Inspection on 14/02/08 for Cragside House

This is the latest available inspection report for this service, carried out on 14th February 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cragside House 01/03/07

Cragside House 24/11/05

Cragside House 01/06/05

Cragside House 24/11/04

Cragside House 21/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

CARE HOME ADULTS 18-65 Cragside House 207 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ Lead Inspector Cheryl Stovin Key Unannounced Inspection 14 and 25th February 2008 10:00 th Cragside House DS0000026306.V360569.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 Cragside House DS0000026306.V360569.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. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cragside House Address 207 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ 01484 460051 01484 460400 rm@valeoltd.com 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) VALEO Limited Miss Helen Thomas Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user over the age of 65 in the category of LD(E), named on variation dated 29th December 2006, may reside at the home. 5th November 2007 Date of last inspection Brief Description of the Service: Cragside House is owned and managed by Valeo Ltd, a private company. It is a care home for 9 people who have learning disabilities and associated challenging behaviours, although there are currently only seven people accommodated and there are no plans to take any new admissions. The home is located just outside Huddersfield, close to local amenities and a regular bus service. The current scale of charges at this home is £1528.87 - £2421.60 per week. The service provider ensures that information about the service is available to prospective and current people using the service by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Cragside House DS0000026306.V360569.R01.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. This report brings together evidence gathered during a key inspection of Cragside House. This included unannounced visits I made to the home on 14th and 25th February 2008. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a full tour of the building was undertaken, records were examined and I spoke to management, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Two relatives and two members of staff returned comment cards. The information received from the surveys is included in this report. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: All of the people living at Cragside have detailed and individual support plans which makes sure that they receive personal and health care support in line with their wishes. The staff team are well trained and were seen to be providing assistance to people in a manner which promotes independence and dignity. People living at the home appeared comfortable with the staff and relationships between them were seen to be relaxed and friendly. One relative made the comment that “the staff are a lot more approachable and friendly and it is now a far better run and happier house for staff as well as the users”. The home is well managed and the management team is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People living at the home are protected by the recruitment procedures in the home which ensures that all the necessary checks are carried out before staff Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 6 are employed. This makes sure that only suitable staff are employed at the home. 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. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 7 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 Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 8 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): 3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are assessed before moving into the home to make sure that the home can meet their needs. EVIDENCE: People living at the home have their needs assessed continually and their care plan adjusted to reflect their changing needs. Some people living at the home are moving on to alternative accommodation, more appropriate to their needs. The staff team have plans in place to make sure that the transition goes as smoothly as possible. The staff team are able to demonstrate that they have the skills and experience to deliver the care to the people living at the home in a caring and professional manner, and to communicate effectively. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 9 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their plan of care to make sure that support is given in accordance with their needs and preferences. EVIDENCE: The care records of four of the people living at the home were seen. Each person has an individual personal support plan, which is detailed and covers activities of daily living as well as social and emotional needs. A personal preferences sheet is completed which details people’s likes and dislikes and how they prefer their support to be provided. Each person has a detailed risk assessment which is reviewed every month, this makes sure that people are kept safe. Everybody now has a safeguarding and conflict management risk assessment. This is in place to make sure that people are protected from any unnecessary Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 10 physical intervention from staff, and details good practice requirements to reduce the number of any incidents and the agreed intervention techniques to safeguard the individual and other people around them. Staff have a good knowledge of the communication needs of people living at the home. They are skilled in using the person’s preferred communication method. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 11 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): 12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home. EVIDENCE: All of the people living at the home now take part in activities in the community. These include visits to parks, day centres, bowling, swimming and shopping. At the time of the visit two people were out for lunch. Detailed risk assessments are in place for community activities to make sure that everybody is kept safe and that risks are minimised. The home has a well equipped activity room with plenty of games and other activity materials for people to make use of when they are at home. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 12 Staff support people to keep in touch with their family and friends and dates of their birthdays and other special occasions are recorded and the event appropriately marked. People living at the home receive a varied and healthy diet. People are now involved in food preparation and a visual board in the small kitchen makes sure that people can choose what they want to eat and drink. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 13 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. People are protected by the medication practices in the home. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. Some of the people living at the home exhibit behavioural problems and in the past there have been incidents of inappropriate physical interventions between staff and people living at the home. This issue has been addressed and all staff have received intensive training in managing conflict. This training is British Institute of Learning Disability (BILD) accredited. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 14 Individual plans are in place for each person living at the home and no restraint is now used. Staff told us that the home is now much better and that they enjoyed working at Cragside House under the new working practices. The atmosphere in the home seemed relaxed during the visit. One relative made the comment: “I feel that home is a lot calmer. The service users are not so anxious, they come across as a lot calmer”. We sat in on a staff handover and the staff team appeared to have a good knowledge of people’s needs and how to support them appropriately. All personal care is given in private, and people were seen to be treated with dignity at all times. Medication stocks in the home are securely stored and accurate records are kept. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure which is included in the service user guide and provides information of the procedure to follow and the correct contact details. The establishment holds a ‘whistle blowing’ procedure which is displayed in the staff room. The procedure details the responsibilities and obligations of the staff to report any instances of bad practices observed or suspected. All of the staff team have received training in Protection of Vulnerable Adults (POVA) and all staff spoken to are aware of the procedures to follow if they suspect that people are not being treated properly. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 16 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): 24,25,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean and safe environment which is furnished and fitted to an acceptable standard. EVIDENCE: The home is situated in a residential area in Milnsbridge with each access to the town centre of Huddersfield. The home is generally well maintained, although the challenging behaviours of some of the people living there mean that the décor is damaged on a regular basis. A routine programme of maintenance is in place to help maintain the property. All of the people living at the home have their own spacious bedroom. Some of the bedrooms are personalised with people’s own belongings and family photographs. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 17 There are safe and accessible garden and grounds for people to use in the warmer weather. The well equipped laundry facilities are situated in the cellar and the equipment complies with the relevant regulations. All areas of the home were seen to be clean and hygienic. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 18 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): 31,32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There have been significant staff changes over the last few months some staff have left and others have been deployed to other homes within the organisation. The current staff team are now settled with no agency staff being used on a regular basis. This means that support is given to people in a consistent appropriate way. There is always three support staff plus the management team on duty during the day with two waking night staff. Additional staff are deployed depending on any activities and appointments people want to go to. Staff were seen to be working with people in a sensitive manner and enjoying informal activities. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 19 All of the people living at the home are protected by the home’s robust recruitment procedure. All staff are subject to the necessary Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA checks. An application form is completed and two written references are taken up prior to an offer of employment being made. This makes sure that only suitable staff are employed in the home. There is a commitment to National Vocational Qualifications (NVQ) in the home and over 50 of the staff hold the award. This makes sure that staff are qualified to provide care to the people living at the home. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 20 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): 36,37,38,39,41,42,43 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home has only just returned from maternity leave. A senior member of staff from another home within the organisation has been managing the home in her absence. This person will continue at Cragside House for another six months to strengthen the management structure. The management team also work on shift at times to supervise staff in a ‘hands on’ manner. Staff told me that they don’t always receive regular Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 21 one to one supervision sessions. This must be put in place to make sure that the home is run in the best interests of the people who live there. Management and staff work in accordance with the General Social Care Council codes of practice and other legal requirements. Financial procedures are in place to make sure that people’s money is handled safely. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are now carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 22 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 x 3 3 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 3 26 x 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x 3 3 3 Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 23 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 Standard YA36 Regulation 18(2)a Requirement The registered person must ensure that staff are appropriately supervised. Staff should receive at least six recorded supervision meetings with their manager or senior each year. Timescale for action 05/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA18 Good Practice Recommendations The new working practices should be consistently monitored to make sure that people receive safe and consistent care and support. Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 25 Cragside House DS0000026306.V360569.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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