home is based on ordinary living principles and that service users are encouraged and supported to live as ordinary life as possible. Service user records show that one service user attends local authority day services but is also supported and encouraged to use local community based leisure services. One service user said that he liked living in the home, liked the meals provided, which he chose, but also liked going to the pub. The daily records did not contain many descriptive words to indicate when a service user expressed a preference or choice regarding a leisure activity or meal. Examination of service users daily records show that there is lots and lots of information recorded. Discussion with the manager suggested that the daily records may benefit from been more simpler and less detailed. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 11 The manager said that information regarding the service users behaviour can be recorded on the ABC Assessments rather than the daily records. She also said that this would minimise any duplication of information and lessen the workload of support workers. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 18,19 & 20 Service users receive personal support in the way they prefer and require and their physical and emotional healthcare needs are met. EVIDENCE: Discussion with the manager and examination of service users records show that there is a multi agency approach to supporting service users. Records show the involvement of the service users family, Specialist Social Workers, Community Learning Disability Team Nurses and hospital based Consultants and Psychologists. The manager said that even though there are care plans and assessments the service user is supported and encouraged to have as much autonomy and influence as possible over his own life. The daily records show that they need to reflect the service users choices and preferences and any decisions he makes regarding how he lives on a day to day basis. The medicine record sheets, ordering and storage systems and staff training records show that service users are protected and safeguarded by the way medicines are given in the home. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 22 & 23 Service users are safeguarded and protected by the homes policies, procedures and practices regarding the handling of complaints and protecting vulnerable adults. EVIDENCE: Discussion with the service user, manager, owner, and support workers along with seeing the complaints book and policy and procedure shows that the home has not had any complaints. It also showed that staff know how to make a complaint and what to do if they get a complaint from anyone else. Staff training records also showed that support workers receive training on abuse and what to do if they think someone has been abused or is currently suffering abuse. The complaint policy and procedure shows that it includes a ‘Whistle- blowing’ policy for staff to follow. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 standard(s) 24 & 30 Service users benefit from living in a homely, comfortable and safe environment. EVIDENCE: The manager said that since opening earlier this year two service users have benefited from the services and facilities offered by the home. Inspection of the home showed that all parts of the home are decorated and maintained to a good standard. All parts of the home are clean and free from any unpleasant odours. On the day of the inspection the manager/owner and responsible individual said that they are wanting to alter the homes registration details to enable the home to take a permanent resident. They said that to do this the minimum standards say they should provide additional en-suite facilities in one ground floor bedroom. However, they believe that the standard of the environment provided is “ second to none” and is more that adequate to meet the needs of service users. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34, 35, & 36 Service users are supported and protected by the homes staff selection and recruitment policy and practices. Service users are also supported by an effective staff team. However, service users would benefit from being cared for by staff who are qualified. EVIDENCE: Staff training records show that all staff are currently undertaking Learning Disability Framework Accredited training which is commendable. However, records also show there is only one support worker with a National Vocational Qualification. Staff training records and certificates also show that support workers have had training in Basic First Aid, Moving and Handling and Food Hygiene, Medication Administration and Autism. Discussion with the manager and two support workers and examination of supervision notes indicate that staff feel competent and confident in the work that they do. One service user said that he likes living in the home and the people who care for him. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42, & 43 Service users benefit from living in a well run home where their health, safety and best interests are safe guarded and protected. However, service users could be more confident that their views underpin all self monitoring, review and development of the home. EVIDENCE: The management systems in the home show that service users and support workers benefit from policies , procedures and practices regarding the keeping of records, accounting and Health and Safety. Discussion with service user and support workers and examination of supervision notes showed that service users and staff benefit from the ethos, leadership and management approach of the home. The inspector acknowledges that the home has only been in operation since May 2005. However, discussion with the manager and owner shows that there is no quality assurance monitoring system in place. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 17 The manager said that it is her intention to gain the views of service users, their families and other healthcare professionals on the quality of care provided by the service at multidisciplinary reviews. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Respite Solutions Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 3 J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 19 N/A 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 Regulation Requirement On the day of the inspection there was no failure to meet statutory requirements. Timescale for action 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. 4. 5. 6. 7. Refer to Standard YA5.1 2,3,4,& 5 YA 7.1 YA 9.1 YA 14.3 YA 18.4,5,6,7. YA 32.6 YA39.1,2,3 4,6,7. Good Practice Recommendations All service users should have an individual written contract / terms and conditions with the home which is agreed and signed. Decisions made by service users regarding how they live their day to day lives should be reflected in the daily records. Risk assessments should offer support workers information on how to minimise any risks to service users, themselves and others. Service users choices and preferences of leisure activities should be recorded in the daily records. Service users day to day choices and preferences regarding personal support should be refLected in the daily records. 50 of care staff should have a National Vocational Qualification Level 2 or above. A quality assurance and monitoring system should be in place which seeks the views of service users, their family J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 20 Respite Solutions and other stakeholders on the quality of care provided by the home. The results should be published annually and should inform the homes development plan. Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 Page 21 Commission for Social Care Inspection Park View House Woodvale Road Brighouse HD6 4AB 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 Respite Solutions J51J01_s63763_respite solutions_v245442_080905.doc Version 1.40 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. 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. 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