Inspection on 07/03/06 for Whitby Scheme

This inspection was carried out on 7th March 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitby Scheme 14/08/07

Whitby Scheme 30/08/06

Whitby Scheme 20/09/05

Whitby Scheme 03/02/05

Whitby Scheme 15/09/04

Whitby Scheme 27/11/03

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 Whitby Scheme 14/15 Crescent Avenue and 2/5 North Promenade Whitby North Yorkshire YO21 3ED Lead Inspector Terry Downey Unannounced Inspection 7th March 2006 09:30 Whitby Scheme DS0000007727.V284189.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 Whitby Scheme DS0000007727.V284189.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. Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Whitby Scheme Address 14/15 Crescent Avenue and 2/5 North Promenade Whitby North Yorkshire YO21 3ED 01947 603145 01947 825654 anchor.house@craegmoor.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) J C Care Ltd Miss Nicola Jayne Craig Care Home 32 Category(ies) of Learning disability (32), Mental disorder, registration, with number excluding learning disability or dementia (32) of places Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 32 residents with a Mental Disorder and/or a Learning Disability of whom 2 may be over the age of 65 20th September 2005 Date of last inspection Brief Description of the Service: The Whitby Scheme consists of three properties. Anchor and Haven House which are adjacent to each other with the third house, Endeavour, being approximately a half a mile away. The Scheme is registered to provide residential social, and personal care for 32 people under 65 years of age who have learning disabilities and / or a mental disorder. The properties are not suitable for people who have profound physical disabilities or mobility problems. The service users generally have mental health problems combined with a learning disability. Several of the service users display challenging behaviour and some may be the subject of supervision orders. The primary aim of the Scheme is to promote independence and to treat service users as individuals with individual needs. The Scheme also endeavours to provide an element of rehabilitation by developing individuals life and social skills. Where appropriate service users are assisted to relocate independently within the community. The properties are within walking distance of all main community facilities including shops and banks and are convenient for the public transport services. Anchor and Haven House have a private parking area; Endeavour House relies on available on-street parking. None of the properties has large gardens but the staff have maximised the use of rear yards/patio areas. The properties are, however, adjacent to public parks and beaches, which are often used by the service users. The registered provider is J C Care a subsidiary of Craegmoor Healthcare. The registered manager is Miss Nicola Craig. Whitby Scheme DS0000007727.V284189.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 7th March 2006. The manager Ms Nicola Craig was available to assist with the inspection and was well organised and helpful. During the course of the inspection it was possible to speak to eleven residents and six members of staff and observe the interactions. The inspection also involved a check on the requirements and recommendations from the previous inspection, a tour of the premises and a check on some of the records kept by the home All the residents were pleased to talk about their home and said they felt that the staff were encouraging and helpful and that it ‘ was a nice place to live’. The inspection showed that the Scheme is improving in terms of staff training and residents day time activities, and that the residents were well cared for and have well structured lives. What the service does well: What has improved since the last inspection? Staff are aware of the Protection Of Vulnerable Adults Procedure which offers reassurance to the residents. More residents are going out to meaningful daytime activities. Staff training is improving further which gives them more confidence and awareness of their role. Regulation 37 notices are being submitted appropriately. The staff are now working shorter shifts which has improved the attendance at staff meetings, training sessions and the levels of care. Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 6 The environment is being improved across the Scheme but there is still some concern about Endeavour House. 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. Whitby Scheme DS0000007727.V284189.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 Whitby Scheme DS0000007727.V284189.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): 2,5. Residents need to know that if they choose to live at the Whitby Scheme they will be well cared for. EVIDENCE: Two files of recently admitted residents did not contain the information required and checks by the manager were unable to find the information. It should be said that at previous inspections the home has been able to demonstrate good initial assessments, and one of the residents involved informed the inspector that he had been happy with his introduction to the home and his care since he arrived. The Statement of Purpose for the Scheme is well publicised in the houses so that staff and residents are made aware of the principles governing the care in the homes. All the residents have an individual contract and reasonable steps have been taken to ensure it is explained to them. This makes sure that they are aware of the terms and conditions of their stay in the home. Whitby Scheme DS0000007727.V284189.