Care Home: Beighton Road

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What the care home does well Through comprehensive documentation and the reviewing of the individual whilst in the service, the service and each member of staff will be aware of the tenants needs prior to admission. Tenants will benefit from up-to-date comprehensive care plans. The quality of life of the tenants will be enhanced because of the availability of activities and outings and their participation within the service. The people were spoken with and we established that they were satisfied with the care. The general comments were: Yes we like it here. It`s nice. The tenants received their medication in a safe manner and independence was promoted within each individual`s capability. Tenants were able to express their concerns and these were acted upon. The environment, monitored at this inspection, had been maintained to the required standard and was a well maintained environment for the tenants. The manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the tenants. The robust staff recruitment process regarding the checking of staff will contribute toward the protection of the tenants. An experienced registered manager was in post. This will contribute to the effective organisation and operation of the service. There was extensive quality assurance systems in place operated by the manager. What has improved since the last inspection? The service has strived to maintain the standard of care and service provision identified within the last inspection in 2006. What the care home could do better: Continues to maitain the excellent standard of care and service provision.. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Beighton Road 100 Beighton Road Woodhouse Sheffield South Yorkshire S13 7PS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ivan Barker     Date: 2 4 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Beighton Road 100 Beighton Road Woodhouse Sheffield South Yorkshire S13 7PS 01142699359 01142693531 tony.veeren@sct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : South Yorkshire Housing Association care home 18 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 18 One specific service user over the age of 65 years name on variation application dated 14.03.05 may reside at this home Date of last inspection Brief description of the care home Beighton Rd offers services for up to eighteen adults with a learning disability The service is located in the Woodhouse area of Sheffield, close to local facilities such as shops and a health centre. The home is close to a local bus route. There are three detached houses on the site. Each one offers accommodation to six service users. Each house has a separate kitchen and laundry facilities. They all have large dining/lounge areas and all of the bedrooms are single. There is a large garden area and a car park. The bed fees at this home are currently £304 per week. Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people are not being put at significant risk of harm. In future, if the requirement is repeated, it is likely that enforcement action will be taken. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the key standards). The persons present at the inspection were: T Veneer manager. Care Homes for Adults (18-65 years) Page 5 of 26 J Pilley deputy manager. H Robinson team leader. Within this a site visit, which occurred over a 5 hour period, we toured the building, case tracked 3 people (Case tracked means looking at the care and service provided to specific people living at the home; checking records relating to the health and welfare, care plans and other records; by talking to the specific people; viewing their personal accommodation as well as communal living areas). Spoke with other people and staff and also examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality Assurance Assessment) a self-assessment document, telephone contacts, letters and notifications. Following discussions with the people who use the service and the staff, they expressed their opinions for the people to be referred to in this report as tenants. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Through comprehensive documentation and the reviewing of the individual whilst in the service, the service and each member of staff will be aware of the tenants needs prior to admission. Evidence: Regarding the assessment of new potential tenants, we were advised that they visited the service for an evening meal, then for a full day, an overnight stay and then for two days prior to admission. Part of this process was to ensure that the proposed tenant would fit in with the permanent tenants. Following these visits a review was held. The people at the review may include the social worker, placing authority, the family, the individual and the manager of the service. On completion of the review it was the managers decision if the service could meet the tenants needs. Also the assessments were comprehensive and detailed all the social and health needs of the tenant, so that it informed the service and the staff of the needs so that accurate care plans could be produced. Care Homes for Adults (18-65 years) Page 10 of 26 Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tenants will benefit from up-to-date comprehensive care plans. Evidence: On examination of 3 care plans it was found that the care plans were extensive and detailed all aspects of the care needs of the individual. These plans included the social, mental and physical interventions and contained numerous risk assessments. The daily entry was recorded within one the care plans, each day. This could be within one of the care needs, for example mobility or social. It was discussed that the document was difficult to reference and obtain a clear picture of the individual. The manager advised that it may be difficult for someone who was not using the documents on a day-to-day basis but the staff within the home were quite competent with the documentation. This comment was accepted however the issue of agency staff being able to understand the document and deliver the care was raised. The manager advised that no agency staff were ever employed within the service, and that the staff within the home worked extra shifts to cover any shortfalls. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: The people were spoken with and we established that they were satisfied with the care. The general comments were: Yes we like it here. Its nice. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality of life of the tenants will be enhanced because of the availability of activities and outings and their participation within the service. Evidence: When discussing the activities for the tenants we were shown a copy of the South Yorks Housing Association, Beighton Road newsletter. Within this document there was photographic evidence of tenants visiting a garden centre, public house, shops, post office, supermarkets and the barbers shop. Also assisting with the baking and cleaning within the service and undertaking activities such as completing jigsaws, making fridge magnets and having film nights. One tenant was interested in recycling, the staff supported this individual to take bottles etc to the recycle centre. Regarding the meals we were advised that tenants go to the supermarket to purchase Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: items from a shopping list, with the assistance of staff. The manager advised that the tenants attended meetings and did discuss the menus and any requests for changes were taken on board. The tenants commented that they are satisfied with the food. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The tenants received their medication in a safe manner and independence was promoted within each individuals capability. Evidence: Each individual person had a support plan within the care plan this detailed their preferences regarding their care and service provision. Each individual had a clear programme of care. This included undertaking activities with the service, such as cleaning up, assisting staff with other tasks, to social interaction for example swimming, going to day care centres, shows, football matches and holidays. Tenants had the opportunity to access the primary care facilities which included GP and dental services etc. The medications were stored within small cupboards within each house. On examination of the Medication Administration Records these were found to have been fully completed with no omissions. The manager advised that the Medication Administration Records were checked once a week to ensure that there were no Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: omissions. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tenants were able to express their concerns and these were acted upon. Evidence: The complaints procedure was printed within the Service User Guide. A copy was available to the tenants and visitors. The manager advised that should a tenant express their concerns then this would be recorded within the social section of the care plans. There had been no complaints received by us regarding the service prior to or during the visit. The service had policies and procedures regarding Safeguarding Adults. These were available to staff. It was established that all staff had attended training on Safeguarding. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment, monitored at this inspection, had been maintained to the required standard and was a well maintained environment for the tenants. Evidence: On touring the building it was observed that the rooms had been personalised by pictures, posters and other items which would be in a young persons room i.e. stereo systems etc. We asked permission to enter the tenants rooms. The tenants were pleased and proud to show us their rooms. The tenants lived in houses rather than a large care home. The service was clean, well maintained, well decorated and odour free. The atmosphere within the service was warm, friendly and relaxed. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the tenants. The robust staff recruitment process regarding the checking of staff will contribute toward the protection of the tenants. Evidence: On examination of the staff on duty and the rota it was established that the staffing was as follows: House 1 A.m. 1 care staff and 1 cook / housekeeper. P.m. 1 care staff and 1 cook / housekeeper. House 2. A.m. 1 care staff and 1 cook / housekeeper. P.m. 1 care staff and 1 cook / housekeeper. House 3. A.m. 1 care staff and 1 cook / housekeeper. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: P.m. 1 care staff and 1 cook / housekeeper. Night Shift: 2 care staff for the 3 houses. Plus a manager, deputy manager, team leader, and secretary. Caring for 18 people. A full assessment of the dependency levels of the tenants was not undertaken and compared with the indicators staffing levels. On discussing the staffing levels on night duty, the manager explained that all the staff carried pagers which would alert them to which tenant in which house, needed assistance. There was also an emergency flash on the pager system should their assistance be required urgently. On examination of the staff training records, the staff had received training in a fire, moving and handling and other clinical training. On examination of 3 staff files, it was established that the files contain all the information required within Schedule 2. It was established that some staff had 2 C.R.B. (Criminal Records Bureau) checks. The manager explained that these were cook/housekeepers who were on some occasions undertaking care duties, so an enhanced CRB check had been obtained. The manager advised that there was a good team spirit and a working together, so the roles of the staff within the houses was often merged. An example of this was observed by us. We observed a cook/housekeeper assisting tenants with a jigsaw and a carer making a cup of tea for everyone. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced registered manager was in post. This will contribute to the effective organisation and operation of the service. There was extensive quality assurance systems in place operated by the manager and quality assurance manager. Evidence: On arrival at the service on this unannounced inspection, it was established that the manager was unavailable. Therefore the inspection was commenced with the assistance of the team leader. The manager arrived shortly after the inspection had commenced. The manager was a registered nurse within learning disabilities (RNLD) had 43 years experience in care and 36 years experience in management and had attained the National Vocational Qualification level 4. He also had an advanced qualification in health and safety and food hygiene. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Regarding Quality Assurance, there was extensive monthly monitoring by the manager. Regulation 26 documents which are records of the registered persons monthly visits were completed by the quality manager who undertook the monitoring of the audits by the manager, her own audits and spoke with the tenants. Regulation 37 notices, which are documents that are sent to the Commission regarding on untoward occurrences, including falls, accidents etc; had been received by us. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!