Inspection on 22/05/07 for Trafalgar Street

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Trafalgar Street 18/05/09

Trafalgar Street 03/03/06

Trafalgar Street 29/09/05

Trafalgar Street 01/02/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Trafalgar Street 2 Trafalgar Street Carcroft Doncaster South Yorkshire DN6 8AF Lead Inspector Linda Trenouth Key Unannounced Inspection 22nd May 2007 10:30 Trafalgar Street DS0000059567.V330703.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 Trafalgar Street DS0000059567.V330703.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. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trafalgar Street Address 2 Trafalgar Street Carcroft Doncaster South Yorkshire DN6 8AF 01302 726300 P/F 01302 726300 priory.trafalgar@yahoo.co.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) Mr Donald Smith Paul Ratcliffe Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2006 Brief Description of the Service: Trafalgar Street is a care home providing personal care and accommodation for adults with Autistic Spectrum Disorders. The home has been registered for 4 places since it opened in July 2004. The home is located in the village of Carcroft close to shops, pubs and other community facilities and the village is only 5 miles from Doncaster town centre Accommodation is provided in a four-bedroom house with all single bedrooms, which are located on the first floor, two of these have en-suite facilities. People have access to the garden at the rear of the home. The present fees range from £1248 to £1441.29 per week. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I visited the home unannounced and stayed for approximately 5 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. The registered manager was on holiday. I met with the relief manager Gillian Stacey Prior. During the visit I looked at the records, watched staff working, and talked to people living and working at the home. I also looked around the building. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care. I sent comment cards to people living at the home, relatives, visitors, and social and health care professionals, to give them the opportunity to comment on the service. The feedback from the questionnaires returned are included in this report. I talked to the relief manager about the outcomes of the visit at the end of the inspection. Recommendations made during this visit can be found at the end of the report. What the service does well: Trafalgar Street provides care in the best interest of the people living at the home. The experiences and activities people enjoy whilst living at the home have taken into account their opinions and interests and encouraged them to live their lives to the full. They have excellent opportunities in social and recreational activities and staff are very good at encouraging people to try new opportunities and different activities. The atmosphere in the home is friendly and comfortable. Routines are relaxed and daily life and activities within the home are flexible and varied to suit all people’s needs. Skilled and stable staffing have made sure the home provides consistently good care, with staff clear about the values and aims of their work in the home. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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 Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users guide is easy to understand and gives people the information they need to make an informed choice about the home. Contracts between the home and the individual are signed appropriately and people are made aware of their rights whilst living at the home. EVIDENCE: I looked at the service user guide and the contract. Copies are available for all the people living at home, who told me that they had their own copies. Both documents provided good information to make sure that everyone is aware of what the home could offer and the rights people living at the home had. There are no new admissions to the home, therefore it is not possible to see a new admission assessment. However people living at the home confirmed that they had been involved in selecting and choosing the home and had made several visits before they decided to move in. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged to make real choices at the home and the care planning makes sure that everyone is continually supported to do this. EVIDENCE: The people living at the home sign their care plans and are supported to help them understanding their contracts. Families and advocacy are also involved to support the person in their decision-making and choices that affect them living at the home. Comment cards and discussions with the people who live at the home confirmed that they made their own daily decisions about what they wanted to do both in and beyond the home. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 10 The health care professionals who returned comment cards, confirmed their involvement in people’s care plans and that the staff work in the best interests of the people living at Trafalgar Street. I looked at the care plans and found that they cover all aspects of a persons care. There is clear evidence from the documents of the each person being involved with their own care plans and that they are regularly reviewed. When I spoke to individual staff they had a good understanding of each person’s individual communication needs. The home used additional communication tools to make sure the individual made informed decisions about their life. I talked to the staff and the people living at the home who confirmed that they made lots of decisions and choices this included the daily running of the home i.e. food planning, shopping and cooking and doing their own cleaning and laundry. The care plans supported people to make real choices; this is both within and beyond the home. Other areas of the care plan looked at individual social needs and people’s aspirations and opportunities for fulfilment. It is extremely positive that individuals had such a good range of experiences whilst living at the home. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live at the home have excellent opportunities to experience and enjoy fulfilling lives both within and outside the home. EVIDENCE: The extent to which staff support and ensure that each individual enjoys an active and fulfilling life is excellent. People are involved with regular club sessions at the Gym and the swimming baths, also local college courses and voluntary work. The variety of activities is good and individual choice is clearly respected and encouraged by the staff team. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 12 The events that people went to and the visits and outings they made are extensive and relevant to their interests and age. I spoke to the people who live at the home who told me of how much they have enjoyed their holidays from the home. They also said that they choose where they go on holiday and who they go with. I talked to the people who live at the home about the food planning and choices. The supermarket is very near to the home and whilst mostly the food is planned there is also room for some spontaneous ideas for meals and snacks through the day. It is clear that staff make sure that the people living at the home are central to the choices and decision-making. Everyone helps as much as they wish, some help prepare food and make their own packed lunches with some supervision, all help with setting table and washing pots after meals. Most main meals are eaten together at the home and staff told me that individuals eat out regularly at cafes and restaurants. Menus and mealtimes are discussed with staff; the home promotes a healthy and nutritious diet. Following the previous inspection the staff have done a full nutritional assessment on each person and discussed healthy eating with them. The staff have also been on a nutritional course to help them be aware of good nutrition to make sure that everyone remains healthy. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 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. 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. The staff make sure that the people who live at the home stay fit and healthy. Medication is administered safely at the home to make sure that all people using the service are kept healthy and well. EVIDENCE: The comment cards confirmed the staff at the home worked well with the Health Care Professionals. They said that the staff took their guidance and advice and put it into action. They felt that the health needs of people living at the home are met. The care plans indicated that people had regular checks with their GP, Dentists, Chiropodists and Psychiatric and Speech Therapist Services. Staff spoken to told me how they kept up with good practice and are aware of their responsibilities to make sure the people had regular health checks Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 14 The people who live at the home are all young men and the staff appreciate that they need to be active and occupied during the day. The physical activities are all assessed and agreed by individuals, within their care plan. The people I spoke to confirm that they are involved with activities such as swimming and the local gym, there is also a regular walking group that meets twice weekly. Medication had been reviewed since the last inspection to minimise possible risk where people need to take their medicines out of the home. The chemist has supplied a smaller more portable system to make sure that the health of the people is maintained. The staff supports everyone who lives at the home with their medication. Staff I spoke to are clear however that if they wished to manage their own medication they would be advised and supported to do this. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 15 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): 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The financial procedures protect the people and the home from abuse of their savings and personal monies. EVIDENCE: I looked at the way the home’s financial procedure worked and the way in which people are supported with their individual money. The home keeps clear accounts for each person at the home, this makes it possible to follow transactions made on behalf of each individual. The manager is responsible for auditing of the accounts and staff work to the guidelines that the home has laid down. Not all people can use their cash card without assistance. The financial procedure guides the staff in their assistance of an individual when they use their cash card and pin number. Staff always accompany individuals to get monies and they obtain a receipt, the Manager is responsible for making sure that all the accounts are correct. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 16 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, 25, 26, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable and homely and is suitable and meets the needs of the people who live there. EVIDENCE: Communal areas are very comfortable, homely and provide a safe environment for people. I toured the home and it is well maintained, clean and tidy. The quality of furnishings and fittings is good and shared space is very comfortable and homely. The people I spoke to showed me their bedrooms and they have chosen how they wished the room to look and how the furniture is laid out. They also had many of their own belongings in the room. Each person has their own key if they wish to lock their door. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 17 The shower room is being repaired but there is an alternative bathroom for people to use in the home. Everyone is encouraged to participate in the cleaning of the home, I visited the home unannouced and the home is very clean. Everyone clearly takes a pride in their home and how it looks. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 18 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, 34 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at the home benefit from a well-supported and trained staff team who are competent and understand their needs and work in the best interests of each individual. EVIDENCE: The people at the home benefit from a stable staff group, which has provided consistent support and good understanding of the person’s support and needs. The staff I spoke to are clear of the aims of the home and understood their roles and responsibilities. All staff are enthusiastic and have undertaken additional training to do their jobs well. I looked at new recruitment since the last inspection and this has been done safely with the new member of staff undergoing induction training. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 19 N.V.Q. training was discussed. The home has five care staff, one of these staff has achieved NVQ level 2, and three other members of staff have enrolled on N.V.Q courses, the home is aiming to achieve 50 of the work force being NVQ trained. A training needs assessment is carried out for the staff team and all staff within the home have an individual training file, these show what training has been achieved and when updates are due. The home has updated their induction package to meets sector skills council specifications. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 20 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 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 run in the best interests of the people who live there. The health and safety of everyone is well protected by regular auditing and review of safety. EVIDENCE: I looked at some of the health and safety records and saw that they are all up to date. This included, PAT testing (Portable Appliance Testing), Electrical Safety, Water Temperature and Fire. The Fire officer and the Environmental Health officer are happy that the home is well managed and a safe place to live. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 21 Most of the staff have completed basic first aid training and all staff have health and safety training as part of their induction training at the home. The manager makes sure that this training is updated when necessary. The staff have also taken additional training in health and nutrition to support people to have a healthy diet. Some staff have also completed equality and diversity training to help them understand the different needs of people. Staff have also had training in how to manage difficult and aggressive behaviour to make sure that everyone is safely cared for at the home. The home has appropriate Insurance cover in place and on display in the home. Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 22 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 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 x 36 3 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 x 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 3 x 3 x Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 23 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. 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. 1 Refer to Standard YA32 Good Practice Recommendations Ensure that staff has the competencies and qualities required to meet people’s needs and achieve Sector Skills Council workforce strategy targets, to make sure that all the staff working in the home can care for the people safely and with competence. The organisation should develop its quality assurance further to include all people’s opinions about how the service has done and put this into a annual report for everyone to read. This tells everyone is involved with the home how well the home is doing and makes them feel that their opinion matters. 2 YA39 Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Trafalgar Street DS0000059567.V330703.R01.S.doc Version 5.2 Page 25 - 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. 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