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 are encouraged and supported to make decisions affecting all aspects of their lives. EVIDENCE: Residents are supported and encouraged to look after their personal care in line with their care plan and all the residents were clean and well dressed. There was evidence that more residents are going out and using community facilities as part of meaningful daily activity programmes and the residents were pleased to talk about their achievements. Individual risks for each resident are identified and ways of minimising the risks considered. All the residents have a detailed care plan and since the previous inspection the home is now able to demonstrate that each resident is involved with the plan. Staff meetings to discuss the residents’ needs are held but the minutes of these meetings did not meet the rules governing confidentiality and Data Protection advice was given as to how this could be achieved. Whitby Scheme DS0000007727.V284189.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): 11,17. Residents eat well and have a varied lifestyle. EVIDENCE: Each resident has an individual programme of activities aimed at developing their skills. Many of them are in the home but some also attend the local day centre, and some have voluntary employment in the community. Lunch was being taken during the inspection and the residents said they enjoyed the meals and had sufficient choice. Whitby Scheme DS0000007727.V284189.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): 18,19,20. The residents’ personal and healthcare needs are met. EVIDENCE: Residents have their personal needs identified in their care plan which includes instruction about how support is provided safely and in accordance with the residents preference. All residents are registered with a local GP and specialist health services are accessed via this service. The home has good communication with healthcare professionals and other agencies, which ensures that the residents’ health needs are met. Residents are encouraged to self medicate but only one does so at present. Staff are trained in the safe administration of medication Whitby Scheme DS0000007727.V284189.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): 22,23. Residents are protected from abuse neglect and self harm. EVIDENCE: The home has a complaints procedure, in suitable formats, but the service users spoken to had not used it but felt safe knowing that it was there. They also said they could talk to the manager and staff and knew that they would take them seriously. The vulnerable adults procedure is available in the home and training of staff has been recorded and is regularly reinforced at staff meetings by the manager. Staff were aware of the procedure and as with the complaints procedure above would take all reports seriously and deal with it properly Whitby Scheme DS0000007727.V284189.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): 24,25,27. The standard of the environment at Anchor and Haven is satisfactory and Endeavour House is being improved. EVIDENCE: Anchor and Haven houses are well maintained, and reasonably well decorated and furnished. Some work has been carried out at Endeavour House particularly in the kitchen and this is much better. Other work is ongoing but so also is the assessment of whether the home is suitable or if more appropriate premises should be found. Whitby Scheme DS0000007727.V284189.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): 32,33,35,36. Staff are trained and well organised which ensures that the residents feel supported and the staff are aware of their duties EVIDENCE: Staff spoken to consider that they are given enough training to meet the needs of the residents and they are not asked to do anything for which they do not have the skills. Staff said that they feel well supported by the managers which gives them confidence and an awareness of their responsibilities. Since the previous inspection the staff have started to work more conventional 7 and 8 hour shifts and there have been several benefits :Much more continuity, better communication, staff not as tired. Improved attendance at staff meetings, and training courses easier to schedule. There have been no increases of incidents at changeover as was feared. The concerns about the staffing levels at Endeavour House still remain and staff said it was better when 4 staff were on duty but this only happened when 1-1 support was being provided for a particular resident. Whitby Scheme DS0000007727.V284189.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): 37,38,39,41,42. There is clear leadership and guidance from the manager which ensures consistent care for the residents and that their health, safety and welfare is promoted at all times EVIDENCE: The staff feel supported by the manager which gives them the confidence to carry out their duties properly. More activities are being organised to meet the residents’ needs. Health and Safety training has improved and in particular fire training. Staff undergo regularly tests to ensure standards are achieved. A key worker system operates in the home. Residents felt that this was helpful to have someone to work closely with. Staff also felt that it helped the residents especially with communicating their care needs. Whitby Scheme DS0000007727.V284189.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 X 2 1 3 X 4 X 5 3 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 3 26 X 27 3 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 3 33 1 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 2 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 x Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 17 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. 1 Standard YA2 Regulation 14 Requirement Assessments of proposed residents must be carried out and recorded and the information used to form the basis of care plan in the home. The home must continue to monitor staffing levels at Endeavour House. Timescale for action 01/05/06 2 YA33 18 01/05/06 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 YA10 Good Practice Recommendations Information regarding residents must be recorded in accordance with the rules governing confidentiality and Data Protection. Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Whitby Scheme DS0000007727.V284189.R01.S.doc Version 5.1 Page 19 - 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!