CARE HOME ADULTS 18-65
Treefields Resource Centre 1 Treefields Close Wingfield Rotherham South Yorkshire S61 4AB Lead Inspector
Ramchand Samachetty Unannounced Inspection 26th January 2006 11:30 Treefields Resource Centre DS0000033254.V273327.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 Treefields Resource Centre DS0000033254.V273327.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. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Treefields Resource Centre Address 1 Treefields Close Wingfield Rotherham South Yorkshire S61 4AB 01709 551325 01709 559885 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) Rotherham Metropolitan Borough Council (LDS) Carroll Elliss Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Treefields Resource Centre is a six-bedded residential facility, which provides respite care for adults with a learning disability. It is a detached two-storey house, situated on the Wingfield estate, about three miles from Rotherham town centre. It is accessible by public transport and is within reach of local amenities. It is owned and managed by Rotherham Local Authority’s Social Services Department. The accommodation is offered in single bedrooms, five on the first floor and one on the ground floor. Access to the first floor is only by stairs. There is a lounge, a dining room, a kitchen and a small laundry area on the ground floor. There is an office at the side of the main entrance, which also serves as a reception point. There are garden areas at the front and back of the house. The side and rear grounds are fenced off. The back garden provides a patio area with garden furniture. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out on 26 January 2006, starting at 11.30 hours and finished at 15.30 hours. The inspection included a tour of the premises, conversation with three members of staff and the manager. Care documentation and other records were checked. Five service users were expected to start their respite stays on the afternoon of this inspection and arrangements for their admission were well organised. What the service does well: What has improved since the last inspection?
The physical environment has been improved and made more pleasant. The health and safety aspects have been reinforced for the benefit of both service users and staff. New entertainment facilities have been provided for the benefit of the client group. A new care planning document has been produced and has been successfully implemented. Staff training has progressed well. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 6 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. Treefields Resource Centre DS0000033254.V273327.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 Treefields Resource Centre DS0000033254.V273327.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): 1 Although Treefields provides a good range of information about its services, in appropriate formats, it has not yet fully clarified what arrangements are in place for meeting some of its aims and objectives. EVIDENCE: The statement of purpose and service user guide have been developed and revised. The service user guide is well designed, with pictures and symbols so that it can be accessible to the client group. The criteria for admission, including the management of ‘emergency admissions’ have been outlined. However, these criteria were not contained in the statement of purpose. Advice has been given and a recommendation is made for improving the statement of purpose. Treefields Resource Centre DS0000033254.V273327.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 Care plans are appropriately developed to reflect the needs of individual service users. EVIDENCE: A new service user plan has been developed. It allows for service users and carers’ involvement in the planning of the respite stays and the care that is required. Care staff commented that they would telephone the main carers of the clients before admission, in order to discuss any changes that may have taken place in relation to the service user, and which could affect their care. These arrangements had been followed in preparation for the admission of service users, on the afternoon of this inspection, for their respite stays. A sample of care plans were checked and showed evidence of person-centred planning. Relatives and service users were satisfied with the way care and support is provided at Treefields. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 10 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): The key standards were assessed at the previous inspection. EVIDENCE: Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 11 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): The key standards were assessed at the previous inspection. EVIDENCE: Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 12 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): The key standards were assessed at the previous inspection. EVIDENCE: Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 13 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): 24. Treefields continues to provide a good standard of accommodation, which is homely, comfortable and safe for its service users. EVIDENCE: The inspector, accompanied by a senior member of staff, undertook a tour of the communal parts of the Centre. They were found to be in a good decorative state. The entrance hall has recently been decorated. The laundry room has been tidied to improve access and its safe use. The external gate to the garden area has been provided with an electronic keypad and made more secure. The manager stated that the amenities fund of the centre had been used to purchase new entertainment facilities for the lounge and for use by service users. The manager also explained that he would be making a business case for continuing improvement in the physical environment of the Centre. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 14 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): The key standards were assessed at the previous inspection. EVIDENCE: Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 15 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 and 42. Treefields continues to be a well organised and well managed respite service, which meets the needs of its client group. EVIDENCE: The registered manager has the necessary experience and skills to manage the Centre and to oversee the welfare of the resident group. However, he has not yet started the course of training to enable him to have the required qualification as laid down by the regulations. Urgent action must be taken to ensure the registered manager acquires the necessary qualification. There is a good staff team at the Centre. There was evidence of collaborative work to ensure the wellbeing of service users and their carers. Staff spoken to, stated that they had received training on a range of health and safety issues. This included fire safety and moving and handling. The office lay out has also been reorganised in order to meet health and safety guidelines. Staff have also undertaken training on adult protection issues.
Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 16 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 X 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 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 2 X X X X 3 X Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 17 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, 10, 18 Requirement The registered manager must take the necessary action to ensure that he acquires the qualification as laid out in the National Minimum Standards. Timescale for action 07/04/06 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 Refer to Standard YA1 Good Practice Recommendations The statement of purpose should be further improved to reflect the arrangements in place to meet the aims and objectives of the service. Treefields Resource Centre DS0000033254.V273327.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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