Care Home: JS Care

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What the care home does well People living in the home have a say in what happened to them and how they live their daily lives. Descriptive words are used in the daily records to show and reflect peoples` choices, preferences, likes and dislikes. People were observed throughout the visit being treated with dignity and having their wishes respected. People live in a well managed home that is clean, safe, homely and comfortable and where their personal and healthcare needs are met. The home provides disabled access to the front and rear of the home and there is specialist, lifting equipment for those that require it. People are encouraged and supported to use ordinary, community based leisure and healthcare services.People are protected by the way staff are selected and recruited, and have their care needs met by trained and qualified support workers. The views of people living in the home are reflected in the daily records, the care plan reviews and regular residents meetings. One person said that they enjoy living in the home and they like the people looking after them. The views of relatives and other visiting healthcare professionals are asked for on the quality of care provided. One visiting Community Learning Disability Nurse said that the home provides good quality care. The homes returned satisfaction surveys show that people living in the home , their relatives and visiting healthcare professionals think the care provided by the home is good and meets peoples personal and healthcare needs. What has improved since the last inspection? Descriptive words are used in the daily records to show and reflect peoples` choices, preferences, likes and dislikes. The views of people living in the home on the quality of care provided is sought and recorded. The relatives of people living in the home and visiting healthcare professionals also have the opportunity to comment on the quality of services provided. What the care home could do better: To make sure people are safe and protected by the way medicines are recorded, the proper code should be entered to show when people are on holiday. The acting manager said that the complaints policy and procedure should be provided with the use of large print, plain English and the use of pictures to make it easier for people living in the home to understand. The homes returned quality surveys shows that the views of people living in the home, their relatives and visiting healthcare professionals on the quality of care provided is sought. However, there was no report published to show people what they said and what changes to the way the home runs have been made as a result of their comments. CARE HOME ADULTS 18-65 Respite Solutions Richmond House Greenways Carr Lane South Kirkby Pontefract WF9 3DB Lead Inspector Tony Railton Key Unannounced Inspection 31st January 2008 15:40 Respite Solutions DS0000063763.V357551.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 Respite Solutions DS0000063763.V357551.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. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Respite Solutions Address 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) Richmond House Greenways Carr Lane South Kirkby Pontefract WF9 3DB 01977 652288 storerwilson@aol.com Respite Solutions Limited Mrs Alison Wilson Care Home 4 Category(ies) of Learning disability (4), Physical disability (2) registration, with number of places Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2006 Brief Description of the Service: Situated in a residential part of South Kirby Richmond House is a large detached house offering personal care and accommodation to four people who have learning disabilities, two of whom may also have a physical disability. Set back in its own grounds Richmond House provides parking to the front and a large, established private garden to the rear. There is wheelchair access provided for those who require it to the front and rear of the home. All accommodation offered is single and there are assisted bathing facilities provided for those who require it. The care provided is based on living an ordinary lifestyle and people using the service are encouraged and assisted to do as much for themselves’ as possible. There is a large television lounge to the rear along with a large conservatory with access to the garden. There is also a large domestic type kitchen/dining room. The home is close to a main bus route and there are local shops, public houses, churches and community centre within walking distance of the home. On the 31st January 2008 the provider said that the fees for living in the home ranged from £556 to 1995 per week and that there are no additional charges. Further information regarding the services provided and the role of the CSCI can be obtained from the home or by e-mailing storerwilson@aol.com Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has a Two Star rating that means that the people using the service experience good quality outcomes. This visit to the home started at 15.40 and ended at 18.00. A short tour of the home was made and the people living there and the acting manager, the care staff and a visiting Community Learning Disability nurse were spoken to. The records of people using the service were seen and the records of staff working in the home. Staffs training records were seen and the returned satisfaction surveys from four people living in the home, one relative and three visiting healthcare professionals Other information was looked at and included record of complaints, medication and financial records, and the homes returned Annual Quality Assurance Assessment, and Service History. This was a very positive visit and the inspector would like to take the opportunity to thank the people living in the home, the acting manager, support workers and visiting Community Learning Disability Nurse for their patience and co-operation throughout the visit. What the service does well: People living in the home have a say in what happened to them and how they live their daily lives. Descriptive words are used in the daily records to show and reflect peoples’ choices, preferences, likes and dislikes. People were observed throughout the visit being treated with dignity and having their wishes respected. People live in a well managed home that is clean, safe, homely and comfortable and where their personal and healthcare needs are met. The home provides disabled access to the front and rear of the home and there is specialist, lifting equipment for those that require it. People are encouraged and supported to use ordinary, community based leisure and healthcare services. