Inspection on 06/05/08 for Harvey House

This is the latest available inspection report for this service, carried out on 6th May 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Harvey House 15/08/05

Harvey House 19/04/05

Harvey House 11/11/04

Harvey House 13/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Harvey House Church Lane Barwell Leicestershire LE9 8DG Lead Inspector Linda Clarke Unannounced Inspection 6th May 2008 09:15 X10015.doc Version 1.40 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 Harvey House DS0000032572.V363858.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 Older People. 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. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harvey House Address Church Lane Barwell Leicestershire LE9 8DG 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) 01455 843575 01455 843575 jbrimble@leics.gov.uk www.leicestershire.gov.uk Leicestershire County Council Social Services Ms Margaret Jean Smith Care Home 40 Category(ies) of Past or present drug dependence (8), Dementia registration, with number - over 65 years of age (20), Learning disability of places (4), Learning disability over 65 years of age (4), Mental disorder, excluding learning disability or dementia (8), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability (8), Physical disability over 65 years of age (10), Sensory impairment (4), Sensory Impairment over 65 years of age (4) Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Harvey House Care Home is registered to provide personal care to male and female service users who fall within the categories. Old age not falling within any other category (OP) 40 No person falling within the category DE can be accommodated at Harvey House when there are 8 persons within this category already residing at the home. No persons falling within the categories DE(E) or DE can be accommodated at Harvey House when 20 persons who fall within these categories/combined categories are already residing at the home. No persons falling within the categories LD(E) or LD can be accommodated at Harvey House when 4 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category MD(E) can be accommodated at Harvey House when there are 6 persons who fall within this category residing at the home. No persons falling within the category MD(E) or MD can be accommodated at Harvey House when 8 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category PD can be accommodated at Harvey House when there are 8 persons who fall within this category residing at the home. No person falling within the category PE(E) or PD can be accommodated at Harvey House when 10 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category SI(E) or SI can be accommodated at Harvey House when 4 persons who fall within these categories/combined categories are already residing at the home. The maximum number of services to be accommodated at Harvey House is 40. No person within any of the following categories: SI, PD, DE, LD, MD may be admitted unless they are aged 55 years or older. Specified Service Users: Service users between the age of 55-65 years of age who fall within the above categories and were resident in the care home at the date of registration may continue to reside there. To be able to admit the named person of category PD who is under 65 years of age named in variation application number V8651 dated 15 June 2004. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 5 Date of last inspection 15th June 2006 Brief Description of the Service: Harvey House is a residential care home providing personal care and accommodation for up to forty older persons, and is owned by Leicestershire County Council. Harvey House also offers accommodation for those people requiring an assessment of their needs to be undertaken, respite facilities and a rehabilitation service for up to eight individuals who need to re-gain skills before returning home. Harvey House is located in Barwell, and people living at the Home have access to various shops and local amenities including public transport links. Harvey House provides communal lounge areas, some incorporating dining facilities on the ground and first floor, the larger lounge and large separate dining room being located on the ground floor. The forty single bedrooms are without en-suite facilities; accessible bathing and shower facilities are provided on both floors. The Home benefits from a central garden, which provides seating, and has a range of mature trees, shrubs and plans, in addition the garden benefits from an aviary. Information about Harvey House is provided in the form of brochures and a Statement of Purpose. Information provided on the day of the site visit confirms the current weekly fees for the service are £490.00 per week, and the amount an individual will pay is dependent upon a financial assessment undertaken by a representative of Social Services. Inspection reports regarding the home are available and can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 6 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. ‘We’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection.’ The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. We sent surveys to ten people who use the service of which four were completed and returned, ten surveys were sent to families and friends of people using the service, of which four were completed and returned, five staff surveys were sent out of which one were returned, and four health care professional surveys were sent out of which one was returned. The unannounced site visit commenced on the 6th May 2008, and took place between 09:15 and 16:30 The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was ‘case tracking’. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Harvey House. Three people accessing services were selected, two residing at Harvey House, and one who was accessing the rehabilitation service. Discussions were held with five people living at the Home, a relative of a person recently moved into the Home, and a visiting Occupational Therapist. What the service does well: Harvey House ensures that people accessing a service have their needs comprehensively assessed prior to their moving in, to ensure that their needs can be met. People living at the Home have a care plan, which is drawn up with their involvement and provides information about the persons life prior to moving into the Home, and the help and support they now need. The care plans enable staff to deliver effective and individualised care based on the views, wishes and expectations of the person. Enthusiastic, committed and trained staff that have a clear understanding of their roles and responsibilities support and care for people at Harvey House. We observed staff supporting people sensitively throughout the day, promoting peoples privacy, dignity and general well being. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 7 Harvey House is decorated to a high standard, and provides a homely environment with numerous communal areas for people to spend time and relax, in addition people in residence have access to a private garden, which is well maintained with mature, trees and shrubs, and has an aviary which can be viewed from the seating provided in the garden. We sent surveys to people and asked them for their views about the service they receive or observe, surveys contained comments about what the service does well, which included: • Standard of care is very good, and our relative’s health and social care needs are fulfilled. All staff are professional, friendly, approachable and supportive the care home is always fresh and clean in all areas to a high standard. Harvey House looks after our relative very well, whilst we go away on holiday, the staff are all very good. Harvey House and its carers are a credit to the caring profession. • • Surveys included comments of uncertainty and unhappiness regarding the Local Authorities plans to sell the Home to the private sector, and expressed concerns as to whether the level of care currently provided would be maintained. What has improved since the last inspection? What they could do better: The presentation of information available to prospective and existing users of Harvey House, by being presented in plain English, and the use of larger print and photographs would make it an easier reference guide to read and understand. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 8 Care plans should be in place for all those accessing the rehabilitation service at the time of their moving into the Home, when care plans are reviewed the date of the review should be recorded. The dining experience and increased independence for people living at the Home could be achieved by the use of serving dishes being placed on dining tables, enabling people to serve themselves. People living at the Home, need to be provided with the information about what they should do if they are unhappy, or feel insecure or unsafe. The information should contain information about how to raise concerns, and other agencies that can be contacted. The information needs to be in a format suitable to the needs of people, and the information reinforced at appropriate opportunities. 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. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into the Home have access to information about the services provided, and can be confident there needs will be assessed to ensure that the Home is best suited to them. EVIDENCE: People considering accessing the services of Harvey House are provided with information in the form of the Statement of Purpose and Service User Guide, which outlines the services provided by the Home, both documents contain a significant amount of printed information. The presentation and quantity of the information may make it difficult for some people to comprehend and understand, and consideration by the Home should be given as to how information is provided, by the use of plain English, large print and photographs, enabling people to have greater access to information. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 11 Everyone moving into Harvey House have their needs assessed by a representative of the Local Authority to ensure that their needs can be met by the staff of the Home, for those individuals accessing the rehabilitation services, the assessment details the skills the person needs to regain to enable them to return to their own home. One relative we spoke with commented that ‘the family were involved in the assessment process, and we’re all happy, it has been a positive choice and our mum has said she is happy to stay.’ All those moving into the Home are provided with an Individual Placement Agreement, which outlines the terms and conditions of their occupancy between the individual and Social Services. We spoke to several people who live at the Home and all had made the decision to move into Harvey House, in some instances supported by their family. Two relatives we spoke with said that they had chosen Harvey House as they had had prior knowledge of the Home, and were always impressed by the care and attitude of staff, and the cleanliness of the Home. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People accessing services at Harvey House are consulted and involved in the development and review of their care package, and have their health and care needs met. EVIDENCE: People in residence at Harvey House have a care plan which provides information as to how the individual wishes to be cared for, and provides information for staff as to the individuals life history including social, family and work events, this enables staff to have a greater understanding of the persons needs, views and expectations of care. Care plans are reviewed and updated by a member of staff identified as their keyworker, however in some instances there was no record as to when the care plan had been reviewed. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 13 Care plans also include information as to a persons wishes for the end of their life, Harvey House as part of the Local Authority, along with health agencies, is part of the DALE project (Decisions at Life’s End), the purpose of this project is to support people who choose to be cared for at Home in the last few days of their life. Care plans are reviewed and updated by a member of staff identified as their keyworker, however in some instances there was no record as to when the care plan had been reviewed. Care plans detail how the person wishes to spend their day, and what activities they wish, if any, to participate it. Care plans include information as to the time people wish to get up, where they would like to be when they have their first drink of the day, and at what time, where they choose to eat their meals, where they prefer to sit and in which room throughout the day. This enables individuals to receive care, which is appropriate to them, and promotes their choices and well being. We noted that care plans for people accessing rehabilitation services are not in place in some instances until the person has been at the Home for a few days, in such instances the care plan is developed with the support of health care professionals such as Physiotherapists and Occupational Therapist. Daily records in the interim record the individuals’ level of independence with regards to all activities, such as personal care, mobilising, making a drink etc. The person’s comprehensive assessment is used to determine the areas in which the person needs to gain independence to enable them to return to their own home. We were advised that some Social Services departments do provide a care plan, which outlines the person’s needs prior to their arrival at the Home, and it is recommended that this practice be adopted in all instances, further promoting the individual and tailored care of people accessing the Home. Discussions with people living at the Home and records viewed confirmed that individuals have regular access to health care professionals as required, we spoke with a visiting Occupational Therapist, whose role is to offer support to staff and people living at the Home. They commented that the Home is ‘very focused on supporting and increasing independence,’ and that staff are able to ‘instigate a request for equipment to promote independence and care.’ They stated that there is a ‘buzz to the home, and a dynamic approach.’ We spoke with a person living at the home who said that they discussed their care plan with their keyworker, and that they had a copy of their care plan, which they kept, in their bedroom. The medication records and medication of three people were viewed and were found to be in good order, in addition there are three people who are Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 14 prescribed controlled drugs, the records of and storage of these were also viewed and were found to be in good order. Staff dispensing medication have received training in ‘the safe handling of medicines’, the medication round for the morning and lunchtime were viewed in part, the member of staff followed the homes policies and procedures, and ensured all those given their medication had taken it, offering water and support as necessary. We spoke with two relatives who spoke positively about the care and support their relative receives. The relative commented ‘the family have noticed a tremendous improvement in our mums appearance, she is more active in her mind, and her health has improved.’ They went onto say that ‘communication between the Managers and relatives cannot be faulted.’ Whilst the another relative said ‘my mum is happy here, she enjoys sharing her life with others, and taking part in activities.’ Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good . This judgement has been made using available evidence including a visit to this service. People residing at Harvey House have access to a range of recreational activities, and are provided with an appealing and balanced diet, within pleasant surroundings. EVIDENCE: Harvey House employs an Activity Organiser, who organises and facilitates a range of activities for people who reside at the Home to participate in; activities include arts and crafts, bingo, music and movement and sing a longs. We spoke with a number of people living at the Home who spoke favourable about the Activity Organiser saying they were very nice, and were friendly. Several ladies said they particularly liked the bingo and the sing a longs. Several of the ladies said that they enjoyed going on excursions in the summer months to garden centres and for meals out, but such outings did not happen very often. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 16 Harvey House encourages relatives and friends of people living at the Home to visit, and we observed visitors arriving throughout the day and in some instances taking their relatives out. One lady sat knitting, and said that the knitted squares were then taken to a local charitable organisation and made into blankets, and shipped overseas. Other people living at the Home sat watching television, or listening to music, a number of people chose to sit in the garden as it was warm and sunny, and spent time talking with each other and staff, and looking at the garden and its aviary. The Home also has two cats, which people living at the Home fussed over, and spoke to. People living at the Home have opportunities to attend meetings within the Home, we looked at the minutes of the two most recent meetings, held in January and March 2008, which evidenced that people at the Home discuss the range of meals offered, and the activities provided included special events such as Easter and Christmas. We spoke with a number of people to ascertain their views about the food, all made positive comments, and said that choices were always available; a member of staff prior to each meal asks everyone their preference. We spent time in the main dining room at lunchtime; all the tables were set with a tablecloth, napkin, condiments and drinks. Care staff serve meals and provide support where required, the mealtime was relaxed and unhurried enabling people to relax and enjoy their meal. Additional independence could be provided to people, by food being placed in serving dishes on dining tables, enabling people to serve themselves. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People residing at Harvey House are confident in raising concerns with staff, and are supported by staff that are knowledgeable and confident in their role in relation to reporting concerns regarding the welfare of individuals. EVIDENCE: Harvey House has a complaints procedure, but it was not displayed within the Home, information about abuse was detailed on the notice board of the entrance foyer and in the passenger lift, but did not contain contact telephone numbers and addresses for people who may feel frightened or unsafe to contact, this information should be actively promoted by the Home, in order that people are empowered to report concerns and promote their welfare. We looked at the complaints record concerns and complaints were recorded, along with the outcome. We sent out surveys to people using the service and their relatives, a majority stated they knew how to make a complaint, and where a complaint had been raised it had been responded to appropriately. We spoke with three people who reside at the Home and asked them what they would do if they felt frightened or unsafe, all said that they would speak to a member of staff or one of the Managers. The people we spoke with said they were not provided with written information nor was it discussed with them Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 18 what they should do in such circumstances, two of three people did not have any information or anyone else to contact if they didn’t want to or couldn’t speak with staff of the Home. We observed that there is a positive and open rapport between people living at the Home and the staff, and people we spoke with were very positive about the care they receive and the attitude of staff. The surveys we received from people living at the Home indicated that staff listen and act on what they say. We also spoke with the Assistant Manager and three members of staff, all but one having received training on ‘safeguarding’, which provides staff with information on the forms in which abuse may occur, and the possible signs individuals may display if they are suffering abuse. All staff were able to confirm their role responsibilities in reporting any suspicions, or dealing with complaints, and a number of staff have attended training on the Mental Capacity Act, which highlights the rights of people. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in residence at Harvey House stay in a homely and well maintained environment, which is suitable to their individual and collective needs. EVIDENCE: Harvey House provides communal and dining areas on the ground and first floor, the larger lounge and separate dining room being on the ground floor. All communal rooms were decorated to a high standard, and were clean and tidy. The number of lounges enables people living at the Home to access different rooms in which to relax and take part in different activities. Bedrooms are located on the ground and first floor, as are bathing, shower and toilet facilities, bathing and shower facilities are accessible to all people living Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 20 at the Home, and have specialist equipment to assist people with their personal care. Access to the first floor is via a stairwell or passenger lift. We spoke with people who live at the Home, along with visiting relatives, all spoke positively about the décor, and said it was always clean and tidy, and very homely. Staff receive training in infection control, and precautions are taken with all aspects of running the Home to ensure that people are not put at unnecessary risk, from the spread of infection. Harvey House is surrounded by a large lawn, with mature trees, in addition people have access to a central garden, which is secure and private from the public, and is only accessible to people living or visiting the Home. The garden has a lawn area, and benefits from mature trees, shrubs and plants. The centrepiece of the garden is an aviary, with seating being provided. On the day of the site visit a number of people living at the Home sat in the garden, enjoying the warm weather and sunshine, whilst conversing with each other and staff. People living at the Home are encouraged to attend meetings, where they can express their views about the Home and its day to day running, minutes of the two meetings held in January and March of 2008, show that people living at the Home have spoken about the décor of the Home, and the planting of shrubs and plants in the Spring. