Care Home: Strothers Road

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Blenheim House
• Prince Bishop Court
• Park View (15)
• Craigmore House

What the care home does well The manager and her staff team have worked hard with other professional people from health and social care to make the move from living in a hospital to living in a house in the community as easy as possible. Due to everyone talking and listening together this has worked very well. The people using the service live in separate flats that have plenty of space to move around and have good quality furniture. The rooms are nicely decorated and the colours of the walls make the rooms look warm, calm but cheerful. This means that people live in a comfortable and attractive home. Staff have helped service users to choose ornaments and pictures they like to put in their flats. These make the flats look different and personal. The flats are well looked after and are kept clean as a result of good cleaning routines. This means that people live in a clean place. Staff talk to service users and help them to do the household chores. This helps the people who live at the home to take control over their lives. The large number of staff on duty during the day means that people can take part in different activities, both in the home and outside, with the level of support they need. This helps people to live an interesting lifestyle and it also helps them to keep in contact with their family and friends. Family and friends are made welcome when they visit. Many of the staff have worked at Strothers Road since it opened and now know the service users well. All of the staff are taught how to support and care for people with learning disabilities. This means that people who live at the service receive the right kind of support. What has improved since the last inspection? The manager and staff have continued to work hard to improve the care plans. Care plans now include a lot of detail to let staff know how a person living at the home likes and needs to be supported with personal tasks and when they are taking part in different activities. The care plans also include directions from health care professionals that tell staff the best way of supporting people. The care plans have been organised so that the people who live at the service can more easily recognise their own files. For example the service user plans have been subdivided into separate files for different aspects of care, such as finance support and personal care. Picture labels are used. The files for each person are now in binders. And binders of the same colour are used to identify which person they belong to. This is so that the people who live at the service can learn which files are theirs and can be encouraged to collect them form the office themselves. There is evidence that the people living at the service have daily access to parts of their files and have been involved in putting these together. The home has new learning tools for staff so that they understand how people with autism communicate and how to respond positively to the needs of people who live at the home. The premises have been redecorated and new furnishings and equipment have been bought to provide a more stimulating environment for the people who live at the home. In the past twelve months the people living at the home have experienced more varied social activities and short holidays. The management team at the home have worked hard to make use of the special knowledge of an outside agency around the quality of care for people who have autism. This will further improve the daily experience of the people who live at the home. What the care home could do better: Make sure that staff have an in house procedure that they can follow for safeguarding. This will ensure that the people who live at the service are protected from any apparent and/or potential harm. CARE HOME ADULTS 18-65 Strothers Road 15-18 Strothers Road High Spen Rowlands Gill Gateshead Tyne and NE39 2HR Lead Inspector Carole McKay Key Unannounced Inspection 2nd and 16 September 2008 1:00 th Strothers Road DS0000065006.V371734.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 Strothers Road DS0000065006.V371734.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. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strothers Road Address 15-18 Strothers Road High Spen Rowlands Gill Gateshead Tyne and NE39 2HR 01207 549706 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) www.c-i-c.co.uk. Community Integrated Care Mrs. Mairi Turner Care Home 4 Category(ies) of Learning disability (4), Physical disability (1) registration, with number of places Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD, maximum number of places: 4 2. Physical Disability - Code PD, maximum number of places: 1 The maximum number of service users who can be accommodated is: 4 5th September 2006 Date of last inspection Brief Description of the Service: 15-18 Strothers Road is a purpose-built service that provides accommodation and care for up to 4 people with learning disabilities. The accommodation is an outcome of a planned transition programme for the four current service users who previously lived in Prudhoe Hospital. The Health Care Trust and Gateshead Social Services who contracted with Community Integrated Care (CIC), a Charity Organisation, to deliver the service, implemented the resettlement programme. The building was built and is owned by Three Rivers Housing Association. It is divided into three flats, which are self-contained and have their own front entrance and back gardens. Two service uses share one flat and the other two have individual flats. One is situated on the first floor and is not accessible to service users with physical disabilities. They all provide individual bedrooms for the service users, a bathroom, toilet, kitchen, lounge and dining area. A fourth flat on the first floor is used to accommodate facilities for staff including an area where administrative duties can be carried out. The home was specifically designed for the people who live there. There is good access into and around all areas of the home, which are connected with stairwells and passageways with doors separating the different flats. It is a modern building that offers wide corridors and accessibility on the ground floor that can accommodate a wheelchair. There is level access to the front of the building and to two of the flats, approached by separate pathways that are Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 5 divided by small garden areas. The third flat is accessed by stairs from an inside hallway. Each flat has a separate garden at the rear of the building easily accessed from inside and there is a large driveway to the side of the building that can accommodate several cars. A fence runs around the perimeter of the building but the look from the outside is that of a small terrace of three houses. This blends in with other small old terraces of houses in the area and newer houses that are also being developed in this area of High Spen. There are a few local shops and bus routes to local areas of beauty and into Newcastle and Gateshead. The home has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home are £2,694 per week. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the 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 who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. In line with current CSCI policy on ‘Proportionality’ the inspection focused upon a number of key standard outcomes for service users. The quality rating for this service is 3 star, excellent quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 5 September 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of representatives of the people who use the service. The Visit: Unannounced visits were made on 2nd and 16th September 2008. These visits lasted a total of 10.5 hours. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? The manager and staff have continued to work hard to improve the care plans. Care plans now include a lot of detail to let staff know how a person living at the home likes and needs to be supported with personal tasks and when they are taking part in different activities. The care plans also include directions from health care professionals that tell staff the best way of supporting people. The care plans have been organised so that the people who live at the service can more easily recognise their own files. For example the service user plans have been subdivided into separate files for different aspects of care, such as finance support and personal care. Picture labels are used. The files for each Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 8 person are now in binders. And binders of the same colour are used to identify which person they belong to. This is so that the people who live at the service can learn which files are theirs and can be encouraged to collect them form the office themselves. There is evidence that the people living at the service have daily access to parts of their files and have been involved in putting these together. The home has new learning tools for staff so that they understand how people with autism communicate and how to respond positively to the needs of people who live at the home. The premises have been redecorated and new furnishings and equipment have been bought to provide a more stimulating environment for the people who live at the home. In the past twelve months the people living at the home have experienced more varied social activities and short holidays. The management team at the home have worked hard to make use of the special knowledge of an outside agency around the quality of care for people who have autism. This will further improve the daily experience of the people who live at the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Strothers Road DS0000065006.V371734.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 Strothers Road DS0000065006.V371734.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 excellent. This judgement has been made using available evidence including a visit to this service. The home has a clear statement about how it can meet service users’ needs. Good multidisciplinary preadmission assessments are in place. These determined that the home could offer service users, now living there, an effective service. So that service users are aware of the terms and conditions of their residency they are issued with a Contract that informs them of the full cost of the fees to be paid. EVIDENCE: The service user guide and statement of purpose are comprehensive and in an easy read format. Pictures are used and the file is well ordered. The home has had no admissions since the last inspection but it has clear admission criteria, and no emergency admissions or emergency placements are considered. A new referral assessment form has been introduced. As part of the transition process from a hospital environment to a home in the community, a team of health and social care professionals carried out detailed Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 11 assessments, identifying individual service users’ needs, aspirations and any assessed risks. The information gathered was used to develop individual care plans and the manager stated that the background information provided the staff team with a good insight and understanding of individual needs and behaviours. The home’s assessment documents are in place in the residents care files, which give full details of the level of support needed and any risks that may be evident. A summary of the Residents Contract, in picture format explaining the terms and conditions and full cost of their stay, is now included in their care files. A representative of CIC and a representative of the service user have signed the original document which also includes a break down of who is responsible for paying the fees and the individual agreements regarding the use of an individual’s mobility allowance. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each service user is supported by having a care plan that is easy to understand, considers all areas of their lives and includes risk assessments. EVIDENCE: The manager and staff team have worked hard to develop a good care planning system to incorporate guidance given by the professionals involved in individual service user’s lives. They cover health, welfare and social issues and any identified risks are addressed and reduced by risk management plans being put in place. Since the last inspection the home has further developed the care-plan system so that they are service user led and recorded with a person centred approach. The files have been subdivided and colour coded for easy recognition by the people they belong to. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 13 Pictures support the care plans in an attempt to make them more accessible to the service users. The guidelines in the care plans clearly identify the amount of support service users need with different tasks while at the same time promote service users as people with dignity and self direction. The opening of the care plan provides a photograph of the individual service user with their Life Story surrounding it. This is an excellent way of seeing service users as they are and where they are at in their lives and will be useful for the reader of the plan to see the person, their strengths and their needs, at a glance Staff and observations confirmed that service users’ independence is promoted and they are encouraged to take control over their own lives. Records confirmed this and action plans describing how personal goals are to be achieved were in place. For example how a service user can be supported to open their own mail and put their own clothes away. The plans contain for each person a section entitled ‘ My Communication’ and one called ‘ All about me’. Records show that the service user and their key worker have a monthly and six monthly review of their care plan. Other people involved in their lives are invited to attend the six monthly reviews. