Inspection on 12/01/07 for Terry Yorath House

This inspection was carried out on 12th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Terry Yorath House 19/02/09

Terry Yorath House 04/01/06

Terry Yorath House 26/07/05

Terry Yorath House 03/11/04

Terry Yorath House 25/08/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Terry Yorath House 18 Devonshire Close Leeds West Yorkshire LS8 1BF Lead Inspector Dawn Navesey Key Unannounced Inspection 12th January 2007 10:00 Terry Yorath House DS0000001515.V326478.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 Terry Yorath House DS0000001515.V326478.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. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Terry Yorath House Address 18 Devonshire Close Leeds West Yorkshire LS8 1BF 0113 266 2445 0113 2370725 tyh@disabilities-trust.org.uk 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) The Disabilities Trust Mrs Jayne Walker Care Home 12 Category(ies) of Physical disability (12), Physical disability over registration, with number 65 years of age (1) of places Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Terry Yorath House is a residential centre offering 10 permanent and 2 short stay places for adults with profound physical disabilities. The Disabilities Trust is a national charity and manages the centre under contract to Leeds Social Services. The centre is located in a small housing estate that is near Roundhay Park, and local shops, pubs and health centre. The home also has its own minibus. This home has groups of four single en-suite bedrooms that are built around a central lounge/dining room and kitchen. The centre is purpose built and all on the ground floor. The current charge at the home is £695-38 per week. There are no additional charges made. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk One inspector between 10am and 5-30pm carried out this unannounced inspection. The purpose of this inspection was to make sure the home was providing a good standard of care for the people living there. The people who live at the home prefer the term resident; therefore this will be used throughout the report. The methods used at this inspection included looking at care records, observing working practices and talking with residents, relatives and staff. Information gained from a pre-inspection questionnaire and the home’s service history records were also used. Before the visit, comment cards were sent out to residents, relatives and visiting professionals to the home. Ten of these have been returned and this information has also been used in the preparation of this report. Feedback was given to the manager at the end of the visit. Thank you to everyone for the pre-inspection information, returned comment cards and for the hospitality and assistance on the day of the visit. Requirements and recommendations made during this visit can be found at the end of the report. What the service does well: Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 6 The home has a friendly, relaxed and welcoming atmosphere. One resident said they found the home “welcoming with a good atmosphere and everyone seemed to get on so well.” Staff have a very good knowledge of residents’ needs and respond well to them. Staff interact well with residents and treat them as individuals. They assist with, and encourage their independence, making sure they are treated with dignity and respect. One resident said, “they are very helpful, they will do anything for you.” In a returned comment card, a resident’s relative said, “it’s the best care possible, always 100 given.” In another returned comment card a resident said, “the staff are always considerate and caring.” Residents have a say in how the home runs. Monthly residents’ meetings take place to make sure they can voice their opinions and choices. Relatives are invited to these meetings to speak up on behalf of residents who have communication difficulties. Residents receive a good standard of health care. The staff team work well with the health professionals involved with residents. A lot of effort is put into providing a healthy, balanced diet and making sure residents have menus of their choice. Meals that are blended for residents are presented in an attractive and appealing manner. Staff are well supported by the management team of the home. The manager makes sure records are well kept and organised. Health and safety in the home is well managed. What has improved since the last inspection? The manager has now completed her NVQ (National Vocational Qualification) level 4 and the Registered Managers Award. The home now has a controlled drugs cupboard and an up to date drugs reference book. An advocacy organisation is to provide independent advocacy for residents regarding the proposed re-provision of the service. More staff have now completed or are undertaking the NVQ level 2 or above in care. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 8 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 Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be sure that the home will meet their needs following assessment for admission. Written and verbal information available to residents and prospective residents is comprehensive and clear. EVIDENCE: Each service user has their own copy of the Service User Guide, which includes a summary of the home’s Statement of Purpose. Residents also have a contract with the organisation; this is signed by the resident and includes all current charges at the home. A resident and a relative said they had been given enough information about the home when they first came to look round. They said they had found it “welcoming with a good atmosphere and everyone seemed to get on so well.” Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 10 Residents’ needs have been assessed to make sure the home could meet them. Residents have a service plan, which is similar to an assessment, and gives an overview of their current needs. This is reviewed monthly, signed and agreed by the resident. Leeds City Council own the property and are currently in consultation with residents and their relatives regarding a future re-provision of the service at Terry Yorath House. Residents said they had been consulted and kept informed on this. The manager said that independent advocacy had been found for residents, using a local advocacy service. A number of residents said they were anxious about the proposed changes to the service. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 11 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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments provide clear detailed instruction on how residents’ needs are to be met. Residents are involved in the day to day running of the home. EVIDENCE: Residents’ care plans are detailed and give specific information to staff on care and support needs. Staff have a good knowledge of residents’ needs, they were able to accurately describe the care they give and talk about the detail of how residents like to be supported in their daily routines. The manager and the deputy have received training in care planning and risk assessment. They complete the care plans and risk assessments with input from the residents Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 12 and their key workers. Residents or their relatives had signed the care plans and risk assessments, to show they agree with them. All care plans had been regularly evaluated and reviewed, with changes being made as needed. Formal reviews of residents’ needs had taken place. These involved the resident, their family, if they wished, staff and other professionals involved in their lives. All the care plans were linked to risk assessments. Staff and the manager have a good attitude to risk taking. Residents’ safety and rights are maintained while independence is encouraged. Residents said they are encouraged to do as much for themselves as they can. This could be reflected more in the residents’ care plans, showing more detail of residents’ future goals and aspirations. The manager said she intends to do this as part of the consultation with residents on the proposed changes to the service. This will make sure there is a more person centred approach to care planning. Risk assessments were up to date and reviewed. Staff showed a good awareness of the care plans and risk assessments. One staff member said how useful she had found them when she first started working at the home and was getting to know all the residents’ needs. She also said that the management team encourage staff to get involved with and read the care plans regularly. Residents have a monthly meeting. This meeting is also open to relatives who can speak on behalf of residents. This is good practice. Topics at the meeting include any forthcoming events, food choices, likes and dislikes, shopping, activities and holidays. Residents were also offered choices throughout the day. They were asked what activity they wanted to do, what food they would like to eat and were consulted on maintenance jobs taking place in the home. Staff showed a good understanding of the communication needs of residents, whether this was, spoken, gestures, signs or word boards. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers opportunities to residents for their personal development in addition to a range of leisure activities. Residents benefit from a good, healthy and varied diet. EVIDENCE: Residents are involved in various activities each week. This ranges from day centres, college courses, shopping, going to the pub, going to football matches and socialising within the home. Some residents said they wished that staff could do more social activities with them at weekends and evenings. The resident’s daily notes did not show a lot of evidence of activity within the community, other than attendance at day centres through the week. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 14 However, staff and the manager said that some residents are reluctant to participate in activity outside the home, in the winter months. This should be reflected in the residents’ care plans so that everyone is aware of residents’ preferences. Residents have opportunities to develop their independence and life skills. The home has a small kitchen area, which has been adapted to meet the diverse needs of the residents, where they are encouraged to make drinks and snacks. Residents can also do their own laundry. The facilities in the laundry have been adapted to meet the needs of the residents who have a physical disability. A resident said he used his independence skills as much as possible with the help of aids in his room. Residents are encouraged to meet up with friends and to keep in contact with their families. Staff said that residents use all local facilities such as shops and pubs. Residents have at least one holiday each year. Staff can accompany residents on holidays or residents can choose to go with other organisations that provide support as part of the holiday. Staff were seen to support people with courtesy and thought for their dignity. A resident said, “they will do anything for you, they care and we have a good laugh”. Staff said it was important to make sure service users are as independent as possible and maintain important life skills. They said they are encouraged to get involved in household tasks and to make drinks and snacks for themselves. There was plenty of social interaction between the staff and service users. The atmosphere was relaxed. Menus appear to be well balanced and nutritious. A good variety of food is available and the cook makes sure there is a good selection of fresh produce. Food choices are made each day from a menu choice. A resident who needs a blended diet is presented with meals that look attractive and appetising. The cooks use a food mould so that individual foods take the shape and look of what they are. The lunchtime meal was relaxed and made into a social occasion for residents. The meal was a choice of a chip buttie or a cold meat sandwich. Fruit and yoghurt were available as a dessert. Residents put the menus together after meetings with the cook. The menus are changed regularly according to residents’ choices. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care support is provided in a way that meets residents’ needs. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Staff supported residents with their personal care needs in private and with dignity. Staff had good knowledge of their likes, dislikes and preferences. The care plans showed detail and instruction for staff with residents’ personal care needs. One resident said, “ you only have to press your buzzer and they come straight away.” A number of residents said they were pleased that a male member of staff had been employed on nights. This makes sure gender issues are considered in meeting personal care needs. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 16 The care plans had details of any health professionals that residents see. These included, GP, dentist, specialist nurse, physiotherapist, occupational therapist, optician, district nurse and chiropodist. Records are kept of any health appointments and their outcome. Comments received from surveys returned from health professionals included, “ an excellent standard of care is provided “ and “ I can fully recommend them”. The home uses a monitored dosage pre-packed system for medicines. All senior staff take responsibility for the administration of medication and have been trained to do so. There are good ordering and checking systems in place, with a clear audit trail for any unused medication returned to the pharmacy. The medication administration record (MAR) sheets were checked and showed no errors in administration. Controlled drugs are properly managed. Some residents manage and administer their own medication. This takes place after an assessment of their ability and is monitored by the manager and staff. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have their views listened to, taken seriously and acted upon. Residents are protected from abuse. However, procedures to protect residents from financial abuse are not quite robust enough. EVIDENCE: The home has a clear complaints procedure displayed in the entrance to the home. Residents also have their own copy of this. Residents said they knew how to complain. The home has not received any complaints recently. All returned comment cards said that residents and relatives knew how to complain and who to complain to. Staff have received training on the protection of vulnerable adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse and the whistle-blowing procedure. The organisation has a detailed policy on the protection of vulnerable adults. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 18 Records are kept of service users’ finances and their monies are, in the main, kept safe. However, handovers of small amounts of money held on residents’ behalves do not take place at each shift change. This could increase the risk of financial abuse. However, the manager regularly checks the finance records and receipts and has a handover procedure for the larger amounts of monies held. She said she would now introduce a handover procedure for the smaller amounts of money too. Regular checks are made of service users’ belongings and an inventory is made. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 19 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment in the home is homely, clean, safe and hygienic. Good staff practices control the spread of infection. EVIDENCE: A tour of the building was carried out, accompanied by the manager. The home is spacious and well laid out, providing sufficient room for all residents. Residents’ bedrooms have been decorated and furnished, to a high standard, suiting them as individuals. The styles of the rooms show their interests and personality. All rooms have an en-suite toilet and sink and patio doors that lead out on to some part of the garden. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 20 The home was clean and warm throughout. All comment cards returned said the home was always clean and fresh. Fixtures and fittings are of good quality and the home is well equipped with aids to assist the residents. The décor in the communal areas is looking a bit worn. The manager has plans to get this area decorated next but is waiting to see what happens with the proposed re-provision of service. The home’s estates manager works with residents to make sure any décor or maintenance work is of the residents own choosing. He consults with residents on design and colour schemes. Residents spoke highly of the service received from the estates manager. The home has a well-kept garden and patio area which residents said they made good use of in the better weather. Residents have been involved in some of the upkeep of the garden and said they enjoyed having barbecues in the summer. Clinical waste is properly managed and staff wear protective clothing when attending to residents’ personal care needs. Most staff have received training in infection control and were able to say what infection control measures are in place. The manager is in the process of booking courses on infection control for some of the newer staff as part of their induction. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 21 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent to meet the needs of residents; they are well supported and supervised. Residents are, in the main, protected by the home’s recruitment procedures. EVIDENCE: There are staff on duty throughout the day and night. There are usually three or four staff on the morning and afternoon shifts. The manager and deputy are also available during weekdays. At night there are two waking member of staff. In addition to this, there is a full time cook, a part time assistant cook, a full time estates manager and a part time handyman/driver. Staff said there was always enough staff on duty. Residents said there were enough staff most of the time but at times of sickness they could be short staffed. Some residents also said that they felt weekends and evenings could be busy for staff if there are only three on shift and meant they didn’t get out as much. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 22 Recruitment records showed that recruitment is, in the main, properly managed. Interviews are held; references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. However, one staff member had received a reference from a family member. This practice could lead to residents not being properly protected by the organisation’s recruitment procedures. Staff’s training was mostly up to date. Topics include, moving and handling, protection of vulnerable adults, first aid and food hygiene. The manager said that any specialist training that is needed is arranged through district nurses, physiotherapists or dieticians, as needs arise. Good records are kept of staff’s training and when their updates are due. The manager assesses this regularly to make sure training doesn’t get missed. Staff spoke positively about their training and the support they get from the manager. The manager is aware of the training updates that are needed and has nominated staff for training courses in the near future. One staff member said her induction had been good and prepared her well for the job. The organisation is now using the common induction standards for all new staff and has an information pack on physical disability that is given to all staff. Almost 50 of the staff team have achieved or are working towards an NVQ (National Vocational Qualification) in level 2 or above. The organisation is using a local college provider for the NVQ training. They provide the assessment for candidates, which makes sure that more staff can be working on the qualification at the same time. All staff said they felt they had a good team and the manager was very supportive. Staff said they felt communication and teamwork within the home was good. Staff said they receive supervision from the manager every two months. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 23 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, 40, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 home has an experienced manager who has now completed the NVQ level 4 and Registered Managers Award. A service director, who visits the home on a monthly basis to carry out Regulation 26 visits, supports her. A report of these visits is made showing details of any action to be taken to improve the service. In addition to this, the organisation carries out service reviews, as part of its quality assurance programme. This also includes gaining the views Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 24 and opinions of residents, relatives and staff. The manager said that the organisation is currently working on producing a quality assurance system, which will be based on the CSCI’s (Commission for Social Care Inspection) guidance on good practice. The manager has also completed training in topics such as report writing and care planning. Staff carry out weekly or monthly health and safety checks around the home such as fire alarms, emergency lighting and water temperatures. Maintenance records are well kept. Environmental risk assessments are completed and were up to date. Accident or incident reports are completed properly. The manager analyses accidents and incidents to see if there are patterns, trends or ways of avoiding future accidents. This is good practice. The home has a comprehensive range of policies and procedures in place, which promote and protect residents’ health and safety. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 25 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 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 3 12 2 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 4 4 4 4 X Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement The manager must make sure that appropriate references are obtained for staff before they start work at the home. Timescale for action 28/02/07 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 YA12 YA23 Good Practice Recommendations Some consideration should be given to reviewing the evening and weekend rota to enable more activity outside the home at these times. Some consideration should be given to the introduction of a handover procedure for the smaller amounts of money held on residents’ behalves. Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Terry Yorath House DS0000001515.V326478.R01.S.doc Version 5.2 Page 28 - 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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