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Inspection on 31/08/06 for Ware Street Resource Centre

Also see our care home review for Ware Street Resource Centre for more information

This inspection was carried out on 31st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

One Resident stated that the staff were `brilliant` and so supportive and always available for large or small problems and could often spot things that s/he did not see. The staff encouraged her/him to be independent but were always there should support or guidance be required. This Resident stated that when s/he left the home the staff were still at the end of the telephone which was a big help to her/him. The Resident stated `you are not pressured to do anything you don`t want to do` the home was `a lifeline`. Another Resident stated that `the staff were helpful, supportive and easy to approach`. This Resident stated that s/he was encouraged to make her/his own decisions and felt that any decisions s/he made were respected by the staff. The staff who spoke to the Inspector felt that the home offered a good service and that it was a well run home. One member of staff stated that there was excellent supervision from the management and that the team worked as a group for the benefit of the Residents`. Another member of staff stated that the staff were skilled and that they spent time with the Residents`.

What has improved since the last inspection?

The ceiling in kitchen three has been re-decorated and the paving at the front of the home had been made safe. The roof in the conservatory had been repaired and the windowsills had been decorated. A new fence has been put in place to ensure the Residents` have privacy whilst in the garden. A new water feature and extra lighting has been purchased for the garden.All three rehabilitation kitchens have been refurbished and twelve bedrooms have had new curtains and bedding.

