Inspection on 30/06/05 for Steps Residential Care Home

This inspection was carried out on 30th June 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Steps Residential Care Home 20/06/07

Steps Residential Care Home 07/03/06

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 Unannounced 30 June 2005 14:00. 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. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Steps Residential Care Home Address 273 Kimberworth Road, Rotherham, South Yorkshire, S61 1HF 01709 740248 01709 517196 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) Mr. Alan Brown Ms. Anna White Care Home 7 Category(ies) of Learning disability (7) registration, with number of places STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3-Feb-2005 Brief Description of the Service: Steps is a residential care home for up to seven 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 home is currently having an extension to provide an aditional bedroom and bathroom. The owners are a family who all work at the home as the senior staff team and live on the site. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection in the year 2005/2006 and took place over two days the inspection commenced on 30 June 2005 at 14.00 on arrival there were no service users at home they were either at various day service placements or on a trip to Meadowhall, a second visit was therefore arranged in order to meet all the service users. The second day was on 14 July 2005 at 14.00 and finished at 17.45. 7 Service users, 3 staff, 3 members of management team and 1 visiting professional were spoken to. A tour of the building took place, observing staff and practices including activities and preparation of the evening meal. What the service does well: 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. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 6 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 STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 7 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 All service users needs are assessed prior to moving into the home. EVIDENCE: All perspective service users are fully assessed by the management team they are seen in their own home at various activities they attend and then they are invited to visit the home. Visits can be for a look round, a meal or an overnight stay. If the home then feels they can meet their needs and they fit in with the other service users then they are invited to move in and this is a three to six month trial with regular reviews. If all parties then feel this is the appropriate placement a permanent contract is offered. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 8 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 & 9 All service users have a plan of care, which includes risk assessments. EVIDENCE: The plans of care were very good explained each individual’s need in detail in order that staff are able to meet their needs. All service users now have a person centred plan giving clear information about their likes, dislikes and future aspirations. All care plans are reviewed every six months the reviews seen were detailed and thorough and very good. The manager confirmed that the service users and relatives were involved in the implementing and reviews of the plans however this was not evidenced in the plans this needs to be incorporated. Each service user has individual risk assessments these were very good and covered all areas of possible risks and hazards. It was evident from the risk assessments and talking to staff that service users were supported to be able to take responsible risks. Staff are fully trained on induction to ensure they understand all risks associated with each individual service user. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 9 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, 15 & 17 Appropriate activities are provided for service users with family links well maintained. Service users are offered a healthy diet. EVIDENCE: The service users all attend various day care placements either Eastwood Day Centre or The Elliott Centre. Also each service user has a plan and a timetable of their activities, these are varied and show that individual abilities and preferences are taken into account. The home provides a healthy varied diet for the service users, there is no set menu service users tend to choose daily what they wish to eat a record of this is kept. Some service users require assistance with eating and drinking this was given sensitively and it was obvious from observation that staff understood the service users needs very well. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 10 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) 19 Health care needs of service users are met. EVIDENCE: It was evident from the plans of care and talking to staff and management that service users health is monitored and potential complications and problems are identified and dealt with at an early stage to prevent further deterioration. One service users had recently deteriorated and it was evident from their care plan that all relevant health care professionals had been contacted in order to determine the problems and try to rectify in order to improve the service users quality of life. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 11 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) 23 Service users are protected from abuse. EVIDENCE: The home has an adult protection policy all staff are aware of the procedure to follow should an allegation be made. All staff have also attended training on protection of vulnerable adults in order to be aware of different types of abuse and protect service users. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 Service users live in a clean safe environment. EVIDENCE: The home is accessible, safe and well maintained and provides a homely friendly atmosphere for the service users. The standard of cleanliness observed throughout the home was excellent providing a clean safe environment for service users to live in. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 13 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) 34, 35 & 36 The homes recruitment policy protects service users and staff are appropriately trained. EVIDENCE: Various staff personal files were looked at, application forms are completed two references obtained although these are not always written and verbal references are obtained however, no records are kept of these references this needs to be addressed. The home obtains a CRB and POVA check on all new employees however one new member of staff had started under supervision waiting for these the POVA check must be obtained prior to this and staff are then able to start under supervision while still awaiting the CRB in order to protect the service users. All staff are appropriately trained all mandatory training is carried out yearly and staff also attend other training specific to the service users conditions to fully understand their needs. All staff are supervised every two months records were seen they also receive a yearly appraisal to review performance. These however were not formally documented it is recommended that this is carried out to ensure a standard format for all staff. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 39 The home is well run with an effective quality assurance system in place. EVIDENCE: The manager is qualified and competent to run the home she has how registered on the Registered managers Award and commences on 28 July 2005 with In Touch Care. The home has devised a quality assurance monitoring system there is a yearly meeting with all relatives invited and yearly questionnaires to all service users, relatives and friends. The manager is also hoping to include all professional used for example GP’s, District Nurses and consultants to obtain their feedback to if necessary be able to further improve the service provided. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 15 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 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 STEPS RESIDENTIAL CARE HOME Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x CS0000003119.V196258.R01.doc Version 1.30 Page 16 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 OP6 Regulation 15 Requirement Evidence that service users and their families are involved in the care plan implementation and reviews. Ensure two references are obtained and if one is a verbal reference provide a written record of this. Timescale for action 1.9.05 2. OP34 19 1.9.05 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 OP36 Good Practice Recommendations Provide formal documentation for staff supervision with evidance staff have agreed what was discussed. STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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 STEPS RESIDENTIAL CARE HOME CS0000003119.V196258.R01.doc Version 1.30 Page 18 - 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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