Inspection on 20/06/07 for Steps Residential Care Home

This inspection was carried out on 20th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Steps Residential Care Home 07/03/06

Steps Residential Care Home 30/06/05

Steps Residential Care Home 03/02/05

Steps Residential Care Home 09/09/04

Steps Residential Care Home 11/03/04

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 Steps Residential Care Home 273 Kimberworth Road Rotherham South Yorkshire S61 1HF Lead Inspector Sarah Powell Key Unannounced Inspection 20th June 2007 13:00 DS0000003119.V330733.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 DS0000003119.V330733.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. DS0000003119.V330733.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Steps Residential Care Home Address 273 Kimberworth Road Rotherham South Yorkshire S61 1HF 01709 740248 01709 517196 NONE 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) Mr. Alan Brown Anna White, Mrs. Margaret Brown, Mr. Lee Andrew Brown Anna White Care Home 8 Category(ies) of Learning disability (8) registration, with number of places DS0000003119.V330733.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2006 Brief Description of the Service: Steps is a residential care home for up to eight adults with a learning disability and additional behavioural needs. The house has been converted from a large detached family house to provide accommodation on two floors including two bedrooms on the ground floor. These two rooms have en-suite facilities and have been designed for service users with mobility problems. All the rooms are single, with five first floor rooms sharing a bathroom and a shower room. The communal facilities include a lounge, dining room, a large kitchen and a downstairs toilet. The gardens have a patio and a barbeque area. There are hens and ducks living as pets in the garden. Access to the local park is at the rear of the garden via a gate. The home is situated in Rotherham, on a main road, with some local facilities such as shops and pubs. It is within easy access to the town centre, and local transport passes nearby. The owners are a family who all work at the home as the senior staff team and live on the site. The fees at Steps at the time of the inspection were £612.00 - £1753.98 this will vary depending on needs of the people and for more information contact the home. DS0000003119.V330733.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over two days. The inspection began on 20th June 2007 at 13:00 and finished at 16:35 the second day was on 5th July at 13:15 and finished at 15:30. As part of the inspection process the inspector spoke to 5 residents, 5 staff and the manager. Two health care professionals and three people who lived at the home returned questionnaires providing information regarding the service. During the inspection a tour of building took place, observing the environment, staff and care practices. A number of records were examined these included medication, care plans, staff rotas, recruitment, maintenance records and quality assurance systems. Feedback was given to the manager at the end of the second day What the service does well: What has improved since the last inspection? What they could do better: The home provides an excellent service and the manager continues to find ways to improve this. DS0000003119.V330733.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. DS0000003119.V330733.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 DS0000003119.V330733.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): 2 People who use the service experience excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Good detailed assessments were carried out for all people who lived in the home to ensure the home could meet these needs. EVIDENCE: All people who lived in the home had a full assessment of needs in their plans of care, which were comprehensive and clearly detailed the needs of the individual. DS0000003119.V330733.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): 6, 7 & 9. People who use the service experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The Individual needs and choices of the people who lived in the home were met. EVIDENCE: Two plans of care were looked at in detail and the people were case tracked to determine all their needs had been assessed and met. The care plans were very comprehensive had identified all the service users needs and how to meet these. DS0000003119.V330733.R01.S.doc Version 5.2 Page 10 The manager and staff were in the process of reviewing the plans of care and looking at ways to further improve them. The information was kept in different files and was not always easy to find the manager was changing this to provide one file for each individual which contained all the persons information in order that there needs can be met. This would be easier for the staff, visiting professionals and the people living in the home to follow and find information easily. It was evident from talking to staff that people who lived in the home were able to make decisions are given choices and are able to take reasonable risk as part of an independent lifestyle. One person regularly went out on their own but had no risk assessment in place this was completed by the staff when the inspector visited on the second day. DS0000003119.V330733.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. People who use the service experience excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who lived at the home were able to take part in appropriate activities, have opportunities for personal development and their rights were respected. EVIDENCE: Activity timetables were seen there was choice and flexibility and people who lived at the home participated in the local community as much as they were able and were well supported by staff. The people attended local social clubs, pubs and shops integrating into the community. People said, “I enjoy the activities organised and we go out a lot”. Staff support people to have relationships with family and friends most people who lived at the home had contact with family. Staff spoken to were aware that relationships had to be appropriate to protect the people as due to their learning disabilities they were unable to make informed decision. DS0000003119.V330733.R01.S.doc Version 5.2 Page 12 The routines observed in the home promoted independence, individual choice and freedom of movement. The staff were observed treating the people with respect and interacted well with the people in the home. People in the home said, “staff are great, they look after you well”. People at the home were offered a healthy diet; the people often did the shopping with a support worker and also helped prepare their meals. Staff said all people enjoyed their meals and mealtimes. The people also eat out particularly if they are going out doing an activity. DS0000003119.V330733.