Care Home: Ware Street Resource Centre

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What the care home does well A resident spoken to said the staff are very good always available and supportive the manager of the home was also given special praise she was said to be approachable and very helpful. Another resident said staff were helpful to her supporting her to make decisions. Care records in the home were found to be comprehensive and detailed with regular reviews of care needs taking place and documented. What has improved since the last inspection? The addition of a new Summer house in the garden for the residents use has recently been constructed this will enhance the quality of the environment for the residents. What the care home could do better: A wall planner should be purchased for the recording and monitoring of staff in-house fire training. CARE HOME ADULTS 18-65 Ware Street Resource Centre 5 Ware Street Tilery Estate Stockton-on-Tees TS20 2BA Lead Inspector Ian Armstrong Key Unannounced Inspection 14th October 2008 9:00 Ware Street Resource Centre DS0000038043.V372782.R02.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 Ware Street Resource Centre DS0000038043.V372782.R02.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. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ware Street Resource Centre Address 5 Ware Street Tilery Estate Stockton-on-Tees TS20 2BA 01642 528136 01642 528139 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) Stockton-on-Tees Borough Council Miss Barbara Moir Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Ware Street Resource Centre DS0000038043.V372782.R02.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 category: Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places: 15 The maximum number of service users who can be accommodated is: 15 31st August 2006 2. Date of last inspection Brief Description of the Service: Ware Street Resource Centre is a purpose built home providing residential care for 15 people with mental health problems. The home also provides a day service and a new addition to the home is a 3-bedded crisis unit. The home offers a community link group which is a sessional service offering support, a limited skills development service and outreach service as well as having selfcontained residential care and semi-independent rehabilitative accommodation. The home is managed by Stockton-on-Tees Borough Council. Each bedroom is a minimum of 10 sq. m. Ware Street is close to local shops and amenities. There is a small car park at the side of the home. Fees in the home range from £25 to £747 each week. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection took place over one day and lasted approximately 5 hours. A tour of the building was carried out. A number of records in the home were examined. Three residents were spoken to and four members of staff and as a result of this the following report was written. What the service does well: What has improved since the last inspection? 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. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 6 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 Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. People are appropriately assessed prior to their admission to the home and have the opportunity to visit, good information is given to them about the home services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents files were read both showed comprehensive pre-admission assessments had been carried out. Two residents were spoken to they said they had the opportunity to visit the home prior to their admissions. Information they said provided by the home about the homes services and facilities was good. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 8 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. People who use the service are fully involved in their care plan needs and personal goals and are supported to take risks as part of their independent lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents care plan records were read, information contained in these showed that each resident was fully involved in discussions, agreements about meeting their needs. Risk assessments had been completed by the key worker and resident and was signed by both. Evidence from these records confirmed that residents are supported to take risks as part of an independent lifestyle. Two residents spoken to said they were fully involved with staff in their care planning they said staff were very supportive in meeting and encouraging them to pursue their individual goals. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 9 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): 12,13,15,16,17. Quality in this outcome area is excellent. People who use this service are encouraged to pursue independent lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Checked the care records and had discussions with two of the residents who confirmed that they had opportunities for personal development. One resident was going out and doing voluntary work they wanted to do. The other resident was attending a drop in centre for people with mental health issues they described the range of services offered and how much they enjoyed going there. One of the residents said they went out each week and did their food shopping and how they cooked their meals each day. Both residents said the home had open visiting and that their families and friends came regularly to see them. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 10 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 good. People who use the service receive support in a way they prefer to ensure their physical and emotional needs are being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care records of two residents were read. Information in these showed that regular reviews of care needs are completed involving the resident and staff and confirmed that health care needs were being met. A resident spoken to said staff were always available to provide support when they needed them. The management of medications in the home was checked and the management of controlled medicines since a recent pharmacy inspector visit identified some problems and was found to be satisfactory. Risk assessments are in place for those residents who administer their own medicines and records showed that these are regularly reviewed. One resident said they were happy to administer their own medicines with the support of the staff. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 11 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. People who use the service feel that their views are listened to and if they have any concerns or complaints these would be acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The policies and procedures for complaints and protection were read and are detailed and comprehensive. Staff spoken to are fully aware of the procedures to follow should incidents occur, the staff said they had attended Adult Protection training. Residents spoken to said that they were confident if they had any concerns or complaints that the staff and the manager would support them and that the matters would be pursued. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 12 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 good. People live in an environment that is relaxed and homely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the building was carried out. A number of bedrooms were seen all of these were tastefully furnished and decorated to a good standard there was lots of evidence of personal possessions in each room. A resident showed me their room which was nicely personalised and said he was very pleased with the homes services and facilities. Communal areas in the home were also tastefully furnished and decorated to a good standard. The downstairs dining room was seen, tables were attractively set for the midday meal with tablecloths, cutlery and serviettes. A large conservatory overlooking the garden to the rear of the home is a nice feature also very tastefully furnished and decorated. The garden area was clean and tidy a new Summer House had Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 13 been erected here. The main kitchen area and laundry rooms were visited and were very clean and tidy. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 14 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 excellent. People are protected by the homes recruitment practises and staff receive appropriate training to ensure the needs of the residents are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three members of staff were spoken to all said they had received a good level of induction on commencement of employment their records confirmed this. All three had provided two written references one of which was from their last employer. CRB checks had been carried out and proof of identity checks. The three staff said that they had regular supervision carried out and their files confirmed this. Staff files also showed evidence of mandatory and client centred training being completed. Of care staff employed in the home 100 are trained at NVQ level two or above. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 15 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. People benefit from a well managed and efficient run home. The health safety and welfare of residents and staff are generally promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents in the home spoke well of the manager ‘ Bee is very approachable, I can always talk to the manager’. Two members of staff spoken to said that the manager is very supportive and available when needed. Records kept in the home were read and show that there are in the main good quality assurance systems in place. Service records for the homes maintenance were checked and were satisfactory. Regulation 26 managers visit reports were read and were being carried out monthly and were satisfactory. Residents and staff Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 16 meeting minutes were read and were appropriate. Accident book records were satisfactory regular audits of these were being carried out. The records for inhouse fire training for staff were checked and at the present time these are not being carried out at the required level of frequency. All staff in the home are required to carry out regular sleep in duties therefore in-house fire instruction on what to do in the event of a fire needs to be carried out four times each year. Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 17 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 4 STAFFING Standard No Score 31 x 32 4 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 3 x X X 2 x Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 18 None. 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. 1.. YA42 Standard Regulation 23.4 (d) Requirement The manager of the home must purchase a wall planner to record and monitor all in-house fire training for staff. As all care staff employed in the home carry out sleep in duties they must receive training four times each year. Timescale for action 11/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 19 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 Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 20 Ware Street Resource Centre DS0000038043.V372782.R02.S.doc Version 5.2 Page 21 - 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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