This inspection was carried out on 2nd February 2006.
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 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Ware Street Resource Centre 5 Ware Street Tilery Estate Stockton-on-Tees TS20 2BA Lead Inspector
Julia Connor Unannounced Inspection 2nd February 2006 10:15 Ware Street Resource Centre DS0000038043.V272818.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 Ware Street Resource Centre DS0000038043.V272818.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. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Ware Street Resource Centre Address 5 Ware Street Tilery Estate Stockton-on-Tees TS20 2BA 01642 528136 01642 528139 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) Stockton-on-Tees Borough Council Miss Barbara Moir Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home may accommodate at any one time no more than one younger adult with a mental disorder (MD) and who has a physical disability (PD). 1st September 2005 Date of last inspection Brief Description of the Service: Ware Street Resource Centre is a purpose built home providing residential care for 15 people with mental health problems. The home also provides a day service and a new addition to the home is a 3-bedded crisis unit. The home offers a community link group which is a sessional service offering support, a limited skills development service and outreach service as well as having selfcontained residential care and semi-independent rehabilitative accommodation. The home is managed by Stockton-on-Tees Borough Council. Each bedroom is a minimum of 10 sq. m. Ware Street is close to local shops and amenities. There is a small car park at the side of the home. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection commenced at 10.15 a.m. and concluded at 12.45 p.m. The Inspector returned to the home on 7/2/06 from 6.00 p.m. to 7.15 p.m. to talk to Residents’. A total of seven Residents’ and two members of staff were spoken to during the inspection. Seven Residents’ and one relative returned the comment cards. The paving at the front of the property, that had been identified during the September 2005 inspection, had not been repaired and consequently was a health and safety issue for all Residents’, visitors’ and staff. An immediate requirement was issued which required the Responsible Individual to take immediate action to make the area safe. What the service does well:
The Residents’ who spoke to the Inspector were complimentary about the staff and the home. The Residents’ stated that the staff were approachable and always there should support or guidance be required. One Resident stated that s/he liked to be alone but was aware the staff was there should they be needed. This Resident stated that s/he liked to get up for a cigarette if unable to sleep, which s/he was allowed to do and that s/he felt in control of her/his life thanks to the staff. Another Resident stated that the staff were ‘brilliant’ and ‘a life line’ and that they knew when to be there and when to take a step back. This Resident stated that s/he felt in control of her/his life and that the staff respected her/him as a person. A Resident who had spoken to the Inspector at the last inspection stated that s/he had improved since their last talk and that s/he was now able to prepare her/his own meals and carry out her/his own domestic tasks. S/he stated that the staff were very helpful and encouraged her/him to take it ‘slow but sure’. Other Residents’ who now visit the home once or twice a week stated that it was due to the support and encouragement they had received whilst at the home that had enabled them to move on and be able to live in the community and be independent. A Resident who returned a comment card recorded that the care s/he received was excellent and that the staff were always available providing support and reassurance. S/he stated that the Residents’ are allowed to progress according to their individual needs. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 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. Ware Street Resource Centre DS0000038043.V272818.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 Ware Street Resource Centre DS0000038043.V272818.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): EVIDENCE: Standards 1 –5 were not assessed on this occasion. Ware Street Resource Centre DS0000038043.V272818.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): EVIDENCE: Standards 6 – 10 were not assessed on this occasion Ware Street Resource Centre DS0000038043.V272818.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): 12, 15 and 16 Residents have opportunity for personal development and are able to take part in appropriate activities in the home and the local community. Residents’ rights are respected and they are able to have personal relationships. EVIDENCE: Residents’ engage in personal relationships if they so choose; many of the Residents’ stated that they had made friends since moving into the home. Discussion with the Residents confirmed that they had opportunities for personal development. One Resident stated that s/he continued to work in a charity shop whilst receiving care at Ware Street. Another Resident receiving care at the home stated that s/he had improved in all areas for example s/he was now able to prepare his/her own food and had started to be take control of administering his/her medication. It was evident following discussion with Residents and staff that the Residents rights were respected and they were encouraged to make their own decisions.
Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 11 One Resident stated that s/he was encouraged to make his/her own decisions but had the knowledge that the staff were available should s/he require them. A Resident who returned a comment card had recorded that ‘the staff were always available providing support and reassurance’ and that the Residents’ were able to ‘progress according to their individual needs’. Ware Street Resource Centre DS0000038043.V272818.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): 20 Residents’ retain, administer and control their own medication where appropriate. There are policies and procedures for dealing with medication. EVIDENCE: There is a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Risk assessments are in place for those Residents’ who wish to administer their own medication. For new Residents’ to the home a gradual introduction to self-administering medication is followed until the Resident is confident enough to take control of their own medication. Ware Street Resource Centre DS0000038043.V272818.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): EVIDENCE: Standards 22 and 23 were not assessed on this occasion Ware Street Resource Centre DS0000038043.V272818.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 Residents live in a predominantly well-maintained environment that is homely, comfortable, clean and hygienic. EVIDENCE: A good deal of work has taken place to bring the home up to the required standard; however, the following work is still required: • The paving at the front of the home requires urgent attention, as it is a tripping hazard to Residents’, visitors’ and staff. Therefore an immediate requirement was issued which required the Responsible Individual to take immediate action to make the area safe. The ceiling in kitchen 3 requires decorating. The roof of the conservatory moves and causes leaks in adverse weather. The windowsills in the conservatory require decorating. The Residents’ who spoke to the Inspector voiced their concerns over the fact that the bushes in the garden had been cut down and now there is no privacy in the garden as people passing by can now see through the fence.
DS0000038043.V272818.R01.S.doc Version 5.1 Page 15 • • • • Ware Street Resource Centre 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 and 34 Staff has received training to NVQ level 2 and 3, which should ensure they can meet the Residents needs. Residents’ are supported and protected by the homes recruitment practices. EVIDENCE: 55 of the staff has their NVQ Level 2 or 3. Personnel files contain the required information as stipulated in Schedule 2 of the Care Home Regulations 2001. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 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): EVIDENCE: Standards 37 – 43 were not assessed on this occasion Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 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 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 X 23 X ENVIRONMENT Standard No Score 24 2 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 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X X X Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 18 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 YA24YA24 Regulation 23 Requirement Timescale for action 31/03/06 2. YA24YA24 13 & 23 3. YA24YA24 23 4. YA24YA24 23 The ceiling in kitchen 3 is patchy and detracts from the homely appearance. This must be redecorated. THIS REQUIREMENT IS OUTSTANDING FROM THE OCTOBER 2004 INSPECTION. The roof in the conservatory has 31/03/06 moved causing leaks during adverse weather. This must be remedied and repaired. THIS REQUIREMENT IS OUTSTANDING FROM THE OCTOBER 2004 INSPECTION. The windowsills in the 31/03/06 conservatory have flaking paint and must be re-decorated. THIS REQUIREMENT IS OUTSTANDING FROM THE OCTOBER 2004 INSPECTION. The paving at the front of the 02/02/06 home is uneven and if not attended to will become a tripping hazard for Residents, visitors, and staff. THIS REQUIREMENT IS OUTSTANDING FROM THE SEPTEMBER 2005 INSPECTION. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 19 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 YA24 Good Practice Recommendations The Manager should give consideration to providing a new fence or replacing the bushes to ensure the Residents’ have privacy whilst in the garden. Ware Street Resource Centre DS0000038043.V272818.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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