Inspection on 19/01/06 for Stanningley Road

This inspection was carried out on 19th January 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.

Other inspections for this house

Stanningley Road 19/12/06

Stanningley Road 19/09/05

Stanningley Road 13/01/05

Stanningley Road 01/07/04

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 Stanningley Road 59 Stanningley Road Armley Leeds West Yorkshire LS12 3NW Lead Inspector Kathleen Firth Unannounced Inspection 19 January 2006 13.30 th Stanningley Road DS0000001508.V274194.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 Stanningley Road DS0000001508.V274194.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. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stanningley Road Address 59 Stanningley Road Armley Leeds West Yorkshire LS12 3NW 0113 231 1237 0113 231 1237 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) TACT Mrs Lynn Christine Shenton Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: Stanningley Road is a care home registered to provide care and accommodation for up to seven residents who have a learning disability. Nursing care is not provided but the local healthcare team offers good support to the residents and staff. The home is a large detached property located in a residential area close to the Armley area of Leeds. It is within walking distance of the local supermarkets, banks, shops, pubs, cafes and a post office. Residents use these facilities on a regular basis. The home has a car that is used to transport residents for appointments or collect them from college. Public transport links to the city centre are easily accessed. The house is set back from the road with boundary walls making the garden areas safe. Access to the home is from a quiet road behind the house. There are three floors with bedrooms being situated on all of them. The top floor has been converted into a flat which one resident uses. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two hours by one inspector on Thursday 19th January 2006. The inspector looked around the building, spoke with residents and staff, examined residents’ records including care plans, Service User Guide, Statement of Purpose, financial records and staff files. Staff and residents were helpful during the inspection. What the service does well: What has improved since the last inspection? Any items damaged in the laundry are replaced by TACT. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 6 Discussions have taken place about residents’ purchasing their birthday and Christmas presents although no firm decisions have been made about this. 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. Stanningley Road DS0000001508.V274194.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 Stanningley Road DS0000001508.V274194.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): 1, 2, 3, 4 Prospective residents and their carers can be sure that the home will meet their needs and aspirations following their assessment for admission. Written and verbal information available to prospective residents is very comprehensive. EVIDENCE: The Service User Guide and Statement of Purpose seen at the home gives excellent information about the home and the services they provide there. It is presented in a format that can be understood by the residents although a few more pictorial images would be helpful. The section dealing with the CSCI needs some updating. All of the residents are given their own copies when they are admitted to the home and copies are available for visiting professionals and carers to look at. The manager or her deputy completes an assessment of need prior to agreeing the admission of any resident. Social services and Health workers provide information they have about the resident and their care needs. The individual’s aspirations and how these can be fulfilled are discussed at the time of the assessment. The admission procedure takes as long as the individual resident needs. Several visits can be made over a period of time including time to have a meal with residents and staff and overnight stays. The number of visits and the length of these are determined by each individual. Families/representatives Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 9 are able to visit the home prior to the resident’s admission. People who are living at the home are included in the admission process and are able to express their views. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 10 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): 6,10 Information about the residents is stored correctly. Residents’ care plans are very comprehensive and risk assessments with coping strategies are in place as required. EVIDENCE: Residents’ care plans are very comprehensive containing information about their needs. Evidence is available to show that the residents are involved in drawing up the care plans. Where possible the resident signs to say they agree with the care plan. Regular reviews of the care plans are done and evidence of this was seen in the files. Excellent background information about the resident is in their file and staff have a good awareness of the residents’ needs. Good risk assessments were seen alongside the appropriate coping strategies. Staff help carers to accept the residents’ rights to take risks and to cope with this. Staff are trained in Data Protection and confidentiality is taken very seriously at the home. All information about the residents was seen to be stored correctly. Residents are aware that information is kept about them at the home and that they can look at this if they choose to. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 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 the following standard(s): 11, 14, 17 The home offers opportunities to residents for their personal development in addition to a wide range of leisure activities. A good, healthy and varied diet is offered to the residents. EVIDENCE: Residents are supported and encouraged to continue with education and to take part in valued activities. Some of the residents attend literacy and music classes and one person attends woodwork classes at the TACT Opportunities centre. Most of the residents attend various day centres depending on their needs and disability. Work is being done with some residents to try and help them gain employment. The deputy has been given responsibility to work alongside the manager on this project. Bowling, the cinema, going out for meals and attending music events are some of the leisure activities offered at the home. Activities are done on a one to one basis as well as in groups. There is a list of activities displayed at the home for staff to do with the residents within the house in the evenings. These include listening to music, watching T.V. or playing board games. One Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 12 staff member is doing some textile work with one resident. Holidays are organised with people who get on with each other and share similar interests. The staff have recently attended nutrition training and one member is due to attend a Good Health event organised by TACT. The staff draw up healthy eating plans and encourage the residents to follow a sensible, nutritious diet. The home works on a weekly menu and this takes into account individual likes and dislikes. A diary is kept at the home that details what everyone has eaten each day to ensure that everyone is having sufficient nutrition. The residents set the tables for meals and tidy up afterwards as far as possible. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 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 the following standard(s): 19, 20 Residents’ physical and emotional health needs are met at the home. The wishes of residents following their death are recorded. EVIDENCE: There is a good awareness amongst the staff of the best interest of residents versus their duty of care when dealing with healthcare issues. They try to encourage the residents to go to see their GP or have a visit from him/her if there are any concerns. Most of the residents are able to tell staff if they are not well and; with others staff observe their behaviour and moods if there are any concerns. Staff are aware that residents can refuse treatment if this is their choice although they will always try to persuade people to accept anything necessary. The residents and staff receive good support from the local healthcare team. Residents’ wishes following their death are discussed with them and recorded in their files. Where there is a family the staff will contact them in the case of death. Arrangements are in place for residents who have no relatives. If a resident became ill and needed nursing staff will meet with families, GP and anyone else required to have input into their care and discuss the best place for them to be. A decision about them remaining at the home would be made at this time. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 14 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): 22, 23 Residents and their relatives have their views listened to, taken seriously and action taken to resolve them. Residents are protected from abuse. EVIDENCE: The home has a complaints policy and procedure in place and every resident is given a copy of this in a format they can understand. A copy is also available on the home’s notice board. There is a feeling amongst the staff that residents and their families are able to speak to them if they have any worries or concerns. Regular residents meetings are held and good interactions were seen between residents and staff during the inspection. One complaint has been made since the last inspection that was investigated and settled amicably. Most staff have attended Adult Protection training and POVA training has been arranged. Staff know how to recognise the signs and symptoms of abuse and the action required if they suspect any wrongdoing. The home has a policy and procedure in place to deal with any individual resident behaving in an aggressive manner. Records dealing with residents’ finances seen were maintained correctly with money being locked away in the safe. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 15 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, 25, 27, 28, 29, 30 The home offers a safe environment for the residents and provides suitable bathing and toilet facilities. EVIDENCE: The home offers a very comfortable, homely environment with the fixtures, fittings and décor all being of a good standard. It was clean and tidy throughout with no offensive odours being present. All areas were free from any clutter and residents are able to get around the home. The less mobile residents are accommodated on the ground floor. The shared rooms are large and airy offering a comfortable place for residents to relax or to pursue their own interests. Bedrooms have been decorated to suit the individual residents’ tastes and have been personalised by them having their own possessions around. One resident has grab rails fitted outside his bedroom as there is a step up to it and an extra light has been put up to help him. One person has a flat within the home that offers her lots of space and the opportunity to develop her independence. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 16 Assisted bathing facilities are available for the residents who require these and there are sufficient toilets available for everyone. Staff make sure that residents are able to wash their hands after using the toilets. Laundry is done on the premises and appropriate equipment is available. The staff are involved in all domestic duties as well as the care of the residents. Residents are involved wherever possible in household duties as well as the food shopping. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 17 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): 32, 33, 34, 35, 36 Staffing numbers and skill mix make sure that the residents’ needs can be met. Residents are protected by the recruitment policies in place. EVIDENCE: The home has its full staff complement and the team works well together. Staff have good access to training with some people having achieved NVQ level 2 and others level 3. New staff will be enrolled on NVQ Level 2 as soon as possible. Due to staff leaving the home has not achieved 50 of care staff being qualified to NVQ level 2. There are normally sufficient staff on duty to meet the needs of the residents and bank staff can be accessed if the need arises. Shift patterns allow for staff to collect residents from various places without leaving the home understaffed. A key worker system is operated with most residents knowing who theirs is. Staff supervision sessions are in place with written records and regular staff meetings are held. Recruitment is carried out centrally by the organisation with individual home managers being involved. Workers have to undergo CRB, POVA, Visa and work permit checks as well as providing two written references. Staff files seen contained all the required information including the interview notes. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 18 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, 40, 42, 43 The home is well managed, the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager offers strong leadership, is well qualified and experienced for the post. Staff say she is approachable and offers them and the residents good support. Regular staff meetings are held with an agenda that people can contribute to and minutes are available. Times of the meetings are varied to make sure that, as many staff as possible are able to attend. Although relatives meetings are not held they are able to speak to the manager if they have any worries or concerns. All staff are trained and involved in Health and Safety although the manager has overall responsibility for this. She delegates certain tasks to staff members and they take some responsibility. TACT staff will carry out PAT testing in future as some members have been trained to do this. The fire bells and emergency lighting are tested weekly with records correctly maintained. There is always someone trained in first aid on duty at the home. There is an Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 19 on call system for dealing with any emergencies. The housing association that owns the home is responsible for carrying out safety checks on major appliances. The TACT head office deals with the main financial matters of the home. Residents allowances are handled by staff except for one person who is able to manage his own. All records concerning the residents were seen to be correctly maintained and up to date. The residents are involved as much as possible in the running of the home and take part in decision making as far as they are able. Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 20 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X 3 3 X X 3 X 3 3 Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 21 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 Stanningley Road DS0000001508.V274194.R01.S.doc Version 5.1 Page 22 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. 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