Care Home: Cottam Road Scheme

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood Hall
• Muston Road (70)

What the care home does well People living in the home said that the care they were receiving was good. They made comments such as: "The staff are my friends." "Staff are kind and lovely." "(My key worker) helps me." "I can talk to staff if I am worried and they will help me." "It is much better here than where I lived before, I am happy." "I have nothing to worry about." Comments received from questionnaires were positive and included: "Staff are capable of doing the work required of them, they meet the needs of (my relative)." "I ask (my relative) if they are happy or have any problems. The answer has always been that they love the place, are perfectly happy and have no complaints or desire to move anywhere else." "We are completely satisfied about (my relatives) care." A health professional said: "Cottam road appears to be a very caring environment where staff have the interests of residents as a priority. Communication is good." The Expert by Experience said: "All the residents said they got on well with staff." Written assessments had been undertaken prior to admission to ensure the home could meet identified needs. Each person had a written care plan, which set out in detail their personal, social and health care needs, and the staff action required to ensure these needs were met. People were supported to take risks and make decisions about their lives. A policy on confidentiality was in place to ensure individual`s rights were respected. Access to day centres, college and community groups were available to meet peoples needs. An activities worker visited the home twice weekly, to provide a range of activities to those people that did not attend any day care resource. Support staff provided some further activities and trips out of the home. There Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 7was home an open visiting policy, to encourage contact with relatives and friends. People`s safety was promoted by the medication procedures in place. There was a complaints procedure in place, to make sure any concerns were listened to and acted upon. People said they had confidence in the homes manager and staff, who would listen to any concerns and take them seriously. On the whole the environment was well maintained. Communal areas contained homely touches to create a comfortable environment. Bedrooms contained personal belongings, which enabled people to have some control over their personal space. Sufficient bathing facilities were provided to ensure individual personal care needs were met. The laundries and kitchens were well equipped to meet people`s needs. Peoples well being was promoted by the recruitment and staff training procedures. Health and safety procedures were identified and carried out, and systems were checked and serviced to maintain a safe environment. Staff undertook mandatory training to ensure their skills were maintained. What has improved since the last inspection? Peoples care plans contained full details of all health care contacts to make full information available to staff. Medication administration records had been fully completed to make sure safe procedures were followed. A new central heating system had been provided to improve people`s comfort. More detailed information of staff Criminal Records Bureau (CRB) checks was kept on site so that these could be monitored and were available. Staff had been provided with refresher training in food hygiene and first aid to cover gaps identified at the last inspection and to make sure staff skills were maintained. Additional training in autism and conflict resolution had been provided to staff to improve awareness and skill. Records for health and safety checks had been updated so that each of the three houses were completing the same records and providing consistency. What the care home could do better: Some decoration in communal areas of the environment was damaged. Some carpets were worn and aged. This did not enhance the appearance and comfort of the home. Some staff had not been provided with supervision at regular frequencies for support and development. Some staff required refresher training in moving and handling to maintain their skills. CARE HOME ADULTS 18-65 Cottam Road Scheme 1 Cottam Road High Green Sheffield South Yorkshire S35 4PJ Lead Inspector Mrs Janis Robinson Key Unannounced Inspection 3rd December 2007 09:00 Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cottam Road Scheme Address 1 Cottam Road High Green Sheffield South Yorkshire S35 4PJ 0114 284 7429 0114 286 9789 none None South Yorkshire Housing Association 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) vacant post Care Home 18 Category(ies) of Learning disability (18), Physical disability (3) registration, with number of places Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 18 service users in the category LD, 3 can also have an additional physical disability (PD). 6th December 2006 Date of last inspection Brief Description of the Service: Cottam Road provides care for up to 18 people with a learning disability, three of whom may have an additional physical disability. The home is divided into three houses, each accommodating six people. The houses have their own kitchen, lounge/dining rooms, laundry and bathing facilities. The three houses share the garden and large activities room. A small car park is provided. The home provides twenty-four hour care, and some people attend day-centres and community groups. The home is situated within a housing estate close to local amenities such as bus routes, shops and public houses. There is a bus stop outside the home. Written information about the home is provided to people. The weekly fees are £298 each week. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection carried out by Janis Robinson regulation inspector. Andrew Bright, an expert by experience, accompanied the inspector for part of the day. An expert by experience visits the home with an inspector to help them get a picture of what it is like to live in the home. He spent time talking to people and making observations of daily life. Since the last inspection a permanent manager has been appointed. She is in the process of registering with the Commission for Social Care Inspection (CSCI). A site visit took place over 6 hours from 9:15am to 3:15 pm on 3rd of December 2007. Andrea Scott, the manager, was present during the visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service within the next twelve months. Information from the AQAA is included in the main body of this report. Questionnaires about the quality of care provided were sent to people living at the home and their relatives, staff and health professionals. We received six back from people living at the home, five from relatives and one from a health professional. Comments from these have been included in the report. On the day of the site visit staff were observed interacting with people that live in the home. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to five staff, and five people living in the home. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last inspection in December 2007. Feedback from this visit was provided to the manager and deputy manager. We would like to thank people who agreed to talk to the inspector, and everyone who returned questionnaires, including the staff and managers who were helpful and supportive of the inspection process. What the service does well: Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 6 People living in the home said that the care they were receiving was good. They made comments such as: “The staff are my friends.” “Staff are kind and lovely.” “(My key worker) helps me.” “I can talk to staff if I am worried and they will help me.” “It is much better here than where I lived before, I am happy.” “I have nothing to worry about.” Comments received from questionnaires were positive and included: “Staff are capable of doing the work required of them, they meet the needs of (my relative).” “I ask (my relative) if they are happy or have any problems. The answer has always been that they love the place, are perfectly happy and have no complaints or desire to move anywhere else.” “We are completely satisfied about (my relatives) care.” A health professional said: “Cottam road appears to be a very caring environment where staff have the interests of residents as a priority. Communication is good.” The Expert by Experience said: “All the residents said they got on well with staff.” Written assessments had been undertaken prior to admission to ensure the home could meet identified needs. Each person had a written care plan, which set out in detail their personal, social and health care needs, and the staff action required to ensure these needs were met. People were supported to take risks and make decisions about their lives. A policy on confidentiality was in place to ensure individual’s rights were respected. Access to day centres, college and community groups were available to meet peoples needs. An activities worker visited the home twice weekly, to provide a range of activities to those people that did not attend any day care resource. Support staff provided some further activities and trips out of the home. There Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 7 was home an open visiting policy, to encourage contact with relatives and friends. People’s safety was promoted by the medication procedures in place. There was a complaints procedure in place, to make sure any concerns were listened to and acted upon. People said they had confidence in the homes manager and staff, who would listen to any concerns and take them seriously. On the whole the environment was well maintained. Communal areas contained homely touches to create a comfortable environment. Bedrooms contained personal belongings, which enabled people to have some control over their personal space. Sufficient bathing facilities were provided to ensure individual personal care needs were met. The laundries and kitchens were well equipped to meet people’s needs. Peoples well being was promoted by the recruitment and staff training procedures. Health and safety procedures were identified and carried out, and systems were checked and serviced to maintain a safe environment. Staff undertook mandatory training to ensure their skills were maintained. What has improved since the last inspection? What they could do better: Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 8 Some decoration in communal areas of the environment was damaged. Some carpets were worn and aged. This did not enhance the appearance and comfort of the home. Some staff had not been provided with supervision at regular frequencies for support and development. Some staff required refresher training in moving and handling to maintain their skills. 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. The summary of this inspection report can be made available in other formats on request. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 9 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 Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Assessments prior to admission took place; to make sure the home could meet people’s needs before they were offered a place. EVIDENCE: The manager and deputy manager confirmed that assessments were carried out prior to a person moving in. Information gathered on assessment was used to develop an individual care plan. Copies of assessments were seen, they contained a range of information which identified individual needs. Copies of social workers assessments were contained in care plans. People were encouraged to visit the home with their relatives on several occasions, including staying for meals and overnight stays so that they could get to know other people and staff before choosing to move in. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Each person had a care plan, to ensure his or her opinions had been sought and needs were identified. People were supported to make decisions and take risks to respect their choices and ensure they led full lives as safely as possible. People’s rights were protected by the policy on confidentiality. EVIDENCE: Each person had a written care plan. Two care plans were examined in detail. The plans contained a range of information covering aspects of personal, health and social care. They included information on communication, routines, likes and dislikes so that individual choice could be met. Since the last inspection all health care contacts in care plans had been recorded, so that this information was easily available. People were involved in writing their care Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 12 plans and where able, people signed their plans to evidence their involvement and agreement. The plans identified the staff action required to ensure identified needs were met. Both care plans checked had a section on risk assessments, which included moving and handling and travel out of the home. They had been reviewed to make sure they were up to date. The policy on confidentiality in place ensured information about people was kept safe. Staff were aware of the need for confidentiality and confirmed that they did not share information with people outside of the home. People were supported to make some decisions, for example choosing activities and outings. Staff were observed consulting with people about what they would like to eat. People said that they could choose to spend time in their rooms, alone or with friends. Of the five questionnaires returned by people living at the home, two said that they “always” make decisions about what they do each day, three said “sometimes”. The expert by experience said, “Residents can choose when to go to bed and get up, and when to spend time in their rooms.” Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People had access to community facilities, and a range of activities was provided, to ensure interests were maintained. An open visiting policy was in operation, to promote contact between people, their relatives and friends. Contact with families and friends were maintained where possible. People were encouraged and supported to be involved in the daily routines of the home, where able, to respect their choices. A varied diet was provided to maintain health and accommodate individual preferences. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 14 EVIDENCE: A range of activities was offered to people, which included some trips out of the home to local shops, clubs and pubs. An activities worker visited the home for two hours on a twice-weekly basis to facilitate arts and crafts. People said that they really enjoyed taking part in this, but some people said that they would like to do more activities and would like a choice. People said that they had been on a holiday of their choice during the summer, these included trips to Blackpool and Butlins. Comments included; “Me and (other person living at the home) go to the local pub twice a week to have a coke, we really enjoy it.” “I would like to do more things like crafts.” The expert by experience said, “I like the way residents are able to participate in activities on and off site but I feel residents should be given more choice on the types of activities. I also think there should be more opportunities for residents to take part in activities on an evening and weekend.” Staff confirmed that contact with residents’ families and friends were maintained. The home had an open visiting policy to encourage contact. People said that they could see their visitors in private. People had access to community facilities so that they could lead full lives.. Two people said that they often visited the local pub or shops together. Each person had a written timetable of activities so that staff could support these. Activities included visits to evening social clubs and other amenities in the community. Staff encouraged people to participate in day-to-day activities as much as they were able. The expert by experience confirmed that a range of community contact was available. Staff respected people’s privacy, the majority of people said that they spent time on their own when they chose and staff always knocked on their bedroom door before entering. However, one person said that they did not always hear staff knock before they went into their room. This was verbally fed back to the manager who confirmed that staff would be reminded to knock loud enough so that people could hear. People were encouraged and supported to be involved in the daily routines of the home, as much as they were able, such as menu planning and shopping. Residents meetings took place, to encourage involvement and promote choice. People said; Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 15 “I keep my room tidy so that it looks nice.” “I sometimes wash- up and dust to help.” People participated in menu planning and food shopping. However, people said that they would also like to be involved in shopping for food so that they were more involved. A varied diet was provided and stocks of food were plentiful. Staff were observed offering residents a choice of lunch. Individual records of food choices had been undertaken, to assist in maintaining a healthy diet. Staff knew individual likes and dislikes. The expert by experience said, “I like the way residents have access to the kitchen for food and snacks. The food at lunch was very nice but I think residents should be encouraged to be more independent by going food shopping with staff and assisting with cooking. I recommend that menus should be pictorial and on display for residents to see.” Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. To maintain privacy and dignity, personal support was offered appropriately, and people were happy with their care. Aids to assist with independence were provided. People’s health needs were met. People were protected by medication procedures. EVIDENCE: The people spoken to and observed were well dressed, and chose their own clothes and hairstyles. They said that staff members were ‘good’ and they were well looked after. The staff spoken to said that there were appropriate aids in place to maintain independence, such as, bath seats and hoists. One person said; “The staff help me and are kind.” Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 17 Contact with health care professionals was maintained. People said they accessed these in the community, or at the home, depending on individual need. People confirmed that they saw a doctor, chiropodist and dentist when they needed to. Care plans recorded health needs, contact details and appointments so that staff were fully informed. A written medication policy was in place. All staff that administered medication had been provided with appropriate training. All medication was stored securely. Medication administration records (MAR) corresponded with the medication held. The records checked were fully completed and up to date. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A written complaints procedure was in place to ensure any concerns were listened to and taken seriously. The adult protection policy protected people from abuse. EVIDENCE: The complaints policy was included in information provided to people and their representatives. The policy was available in a suitable format which included pictures and diagrams, so that it could be understood. It included information on how to contact the Commission for Social Care Inspection (CSCI), should a complainant wish to do so. No complaints had been received. People said; “If I’m worried I go to (key worker), she listens to me.” “The manager will sort it out.” “I’ve nothing to be worried about, but I can talk to staff.” The expert by experience said, “The residents felt they could talk to the staff, key worker or manager if they had any concerns, complaints or didn’t feel safe.” Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 19 The adult protection procedure included relevant detail and the Department of Health guidance `No Secrets’ was available to staff for information. Copies of local multi-agency adult protection procedures were also available. All staff spoken to confirmed that they had been provided with training on abuse, and were aware of the action to take if they suspected abuse, or an allegation was made. People said that they felt safe. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. In the main, people lived in a homely, safe, environment. Some redecoration and replacement was required to improve people’s living space. People benefited from a clean and hygienic home. EVIDENCE: A tour of two houses was undertaken. A proportion of bedrooms were seen, with the permission of individuals. Communal lounge/dining rooms were provided with homely touches to create a comfortable environment. All of the bedrooms were highly individual and reflected the personalities and interests of the person, allowing them some control over their personal space. Sufficient bathing facilities were provided and aids and adaptations were in place to meet people’s moving and handling needs. Two bedrooms had en-suite shower facilities provided to ensure individual needs could be met. The three houses shared the garden; this was pleasant and well maintained. Procedures were in Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 21 place for the control of infection to promote peoples safety. The home was clean and hygienic. Since the last inspection a new central heating system had been installed. Work was being undertaken to repair damage to the decoration caused by this. However, other areas of the home were showing signs of age, wear and tear, which did not contribute to a comfortable environment for people to enjoy. Some decoration in communal rooms was damaged. Several carpets, especially in hallways and corridors were marked and worn. People said that they were comfortable, one person said; “I chose my wallpaper and it makes me happy” The expert by experience said, “The home was clean and tidy. I liked the way residents could choose how to have their rooms decorated.” Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The recruitment procedures and staff training provided protected people. Some refresher training was required to ensure staff skills were maintained. Staff supervision, for development and support, did not take place at the required frequency. EVIDENCE: The manager confirmed that agreed levels of staff were being maintained. People living at the home, and relatives via questionnaires, said that enough staff were provided. The manager said that in recent months some disruption had been caused by local youths entering the grounds. As a precautionary measure a third member of night staff had been provided so that people always felt safe. The manager and staff felt this had been of benefit and had improved the support provided. It is recommended that consideration should be given to making this a permanent arrangement. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 23 Three staff recruitment records were inspected. These contained the information required, and included two references and proof of identification. CRB records were held at the homes head offices and confirmation that these had been obtained was kept on site. Since the last inspection the records kept on site had been updated to include confirmation that the CRB was undertaken at enhanced level, the date of the check and the disclosure number so that all relevant information was available at the home. A staff-training programme was in place. Staff confirmed that induction training was provided. Three staff training records were examined. These evidenced that a range of training was provided. Staff had recently been provided with autism and conflict resolution training to improve their knowledge and skill. Required 50 targets for NVQ trained staff had been reached. At the time of this inspection 8 of the 16 care staff had achieved the award and a further 6 were undertaking it. This is commended. The frequency of staff supervision had significantly improved. The supervision matrix indicated that majority of staff were receiving supervision, however, some gaps in the frequency of supervision were evident. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager was experienced and qualified, which benefited people. Quality assurance systems were in place, to ensure peoples views were being sought and acted upon. A programme of mandatory staff training was in place, to ensure staff had the essential skills required to maintain residents safety. Some mandatory refresher training was required to update staff skills. A health and safety system was in operation to ensure safe procedures were followed and people were protected. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 25 EVIDENCE: A permanent manager had been recruited since the last inspection. She was experienced and qualified. People said that she was approachable and supportive. The manager was in the process of registering with the CSCI. A quality assurance system was in operation. Monthly monitoring visits by staff external to the home took place. People’s views were sought on a formal basis in regular meetings. Surveys were sent to relevant people and the results of these were available. The staff training records checked showed that some staff were out of date with aspects of mandatory training. One staff required refresher training in moving and handling to maintain their skills. The inspector acknowledges that gaps in training had significantly decreased since the last inspection. Health and safety systems were maintained. The manager had introduced a system for each house to complete the same health and safety records so that consistency was provided. Weekly fire alarm checks took place, and regular practice drills had been recorded. Fire equipment had been checked and serviced. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? YES 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 YA24 Regulation 23 Requirement The home must be well decorated and maintained. All worn carpets must be replaced. Worn and damaged paintwork must be redecorated. Refresher training in moving and 28/02/08 handling must be provided as necessary to maintain staff skills. (Previous timescale of 28/02/07 not met) Timescale for action 31/03/08 2 YA42 18 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. 2 Refer to Standard YA12 YA17 Good Practice Recommendations People should be asked about what further activities they would like to participate in, and these should be provided to create more choice. People should be supported to participate in food shopping DS0000002949.V349839.R01.S.doc Version 5.2 Page 28 Cottam Road Scheme 3 4 YA36 YA37 to support choice. Menus should be displayed in picture format. Staff supervision should take place at a minimum frequency of six times each year. The provision of a third member of night-staff should become a permanent arrangement. Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cottam Road Scheme DS0000002949.V349839.R01.S.doc Version 5.2 Page 30 - 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!