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Inspection on 31/01/08 for St Paul`s Hostel

Also see our care home review for St Paul`s Hostel for more information

This inspection was carried out on 31st January 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People who used the service enjoyed living the lifestyle they chose and they were supported in a way they preferred. The manager and staff encouraged people to be independent and staff gave suitable support and assistance when it was needed. The service tried to ensure that people had control over their lives. There was a good relationship between people who worked and lived at the home. Management and staff were obviously enthusiastic with all aspects of their work and they clearly enjoyed caring for people at the home. In surveys, people who used the service commented: "They look after me well and the staff are good" "I feel I am well supported" "I am pleased to be here" "I am very happy" "All the staff are very good". In surveys, relatives commented: "My relative is happy and enjoys being there" "The home provides safe secure care at grass roots level" "It is a tremendous place" "My relative has benefited from his/her time at the home".

What has improved since the last inspection?

Medication procedures had been reviewed and updated. Recording of medication was better. A ramp had been made at the entrance, making the home more accessible to wheelchair users. Repairs and maintenance work, identified in the last inspection report, had been completed. A drawer and a cupboard door of the kitchen had been repaired. The home had developed new ways of keeping maintenance records. The home had received advice from a fire safety advisor. S/he had assisted the home with developing the correct fire precautions and procedures. The Complaints Procedure was shared with people who use the service and their relatives. The home had adopted person centred reviews.

What the care home could do better:

The home must make sure the stains are removed from two baths and a cracked wash-basin must replaced. The stained and worn carpet, of the ground floor hallway, must be replaced. Staff`s one to one supervisions, that take place at least six times yearly, should always be recorded.

CARE HOME ADULTS 18-65 St Paul`s Hostel 4 St Paul`s Road Middlesbrough TS1 5NQ Lead Inspector Brenda Grant Unannounced Inspection 31st January 2008 09:45 St Paul`s Hostel DS0000033846.V357065.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 St Paul`s Hostel DS0000033846.V357065.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. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Paul`s Hostel Address 4 St Paul`s Road Middlesbrough TS1 5NQ 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) 01642 241620 F/P 01642 241620 Middlesbrough Council Louise Naylor Care Home 21 Category(ies) of Learning disability (21) registration, with number of places St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named individuals who are over the age category are allowed to reside in the home. 21st February 2007 Date of last inspection Brief Description of the Service: St. Pauls Hostel is situated at 4 St. Pauls Road in Middlesbrough and is a local authority care home for adults with a learning disability. The home is registered with the Commission for Social Care Inspection under the Care Standards Act 2000. St. Pauls Hostel is a two-storey building providing care and accommodation for twenty-one adults. The home is divided into two distinct units; there are seven beds for people who have respite care and fourteen beds for people who live at the home on a permanent basis. The latter unit is further sub divided for the differing user groups. All bedrooms are for single occupancy. Two bedrooms have an en-suite facility with a toilet and washbasin and another two bedrooms have a bathroom and a separate toilet facility. The home also provides communal washing and bathing/showering facilities for all users occupying the other bedrooms. People who use the care service have access to the nearby town centre and local amenities. Travelling further a-field is by means of public transport, taxis or a people carrier. People, who use the care service, are encouraged to continue with educational and leisure interests. Each user has a weekly programme of activities; most attend day care, Monday to Friday, at various locations in Middlesbrough. The home has regular meetings with people who use the care service, where people are able to give their views about the running of the home. At the time of the inspection the fees ranged from £45.95 to £937.76. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the Annual Quality Assurance Assessment that had been completed by the manager and we carried out a visit to the home. The visit took place over one day, seven hours in total. Discussion and observation took place with three people who use the care service, two staff and the manager. We received surveys from: people who use the care service, their relatives and a care manager. We looked around the home as well as examining a number of records which included those for: staff and people who use the care service, health and safety and maintenance checks, complaints, accidents and medication documentation. The Commission for Social Care Inspection is trying to improve the way we engage with people who use care services, so we get a real understanding of people’s views and experiences about a social care service. We sometimes ask ‘experts by experience’ to help us get a picture of what it is like to live in or use a social care service. ‘Experts by experience’ are people who have first hand knowledge about using a social care service. For part of the inspection, an ‘expert by experience’ visited St Paul’s Hostel. She talked to staff and people who use the care service, saw how people got on together and looked around the home. Evidence from