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 6 People are protected by the way staff are selected and recruited, and have their care needs met by trained and qualified support workers. The views of people living in the home are reflected in the daily records, the care plan reviews and regular residents meetings. One person said that they enjoy living in the home and they like the people looking after them. The views of relatives and other visiting healthcare professionals are asked for on the quality of care provided. One visiting Community Learning Disability Nurse said that the home provides good quality care. The homes returned satisfaction surveys show that people living in the home , their relatives and visiting healthcare professionals think the care provided by the home is good and meets peoples personal and healthcare needs. What has improved since the last inspection? What they could do better: To make sure people are safe and protected by the way medicines are recorded, the proper code should be entered to show when people are on holiday. The acting manager said that the complaints policy and procedure should be provided with the use of large print, plain English and the use of pictures to make it easier for people living in the home to understand. The homes returned quality surveys shows that the views of people living in the home, their relatives and visiting healthcare professionals on the quality of care provided is sought. However, there was no report published to show people what they said and what changes to the way the home runs have been made as a result of their comments. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 7 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. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 8 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 Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 9 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. To make sure the home can meet peoples’ needs these are assessed before they are offered a service. EVIDENCE: The case files seen of six people using the service show that their personal and healthcare needs are assessed before spend time in the home. The assessments seen are very detailed and show staff what they must do to meet peoples personal and healthcare needs. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 10 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 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ needs are met and they have a say in what happens to them. They are also supported to take risks as part of living an ordinary lifestyle. EVIDENCE: Peoples care plans’, and risk assessments and reviews show that people are supported to take risks as part of living an ordinary lifestyle. The minutes of the reviews show that people living in the home, their relatives and other visiting healthcare professionals are happy with the services provided, and feel their care needs are met. The daily records contain words that show that people are supported and encouraged to make decisions about their lives. The daily records also reflect and show peoples choices and preferences, likes and dislikes. Discussion with a visiting Community Learning Disability Nurse, the owner and care staff found that peoples changing needs are reflected in their plan of care. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 11 On the day of the visit the Community Learning Disability Nurse was working with staff in the home in updating one person’s care plan to reflect their changing care needs. The returned satisfaction surveys show that people, their relatives and visiting healthcare professionals think that the home provides an excellent service and meets peoples individual care needs. One person living in the home said that it is “great” and that they still “enjoy living in the home”. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 12 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People enjoy being part of their local community and enjoy a varied and balanced diet of their choice. EVIDENCE: The daily records show that people are supported and encouraged to use ordinary community based leisure services. They also show that people make decisions’ about their daily lives and they reflect and show their choices and preferences, likes and dislikes. The minutes of the reviews and returned quality assurance surveys show that people living in the home and their relatives are happy with the way they live their lives. One person said that they like going to the ‘centre’ to see their friends. The acting manager said that one person living in the home and that attends a local college and has been awarded the Wakefield mayors ‘Certificate of Achievement’. People were observed throughout the visit being treated with dignity and having their wishes respected including their choice of menu. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 13 The acting manager confirmed that people have a choice of menu and that they are offered a varied and balanced diet. The returned quality assurance surveys show that people living in the home and their relatives think that the meals provided are ‘very good’ and one said they are ‘excellent’. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 14 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ healthcare needs are met and they are protected by the way medicines are dealt with. EVIDENCE: The four peoples records seen, including care plans, assessments and reviews show that the home works very closely with healthcare support services to make sure peoples needs are met. The minutes of the reviews and the homes returned satisfaction surveys show that people living in the home, their relatives and other visiting professionals feel that peoples’ personal and healthcare needs are met. One visiting Community Learning Disability Nurse said that the home provides “a very good service” and that people living in the home have their, “health and care needs met”. One relatives’ satisfaction survey shows that they think the home provides an excellent service. To make sure that people are safeguarded by the way medicines are dealt with peoples medicines were checked and found to be correct. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 15 Staff training records also showed that staff has training in how to give medicines safely. However, one person who had been on holiday for four days did not have the appropriate code entered on their medicine record to say why they had not been given in the home. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 16 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People living in the home and their relatives know that their comments will be taken seriously and acted upon and that they are protected from abuse. EVIDENCE: The acting manager said that the home has not received any complaints or had any Safeguarding Referrals since the previous visit. The returned Annual Quality Assurance Assessment, record of complaints and service history confirmed this. To protect people living in the home the staff training records show that they all receive POVA (Protection of Vulnerable Adults) training. The returned Annual Quality Assurance Assessment says that people living in the home have access to independent advocates to speak on their behalf if they need them. The acting manager and visiting Community Learning Disability Nurse confirmed this. The Annual Quality Assurance Assessment also shows that the home plans to provide the Complaints Policy and Procedure in large print and using pictures and symbols to make it easier to understand. The acting manager confirmed this. People living in the home said that they ‘like living in the home’ and had “no problems”. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 17 The returned homes satisfaction surveys show that people living in the home, their relatives and other visiting healthcare professionals say they know how to make a complaint but have never had to do this. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 18 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a home that is well decorated, well maintained, comfortable and clean. EVIDENCE: A short tour of the home found it to be well decorated, well maintained, homely and comfortable. People living in the home were observed relaxing in the lounge and dining room discussing evening meal menu with support staff. The Annual Quality Assurance Assessment shows that the home is accessible with ramps to the front and rear and that it provides some specialist lifting equipment for those who require it. The acting manager confirmed this and said that staff is trained in using the equipment and regular safety checks are carried out. The staff training record and safety check record confirmed this. The homes returned satisfaction surveys show that people living in the home, their relatives and visiting healthcare professionals are happy with the services provided. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 19 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 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Staff that are trained and qualified supports people living in the home and they are protected by the way staff are selected and recruited. EVIDENCE: The returned Annual Quality Assurance Assessment says that ‘All staff have either completed NVQ Level2 or are registered on the course and that some staff have progressed to Level 3. The acting manager and staff training confirmed this. The acting manager said that training for staff has a high profile, as the service wants to provide the best possible care for people living in the home. The acting manager said that there enough staff planned to be on duty to meet peoples’ care and support needs. The staff rotas confirmed this. The minutes of the reviews show that people living in the home, their elatives and visiting healthcare professionals are happy with the support provided by the home. People living in the home said that they like the people caring for them. People using the service are in safe hands as the six staff training records seen show that they are trained in First Aid, Moving and Handling, Infection Control, Moving and Handling and Food Hygiene. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 20 Training records also show that staff also receive specialist training such as Autism and De-escalation to fully meet peoples’ care and support needs. To make sure people are protected and safeguarded from abuse, six staff records show that police and POVA (Protection of Vulnerable Adults List) checks and references are taken up before they are employed. The returned homes satisfaction surveys show that people living in the home, their relatives and visiting healthcare professionals are happy with the support offered by the home. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 21 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home that is run in their best interests and where they have a say in what happens to them. EVIDENCE: The four peoples records seen, including assessments, care plans, daily and medical records and reviews show that the care management systems in the home are good. The homes returned quality assurance surveys show that people using the service, their relatives and visiting professionals feel that the home provides an excellent service and that peoples’ needs are met. The six staff records including recruitment, training and supervision records and appraisals show that people living in the home are safeguarded and protected from abuse and have their care needs met by trained and qualified staff. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 22 The minutes of the residents meetings and staff meetings show that they have the opportunity to comment on the quality of care provided and have a say in the running of the home. The homes returned satisfaction surveys show that the views of people using the service, their relatives and visiting healthcare professionals are sought and that they feel that the home is well managed and meets peoples’ personal care needs. The acting manager said that they are going to look at all the information gathered through the quality assurance surveys and publish a report showing the outcomes for people living in the home. People living in the home are safe as the monthly Health and Safety check records show that such things as fire equipment are checked regularly. People’s financial interests are safeguarded and protected as three peoples finances were checked and found to be correct. The acting manager said that they have an application to be registered pending with the CSCI (Commission for Social Care Inspection), and that there going to be some changes to the ownership details to secure future service provision for people living in the home. Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 23 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 3 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 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 3 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 3 X Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA9 YA16 Good Practice Recommendations To make sure peoples medicines are accounted for the appropriate code should be entered onto the medicine record sheet. To make it easier to understand and more accessible the complaints policy and procedure should be available in large print with the use of plain English and pictures and symbols. The information gathered as part of quality assurance monitoring should be collated and a report published reflecting the outcomes for people living in the home. 3. YA39 Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Respite Solutions DS0000063763.V357551.R01.S.doc Version 5.2 Page 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. 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