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 14 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. Although the people who live at this home have complex needs, their right to choice and to live a normal life as possible is sensitively developed and promoted. As a result service users live a varied lifestyle both at home and in the community while maintaining contact with family members and friends. The food is of good quality and sufficient to meet the needs of service users. EVIDENCE: A high ratio of staff supports, promotes and enables service users to engage in individual activity programmes, both in the home and in the local community. It is clear that much work has gone into organising a staffing structure that is appropriate in ratio to support and address individual service users’ complex Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 15 needs when taking part in different activities. Care plans demonstrate how this is achieved clearly recording how an activity is organised and how many staff are needed to support the service user. Care plans include lists of activities service users like and dislike, however staff stated that new experiences are regularly introduced. A member of staff related this to an event where staff successfully supported one service user to enjoy a shopping experience when previously this had been an activity that promoted challenging behaviours. Guidelines are now in place for staff to follow to ensure that future shopping trips are as successful. Records demonstrate how staff encourage service users to keep in contact with their families and friends. Although there were no relatives visiting the home at the time of the inspection, surveys sent out to relatives prior to the inspection, confirmed that families are kept up to date about their relative’s welfare. One person reported that they are themselves disabled and the service supports their relative to visit them at home. One service user’s care plan described the different clubs and events they attend to meet up with old friends. Another recorded how another service user supported by staff keeps a relative who lives some distance away, informed of their progress. A sample of menus demonstrates that a variety of meals are provided using fresh food, vegetables and fruit. The manager and records confirmed that a dietician guides staff in relation to service users’ individual dietary needs. Strothers Road DS0000065006.V371734.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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are met in a consistent manner, with the aim of promoting the good health of people who use the service. Medication arrangements are appropriate for the needs of service users and are managed in a safe manner. EVIDENCE: Good health is promoted by recorded monitoring of health indicators, such as weight, fluid and food intake, eating patterns and behaviour. This is important where people are unable to communicate with speech. Staff support service users to address their individual healthcare needs by assisting them to visit local GPs and attend hospital appointments. The outcomes of such visits are recorded in individual care files. For one person a highly structured plan has been devised to support the person to attend the Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 17 dental hospital. This had a successful outcome and was reported in the file for that person. The observation of the interaction of staff with service users demonstrates that personal support is delivered in a discreet and respectful manner. Where service users present behaviours that may challenge others the interactions are suitable highly structured and sensitive. Staff were able to help someone stay safe by having a calming effect on the person at one point when they became distressed. Records confirmed that specialist healthcare professionals are involved in service users lives where appropriate. One service user has a very detailed health action plan in place. And where people do not have capacity to consent to treatment the decisions made in their best health interests have been arrived at properly and are fully recorded. Letters in individual care files from other healthcare professionals reflect improvements made in relation to individual service user’s general wellbeing and behaviours. Observations also confirmed this. The manager stated that this is the result of staff following the guidelines set and supporting service users in a consistent way. Staff and records confirmed that they have received training in relation to service users’ needs. This includes Introduction to Autism, Mental Health Awareness, Challenging Behaviour, MAKATON and Using Picture and Symbols to Communicate. Staff and records also confirmed that they have received training in relation to the administration of medication. The medication is appropriately recorded and stored. The service has promoted input form the Autistic Society in order to gain accreditation as a service providing good care to people with autism. This has involved a lot of work and intensive auditing by the society. The files demonstrate the enormous commitment given to this by the management team. Strothers Road DS0000065006.V371734.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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service takes action to protect service users and will respond promptly to allegations of harm. EVIDENCE: The home has a comprehensive Complaints Procedure, a copy of which has been given to each service user in picture format. The manager stated that copies of the procedure have also been sent to service users’ relatives and advocates. There have been no complaints made since the last inspection however three compliments were recorded. These include compliments from a service manager, a relative and a health care professional. All complimented the home on their good care practices. The records show that staff have received awareness training regarding abuse and adult protection, as well as training in relation to handling verbal and aggressive behaviour. And staff have attended training with the local authority in relation to their Adult Protection Procedures. A copy of the local authority procedures is available in the home. The provider’s procedures are also available to staff. But the home itself has no local procedures that relate directly to the local authority procedures. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 19 Where staff have used the whistle blowing procedures the service has taken full and proper action. Individual service user’s monies are kept in a locked safe, recorded appropriately in individual records and signed for by two staff when withdrawn. Receipts are kept of all transactions. Only senior staff have access to the money. Staff are provided with lockers to lock away their valuables while at work. Strothers Road DS0000065006.V371734.