Inspection on 05/10/05 for Yearsley Villa Residential Home

This inspection was carried out on 5th October 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Yearsley Villa Residential Home 20/02/07

Yearsley Villa Residential Home 10/03/06

Yearsley Villa Residential Home 02/02/05

Yearsley Villa Residential Home 17/08/04

Yearsley Villa Residential Home 02/03/04

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 Yearsley Villa Residential Home Yearsley Villa 177 Huntington Road York YO31 9BP Lead Inspector Jo Bell Unannounced Inspection 5th October 2005 10.15 Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Yearsley Villa Residential Home Address Yearsley Villa 177 Huntington Road York YO31 9BP 01904 630450 08701358714 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) Mrs Sandra Taylor Mr Steven Taylor Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2005 Brief Description of the Service: Yearsley Villa is a large detached property that provides accommodation and personal care to three adults with learning disability. The home is located close to the city of York and within walking distance of the local communities amenities and facilities. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 5th October 2005, this lasted for two hours during which time a tour of the premises took place with the assistance of the proprietors. Two service users were spoken with and policies and individual care plans were inspected. What the service does well: 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. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 6 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 Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 7 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 Service users benefit from having their needs assessed in a robust manner. EVIDENCE: The three service users who live at Yearsley villa all had detailed assessments in place. Two service users spoken with said their needs had been discussed with them. It was evident in the assessment that the service users were involved with this process. The assessments were undertaken by North Yorkshire County Council and included family/social contact, personal care needs, psychological and emotional support and health needs. From this assessment a service user plan is drawn up. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 8 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 Service users stated that their needs are met. This was confirmed with the detailed individual plan. EVIDENCE: All three of the service users’ plans were inspected; this covered all aspects of personal and social support. When speaking with two of the residents they were clear that their needs could be met. The care manager reviewed each plan on an annual basis. Details relating to specific care was documented, for example one service user needed assistance when having a bath, two service users were able to get themselves washed and dressed but needed supervision at mealtimes. One care plan discussed the potential of the service user getting a part time job in a hotel, and mentioned attending an IT centre. When discussed with the proprietor it was evident that this need had previously been identified and was no longer applicable. This was confirmed when the proprietor spoke to the service user concerned. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 9 The proprietors encourage independence in the home. The service users get themselves washed and dressed when possible. One service user is able to walk down the stairs independently, but requires assistance when walking up. This practice was observed. All three service users have a choice as to which day services they attend. The service users are involved in decision making in the home on a day to day basis. The proprietor is an appointee for all three service users when dealing with their finances; each service user has given their signature to say they agree with this. Risk assessments are in place where needed. One care plan had a risk assessment around challenging behaviour, however it was identified that the risk was not severe. Risk were discussed verbally with each service user, one person required supervision when going to a day centre or to the Doctors, two of the service users were independent and could walk or get the bus into York when needed. Contingency plans were in place to minimize a risk regarding a particular behaviour. The proprietor felt that no serious risks were posed at present with the three current service users who have all been resident at the home between 3-10 years. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 & 17 Service users enjoy being part of the local community and benefit positively from contact with family and friends. EVIDENCE: One service user discussed how she enjoyed working at a garden centre and her role included helping with wrapping paper and dealing with Christmas cards. She clearly enjoyed this. Previous consideration had been given to this service user having a part time job in a hotel, this has not been pursued further as the service user is happy with the day centres (Club Media & Brunswick) and work she currently does. In discussions with this service user was evident that she spends time meeting with friends, and goes into York shopping on a regular basis. This service user was excited about going visiting her grandmother at the weekend, the proprietor confirmed that she has regular contact with family and friends. The proprietor said that this service user would help with housework and keep her room tidy; she is encouraged to be as independent as possible Another service user spoken with attends a day centre ‘Gateways’ on a weekly basis; he needs assistance from the proprietors getting to the day centre. This service user showed the inspector his room and chatted about enjoying going Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 11 to ‘drag racing’ and to watch motorbikes race with the proprietor. This service user liked to play the guitar which he demonstrated and enjoys watching television and listening to music. The proprietor confirmed that regular contact with family and friends takes place. One of the service users who were not available to speak to as he was attending a day centre was discussed with the proprietor, this service user requires some assistance but is able to be