This inspection was carried out on 15th March 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Robert Street (12) 12 Robert Street Harrogate North Yorkshire HG1 1HP Lead Inspector
Kate Shackleton Unannounced Inspection 15th March 2006 3:00 Robert Street (12) DS0000007890.V283797.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 Robert Street (12) DS0000007890.V283797.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. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Robert Street (12) Address 12 Robert Street Harrogate North Yorkshire HG1 1HP 01423 541888 01423 541889 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) Henshaws Society for Blind People Miss Emma Claire Brook Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Registered for 5 service users with Learning Disabilities all of whom also have an additional Sensory Impairment 24th November 2005 Date of last inspection Brief Description of the Service: Robert Street is a large terraced property occupying three floors. It provides accommodation in five single rooms, on the two upper floors, for adults under 65 years of age with a learning disability and visual impairment. Communal space is provided on the ground floor. Staff provide personal care, meals, laundry and a domestic service. Service users are encouraged to be involved in all aspects and activities of daily living. There is a small garden area to the rear of the premises. The home is close to the centre of Harrogate with easy access to all local facilities. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours. The focus for the visit was to check that the requirements and recommendations made at the last inspection had been complied with. Some of the communal areas of the home were seen and a number of records were inspected. The majority of time was spent talking with all the service users, some of the staff and the acting manager What the service does well: What has improved since the last inspection?
The acting manager has complied with all of the requirements made at the last inspection. All service users have a care plan. The acting manager does monthly evaluations of each plan to make sure that current and changing needs/wishes are properly recorded. This makes sure that service users are able to live the life they choose. Improvements to the environment and more frequent staff fire training means service users are better protected in the event of fire. The way medicines are provided for people who self medicate reduces the risk of errors happening. Weekly monitoring of hot water temperatures reduces the risk of service users being scalded. Robert Street (12) DS0000007890.V283797.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. Robert Street (12) DS0000007890.V283797.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 Robert Street (12) DS0000007890.V283797.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): None of these standards were assessed. EVIDENCE: Robert Street (12) DS0000007890.V283797.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): 6 Service users needs and personal goals are met. EVIDENCE: The requirement made at the last inspection that all service users must have a care plan has been complied with. The acting manager has improved the system whereby monthly evaluations of the plan now take place. Plans examined provided detailed information about how the service user wants the service delivered. Feedback from service users commended staff on their willingness to be helpful. Service users said they were very happy with the service they receive. Files examined showed that people led active, full lives making good use of local facilities. Robert Street (12) DS0000007890.V283797.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): 17 Service users enjoy their meals. EVIDENCE: All of the service users spoken to are happy with the arrangements for the purchasing and preparation of their food. They are encouraged to be independent but staff support is available if help is needed. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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): 20 Service users are supported to take control of their own medication. EVIDENCE: Since the last inspection, the manager has had discussions with the community pharmacist that supplies the medications. A new, safer system has been introduced for service users who self medicate. Service users spoken to are getting used to the new monitored dosage system and it seems to be working well. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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): None of these standards were fully assessed EVIDENCE: Service users spoken to say that it is easy to talk with care staff and managers if they have any worries or concerns. One relatively new member of staff spoken with knew to report any allegations or suspicions of abuse to the manager. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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 Service users live in a clean, comfortable and safe environment resembling an ordinary domestic household. EVIDENCE: The requirement made at the last inspection following recommendations made by the fire officer to improve fire safety in the home has been complied with. Work has been completed on the basement ceiling to improve its capacity to contain a fire in this area. The communal areas seen at this visit were clean, warm and comfortable. They were well decorated and furnished. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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): None of these standards were fully assessed EVIDENCE: A requirement was made at the last inspection regarding staff references being kept in the home available for inspection. Arrangements had already been agreed with the Commission for Social Care Inspection that some staff information relevant to recruitment is kept at the registered providers Arts and Crafts Centre’s office and can be examined at any time. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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 and 42 The acting manager has made improvements to the safety aspects of the home in order to minimise the risk of harm or injury to service users. EVIDENCE: The registered manager is absent on approved leave. The requirement made at the last inspection that the registered provider formally inform the Commission of this and the interim management arrangements had already been done. An acting manager is in place with support from an area manager. The requirement made to improve in house fire training for staff has been achieved. The recommendation to ensure the delivery of safe hot water through weekly temperature checks is now being done. Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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 Standard No Score 1 X 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 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X X 3 X Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 Page 17 No 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. Standard Regulation Requirement 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. Refer to Standard Good Practice Recommendations Robert Street (12) DS0000007890.V283797.R01.S.doc Version 5.1 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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