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An enthusiastic, competent and knowledgeable staff team, who have undergone a robust recruitment process, support people accessing the service. EVIDENCE: We observed that people living at the Home are supported by staff who are able to respond to their needs in a timely manner, systems in the Home enable the Management team to ascertain how long it takes for staff to respond to calls bells activated by people living at the Home, and can therefore review staffing levels. Throughout the day we observed staff supporting people, in a kind and friendly manner, and approached people with consideration to their dignity and welfare. Staff did not appear hurried, and had time to spend with people. Care staff are supported by staff that are responsible for the maintenance and cleanliness of the Home, and by catering staff that prepare and cook the meals. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 22 Information supplied by the Registered Manager prior to the site visit, states that 64 of care staff have attained a National Vocational Qualification (NVQ) in Care, staff we spoke with said they had completed or were working towards the Qualification. We spoke with three members of staff, and viewed their recruitment records, the discussion with staff and the viewing of records confirmed that staff complete an application form and attend an interview, successful candidates are then required to provide two written references, and obtain a satisfactory Criminal Record Bureau (CRB) disclosure, prior to confirmation of a job offer and commencement of employment. The robust recruitment process promotes the welfare of people living at the Home. Newly recruited staff then complete a six months probationary period, where they undergo training relevant to their role and are assessed to confirm their suitability for their role, during this time they are allocated a Mentor and are regularly supervised. We spoke with staff who provided information about the training they receive, all training is related to the safety and welfare of people using the service, along with training which is specific to their health and care needs. The training staff receive enables them to provide good quality care, and in supportive and sensitive manner. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Harvey House reside in a Home, which is managed well and are afforded opportunities to influence and contribute towards the care they receive. EVIDENCE: The Registered Manager was not present on the day of the site visit, the Assistant Manager who was in charge of the Home on the time facilitated the Inspection. Discussions with people living at the Home, their relatives and staff employed indicated that Harvey House is managed well. Information provided by the Registered Manager in the AQAA evidences that they are Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 24 committed to continually improving the service it provides, and details plans for improvement over the next year. We looked at the most recent Quality Assurance report, which was dated February 2007, the report collated information from various sources, including comments from people using the service and their relatives. The report in addition detailed the schedule for the maintenance of equipment including heating systems. People using the service have the opportunity to attend regular meetings, where their views and ideas can be obtained, in addition staff attend regular meetings, to ensure that they are able to affectively care for the people living at the Home by keeping up to date with current practices. We spoke with staff that said they receive regular supervisions, which are conducted by their line Manager and are recorded. Supervisions are used to discuss the individual care of people living at the Home where the staff member is their keyworker, and to identify training needs, and discuss their care practices. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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 OP16 Regulation 22 (6) Requirement All those who access services at Harvey House, to be provided with a copy of the Homes complaints procedure in a format that is appropriate to their needs. Timescale for action 06/07/08 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 2 3 4 Refer to Standard OP1 OP7 OP7 OP15 Good Practice Recommendations The Statement of Purpose and Service User Guide to be provided in a format, which promotes greater understanding of its contents to people using the service. All individuals accessing rehabilitation services should have a care plan outlining their needs at the time of their admission. The reviewing of care plans needs to be dated to provide a clear and auditable process, as to the changing needs of service users. People living at the Home to be given further choice and DS0000032572.V363858.R01.S.doc Version 5.2 Page 27 Harvey House 5 OP16 promotion of independence by considering the use of serving dishes, that are placed on dining tables so that people can serve themselves. People living at the Home, along with their relatives and friends to be provided with information on agencies and professionals who they can contact if they feel frightened or unsafe, including advocacy services. Harvey House DS0000032572.V363858.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Harvey House DS0000032572.V363858.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. 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