the expert by experience is shown in bold text in the inspection report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: People who used the service enjoyed living the lifestyle they chose and they were supported in a way they preferred. The manager and staff encouraged people to be independent and staff gave suitable support and assistance when it was needed. The service tried to ensure that people had control over their lives. There was a good relationship between people who worked and lived at the home. Management and staff were obviously enthusiastic with all aspects of their work and they clearly enjoyed caring for people at the home. In surveys, people who used the service commented: “They look after me well and the staff are good” “I feel I am well supported” “I am pleased to be here” “I am very happy” St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 6 “All the staff are very good”. In surveys, relatives commented: “My relative is happy and enjoys being there” “The home provides safe secure care at grass roots level” “It is a tremendous place” “My relative has benefited from his/her time at the home”. What has improved since the last inspection? 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. St Paul`s Hostel DS0000033846.V357065.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 St Paul`s Hostel DS0000033846.V357065.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 Individual aspirations and needs, of people who use care service, are assessed before people are admitted to the home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: A Care Manager and a relative informed us, that people admitted to the home had an assessment which was completed by a Care Manager or Social Worker. The manager told us, that the home also carried out a needs assessment. This included details of: people’s lifestyles, health and social care needs, like and dislikes, culture/religion and methods of communication. All information was used to develop the person’s individual Care Plan. A relative told us, people and their families were fully involved with the assessment process. They had the opportunity to visit St Paul’s Hostel, as well as meeting staff and the people who lived at the home. People were also offered the opportunity to have meals and overnight stays, when staff could spend time with individuals and gain additional information about the person’s care needs. The manager told us, people were given a Service User Guide. The guide gave information about the home and the different types of care, which was for permanent and respite care. People had all of the information they needed, to help them to make a decision about the home. St Paul`s Hostel DS0000033846.V357065.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): Standards: 6, 7 & 9 The home has Care Plans, for each person who uses the service. Plans are regularly reviewed. Individual files also contain Risk Assessments that includes details of how risks are managed. There are records to inform how people are supported and assisted with making decisions and living their lives independently, within their capabilities. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: We examined a sample of people’s files. They contained ‘Personal Planning’ books. The books had details about people’s lives and what they wanted to plan for the future. The information in the books ranged from mobility, communications, health, important things, hopes and dreams and general ‘things about me’. The books had pictures, to help people to understand the information. Pictures were either drawn, and people coloured them, or they were cut out and stuck on the pages. The Annual Quality Assurance Assessment informed us the home had, ”A person centred approach to all St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 10 individuals, recognising the unique individuality that makes them who they are”. The Care Plans had ‘goals’ and ‘action’ sheets. Each part of a plan included; an aim, what needs to happen, how it will happen and a named person who would assist and give support. Care Plans had evidence that people who used the service were involved with and agreed with the plans. They also had details about the person’s care needs, how they wanted to live their lives and their likes and dislikes. Staff said, they supported individuals with making decisions about their lives and staff arranged for people to have an advocate, when it was needed. A person who used the service told us, “I need a bit of a push to prompt me to make decisions about things I need to do and staff help me with this”. A relative informed us, “My son/daughter is helped to do any shopping and s/he is advised on any purchases” and another relative told us, “Staff help residents with making the right decisions”. The manager told us, there were some individuals who had said they wanted to live in their own homes. She told us, all people were fully supported and encouraged with developing their daily living skills, which would be essential for those people to live independently. In a survey a person told us, “I am happy here but I am waiting to get my own house”. Care Plans included Risk Assessments, which gave information about how risk would be managed. There were Risk Assessments for individual’s health, mobility and every day activities including outings and going out of the home. In a survey a person who used the service told us, “I am supported with going on outings and I have a good social life”. Individual files contained ‘behaviour information sheets’. They had details of what would trigger behaviours, how behaviour would be displayed and there was response guidance and additional information. This was to assist staff with appropriately managing people’s behaviour problems. A Care Manager told us, “St Paul’s copes well with a diversity of people who present with different needs including challenging behaviours”. Staff told us, they discussed Care Plans and Risk Assessments with each person, so that they would fully understand what they were agreeing with. For people who lived at the home, Risk Assessments and Care Plans were reviewed at least every six months. The manager told us, people who occasionally received respite care, had their files reviewed, to confirm the information was correct and up to date. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Staff appropriately support and care for people who use the care service. Individuals are offered choices of daily activities and they can live their lives as they wish. People who use the service have a varied and healthy diet. Mealtimes are enjoyable. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: On the day of the inspection ‘site’ visit, some people were at their day care placements and other people stayed at home. Staff supported individuals with going to day care, colleges and work. An individual who returned home from his/her day care told us, “I have been at work all day and I am ready for a rest”. Individuals had their weekly activity programmes but staff told us, “The programmes were flexible and it depended on what the person wished to do each day”. In a survey a relative informed us, “My son/daughter is encouraged to take part in the various outings and goes to a day centre 5 days a week”. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 12 The location of the home, close to Middlesbrough town centre, meant people had many local facilities they could visit and use. There were shops, cafés, parks, churches and pubs as well as sports facilities. One individual was supported with walking to the shops most days. S/he and staff sometimes stopped at a café, for a drink, on their way home. The expert by experience told us: I liked the way residents were encouraged to socialise in their local community, independently or with staff. If people wished to go further away from the home, there was a dial-a-ride service and public transport, buses and trains, which could be accessed at the town centre. Staff told us, some individuals had planned to go to Newcastle, on the bus, because they had tickets for a concert. The manager told us, the home hired a peoplecarrier at weekends, so there was more opportunity for people to go to different places out of the town. Staff supported individuals with choosing, planning and going on an annual holiday or short breaks. Staff told us, “We are always trying to find out about different places that may be of interest to residents and we support residents with their choice of activity”. There were also a variety of activities, within the home, that people could enjoy. The expert by experience told us: I think residents have choice when it comes to activities but there was no pictorial choice board, so residents can choose more easily what activities to do. The Annual Quality Assurance Assessment informed us, the home had a member of staff who was the nominated activity co-ordinator. Part of the person’s role was to “Ensure the continuity and equal opportunities for activities”. In a survey a relative told us, “Our son/daughter loves to come to St Paul’s, it is his/her holiday and staff are nice and easy to talk to”. People were supported with maintaining relationships with family and friends. A relative told us, “They (the home) always make people feel welcome and staff are great”. In a survey a relative informed us, “The staff help my son/daughter to phone me. I can also ring and talk to him/her anytime”. Staff supported an individual, who enjoyed going to church, with maintaining his/her friendships outside of the home. The Annual Quality Assurance Assessment informed us, “We support some service users whose needs are embraced under Equality and Diversity, including religion/belief and sexual orientation, by supporting them to attend church and social groups related to their religion or belief”. Staff supported service users with doing routine jobs around the home. An individual proudly told us, s/he always kept his/her room tidy and said, “I know where everything is”. Staff told us, they supported some people with washing and ironing and one person told us, “I help to fold my clothes and put them in the wardrobe”. Another person told us, “I do everything myself and I help the staff”. The expert by experience told us: All of the residents go to day centres apart from one. I found that it was his/her choice not to go. Instead s/he does gardening and helps out around the home if he wants to. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 13 We saw there was a good relationship between staff and people at the home and staff spoke to people in a respectful way. In a survey a relative informed us, “I have seen staff with residents. They treat residents with respect and they are very caring. Staff are always very good with residents”. Staff told us that they respected people having a right to privacy and individuals could stay in their rooms or be in communal rooms, as they wished. People who used the service, and their relatives, complimented the cooks for the food served at the home. In a survey, an individual informed us, “I like the food and we have good cooks”. There was a planned menu that had choices and if people did not want either choice they were offered an alternative. The expert by experience told us: The home has picture menus so residents can see what their choices are for lunch. I was invited to have lunch at the home, I was given lots of choices of food and it was very nice. The other residents said they had enjoyed their lunch. The home catered for individual diets. A relative informed us, “I know they buy different foods and drinks for his/her, so that s/he can keep to a special diet”. Cold drinks and fresh fruit were available in the dining room. We saw people enjoying their evening meal. The food was well presented and looked very appetising. A member of staff sat at a table and ate his/her meal with everyone else. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 14 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): Standards: 18, 19 & 20 There is satisfactory support for health and personal care and there is suitable recording of medication. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The files, of people who used the service, showed individuals were appropriately supported with personal and healthcare needs. Many individuals could manage their own personal care but sometimes staff needed to give prompts. One person told us, s/he could manage to do everything but staff sometimes helped with bathing/showering. Staff told us, personal care is always carried out in a sensitive manner and in the way people preferred. Three people told us, they chose their own clothes and people’s appearance reflected their personality. A relative told us, “They (the home) have a relaxed way with residents but also maintained a high standard of care with regard to personal hygiene and presentation of individuals”. The home kept records of people’s healthcare needs and appointments with healthcare professionals. Each person had a Health Action Planning books. The St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 15 books had all information relating people’s healthcare issues and included details of the outcomes of medical appointments. The manager told us, the home made referrals for specialist healthcare services when they were needed. Records showed there were regular checks for dental, optical and other healthcare related treatment and people who used the service were offered an annual health check. We looked at recording of medicines. Medication Administration Records had signatures of the staff who had administered the medicine to individuals. There was a record of all medicines kept at the home. Staff had completed training for ‘safe handling of medicines’, to make sure they were competent to administer medicines. There was a satisfactory lockable facility for storing medicines. The home carried out a Risk Assessment, to determine if people would be capable of looking after their own medicines. At the time of this inspection the home was in control of all medication. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 16 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): Standards: 22 & 23 People who use the service are confident their views are listened to and acted upon and they are protected from abuse, neglect and self-harm. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home had a Complaint’s Procedure that was shared with people who use the service and their relatives. The Annual Quality Assurance Assessment informed us, “Key working enables service user issues to be addressed before it needs to be a complaint”. The manager told us, a member of staff was the home’s Complaints Officer. S/he went to all meetings and reminded people they could go to him/her if they had a complaint. Further details about the Complaints Officer’s role were displayed on the notice board. There had been no complaints during the last 12 months. A relative told us, “I have never had any concerns about the service”. The home had a copy of policies, procedures and practice guidance, ‘No Secrets’, for safeguarding adults. Staff’s files confirmed staff had completed basic safeguarding awareness training and two senior staff had completed the training at a higher level. A member of staff told us, s/he was aware of the guidelines and s/he had completed training for the protection of vulnerable adults. We examined the finances of the people who use the service. There was an accurate record of all transactions, with receipts, and the home had a suitable lockable facility for monies that were held at the home. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 17 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: 24 & 30 The environment is homely, comfortable and safe. Basic repairs and maintenance work is carried out. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: In general, the building provides a warm and homely environment. The lounges had comfortable furniture and the appearance of the home was satisfactory. The expert by experience told us: There were two living rooms which gave residents the choice as to where to sit and they could have some quiet time if they wished to. People who use the service had their own bedroom. The expert by experience told us: The room I looked in was full of the resident’s own belongings. Residents can socialise in each others bedrooms if they want to. We saw that most bedrooms were decorated with the same colour paint; individuals were not given a choice of colour scheme for their bedroom. Some basic maintenance St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 18 work had been carried out but there were areas where further minor maintenance and decoration work needed to be done. The manager kept a record of all maintenance work that had been reported, in a ‘maintenance/servicing log’, so that she could check if the work had been completed. We noticed there were two stained baths, a cracked wash-basin and the carpeting, of a ground floor hallway, was stained and worn. In a survey a relative commented, “The building could do with improvement”. The expert by experience told us: The home looks like it could do with being redecorated. There was plenty of space for people to move around inside the home. Individuals were seen freely moving around all communal areas. The garden, that people used, was a central enclosed area. It had a patio that had plenty of seating with tables, available to service users, to sit outside in warm weather. There was also a lawned garden at the back of the building but people did not use it. The expert by experience told us: The home was clean and tidy. The premise was free from offensive odours. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 19 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): Standards: 32, 34, 35 & 36 People are protected and supported by the home’s recruitment procedures and staff are appropriately trained to care for the people at the home. Staff benefit from regular one to one supervision but it is not always recorded. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager told us there was a low turnover of staff and all new staff, in recent years, had been relocated from other care homes that were owned by Middlesbrough Council. The last inspection report and staff confirmed that all staff had undergone a thorough recruitment and selection process. It is commendable that over 93 of staff had completed training to at least National Vocational Training Level 2 in Care. The two remaining staff were working towards gaining the qualification. Extra to that, there were fourteen staff who had completed the training at Level 3 and two staff had successfully achieved Level 4. The home had a senior member of staff who was the training co-ordinator. S/he made arrangements for staff to complete training which included training for: fire awareness, first aid, health and safety, food hygiene, St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 20 manual handling and infection control. Staff had completed extra training so they had greater awareness and knowledge of people’s specific needs. Staff had also completed Equality & Diversity training. There were three male staff and twenty-four female staff at the home. Staffing numbers were satisfactory and the staffing rota confirmed there was extra staff at busy times of the day and at week-ends. People benefited from the home having a staff group who worked well as a team. In surveys from people who use the service, their relatives and a Care Manager, we received the following comments about the staff: “The staff at St Paul’s are a credit to the people they care for” “The team at St Paul’s are brilliant” “Residents are happy and contented, thanks to the care of some dedicated staff” “All staff are very caring and do a good job with humour, with the different nature of residents this must be difficult at times” “They try to help my son/daughter live the best possible life” “They are flexible and have a good knowledge of service users” “Staff provide a good service within the resources”. The sample of staff records showed there had been one to one supervision approximately 4 or five times yearly. The manager and a senior member of staff told us, there were times when sickness, of senior staff, had caused a lapse in the planned formal supervision sessions. The senior staff told us, there had been unplanned supervisions but they had not been recorded. The manager informed us, records of those one to one supervisions would be recorded in future. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 21 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): Standards: 37, 39 & 42 People benefit from a well run home and they are included with developments and changes that take place. The health, safety and welfare of individuals and staff are promoted and protected. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager had the appropriate care and management qualifications for running a care home. She had managed the home for over seven years. Two staff we spoke with said, they were always well supported by the home’s manager. The manager told us, the home was developing questionnaires that would be sent to users of the service, their relatives and other interested parties. The St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 22 service was undergoing a review and Middlesbrough Council was involving people with how the service would be developed. The manager told us, people who used the service, and their relatives, were included and involved with developments and improvements to the service. The expert by experience told us: The home has resident meetings every 3 months where residents can say what activities they would like to do and can set themselves personal goals. Meetings were recorded in a huge wall picture and the details were transferred onto pages that would fit into a file. Staff meetings took place every two months and the minutes of the meetings were recorded. The meetings were an opportunity for people to give their views on the running of the home. The home had staff who had specific responsibilities for health and safety. There were weekly checks of the building and regular audits of the service. A number of health and safety records were examined for: fire checks, portable appliance tests, water temperatures, Control of Substances Hazardous to Health, boiler maintenance and accidents. Documentation confirmed there were regular monitoring checks and health and safety work was carried out. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 23 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 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 3 X X 3 X St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 24 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 YA24 Regulation 23 Timescale for action The home must make sure stains 30/09/08 are removed from two baths. The cracked wash-basin must be replaced. The stained and worn carpet, of a ground floor hallway, must be replaced. This is to make sure the home is maintained to a satisfactory standard. Requirement 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 YA36 Good Practice Recommendations Staff’s one to one supervisions, that take place at least six times yearly, should always be recorded. St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Fourth Floor St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI St Paul`s Hostel DS0000033846.V357065.R01.S.doc Version 5.2 Page 26 - 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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