Inspection on 17/01/06 for Village The (8)

This inspection was carried out on 17th January 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Village The (8) 13/06/05

Village The (8) 26/10/04

Village The (8) 06/05/04

Village The (8) 13/02/04

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 Village The (8) 8 The Village Haxby York YO32 3HT Lead Inspector Terry Downey Unannounced Inspection 17th January 2006 9:45 Village The (8) DS0000015840.V276180.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 Village The (8) DS0000015840.V276180.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. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Village The (8) Address 8 The Village Haxby York YO32 3HT 01904 750308 01904 750308 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) None United Response *** Post Vacant *** Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is for a maximum of 8 persons with learning disabilities 6 of whom may also have a physical disability 13th June 2005 Date of last inspection Brief Description of the Service: 8, The Village is registered to provide residential, social, and personal care for eight people, with learning disabilities, under 65 years of age. There were only six people living in the home at the time of the inspection. The home consists of two properties, The Mews which has two service users who live semi independently with 24 hour support, and the main house which has four service users. The home is situated close to the centre of Haxby and provides good access to the local services and amenities. The service is part of the United Response organisation. There is no registered manager at present but Ms Wendy Green is acting manager and will be applying for registration. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 17th January 2006. The home was quiet initially as five residents and three staff were out. Ms Cecily Watson was the senior officer and assisted with the inspection and was helpful and organised. Later it was possible to speak to three residents and three members of staff As most of the key standards had been met at the previous inspections this inspection concentrated on conversations with the residents and staff and observation of their interactions, and some of the care practices. The inspector also spent time with two residents in the Mews talking about their lives in the home. The requirements from the previous inspection were also checked and a tour of the premises was made. The staff spoke enthusiastically about the home and felt they had a settled team and a good manager. The residents are encouraged and supported to take control of their lives, and said they are happy living at 8 The Village. What the service does well: What has improved since the last inspection? The home operates an ‘active support timetable’ which gives a positive structure for all residents All staff have done medication training. All the residents have been on holiday. The home has a settled staff team and they said they had a good manager which makes them more confident in their work and aware of their duties. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 6 Some of the environmental improvements from the previous inspection have been carried out which makes the home a better place to live. 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. Village The (8) DS0000015840.V276180.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 Village The (8) DS0000015840.V276180.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): Not inspected at this visit. EVIDENCE: N/A Village The (8) DS0000015840.V276180.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): 6,7,9,10. The residents health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home EVIDENCE: The residents support plans identify the residents personal and social care needs. Risk assessments are included in the care plans so that both staff and residents are aware of the support required. There was no evidence to demonstrate that the residents had been involved in the plans or agreed to them. The staff meeting records showed that residents needs are discussed and these should be recorded in accordance with the policy on confidentiality and data protection. The residents are involved in most aspects of running the home and it was clear that they valued and enjoyed this. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 10 Residents hold regular meetings to discuss issues related to the home and they found these helpful and a good way of being involved in the running of the home. The residents in the Mews had a great deal of autonomy and this was witnessed during the inspection. Village The (8) DS0000015840.V276180.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. The residents enjoy a wide range of activities both in and outside the home. EVIDENCE: Each resident had an ‘active support timetable’ aimed at developing their skills and staff are available to support them. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. All residents use the local facilities in Haxby e.g. supermarket, cafes, pubs, church. They are well known, and felt part of the local community and enjoy Haxby. Village The (8) DS0000015840.V276180.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): 18,19,20 The residents physical and emotional health needs are met. EVIDENCE: Residents have their personal support needs identified in their care plans and include instruction about how support is provided safely and according to the service users preference The home has very good communication with other professionals and agencies which ensures that the healthcare needs of residents are met when required. The home uses the Boots MDS system. All medication records were well maintained and the storage and administration meets with the requirements and is checked by the pharmacist. All staff have done the Boots training in the administration of medication which ensures that they are up to date with current good practice. Village The (8) DS0000015840.V276180.