Inspection on 14/10/05 for York House

This inspection was carried out on 14th October 2005.

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.

Other inspections for this house

York House 09/10/07

York House 23/05/06

York House 10/09/04

York House 27/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 York House Glebe Road Bayston Hill Shrewsbury Shropshire SY3 0PZ Lead Inspector Janet Oxley Unannounced Inspection 14th October 2005 11.30 York House DS0000020660.V252782.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 York House DS0000020660.V252782.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. York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service York House Address Glebe Road Bayston Hill Shrewsbury Shropshire SY3 0PZ 01743 874442 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) Prospects Catherine Mary Mayell Care Home 10 Category(ies) of Learning disability (10) registration, with number of places York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2005 Brief Description of the Service: York House is a Care Home, registered with the Commission for Social Care Inspection to provide accommodation and personal care for up to ten Adults with Learning and Physical Disabilities. The home is operated by the registered charity Prospects, a Christian Voluntary organisation that provide a block contract for the provision of this service to Shropshire County Council. The home is located in Bayston Hill, some three miles from Shrewsbury town centre. It stands in its own spacious grounds, adjacent to a church with which it maintains strong links. The home was originally designed as a single purpose building. It has since been extended and adapted internally to provide three individual units that are domestic in scale. The aims of the home are included in the Statement of Purpose and include Prospects is a Christian voluntary organisation which values and supports people with learning disabilities so that they live their lives to the full. Prospects website is www.prospects.org.uk. The home is managed by Catherine Mayell on behalf of Prospects and she is line managed by Mike Picton, the Assistant Director. York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed key standards only as the home is currently considered to be performing satisfactorily and thus warrants the application of a reduced methodology. The inspection was unannounced and commenced at 11.30 am. It included observing activity within the home and at the day centre, where 3 service users were present, inspecting the premises, looking at records and case tracking and talking to 4 staff. The Deputy Manager and staff on duty were welcoming and helpful throughout the inspection. It was found that the National Minimum Standards assessed had been met, with a number exceeded, and that the overall quality of care provided was good. Due to their disabilities a number of the service users are unable to communicate easily, however they appeared happy, content and very well cared for. Those who were able to indicated that they were very happy living at the home. Visitors, relatives and all visiting professionals have expressed satisfaction with the service and care the service users are receiving and have been complimentary regarding the management and care practices at the home. What the service does well: What has improved since the last inspection? No recommendations were made at the time of the last inspection. The home continues to improve the programme of daily living skills and methods of communication. In addition the review system of the Essential Life Plans for each service user has also been improved. York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 6 Staff are continually improving, upgrading and individualising the service users bedrooms. It has to be noted that at this home, management and staff are constantly reviewing all aspects of the service to achieve best practice and maintain a high quality service and staff on duty reported that the staff morale and team work at the home had improved. 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. York House DS0000020660.V252782.R01.S.doc Version 5.0 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 York House DS0000020660.V252782.R01.S.doc Version 5.0 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): X Although only one admission has taken place over the last 15 years the home has an appropriate admissions policy in place should the need arise and the statement of purpose is kept up to date. EVIDENCE: York House DS0000020660.V252782.R01.S.doc Version 5.0 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 Each service user has a very detailed Essential Life Plan, which includes all aspects of daily living and care they require. Staff evidently highly respect service users rights and there is a constant monitoring and review process to ensure their identified needs are being met and very individualised care given. EVIDENCE: A full and professional Essential Life Plan is available for each service user. These plans are well set out and include all personal details, health issues, communication, community activity, daily living, personal care, relationships with others, leisure and recreational activities, community issues, adult education and orientation and mobility. They focus on aims, objectives and realistic goals for the service users in the months ahead. These plans are regularly and professionally reviewed with all relevant persons, the system having been improved since the last inspection, and through a joint Prospects and Dimox initiative the documentation ha also greatly improved. The service users continue to access day centres and a wide range of activities due to the imagination and willingness of staff to get involved in all aspects of their lives. York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 10 It was evident through observations, examining records and discussions with staff that they respect the service users rights and that despite the service users disabilities, staff continue to work sensitively and professionally in assessing their needs and wishes. Risk assessments have been developed for each service user and include support requirements for each individual. The Manager and staff member responsible for health and safety issues updates these assessments regularly and they are included in staff induction, training and on going development. York House