CARE HOME ADULTS 18-65
The Respite Unit 82 Batley Road Alverthorpe Wakefield WF2 0AE Lead Inspector
Tony Brindle Unannounced Inspection 20th February 2006 14:00 The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 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 The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 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. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Respite Unit Address 82 Batley Road Alverthorpe Wakefield WF2 0AE 01924 307708 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) Wakefield MDC Mr David Woolley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. To provide 6 respite care beds for adults with a learning disability. The maximum number of wheel chair users at any one time shall not exceed two. Date of last inspection Brief Description of the Service: The Respite Unit, Batley Road, is owned and managed by Wakefield Metropolitan District Council. The home offers accommodation for 6 adults with a Learning Disability (6 respite). A service has been provided by the home for a number of years with the home being part of a broader service providing respite care through the Adult Placement Team and the Local Authority’s Supported Living Scheme. The Respite Unit provides short-term break services to over twenty five individuals and their families and has a committed and stable staff team. The aim of the Respite Unit is to provide short-term break services that meet the needs of adults with a learning disability. Generally, the short breaks offered range from an overnight stay up to one or two weeks. Occasionally, breaks may be a little longer, depending on the individual needs of the service user and their family. The home is in the heart of the local community with good access by local transport to Wakefield Town Centre. There are a number of local shops close by. Accommodation is on two floors with limited facilities for more physically dependent service users. The home is generally well kept and has an open and friendly atmosphere. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This 2 hour unannounced inspection was a positive and enjoyable one with the inspector talking to one service user and staff, looking at care plans, daily records and health and safety records. The Commission would like to take the opportunity to thank the service users, the manager and support workers for their hospitality and patient co-operation throughout the inspection. There was only one person using the service at the time of the visit. Although this person’s feedback was limited, it was positive, indicating that the person was happy using the service and was comfortable about the ways they were supported. It is acknowledged that the registered manager has been off sick in recent months and this did have an impact on the staff team, with other members of the team taking on additional responsibilities. This may have accounted for the poor quality of the care plans at the last inspection where a number of requirements were made. It is clear that, with support from the service’s service manager, improvements have been made. This support should continue as the existing registered manager is due to leave the employment of the council. No requirements or recommendations have been made as a result of this visit. There have been no additional or complaints visit to this home since the last inspection. There have been no changes to the Registered Persons registered with CSCI. What the service does well:
The work of the staff and the systems operated at the home make sure that people only use the service once their care needs have been assessed and assurances have been given that those assessed needs can be appropriately met. Links with the community are good and this supports people to use community facilities, engage within the community and take part in social and educational opportunities. The current staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The safety of people at the home is promoted via a good mix of staff with difference experience, skills, abilities and qualifications. The manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of
The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 6 service users. The health and safety of service users and staff are promoted and protected by satisfactory systems and procedures. 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. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 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 the following standard(s): 2 The work of the staff and the systems operated at the home make sure that people only use the service once their care needs have been assessed and assurances have been given that those assessed needs can be appropriately met. EVIDENCE: There are satisfactory admission systems in place, which make sure that new people have their needs assessed prior to and upon admission to the service. The care records supported this and, following discussions with staff, it was evident that the systems are understood. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9 Staff develop with people a personal plan that details their needs and preferences, which sets out how they will be met in a way that the individual finds acceptable. There is now a clearer and consistent care planning system in place which provides staff with the information they require to meet people’s needs. Individuals’ decision-making is promoted, supported and documented. EVIDENCE: People’s care plans contain detailed information about support and healthcare needs. The plans have a straightforward approach, concentrating on aspects of daily living. Restrictions are only placed on the residents following an appropriate risk assessment. Discussions with the staff showed that they have a good understanding of the support and care needs of the residents. Staff confirmed that they are involved in supporting people with personal hygiene and other aspects of care and support and that, wherever possible, support people’s own capacity for self-care. This was supported by comments with the care plans indicating that staff should initially promote independence and self care. Equipment necessary for mobility and moving and handling is available within the home. The manager and staff can access professional
The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 10 advice about the promotion of independence and the use of aids from professionals outside the home. Staff were observed to work in partnership with people, promoting independence, showing respect and maintaining people’s dignity. Staff said that they enable service users to take responsible risks, ensuring they have good information on which to base decisions. They added that risk is assessed prior to admission in discussion with the person and their family. These risk assessments are reviewed as and when required. The records supported this, and unfortunately, service users were unable to comment on this. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 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): 12,13,15,16,17 Links with the community are good and this supports people to use community facilities, engage within the community and take part in social and educational opportunities. EVIDENCE: The routines of daily living and activities made available to service users were found to be flexible. One staff member explained she has noticed that many of the people who use the service have differing interests and preferences as to their everyday life within the home. There was only one service user at the unit who commented on the fact the they can spend time watching TV, listening to music, going for walks or spend time on their own in their room. The person said they enjoy the meals. This person’s care file showed that the staff had made consideration of the person’s cultural needs with reference to food and were meeting her needs accordingly. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 12 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 13 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 14 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 15 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): 32, 34, 35 The current staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home. The safety of people at the home is promoted via a good mix of staff with difference experience, skills, abilities and qualifications. The manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of service users. EVIDENCE: A recorded staff rota showing which staff are on duty was available. The ratios of care staff to service users is determined according to the assessed needs of people at the unit. Staff were very clear about their roles and responsibilities and understood the management and reporting structures for the home. Staff receive mandatory training and, from time to time, specific training on issues relating to learning disability. The recruitment systems operated at the unit ensure that no member of staff works within the home without a clear POVA check and enhanced criminal records bureau check. The home has a satisfactory staff induction programme. New staff are only given separate
The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 16 duties once they have been assessed as competent. There have been no new additions to the staff team in recent months. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 17 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): 42 The health and safety of service users and staff are promoted and protected by satisfactory systems and procedures. EVIDENCE: The manager makes sure that, so far as is reasonably practicable, the health, safety and welfare of service users and staff, by way of staff training, fire safety system testing, risk assessment and safety system monitoring. Staff explained that they take part in fire drills and have received fire safety training, along with health and safety training. The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 19 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Respite Unit DS0000034498.V265701.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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