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): 22,23. Residents are protected from abuse, neglect, and self harm EVIDENCE: The home has a detailed complaints procedure, in suitable formats for the residents. Not all the residents would be able to express their concerns so it is considered important that staff are trained in suitable communication skills. The vulnerable adults procedure is available in the home and training of staff has been recorded. It is recommended that it should be part of the staff meeting agenda at least quarterly so the staff become familiar with the process. There were no concerns about residents not being protected. All the residents go out regularly and meet with many people who could be advocates for them if they were not being cared for properly. The home has a robust recruitment procedure which is well practised. Village The (8) DS0000015840.V276180.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): 24,30. The home is clean, and well decorated and furnished and provides a comfortable place to live but some improvements are needed. EVIDENCE: Residents are encouraged to choose their own decorations and furniture in their rooms and to provide their own personal items which makes it their own private space. The communal rooms are well furnished and decorated and meet the needs of the residents. The home was clean and hygienic and free from offensive odours. There is an infection control policy to alert staff and ensure good hygiene practices. The following improvements were recommended :The chipped melamine surrounds to the wash basins in the bedrooms should be replaced. The lounge in the Mews should be considered for re decoration. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 15 Ms Watson explained that some of the repairs are the responsibility of the landlords, York Housing Association, and she showed correspondence between them and the home relating to the repairs and highlighted the problems faced by the home. Residents are encouraged to choose their own decorations and furniture in their rooms and to provide their own personal items which makes it their own private space. Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 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): 32,34,35. The staff are being well trained and well organised which ensures that residents feel supported and staff are aware of their duties. EVIDENCE: The staff rota is organised around the needs of the residents who all felt supported by them. Staff also felt that there were enough staff on each duty to meet the needs of the residents. Although there were three vacancies the home does have a very settled core of staff. Agency staff were being used to cover some shifts but the home tries to ensure the same staff were being used to offer some consistency for the residents. It was possible to speak to an agency staff worker and she said she was well trained and experienced at working with the residents. She was aware of the safety procedures in the home. Both residents responded well to her and said they liked her. Staff training is on going and relates to the specific needs of the residents which makes staff more confident in their role. It was recommended at the previous inspection that staff should have specialist communication skills training and the staff said that a discussion day had taken place last October but no active training has followed. The home has a robust recruitment procedure which is well practised. Village The (8) DS0000015840.V276180.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): 37,39,42. The health, safety and welfare of the residents is promoted but gaps exist which could put residents and staff at risk EVIDENCE: The home has not had a registered manager for some time but the acting manager is expected to be applying for registration. Most residents have been at the home for many years and it was clear that the home has developed to suit their needs. There is no quality assurance system in place to record and report the views of residents and other stakeholders. All full time staff have health and safety training and were aware of the issues but fire training was not up to date for all staff. Village The (8) DS0000015840.V276180.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 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 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 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 2 3 X 3 2 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 3 3 3 X 1 X 1 X X 1 X Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? yes 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 YA38 Regulation 8&9 Requirement The home must have a registered manager. Timescale of 26/08/05 not met. An effective quality assurance system must be implemented. Timescale of 30/01/05 not met All staff must have up to date fire training. Timescale for action 26/08/05 2. YA39 24 30/01/05 3 YA42 13 28/02/06 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 YA6 Good Practice Recommendations The home should find a way to demonstrate that service users have been involved in the development of their care plan and agree with it. The records of the residents in the staff meetings minutes should be recorded in line with the confidentiality and Data Protection procedures 2 YA10 Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 20 3 YA24 The following improvements /repairs should be considered:The chipped melamine surrounds to the wash basins in the bedrooms should be replaced. The lounge in the Mews should be considered for re decoration The staff team should have the specialist communication skills required to meet the service users needs. 4 YA32 Village The (8) DS0000015840.V276180.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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