Inspection on 04/01/06 for Terry Yorath House

This inspection was carried out on 4th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 12/01/07

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 Linda Trenouth Unannounced Inspection 4th January 10:30 Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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.V273540.R01.S.doc Version 5.0 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.V273540.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Terry Yorath House Address 18 Devonshire Close Leeds West Yorkshire LS8 1BF 0113 266 2445 0113 2370725 tyn@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.V273540.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 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 DS0000001515.V273540.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 26th July 2005. There have been no additional visits made to the home since the last inspection. This was an unannounced inspection carried out by one inspector who was at the home from 10.30 until 15.00. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices and talking to residents, staff and the manager. Comment cards were left at the home to provide residents and visitors with the opportunity to comment on the service. Many comment cards were received from residents and their relatives. Their comments are included in this report. Feedback was given to the manager at the end of the visit. Requirements and recommendations made during this visit, and outstanding from previous inspection visits can be found at the end of the report. What the service does well: The home has a friendly and welcoming atmosphere. Care is provided in a clean, tidy and well maintained building. Relatives also stated that they were made to feel welcome when they visited the home. The manager and the staff continue to provide good opportunity for residents personal development. Daily living skills are assessed and a programme of individual development is introduced. Individual residents are also supported in their communication skills both verbal and non-verbal. The staff promote and encourage all the residents to be independent and to reach their full potential. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 6 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. Residents said they felt safe in 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. What has improved since the last inspection? What they could do better: Leeds City Council presently owns the building, the residents would like the communal areas to be changed and refurbished. The manager hoped that the Disabilities Trust would soon purchase the building and therefore the Trusts and residents plans for change and redecorating could go ahead. Due to the previous problems with an NVQ college the manager has not been able to complete the National Vocational Qualification at level 4. The manager is aware that she must achieve this level to meet the standard that is required and is actively negotiating her registration with an alterative training agent. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 7 The training target of 50 of care staff attaining NVQ 2 and above has not been met. The manager has a commitment to all the staff that training will be undertaken. At the present time there are eight staff that are on the NVQ award and upon their completion the standard will be met. The manager and staff at the home support residents with their medication. All records were well recorded and kept with the exception of the controlled drugs register and drugs reference book. The manager ordered these books during the inspection. 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 DS0000001515.V273540.R01.S.doc Version 5.0 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.V273540.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not reviewed. EVIDENCE: Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 10 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 the following standard(s): These standards were not reviewed at this inspection. EVIDENCE: Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 the following standard(s): 11. The residents have opportunities for personal development in a meaningful way. EVIDENCE: Residents confirmed that they have opportunities for personal and practical life skills. The staff and two residents have agreed a programme of development training including catering, domestic and laundry skills. This has been to help and prepare the individuals for independent living in the community. This has been organised in such away as to work at the residents own individual pace and has been reviewed regularly. The residents communication skill are promoted and encouraged by the staff. A variety of development and communication aids are used including, letter board, picture board, light writer and word board. Some staff have also trained in the use of British Sign Language. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 12 From the comment cards received and from discussion with residents it was clear that residents were happy with the activities provided by the home. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 the following standard(s): 20. Service users are supported to manage their own medication and safe systems are in place for the administration of medication. EVIDENCE: The staff and manager assess with the resident if they are safe to give themselves their own medication. A detailed assessment and monitoring form is put into place to support and protect the resident. The home does not hold any controlled medication but must have facilities and documentation ready for this. It was recommended that a controlled drugs book be purchased along with an up to date medication reference book. All other medication documentation was satisfactory. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 the following standard(s): Not reviewed. EVIDENCE: Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 the following standard(s): 27 and 28. The home is comfortable and provides adequate communal space whilst ensuring adequate privacy is protected in other areas of the home. EVIDENCE: There are three specially adapted bathrooms and 18 toilets within the home. Locks are fitted on the doors and can be opened by staff in an emergency. All toilets are equipped with grab rails and have been adapted for use by people with disabilities. The communal areas of the home complement and supplement the residents own bedroom space. There is a shared open plan dining and lounge area with a separate ventilated smoking lounge. The dining area is screened in order to provide a more private space during mealtimes. This area is also used for activities. There are gardens and two separate outdoor patios, which are regularly used in good weather. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 36. Safe staff recruitment procedures are followed to protect residents. The home is staffed to meet the needs of the service users. Staff receive training and supervision to review their competence and skills. EVIDENCE: Staff meetings at held are regular intervals and records are kept. There are separate care staff and senior meetings. The residents are invited to all meetings. Two employee files were reviewed during the course of the inspection and it was evident that the home operates a robust recruitment procedure, which include interviewing potential staff and ensuring that all checks are undertaken. All staff are issued with copies of the terms and conditions of employment and the GSCC Code of Conduct is incorporated with the homes policies and procedures and each member of staff is given their own copy. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 Page 17 The staff all have induction training and this covers mandatory training such as manual handling, first aid, infection control and food hygiene. The staff are registered on the NVQ award after they have completed this training. The home has two staff that have completed the NVQ award level 2 and 8. Other staff have now commenced level 2 and 3. Staff have also completed further training in the last year including, harassment, adult protection, infection control, whistle blowing, communication skills and first aid training. Staff supervision is carried out two monthly for all staff and those conducting the supervision’s have received training. Appraisals and personal development plans are reviewed annually. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 41 and 42. The home is well managed and the health and safety is seen has very important to the manager and staff of the home. The manager has many years experience of the client group and has strong leadership skills but must complete training to fully meet the standard. The residents said that they were included in the decision-making and their views and opinions are sought. The management and staff at the home create an environment of openness and respect. The residents are safeguarded by comprehensive and well-managed policies and procedures. EVIDENCE: The manager and the staff work together to make sure that the home is well run and the needs of the residents are met. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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. Staff confirmed that they had regular supervision, appraisals and meetings at the home. The policies and procedures at the home are robust and the manager regularly audits them to ensure they are current and up to date. Copies are available for staff and residents to read. The manger has not yet commenced the Registered managers Award NVQ 4NVQ. This training must be completed to make sure she is sufficiently trained to meet all the management and care needs of the home. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x 3 3 x x LIFESTYLES Standard No Score 11 4 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 4 3 4 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Terry Yorath House Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 2 x x 4 4 4 x DS0000001515.V273540.R01.S.doc Version 5.0 Page 21 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 YA37 Regulation 9 Requirement The manager should ensure that they have a qualification equivalent to NVQ level 4 in management and care. (Previously agreed timescale 01/10/05) Timescale for action 01/04/06 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 3 Refer to Standard YA20 YA20 YA32 Good Practice Recommendations The manager should make available an up to date drug reference book. The home should hold a controlled drugs book or register. The home should ensure that a minimum of 50 of the staff are qualified to NVQ level 2 or above. Terry Yorath House DS0000001515.V273540.R01.S.doc Version 5.0 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 DS0000001515.V273540.R01.S.doc Version 5.0 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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