CARE HOME ADULTS 18-65 Ware Street Resource Centre 5 Ware Street Tilery Estate Stockton-on-Tees TS20 2BA Lead Inspector Julia Connor Key Unannounced Inspection 31st August 2006 09:50 Ware Street Resource Centre DS0000038043.V308758.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 Ware Street Resource Centre DS0000038043.V308758.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. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 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.V308758.R01.S.doc Version 5.2 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). 2nd February 2006 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.V308758.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 9.50 a.m. and concluded at 12.30 p.m. The Inspector returned to the home that evening at 6.00 p.m. to talk to Residents’. In total two Residents’ and two members of staff were spoken to during the inspection. The current fee structure is £25.00 to £727.00 a week depending on the level of service the Resident requires. All of the requirements and recommendations from the February 2006 inspection have been actioned. What the service does well: What has improved since the last inspection? The ceiling in kitchen three has been re-decorated and the paving at the front of the home had been made safe. The roof in the conservatory had been repaired and the windowsills had been decorated. A new fence has been put in place to ensure the Residents’ have privacy whilst in the garden. A new water feature and extra lighting has been purchased for the garden. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 6 All three rehabilitation kitchens have been refurbished and twelve bedrooms have had new curtains and bedding. 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.V308758.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 Ware Street Resource Centre DS0000038043.V308758.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective Residents’ have their needs assessed prior to admission. EVIDENCE: The two Residents’ files audited showed that, prior to admission, prospective Residents’ underwent a comprehensive and detailed assessment. Ware Street Resource Centre DS0000038043.V308758.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents’ know that their changing needs and personal goals are reflected in their individual plan and they are supported to take risks as part of an independent lifestyle. EVIDENCE: Two sets of care files were audited and both contained good detail and had been reviewed appropriately. Care plans and risk assessments had been signed by the Resident and their key worker. Daily statements contained a good account of how the Resident had spent his/her day. It was evident from reading the care files what good progress the Residents’ were making. The Residents’ who spoke to the Inspector confirmed that they were involved in developing and reviewing their care documentation and that they were able to take risks knowing that the staff were there for support and advice. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 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, 13, 15, 16 and 17. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents’ have opportunities for personal development, are part of the local community, are able to have personal relationships and their rights are respected. Residents’ eat a healthy diet, which they prepare. EVIDENCE: The Residents’ care documentation, followed by discussion with the Residents’ confirmed that they had opportunities for personal development. One set of documentation had detailed information about a Resident doing voluntary work but had made such good improvement s/he were about to commence paid employment. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 11 One Resident informed the Inspector that s/he was waiting for her/his referral to the day centre to be processed. S/he went onto say that s/he enjoyed reading and going for a walk and that s/he shopped for and then cooked her/his own food. Another Resident stated that it was their choice currently to remain in the home, occupying their time with their own hobbies and interests. This Resident stated that s/he appreciated the staff not pressurizing her/him as s/he needed the time to be alone and ‘chill out’. One Resident stated that it was her/his choice to either sit with the other Residents’ or spend time on their own. The Resident went onto say that family and friends could visit but the staff also respected the Resident’s wishes if they choose not to see visitors’. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 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 and 20 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and their physical and emotional needs are met. Residents’ retain, administer and control their own medication where appropriate. There are policies and procedures for dealing with medication. EVIDENCE: The Residents’ who spoke to the Inspector were happy with the personal support they received from the staff. One Resident stated that the staff encouraged her/him to be independent but were always there should support or guidance be required. Another Resident stated that ‘the staff were helpful, supportive and easy to approach’. This Resident stated that s/he was encouraged to make her/his own decisions and felt that any decisions s/he made were respected by the staff. There was evidence within the Residents care documentation that showed the Residents health care needs were met. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 13 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. One Resident who spoke to the Inspector confirmed administration of their medication was a gradual process. that the self- Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 14 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 and 23 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents feel that their views are listened to and acted upon. Staff are aware of the action to take should a complaint or allegation of abuse be made. EVIDENCE: The Residents’ who spoke to the Inspector stated that they had never made a complaint but were confident that if they did so they would be listened to and the appropriate action taken. There is a policy and procedure for the staff to follow should they receive a complaint. There is a policy and procedure for dealing with allegations of abuse. The home also has a copy of the Teeswide Guidance for the protection of Vulnerable Adults. Staff had signed to confirm that they have read the policy and procedure. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a homely, comfortable and safe environment, which is clean and hygienic. EVIDENCE: On the day of the inspection the environment was homely and comfortable. A good deal of work had taken place to meet the requirements identified in the February 2006 inspection report. The conservatory appeared a pleasant place to relax with other Residents’ or visitors. The Residents’ now have privacy when using the garden as a new fence has been put in place. The water feature gives an air of tranquillity. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 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 and 36. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The Residents’ are protected by the home’s recruitment practices and staff receives training to ensure the needs of the Residents are met. Staff receives regular formal supervision. EVIDENCE: It was recorded in the pre-inspection questionnaire that 71 of the staff had their NVQ Level 2 or 3 which is an increase of 17 since the February 2006 inspection. Three personnel files where audited and all contain the required information as stipulated in Schedule 2 of the Care Home Regulations 2001. An audit of three training files showed that training had taken place for example the safe handling of medication, affective disorders and dual diagnosis awareness. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 17 There was evidence in the personnel files to show that staff receive regular formal supervision. Staff who spoke to the Inspector confirmed that they received regular formal supervision. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 18 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 and 42 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The Residents’ and staff benefit from a well run home and Residents’ are confident that their views are listened to and acted upon. The health, safety and welfare of the Residents’ and staff are promoted and protected. EVIDENCE: The Residents’ and staff spoke well of the Manager. One Resident stated that ‘Bee is brilliant’. Another Resident stated that ‘Bee is always ready to talk to anyone, very approachable and manages the service well’. Both members of staff who spoke to the Inspector stated that the home was well and that the Manager was very knowledgeable and approachable. Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 19 There is a quality assurance and monitoring system in place which includes Residents’ meetings, which are held weekly. Regualtion 26 visits are forewarded to the Commission for Social Care Inspection. It had been recorded in the pre-inspection questionnaire that equipment was maintained as required for example the electrical wiring had been checked in February 2006 and the central heating was checked in May 2006. Health and safety policies and procedures are in place Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 20 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 3 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 3 ENVIRONMENT Standard No Score 24 3 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 22 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 © 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 Ware Street Resource Centre DS0000038043.V308758.R01.S.doc Version 5.2 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!