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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well-maintained, homely, safe and clean accommodation that has been specially designed and built to meet their individual needs and lifestyles. EVIDENCE: Each flat was designed and furnished to address individual need determined by the outcome of a multi agency assessment. All of the rooms meet the National Minimum Standards in size except for one bedroom that is purposefully small. This is in response to the outcome of the preadmission assessment and the guidance of the service user’s family and professionals involved in their care. However the manager stated that this is regularly reviewed and will be reconsidered in the event of changing needs. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 21 The same service user also has an individual bathroom and activity area, as well as a large living area that is comfortably furnished with direct access into a garden courtyard. Since the last inspection the home has been redecorated throughout and equipment has been obtained to provide a more stimulating environment for the people who live at the home. Water features for the garden and a summerhouse, for example. Staff have supported service users to gradually introduce small furnishings and personal items to their individual living areas that reflect their individual personalities. One service user has decorated their walls with family photographs and staff support three service users to care for pets, a goldfish and a rabbit. All of the service users were observed to be comfortable, safe and content in their different environments. The size of the rooms address the space service users need and all have small, secluded gardens that they can easily access. One service user with physical needs has a ground floor flat that is suitably furnished with the adaptations and equipment that they need. All staff are aware of and have attended training in relation to Infection Control and the laundry facilities, that are suitably equipped with washing machines and dryers, are sighted separately from the kitchen areas. All areas of the building were clean and tidy and this reflects effective cleaning routines. Strothers Road DS0000065006.V371734.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing ratio meets the high and complex needs of the people using this service. Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: Although the service is small the home has a team of twenty-eight staff. The manager and her senior staff have worked hard to establish an improved administrative system that accommodates well-ordered staff records that are easy to access. These include individual training and supervision records as well as recruitment records. Added to this the manager has arranged for team building days to take place. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 23 Since the last inspection the manager has introduced an introductory pack for staff to do with autism. This is to develop an understanding of the needs of specific service users in the initial learning stage for staff. New staff also receive a handbook from CIC and this includes a reference to the code of conduct. A staff training programme has also been introduced and this is openly displayed in the office so that staff and the manager can plan for mandatory and specialised training. Sixty percent of the staff team hold a national vocational qualification (NVQ) in care. The records confirmed that the homes robust recruitment procedures are followed. Application forms, adequate references and CRB checks were in place in the files examined. They also showed that supervision and appraisal are used to inform planning for future training as well as on going support for staff. Staffing levels on the days of the visits were sufficient to provide a minimum of one to one support and outings for the service users. Strothers Road DS0000065006.V371734.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager who is experienced, hard working and well supported by her staff team, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. EVIDENCE: The registered manager who has many years experience of managing care services, is also fully qualified to carry out her role, having successfully completed the Registered Managers Award and NVQ4 in Care. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 25 So that the staff team is lead with a progressive approach the manager confirmed that she regularly attends training related to good care practices and keeps up to date with changes in legislation. She has attended a five-day course on Person Centred Approach, and she is a Moving and Handling Facilitator and a Fire Trainer. Other courses the manager has attended are related to individual needs of the service users for example Autism and specialised communication methods. Observations and discussions with service users and staff confirmed that effective relationships have developed between service users, staff and the manager. Service users and staff were observed interacting with the manager with confidence and respect. A Quality Assurance System is in place that assures quality monitoring throughout the service. The manager confirmed that the views of service users and their families are an important part of the monitoring system and as an outcome a report is compiled at the end of the year. In surveys relatives confirmed that they are very satisfied with the service. The development of the service and that of individual service users has continued into the second year of the home’s operation. This is a reflection of the on going commitment and hard work of the manager and staff team and the way they have worked in partnership with health and social care professionals. Additional learning materials have been introduced for service users and the staff, since the last inspection. For example ‘e learning’ tools are available for staff to use as they need them. Some systems for developing the skills of service users are being used to support their independent living skills around the home. The manager has plans for further development of the service. Some of these plans are to do with supporting staff to work as a cohesive team and others are to do with excellence in outcomes for people with autism. Strothers Road DS0000065006.V371734.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 4 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 2 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 4 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 4 4 x 3 x 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 4 4 4 x 3 x 3 x x 3 x Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 27 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations The manager should produce a local ‘in house’ safeguarding procedure that is consistent with C.I.C. and Local Authority procedures. Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 28 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 Strothers Road DS0000065006.V371734.R01.S.doc Version 5.2 Page 29 - 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!