Inspection on 31/10/05 for The Respite Unit

This inspection was carried out on 31st October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Respite Unit 06/08/07

The Respite Unit 09/08/06

The Respite Unit 20/02/06

The Respite Unit 14/02/05

The Respite Unit 26/07/04

The Respite Unit 02/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 The Respite Unit 82 Batley Road Alverthorpe Wakefield WF2 0AE Lead Inspector Mr Tony Brindle Co-Worker Mrs G Walsh Unannounced 31st October 2005 10:00 The Respite Unit DS0000034498.V263750.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 The Respite Unit DS0000034498.V263750.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. The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 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.V263750.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of wheel chair users at any one time shall not exceed two. To provide 6 respite care beds for adults with a learning disability. Date of last inspection 14th February 2005 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 ofa 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.V263750.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced 5 hour inspection conducted over two days was disappointing. Rather than there being improvements, or the maintenance of standards operated at the home, it was identified that standards in some areas had declined. The inspectors had hoped to assess all the core standards at this visit, however, as they had concerns over the care assessment and planning systems operated by the home, a targeted inspection took place. During the inspection, documents such as service user assessments, risk assessments, care plans and their daily records were inspected. There have been no additional or complaints visit to this home since the last inspection in February 2005. There have been no changes to the Registered Persons registered with CSCI. During the inspection visit, there was one person using the service. The inspectors did not get the opportunity to speak or spend time with this person. The inspectors would like to take the opportunity to thank the service user, the deputy manager and support workers for their hospitality and patient cooperation throughout the inspection. Prior to the publication of this report, concerns about systems operated at the home were raised with the council’s Head of Service. He immediately acted on these concerns, and implemented an action plan with a view to improvements being made. An assessment of the work undertaken as a result of the implementation of the action plan will be made by CSCI at the next inspection. What the service does well: What has improved since the last inspection? What they could do better: The systems and procedures followed by the staff at the Respite Unit must be strengthened in order to ensure that the strengths and needs of new people, who want to move in the home, are appropriately assessed. The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 Page 6 The systems and procedures operated by the staff at the home must be reviewed and strengthened to ensure that the assessed needs of the service users are set out in a satisfactory plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff to meet those needs. The risk assessment process operated at the home must be reviewed and strengthened to ensure that risk assessments accurately and clearly identify the risks associated with various activities, and the actions that need to be taken to minimize these risks. Individual support, physical and emotional needs must be recorded and systems put in place to monitor the care requirements of individuals, to ensure that individuals are met appropriately. 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.V263750.R01.S.doc Version 5.0 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.V263750.R01.S.doc Version 5.0 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 systems and procedures followed by the staff at the Respite Unit do not ensure that the strengths and needs of new people, who want to move in the home, are appropriately assessed. EVIDENCE: A majority of the care plan files did not included details of a satisfactory preadmission assessment which had either been completed by the home and, where relevant, by the placing authority and any other professionals involved with the individual. The assessments that were seen were not thorough. The deputy manager explained that when new service users are referred to the service then the home does not always receive a satisfactory local authority assessment of the need. With this in mind, the deputy manager explained that the staff had devised its own pre-admission information-gathering tool, which is used to feed into the assessment of need previously mentioned above. Although examples of this type of document was seen to be on file, the information contained within them were found to be inaccurate and not thorough enough to ensure that the resulting care provision would satisfactorily meet the needs of individuals. The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 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 and 9 The systems and procedures operated by the staff at the home do not make sure that the assessed needs of the service users are set out in a satisfactory plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff to meet those needs. The risk assessment process operated at the home does not accurately and clearly identify the risks associated with various activities, and the actions that need to be taken to minimize these risks. EVIDENCE: A majority of the care plans did not contain detailed information about assessed needs of the individuals and how each person would like these needs to be met. Evidence could not be found relating to the detail how and when individual choices are made, and there was little evidence relating to any limitations to choices. The signing of care plans by the individual or their representative is not standard practice, this would indicate that the person had agreed to the plan. The majority of the care plans had not been reviewed to reflect changing needs. Risk assessments were found to be inaccurate and misleading, and do not form part of effective individualised risk management The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 Page 10 strategies. The risk assessments did not show what action would need to be taken to minimize identified risks and hazards. The Respite Unit DS0000034498.V263750.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): None of the standards within this section were assessed at this occasion. A full assessment will take place at the next inspection. EVIDENCE: The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 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): 18 and 19 Individual service user plans do not contain the appropriate information that enable staff to provide sensitive and flexible personal support to people, in order to maximise their privacy, dignity, independence and control over their lives. EVIDENCE: The care plans did not contain sufficient information relating to individual’s personal support, physical and emotional needs and how these needs should be met. Evidence was lacking on how family input and professional intervention and advice had been sought, recorded, implemented and reviewed. The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 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.V263750.R01.S.doc Version 5.0 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.V263750.R01.S.doc Version 5.0 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): 35 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.V263750.R01.S.doc Version 5.0 Page 16 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 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.V263750.R01.S.doc Version 5.0 Page 17 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 1 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 1 X 1 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Respite Unit Score 1 1 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000034498.V263750.R01.S.doc Version 5.0 Page 18 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 YA2 Regulation 14 Requirement Timescale for action 31/12/05 2 YA6 15 3 YA7 12 4 YA9 13 New service users must only be admitted to the home on the basis of a full assessment of need, which involves the prospective service user and/or their representative/advocate as appropriate. The registered manager must 31/12/05 ensure he develops and agrees with each service user an individual plan, which is kept under review, describing the services and facilities to be provided by the service, and how these services will meet current and changing needs and aspirations and achieve goals. The registered manager must 31/12/05 ensure that decision making processes are recorded so as show how the staff respect service users’ right to make decisions. The rights service users have to make decisions are limited only through the assessment process, involving the service user, and as so, must be recorded within the individual service user plan. The registered manager must 31/12/05 DS0000034498.V263750.R01.S.doc Version 5.0 The Respite Unit Page 19 5 YA18 12 4 (a) 6 YA19 12 ensure that service users are appropriately supported take responsible risks, ensuring they have good information on which to base decisions following an appropriate risk assessment which forms part of an individual risk management strategy. Individual service user plans must contain the appropriate information that then enables staff to provide sensitive and flexible personal support to people, in order to maximise their privacy, dignity, independence and control over their lives. The registered manager must ensure that the healthcare needs of service users who use the service kept under review through an appropriate assessment process, and that procedures are in place to address them as appropriate. 31/12/05 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Respite Unit DS0000034498.V263750.R01.S.doc Version 5.0 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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