Inspection on 19/09/05 for Stanningley Road

This inspection was carried out on 19th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Stanningley Road 19/12/06

Stanningley Road 19/01/06

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 LS12 3NW Lead Inspector Kathleen Firth Unannounced 19 September 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stanningley Road Address 59 Stanningley Road Armley Leeds LS12 3NW 0113 2321 1237 0113 231 1237 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) TACT MRS Lynne Shenton Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 13 January 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 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over 2.25 hours by one inspector on Monday 19th September 2005. The inspector looked around the building, spoke with staff and residents, examined residents’ records including care plans, menus and staff rosters. Staff and residents were helpful throughout the inspection and were happy to join in. Five staff members and four residents were spoken to. What the service does well: What has improved since the last inspection? The manager has completed the work for the registered managers award. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 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. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4, 5 Prospective residents and their carers can be sure that the home will meet their needs and aspirations. People have the chance to visit the home before deciding to live there. EVIDENCE: The manager or her deputy completes an assessment of need before agreeing admission to the home. Social services also provide information regarding the person’s needs. When doing the assessment the assessor looks at the aspirations of the person and how these can be fulfilled by moving into the home. Everyone is invited to visit the home before admission. The admission period is tailored to each individual and can be as long or as short as required. The number of visits and the length of time a person stays are agreed on an individual basis. Family/representative are also invited to visit the home prior to the person’s admission. People already living at the home are consulted about a new admission. All residents have an individual contract setting out the terms and conditions of the service. This is presented in a format that the residents can understand and contains all the required information. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Good communication makes sure that the residents’ needs are met. Appropriate risk assessments with coping strategies are in place. EVIDENCE: All residents have a comprehensive care plan that gives information about their needs. There was evidence that the residents are involved in drawing up the care plans and where possible sign to say they agree with them. There is excellent background information in the plans, any allergies are clearly identified and any actions required clearly identified. The plans are reviewed and updated on a regular basis. Good risk assessments with the relevant coping strategies are in place. The staff show a good awareness of residents’ rights to take risks as well as their duty of care and are able to balance these. Carers are asked for their views regarding risk taking and help is given to them to accept this if it is a problem for them. Wherever possible, residents are involved in decision making about their lifestyle. There was evidence available that showed residents had actively decided not to attend formal day care or classes. The residents are involved in any meetings about them and their lives. Residents are involved in the Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 10 admission of a new person. Weekly meetings are held with the residents where they discuss future activities, news and any other typical topics. The home’s record keeping is well organised and all information about the residents is stored appropriately. Residents and their carer/representative are made aware that they can see the information that is kept about them. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 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) 12, 13, 14, 15, 16, 17 Appropriate activities are arranged for the residents. Residents are supported to keep contact with family and friends. The rights of the residents are respected at all times. EVIDENCE: Residents are supported to continue with education and take part in valued activities such as bowling, going to the cinema, out for meals, keep fit classes and enjoying music. Some residents attend day centres and education and vocational classes at varying levels. Some of the residents have recently been away on holiday. Holidays are organised with people who get on with each other and share similar interests. Independence is encouraged and residents are enabled to do as much as possible for themselves. If they need to take a packed lunch the resident is encouraged to prepare this. One part of the home has been converted into a flat and includes a kitchen. It is hoped that this can be used to teach anyone who it is felt could move on to a supported living scheme. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 12 Family and friends can visit the home whenever they choose. Some of the residents go home and stay with family at the weekends. Two of the residents do not have any family and the manager has arranged a be-friender for these people. Staff have applied for them to have an advocate. One resident goes to the local shops and café on a regular basis and is well known in the area. One resident attends the local church and is well accepted there. A good, healthy, varied and well balanced diet is provided by the home that takes into account the individual likes and dislikes of the resident and the menus seen confirmed this. Residents are involved in doing the shopping with the staff and this is done locally. People sit together for the evening meal and enjoy this part of the day. Staff are attending a course on Healthy Eating. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 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 Residents are treated with respect and their privacy and dignity are maintained at all times. Staff are aware of the residents’ needs. EVIDENCE: Personal care is offered to the residents in the privacy of their own room or the bathroom. Staff were seen to treat the residents with respect during the inspection and good interaction between them was observed throughout the time. There was 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 explain and encourage the resident to go to the doctors but accept their right to refuse to do so. One resident has refused to have a flu jab despite been given the facts about this and the reasons for having it. Most of the residents are able to tell the staff if they are unwell and with others staff monitor behaviour and body language. The residents and staff receive good support from the local healthcare team as required. None of the residents manage their own medication and the home has a comprehensive policy and procedure in place to do this for them. The home uses the Boots system; that is blister packs with different coloured cards for different times of the day. There is a photograph of the residents in the medication file and all of the records were correctly maintained. All medication was correctly stored in locked cupboards. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 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 standard(s) 22, 23 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve them. Residents are protected from abuse. EVIDENCE: The home has a complaints policy and procedure in place and all residents are given a copy of this. There is also a copy on the home’s notice board. It is presented in a format that the residents can understand. The staff feel that the residents and their families will approach them if they have any concerns or worries. Staff have in the past received Adult protection training; however new staff have not. The person assisting at the inspection felt that all staff would recognise the signs of abuse and know how to react. Residents are listened to if they make any complaints. Reports are made by staff if they see any bruising or other marks on residents that cannot be explained. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 30 The home offers a safe environment for the residents and provides them with suitable accommodation. EVIDENCE: The home offers a very comfortable, homely environment with the fixtures, fittings and décor being of a good standard. It was found to be clean and hygienic throughout. The communal areas are very comfortable and there are gardens all around the house. This area is fenced off to ensure that the area is safe for the residents. All the bedrooms have been decorated to suit the individual tastes of the residents and they have their own possessions around them. One resident showed off his room and a photograph of his mother that is really important to him. There are sufficient toilets for the residents and assisted bathing facilities are available. Staff ensure that residents are able to wash their hands after using the toilets. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35, 36 Staffing numbers and skill mix ensure that the residents’ needs can be met. Residents benefit from a well supported and supervised staff team. EVIDENCE: The staff team work well together and support each other. They showed a good understanding of the residents’ needs as well as each other’s roles and responsibilities. Staff spoken to felt that there are sufficient people on duty to meet the residents’ needs but that they struggle to do any development work. Staff rosters showed the number of staff on duty and the shift patterns they work. The shifts overlap to allow residents to be collected by staff from various places and not leave the home understaffed. The home operates a key worker system and staff feel that most of the residents know who theirs is. Staff confirmed that they are able to access training easily and most of the staff are working on NVQ, TOPPS or LDAF. Monthly supervision sessions are in place for the staff with written records being kept of these. Staff spoken to said that the manager offers them good support and is very approachable. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 17 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) 38, 39, 41, 42 The home is well managed, the interests of the residents are seen as important to the staff and are safeguarded at all times. EVIDENCE: The manager offers strong leadership and is well qualified and experienced for the post she holds. Staff say she is approachable and offers them and the residents excellent support. Monthly staff meetings are held and the times are varied to allow people to attend. An agenda and written minutes are made available to all staff. Whilst the manager retains overall responsibility for Health and safety issues she delegates specific tasks to individual staff members. The fire bells are checked on a weekly basis. Nothing was seen during the inspection that could cause a hazard for staff, residents or visitors. There is a control of infection policy in place at the home. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 18 The financial records were correctly maintained and regular checks of monies are made. Money is kept locked in the safe. Residents are expected to buy their own presents at Christmas and for their birthday and this is not acceptable. Anything damaged in the wash is also expected to be replaced by the resident, another practice that is unacceptable. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stanningley Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 3 3 x 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 20 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. 1. Standard Regulation Requirement There are no requirements from this inspection Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 41 41 Good Practice Recommendations Residents should not have to purchase their own birthdya and Christmas presents. Residents should not have to replace any items damaged by staff whilst being laundered. Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley 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 Stanningley Road 20050919 Stanningley Road UN Stage 4 S1508 V242018 J52.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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