Inspection on 10/05/05 for St Alban`s Cottage

This inspection was carried out on 10th May 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Alban`s Cottage 23/08/07

St Alban`s Cottage 06/09/06

St Alban`s Cottage 02/02/06

St Alban`s Cottage 29/09/04

St Alban`s Cottage 04/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 St Albans Cottage 2a St Albans Close Harehills Leeds LS9 6LE Lead Inspector Stevie Allerton Unannounced 10th May 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. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Albans Cottage Address 2A St Albans Close Harehills Leeds LS9 6LE 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) 0113 2401837 0113 2401837 St.Albans@unitedresponse.org United Response Miss Sally Casterton Care Home Only 4 Category(ies) of Learning Disability (4) Physical Disability (4) registration, with number of places St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29th September 2005 Brief Description of the Service: St. Alban’s Cottage is a four-bedroomed bungalow, purpose built to accommodate service users with multiple disabilities, who do not require nursing care. The bungalow is situated at the head of a cul de sac in a quiet residential area just off the York Road in East Leeds, with nothing to distinguish it from the outside as a care home. The area is a short distance from local shopping centres, sports and leisure facilities, with good access via public transport from Leeds. The home accommodates four young adults with learning disabilities and some physical disabilities, all of whom are wheelchair users. The property is managed by a housing association but the care service is provided by United Response, a national charity specialising in the field of learning disabilities. Sally Casterton is the Registered Manager and there is close line management supervision from the area office in York. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out without prior announcement and was conducted by one inspector over a two and a half hour period. It was the first of two inspections that are planned to take place during the year commencing 1.4.05. The inspector spoke to one of the service users, the Manager and two other support staff. Some records were looked at, as well as some parts of the building. What the service does well: What has improved since the last inspection? What they could do better: The organisation must find a way of resolving premises-related problems with the Housing Association. One of the two available bathrooms cannot be used as much, because of drainage and damp problems. This reduces choice for service users, unless they are prepared to put up with an unpleasant damp smell in the shower room. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 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. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 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 St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 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) None of this group of standards was looked at on this visit. EVIDENCE: St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 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 are encouraged and enabled to make decisions about their lives, with appropriate support from the staff team, according to their ability. Staff work towards each person being able to achieve their personal goals, whether this be as simple as choosing their clothes each day or, more ambitiously, planning to move on to their own tenancy. EVIDENCE: Each service user has comprehensive and detailed care records, with specific support plans for each area of their daily lives. One service user, who was case-tracked, allowed the inspector to view his “Personal Information Pack”, which has been developed as a guide for any worker supporting him. This provided written evidence of individual needs and preferences, which were confirmed in discussion with the service user and the staff supporting him. The ethos of the home encourages service users to take part in exciting and sometimes risky activities. This is done with a good deal of prior planning; risk assessments and checklists were seen to be in place for individuals. The development of daily living skills and the opportunity to keep practicing these was directly linked to the individual’s expressed aims for the future. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 10 A member of staff described how choices are offered and given to each service user, which concurred with the practice observed during the visit. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 11 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) 11, 12, 13, 14, 15, 16 & 17 Service users continue to have opportunities to take part in ordinary activities and interests and mix with people who do not have a disability. Leisure activities are varied, creative and interesting. Meals are sufficiently varied and balanced and provide for each person’s preferences. EVIDENCE: Written support plans and in-house “Keeping Track” records showed the variety of social contacts and leisure opportunities which service users have. These include detailed descriptions of the support staff’s roles and tasks for each activity. In discussion with a service user, communicating with a “Bliss” board, he confirmed some of the social and leisure activities referred to in his support plans. These include an interest in football (he has bought a Sky TV package for his own room), socialising with friends, country walks and writing. There were detailed support plans for assisting him to make a phone call and write a letter. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 12 This service user is also deeply involved in the organisation’s training provision and recently was a member of the recruitment panel for Service Manager interviews, supported by the staff from the home. Menus were on display in the dining area and reflected a reasonably good variety of foods. A support worker said that all staff have got a Food Hygiene Certificate, as they all have to cook. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 13 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 This service is person-centred and staff provide support in each individual’s preferred way. Every area of care and support is written down in great detail, which enables consistency, even when the staff team changes. EVIDENCE: Written records, discussions with a service user and discussions with staff all provided evidence of a consistency of approach, which places the service users at the very centre of all systems and routines in place. For example, enquiring of a support worker how choices are offered to individuals who have difficulties with verbal communication, led to a description of a practical example. This was confirmed by observation of staff/service user interaction and viewing some written records. Discussion with a service user provided opportunity to explain about the importance of written care records; the inspector was given permission to read the Personal Information Pack belonging to this person. This had been put together by support staff, using the individual’s own words and was prefaced by a confidentiality statement stating that the information must not be shared without his knowledge and permission. Any reference to this information is therefore in general terms only, as agreed with the service user. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 14 There was an excellent section about communication with body language and expression as well as using the “Bliss” symbols board; also vital points for those providing personal support on how to maintain the individual’s personal dignity. The service user told the inspector that he felt United Response was a good organisation, that individual support workers and the organisation as a whole were committed to helping him achieve an independent lifestyle. There were real opportunities to be involved in staff selection and subsequent training, which was an important role that involved a lot of travelling to regional offices at York. The staff maintain a Handover File, in which the daily activities of each person are recorded. These provided written evidence of many of the areas discussed or observed. None of the service users are able to retain and administer their own medication, so this is managed by the staff. The practice and records seen on the day raised no areas of concern. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 15 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) None of this group of standards was looked at on this visit. EVIDENCE: St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 16 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 The home is comfortable, clean and allows for service users to have privacy as well as opportunities for a shared lifestyle. The housing association, which are responsible for the upkeep, maintenance and repairs to the building, are very slow in responding to problems. Their lack of a solution to the long-standing problem in the shower room reduces proper choice for service users. EVIDENCE: Whilst one member of staff was supporting a service user to get ready for the day, the other worker on duty was cleaning, vacuuming the carpeted areas. Domestic tasks are shared between the support staff, adhering to the principal of an ordinary shared house where everyone contributes. Service users are supported to do laundry, set tables and clear away afterwards, prepare some food, also to do the routine checks on the shared vehicle. The sitting room has a variety of chairs, appropriate for each person’s needs, and also contains some personal items belonging to each of the four service users, such as CDs, magazines, photographs, etc. There has been a long-standing problem with the shower room, which appears not to be resolved yet. The room smells very damp and does not provide a St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 17 pleasant environment, although the problem with damage to the wall of the adjacent bedroom was said to have been resolved. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 18 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) 35 Service users are supported by a team of staff who are well trained and have a positive approach to their work. EVIDENCE: The staff team had all been on a Team Day the day before, during which they had reviewed a lot of in-house policies. The Manager said that it had been a very productive day and that the team seemed to be gelling together well following a period where morale had been pretty low. The two support workers on duty were spoken to independently and both expressed enthusiasm and motivation in their roles. One of the workers had been recruited six weeks ago (a service user had been on the interview panel); he had been on the core training provided by United Response and was currently working through the LDAF (Learning Disability Award Framework) workbook. He felt that the training was of an excellent standard; mandatory training, for example, Moving & Handling and Food Hygiene, was complemented by good input about the organisation’s values and philosophy. The home had been short of staff for some time, but recent recruitment has resulted in two full-time support workers being appointed, awaiting Criminal Records Bureau checks to be completed before they commence work, also two relief workers added to the books. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 19 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 The home is well run, with the service users at the centre of the home’s values. The Manager’s personal and professional qualities are appreciated by service users and by staff. EVIDENCE: Staff expressed a high regard for the support given to them by the home’s Manager and felt that her personal qualities and enthusiasm for the work helped the staff team to remain positive. The Team Day held the day before was said to have been very positive and staff felt that their work was acknowledged and appreciated. The service user spoken to said that staff listened to his point of view and tried to help him achieve what he wanted to achieve. There were opportunities within the organisation for service users to really influence things, such as involvement in running training courses and in interviewing staff. There was an acknowledgement that not all of the service users were as able to take part, St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 20 or express their views as readily, but that staff were good at encouraging people to make their own choices, even if these might only appear to be small. St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 21 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 4 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 4 3 3 3 3 4 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Albans Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 4 x x x x J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 22 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 YA27 Regulation 23(2)(j) Requirement The home must have sufficient baths and showers to meet the needs of the service users. (Previous requirement timescale of 1.1.05 not met.) Timescale for action By 1.7.05 2. 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 Good Practice Recommendations St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Aire House Town street Rodley Leeds LS13 1HP 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 St Albans Cottage J52 J03 S1496 St Albans Cottage V225167 100505 Stage 4.doc Version 1.30 Page 24 - 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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