DS0000020660.V252782.R01.S.doc Version 5.0 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): All The lifestyle of the service users living at this home is excellent and through a framework of activities, independence, personal and social skills they are encouraged to develop. Family ties are maintained and regular visits home and meetings with relatives are encouraged and supported. EVIDENCE: Such are the majority of the service users disabilities that they would not be able to enter a world of work however it was evident, throughout the inspection methods used, that service users are given every opportunity to learn and develop and those who are able are encouraged and supported to undertake tasks and small jobs. Specialist intervention is used whenever necessary and on a regular basis with service users enabled to access all support services. Service users take part in many activities which include a path to increased independence and records and discussions with staff indicated that many community resources continue to be accessed, according to the service users needs and abilities. Community transport, shops, leisure centres and a number York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 12 of other local resources are used. The home has its own transport which is used daily. York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 13 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 The health and personal needs of service users are very well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: Service user’s records and discussions with staff indicated that the staff continue to carefully monitor health needs, make appropriate referrals and appointments to health care professionals. The support of Doctors and Consultants is ongoing and there is a good relationship between the home and visiting professionals, who continue to speak positively regarding the management and care practices at the home. Behavioural changes of service users are also carefully monitored and plans and risk assessments for all activities are in place. At the time of this inspection the administration, storage and recording of medication appeared satisfactory. York House DS0000020660.V252782.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 and 23 It was considered that all stated outcomes are fully met. Staff are sensitive and have developed methods to identify what service users like, dislike or object to in a commendable manner and robust procedures and practices are in place to ensure that individuals are protected from abuse. EVIDENCE: It was reported that no complaints have been received since the last inspection. A full complaints procedure is available and given that the current service users would have some difficulty understanding the concept of a complaint it was evident that staff are sensitive and have developed methods to identify what service users like, dislike or object to and explore new avenues in efforts to overcome the difficulties. Robust procedures are in place to protect service users from abuse and are included in all aspects of staff training. The Adult Protection Procedure has been satisfactorily followed within the last year. York House DS0000020660.V252782.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, 25, 26, 28 and 30 The standard of the environment within the home is good, providing service users with a warm, safe and homely place to live. Necessary improvements have been identified and are in hand. EVIDENCE: The standard of cleanliness and hygiene was good on the day of the inspection and at the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory. Improvements in the last year have included some decoration and the creation of a new kitchen facility. All of the service users have their own bedrooms with a sink unit. Bedrooms were seen to be individual and highly personalised. The environment in general is satisfactory and staff evidently work hard to maintain a warm and homely place. Work has commenced to improve the standard of maintenance of the gardens and grounds and it is planned to replace a number of carpets in the near future. York House DS0000020660.V252782.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 and 35 Service users are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: Recruitment at the home is thorough and all elements required by Schedule 2 of the Care Home Regulations were found on the file of the one member of staff who had been recruited since the last inspection. Prospects continue to support staff to undertake their NVQ awards, a variety of other training has been undertaken and staff on duty indicated that they were very sensitive to the service users complex needs and disabilities and that their attitudes and practice were monitored and supervised by the management. Annual appraisals take place, regular recorded supervision sessions are undertaken and staff meetings are held on a regular basis and minutes of these meetings were seen. York House DS0000020660.V252782.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, 38 and 42 There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the service users benefit. The home regularly reviews all aspects of its performance through a programme of self review and consultations and meets the requirements of the Fire Officer and Health and Safety Officer, promoting the health, safety and welfare of the service users. EVIDENCE: The manager has completed the NVQ 4 in care and the Registered Managers Course and she has had a number of years experience. The deputy manager is currently undertaking the Registered Managers Award. The manner in which the deputy manager, service users and staff responded to this inspection indicated that a sound management approach is in place and that staff are committed to achieving best practice and to developing equal opportunities. No potential hazards were identified. York House DS0000020660.V252782.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 x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 3 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 York House Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x DS0000020660.V252782.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. Refer to Standard Good Practice Recommendations York House DS0000020660.V252782.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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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