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. People who use the service experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Health care needs of the people who lived at the home were met and personal support was provided in the way people preferred. EVIDENCE: People who lived at Steps maintained their personal care with support from the staff this was clearly documented in the plans of care. People within their capabilities choose their own clothes and hairstyles to reflect their personality and the people were dressed appropriately for their age. Health care needs of the people who lived in the home were maintained; all people were registered with a GP. All access local dentists, chiropodists and opticians, this was all documented in the care plans meeting the needs of the people. Two health care professionals returned completed questionnaires to the inspector. Both said that the home meets the health care needs of the people who live there and sought advice and help if required. DS0000003119.V330733.R01.S.doc Version 5.2 Page 14 Medication polices and procedures in the home were very good all medication was documented on arrival and documented when administered. The disposal of medication was not clearly documented, however when the inspector visited on the second day this had been rectified. A sealed container had been provided and clear documentation of what medication had been disposed this protected the people in the home. All staff that administers medication had received medication training protecting people in the home. DS0000003119.V330733.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. People who use the service experience excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home had a good complaints procedure and robust procedures that protected people who lived in the home from abuse. EVIDENCE: There was a clear and effective complaints procedure, which included set timescales. The complaints procedure also stated that the CSCI could be contacted at any time. The home had received no complaints since the last inspection. One anonymous concern had been raised with the Commission for Social Care Inspection and had been looked at during the inspection, it was not upheld. The home had a good adult protection policy, which clearly defined different types of abuse, staff were aware of the different types and were also aware of the importance of whistle blowing to protect all people in the home. DS0000003119.V330733.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. People who use the service experience excellent quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home provided good environmental standards and cleanliness was excellent. EVIDENCE: The standard of cleanliness observed throughout the home was excellent. There was a planned maintenance and renewal programme to ensure standards were maintained for the people who lived in the home. The environment was homely, bright, cheerful, airy, comfortable and safe. Many people commented that the owners provided a very homely environment, which they liked. DS0000003119.V330733.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. People who use the service experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who lived at the home were supported by an effective team and protected by the homes recruitment practices. EVIDENCE: A selection of staffs training files were seen records were good and all mandatory training had been carried out to ensure peoples needs were met. The manager had changed the training provider and was in the process of getting all staff to attend the mandatory training with the new provider. The manager told the inspector that the new training was more comprehensive and detailed to ensure staff fully understood and could meet all people’s needs competently. A selection of recruitment files were seen and they all contained the required information and checks to ensure the people who lived at the home were protected. DS0000003119.V330733.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. People who use the service experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is well run with health and safety promoted and maintained. EVIDENCE: The registered manager is competent and qualified to run the home, she had completed the Registered Managers Award and gained valuable knowledge to ensure a well run home. The home has got good quality monitoring systems based on seeking views of people who lived there and people’s views underpin development in the home. DS0000003119.V330733.R01.S.doc Version 5.2 Page 19 The home has a good health and safety policy and all staff have received an update in health and safety training to ensure the safety of the people in the home. The maintenance records were all available at the time of the inspection and were up to date ensuring safety of all people in the home. DS0000003119.V330733.R01.S.doc Version 5.2 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 X 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X DS0000003119.V330733.R01.S.doc Version 5.2 Page 21 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. 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. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended the review of the care plans is completed. DS0000003119.V330733.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 DS0000003119.V330733.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!