Care Home: Terry Yorath House

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What the care home does well The home has a friendly, welcoming atmosphere. People are provided with opportunities to come and visit the service several times before they are admitted. The care plans provided good details as to how staff are to manage the care needs of people living in the home. People told us that staff helped support them with their personal needs as well as their every day support needs. The systems to assist the safeguarding of vulnerable people have are robust and help ensure people are properly protected. Residents are well supported with their healthcare needs and have access to a number of different services. The training needs of the staff group are well supported by the organisation. The recruitment process helps ensure people are well protected. The management systems are robust and help ensure the running of the home supports protects people living in the home. What has improved since the last inspection? Staff have now received updated medication training to support them in this role. The recording, safekeeping and administration of medication has improved. Robust safeguarding training has been provided to all staff. We found evidence that showed the safeguarding processes in the home have improved. Improvements have been made to the external environment so that it is safe for people to use. The complaint policy has been reviewed and altered to make it more accessible and easier to understand. What the care home could do better: Advocacy services should be better displayed around the home so that they are more accessible to people. People who live in the home should be fully supported to be involved with the recruitment of staff who apply to work there. Key inspection report Care homes for adults (18-65 years) Name: Address: Terry Yorath House 18 Devonshire Close Leeds West Yorkshire LS8 1BF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Sean Cassidy     Date: 1 4 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Terry Yorath House 18 Devonshire Close Leeds West Yorkshire LS8 1BF 01132662445 01132370725 tyh@disabilities-trust.org.uk www.birt.co.uk The Disabilities Trust care home 12 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Date of last inspection Brief description of the care home Terry Yorath House is a residential centre offering 10 permanent and 2 short stay places for adults with profound physical disabilities. The Disabilities Trust is a national charity and manages the centre under contract to Leeds Social Services. The centre is located in a small housing estate that is near Roundhay Park, and local shops, pubs and health centre. The home also has its own minibus. This home has groups of four single en-suite bedrooms that are built around a central lounge/dining room and kitchen. The centre is purpose built and all on the ground floor. The current charge at the home is 761 pounds and 70 pence per week. There are no additional charges made. 1 9 0 2 2 0 0 9 12 Over 65 1 Care Homes for Adults (18-65 years) Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The accumulated evidence in this report included: A review of the information held on the homes file since the previous key inspection. Information submitted by the registered person in the Annual Quality assurance Assessment. Surveys from people who use the service, their relatives/ representatives and staff. An unannounced visit to the home that lasted four hours. including a random inspection of the environment. Evidence gained by direct observation, talking with people who use the service and management. Inspection of records including care plans risk assessments, medication administration records,and the homes policies and procedures. Care Homes for Adults (18-65 years) Page 5 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 6 of 24 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are appropriately assessed before they can move into the home. Evidence: The manager confirmed that she assesses all new service users prior to moving into the home. This was evidenced through looking at the care planning documentation. The most recent person admitted to the home had been appropriately reassessed prior to moving in. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans and risk assessments implemented by the home show that people are involved in taking decisions and risks regarding the way they live their lives. Evidence: We looked at the care planning and risk assessment documentation implemented by the home to support people with living independent lives. We found evidence that showed everyone had been provided with this documentation and the information within it was detailed. Care staff used these documents to assist them with supporting people with their personal care needs. Each care file showed evidence that people were involved with consenting to their care. All those inspected were reviewed regularly and changes were made to the care files when needed. Advocacy services are displayed in the home near to the notice board. However, these are not well advertised or accessible to people if they choose to use or need these services Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: The home has developed a notice board that contains a lot of information about local support service that are available to people living in the home. Two people told me that they had found this useful and that they had used the information. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported to live independently Evidence: Three people were spoken to during the course of the inspection. They said that the care staff at the home supported them well to get involved with local amenities and others that were outside the local area. Some comments made were: I speak to my key worker on a regular basis and we decide what we are going to do for the week. Staff assist me to visit local pubs and restaurants. I have been supported to join an amateur dramatic society which has given me a great deal of pleasure. We have regular monthly meeting where we discuss where we want to go and what Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: we want to do. They support me to be as independent as i possibly can. I go into town on the bus. people have told my relatives that I am a lot more positive and assertive since I moved in. People spoken to said the are supported to develop like skills by the staff that work in the home. People said that they were involved with the day to day domestic duties of the home and that they were supported to make their own meals when they wanted. One person was observed in the Kitchen making his own lunch independently. He was able to tell us that this was new for him and that he was really happy that he was beginning to be a little more independent than he was previously. People are supported to individualise their own rooms in whatever way they wish. We spoke to people who live in the home and they told us that they can have whatever they want in their rooms which mad them feel quite independent. They said, It makes me feel good when i can be supported to furnish my room with whatever i want. They help me decorate my room whichever way i wish to have it. People we spoke to said they are very well supported with ensuring that their links with family and friends are maintained. We were provided with evidence that showed families are present at meetings and are able to have a say in the running of the home. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of people living in the home are safely provided for. Evidence: Each care file highlighted how people are assisted to meet their personal care needs. People provided good feedback about the supportive nature of most of the staff group. Staff had a good understanding about what people could and could not do for themselves. people said staff were very supportive with helping them remain independent. The care files showed good evidence that staff are very aware of the health needs of individuals. People are supported to have all the necessary health interventions such as flu jabs,attend well womens clinics and have breast screening regularly. The staff working at the home were observed to be supportive, helpful and respectful during the visit. People living in the home provided positive feedback about the care they received and the manner in which it was provided. The home has acknowledged that there was an issue with no male staff in the home and they have taken action to rectify this. Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: Good improvement was seen with the systems for storage, recording and administration of medication within the home. A new supplier has been contracted with. people are now supplied with a medication box in their room which stores their individual medication. Staff now have to open the locked boxes in order to administer and record medication. Medication is checked on a daily basis. Two people are supported to safely administer their own medication. All new senior staff have received a thorough medication training programme. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people are well protected by the safeguarding procedures adopted by the home. Evidence: People told us that they were happy with the way that they could make a complaint. They said they would have no problem bringing their complaint to a member of staff. The complaint policy and procedure was displayed in the home and was contained within the homes documentation. All surveys that were returned provided good feedback about how the home manages complaints and supports people to complain. The manager and deputy manager have attended several courses relating to safeguarding vulnerable people. there have been eight safeguarding referrals made by the manager since the last key inspection. Only three of these have been identified as safeguarding incidents. the manager has managed these situations well. The staff have all received safeguarding training and provided a good awareness of their roles within the safeguarding process when they were asked. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. people live in an environment that meets their needs. Evidence: People invited us into their rooms and provided us with an opportunity for them to show us how they are involved with the decor of the room space. They told us that they made the decisions about how the room would be decorated and what furnishings they wanted in them. People said they had regular meetings with the manager and had good input into making decisions about how the home will be decorated. The manager highlighted the areas that have been decorated recently and we found evidence in the meeting minutes that showed people were involved with the decisions relating to colour scheme. The home was clean and tidy at the time of the inspection. There are domestic staff employed in good numbers to ensure this standard is maintained. People told us that they were supported by the staff to involve themselves with the day to day domestic duties of the home and these were recorded in the care plans that were looked at. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The training and recruitment processes implemented by the home help ensure people receive a good standard of care. Evidence: We looked at the training that staff have been attending since the last inspection. There is a training matrix devised by the manager that records all the training staff have attended in the last year. The manager ensures that staff attend the training that is identified as must attend and has a system in place that ensures they attend. People told us that the training provided by the home is very good. I have only just started here and i have had lots of training. It has really helped me to meet the requirements of my role. The recruitment files of two people WHO have recently started working at the home were inspected. All the required information needed before a person could work with vulnerable people was obtained prior to starting. The manager informed us that people who live in the home had not been involved with the recruitment of the staff that were employed. It is recommended that whenever possible people who live in the home are fully involved with the recruitment Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: of staff that will provide their care. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems implemented by the home help ensure people are safe. Evidence: The home has an experienced manager who has now completed the National Vocational Qualification level 4 and Registered Managers Award. A service director visits the home on a monthly basis to carry out Regulation 26 visits. A report of these visits is made showing details of any action to be taken to improve the service. The organisation also carries out service reviews, as part of its quality assurance programme. This also includes gaining the views and opinions of residents, relatives and staff. The manager has also completed training in topics such as report writing and care planning. Staff carry out weekly or monthly health and safety checks around the home such as fire alarms, emergency lighting and water temperatures. Maintenance records are well kept. Environmental risk assessments are completed and were up to date. Accident or incident reports are correctly completed. The manager analyses accidents and incidents to see if there are patterns, trends or ways of avoiding future accidents. Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: This is good practice. The home has a comprehensive range of policies and procedures in place, which promote and protect residents health and safety. The management systems used for safeguarding adults have been reviewed since the last inspection and are now robust. as lacking and need improved. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 8 34 Advocacy services should be displayed prominently around the home to support people if they need this service. People who live in the home should be fully supported to be involved with the recruitment of staff who apply to work there. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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