Inspection on 26/07/05 for Terry Yorath House

This inspection was carried out on 26th July 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Terry Yorath House 19/02/09

Terry Yorath House 12/01/07

Terry Yorath House 04/01/06

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 Linda Trenouth Unannounced 26 July 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. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Terry Yorath House Address 18 Devonshire Close, Leeds, West Yorkshire LS8 1BF 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) 0113 2662445 0113 2370725 The Disabilities Trust Mrs Jayne Walker Care home only 12 Category(ies) of Physical disability (12), Physical disability - over registration, with number 65 (1) of places Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2004 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. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over the inspection year from April until March, regulated care homes have a minimum of two inspections; these may be announced or unannounced. The last inspection was announced and took place in November 2004. The people who live in the home use the term residents; therefore this is the term that will be used throughout this report. During the inspection some areas of the home were seen, such as communal areas and some bedrooms. Time was spent speaking with residents, staff and seeing care practices. Other inspection methods used included looking at records kept and case tracking, which involves reading care plan documentation and then observing and speaking to residents and the staff involved with their care. The inspection was unannounced and was in the afternoon over five hours. On arrival at the home, the manager and staff were available, courteous and helpful. The home overall was clean and appeared in good order. Information about the inspection findings was discussed with the manager Jayne Walker at the end of the visit. What the service does well: The home has a friendly and welcoming atmosphere. Care is provided in a clean, tidy and well maintained building. Record keeping is kept to a high standard and the assessment and care planning provide good detail and a clear structure to the care provided at the home. Residents said that staff are kind and treated them with respect, they felt valued and their feelings and opinions mattered to the staff at the home. The management and staff make sure that residents make meaningful decisions about their lives and take part in the day-to-day running of the home. Residents are provided with a large and varied range of day care, leisure activities and holidays. They have good opportunities for personal development and joining in the local community. The staff encourage individuals to be independent and to reach their full ability. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 6 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. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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 Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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) 1, 2, 3, 4 and 5. People are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. Residents and their relatives are clear about their rights whilst living at the home, from the contract they are given. EVIDENCE: Copies of the Service User Guide are given to residents and their relatives. The residents also hold a copy of their contract and these are signed by everyone. Residents meetings are held regularly, discussions cover a wide variety of topics including food, activities, outings and holidays. General issues in the home are also talked about and residents are encouraged to take part. Residents said they were given enough information about the home and were given many opportunities to visit or stay before they moved in. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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 and 10. Staff treat residents with dignity, helping them to make decisions in all aspects of their lives. Residents contribute and are involved with their personal goals and individual care plans. EVIDENCE: Staff were able to give examples and details of the individual care needs of the residents and talk about how these related to the individual plan of daily living. The records reviewed included risk assessments, care plan and monthly updates. The resident signs each of the care plans, to show they agree and understand the content. Residents said they were aware of their care plans and felt that they decided when they needed assistance or support by staff. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 10 The care plans are reviewed by the resident and the staff in six monthly planning meetings. In addition to this the home encourages residents to join in in house meetings. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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 and 16 Residents are encouraged to join in social and leisure activities, to keep links with their friends and family and to exercise choice and control over their lives. EVIDENCE: Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 12 Residents continue to be fully involved with the daily domestic routines in the home with staff help. Residents choose which tasks they wish to undertake. Residents are helped to clean their own bedrooms and they are encouraged to do there own laundry. The staff are helpful and thoughtful in furthering the residents skills within the home. The staff provide a mixed and interesting programme of activities both within the home and wider community. Many of the residents regularly attend day centres and are able to use local college courses via their day centres or the homes staff will arrange these for them. One of the residents said she was enrolling on a course in computers and English skills. The residents in the home are encouraged to be as independent as they can be and go out and be part of the local community. Individuals, who are able to go out alone, go to the local shops and pubs. Those who need help are taken out by staff or by their relatives. One resident said he stayed at the home three or four times a year and was able to continue with his hobbies and interests and see his friends. Another resident talked about his passion for football and he was able to see his favourite team Leeds United play often because he had a season ticket. Residents talked about their holidays, some had already been away to Nottingham and others had holidays planned to Southport and Skegness in August. All confirmed that they had chosen where they wanted to go. Some residents go to church if they wish to and also enjoy activities organised in the wider community. One resident spoke about his love of music and that he enjoyed being a member of a group of musicians that perform in the Leeds area. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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, and 19. The residents physical and emotional needs are met, and are supported in a way they prefer. EVIDENCE: The care plan reflects the daily needs and strengths of the individual. The daily skills are assessed and put into a personal development programme. Other agencies such as health staff are involved and contribute to the review. One resident said that the staff always ask him what he would like to do and assist him where he needed help. He added that he liked to do a lot for himself, which wasnt a problem for the staff. Another resident felt that he needed quite a lot of support and staff always asked him if he was comfortable and respected his wishes. He confirmed that personal care was undertaken in privacy and that staff treated him with respect and dignity Records of visits by GP’s and other healthcare professionals were seen. . Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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 and 23. Residents views and concerns are listened to and acted upon. The home has complaints and adult protection procedures in place, which protects residents. EVIDENCE: Residents were clear that they are given many opportunities to discuss their individual and joint concerns. They said that they had the opportunity to have their say during house meetings and in their care plan reviews. One resident said that there was always an, open door policy with management, all residents spoken to say they could take any problems to the staff and the manager. The complaints procedure is clear and easy for residents and relatives to follow. A copy is included in the Service User Guide. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.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, 29 and 30. The residents live in a comfortable and clean environment. The bedrooms suit the residents needs and lifestyles. EVIDENCE: The parts of the home seen were very clean and well maintained. Communal rooms and residents bedrooms presently meet the agreed standard with the provision of an open plan communal room and a separate smoking lounge. All residents have their own ensuite bedrooms. Three of the residents bedrooms were reviewed. All were adapted to meet their particular physical need. Each bedroom was decorated differently and showed the different tastes and personalities of the residents. One resident said that he really liked his room and spent a lot of time listening to his music and watching his DVDs. He felt that he had everything that he Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 16 needed. From the bedrooms seen it was clear that residents are encouraged to buy furniture and other items they want. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34. Safe staff recruitment procedures are followed to protect residents. EVIDENCE: Recruitment records for newly appointed staff were seen. Staff files showed that safe recruitment procedures were followed and that all required references and CRB (Criminal Records Bureau) checks were in place. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 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 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, 38, 39 and 43. The home is well managed, the interests of the residents are seen has very important to the manager and staff and are safeguarded at all times. The residents are included in the decision-making and their views and opinions are sought. The home has a good quality assurance system, which is appropriate to the size and needs of the home. EVIDENCE: The manager and the provider work together to make sure that the home is well run and the needs of the residents are met. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 19 Residents spoken with confirmed that they are included in daily decisionmaking and their views and opinions are sought. Regular house meetings are held and documented. Resident questionnaires are distributed to all the residents regularly and the responses put together and managers review the results. Residents said that they completed the questionnaires and were able to raise their concerns as and when they wanted. They felt that the staff and management listened to them and acted upon their grumbles and concerns. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 4 4 4 4 Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 x x 4 4 Standard No 11 12 13 14 15 16 17 x 4 4 4 3 3 x Standard No 31 32 33 34 35 36 Score x x x 4 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Terry Yorath House Score 4 3 x x Standard No 37 38 39 40 41 42 43 Score 4 4 4 x x x 4 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 21 yes 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 37 Regulation 9 Requirement The manager should ensure that they have a qualification equivalent to NVQ level 4 in management. Timescale for action 1.10.05 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 Good Practice Recommendations no recommendations. Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Terry Yorath House 20050726 Terry Yorath House IR Stage 4 J52 V241456 S1515.doc Version 1.40 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. 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