autonomous when making decisions. He enjoys taking part in activities in the local community and regularly attends day centres where life skills are developed. Evidence in the care plan stated that he attends a drop in centre every morning. Service users were observed being treated with respect and dignity. Keys are available to lock rooms though service users do not wish to avail themselves of this. A front door key is not provided as the proprietor s are aware when the service users will be leaving and arriving the home. This has been agreed with the service users. A discussion took place regarding the food and drink provided in the home. At breakfast time usually cereals and toast are provided, a cooked breakfast is offered as required. One service user spoken with indicated he was looking forward to lunch, it was going to be sandwiches and tomato soup. The home always provide a hot meal in the evening and service users can inform the proprietor is there is any particular food they like or dislike. Another service user said the food was very good and she always looked forward to mealtimes. The home are very clear that the three service users are treated as part of an extended family, at mealtimes everyone tries to eat together in the kitchen area, this is also an opportunity to discuss any issues/concerns or discuss what has happened during the day. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 Privacy and dignity are maintained and service users feel safe and well cared for. EVIDENCE: All personal care is offered in private, one of the proprietor said one of the service users requires some prompts to have a wash and get dressed. One service user requires assistance when bathing and this is carried out privately. Service user s is able to wear which clothes they prefer and both were observed looking clean and tidy. The home have a procedure in place when an accident or incident occurs. No accidents have been reported under Regulation 37 but the home are aware of how to complete these. The home have access to local GPs, consultant psychiatrists and the community mental health team. Regular reviews take place and the home is aware of how to contact health professionals at York District Hospital. This information was evident in the individual care plans. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 13 Medication systems in the home were inspected, each service user has completed a medical authorisation sheet when they are self medicating. One service user is assisted by the proprietor and all medication is recorded with the date and signature. The home have a clear medication policy in place which covers all aspects of self medication and guidance and further help if the home have any unresolved medication issues. Each service user has a locked area in their room to keep medication, this is stored correctly. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 & 23 Service users are aware of the complaints procedure and are encouraged to discuss issues by the proprietors. EVIDENCE: Service users are protected by the home’s robust complaints procedure in place. A clear policy identifies who to complain to and a timescale when the complaint should be investigated by. An adult protection policy is in place which incorporates a whistle-blowing document. Two service users spoken with were comfortable in their environment and had a good rapport with the proprietors, this was observed throughout the inspection. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 & 30 Service users enjoy living in a clean and comfortable home. EVIDENCE: The home’s premises are suitable for its stated purpose. A fire risk assessment and management plan are in place. All areas of the home and garden were clean and tidy, next to the home building work is being undertaken this has caused some disruption for the service users. However, the proprietor s are aware of the timescale for completion. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 two proprietors ensure individual and joint needs are met. EVIDENCE: The two proprietors in the home are responsible for the three service users, no other staff are employed. The home do not require a recruitment procedure as they do not employ any staff. The two service users felt they could discuss any issues with the proprietors. One service user was assisted up the stairs in a gentle and encouraging manner. The proprietors are aware of the skills needed to meet service users’ needs. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 home is run in the best interests of the service users. EVIDENCE: One of the proprietors have completed an NVQ Level 4 and the other proprietor is in the process of completing this training. The home have developed a quality assurance system in place. All three service users have completed a satisfaction questionnaire, this has been discussed with each service user. The results of the questionnaire were all positive, no negative comments were made. All issues are discussed informally between the three service users and the proprietors. Any concerns would also be discussed with family members and recorded appropriately. Health and safety in the home is maintained, details regarding gas and electrical appliances are available and policies are in place discussing how these systems are maintained. The home have a fire plan in place and smoke detectors are available throughout the home. The hot water system is adequate and the temperature is maintained at no more than 43 degrees Centigrade. No risks were identified in the home regarding health and safety. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x N/A 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Yearsley Villa Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x DS0000015836.V253998.R01.S.doc Version 5.0 Page 19 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. 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. 1 Refer to Standard YA6 Good Practice Recommendations The proprietor should be aware of all the details in each service users care plan to ensure these remain current. Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 20 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 Yearsley Villa Residential Home DS0000015836.V253998.R01.S.doc Version 5.0 Page 21 - 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. 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