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Inspection on 23/03/10 for Otley Road 14

Also see our care home review for Otley Road 14 for more information

This is the latest available inspection report for this service, carried out on 23rd March 2010.

CQC found this care home to be providing an Excellent 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents receive a good standard of care from a caring and committed staff team, who have a good understanding of their needs. Residents are encouraged to make their own choices and this gives them control over their lives. Each person living at the home has a person centred plan, care plans and risk assessments in place. These plans outline the person`s care and support needs, their preferences, wishes and aspirations and help staff to provide the support people want and need. Comments made by people who use the service included `they look after me really well` and `really like the staff`. The home has in place safe systems for the storage and administration of medication. Medication is provided through a local pharmacist in a monitored dosage (blister pack) system. The deputy manager takes lead responsibility for medication at the home, including regular checks of records and making sure that staff are appropriately trained and competent to administer medication. Records showed that staff had received appropriate training, including training in the use of specialist medication where this was appropriate. Clear guidelines and information about the medication used in the home were also available. We checked a sample of medication records and stock balances and found that these were correct. There are a range of activities on offer for residents, so that they are able to pursue their leisure and social interests. Each person has their own weekly timetable, setting out their college and work placements, social activities and events that they take part in. Staffingis provided so that people can do the things that are set out in their timetable during the week. Comments made to us by people who use the service included `I just went to the library and for coffee this morning`, `yes, we go to college`, `I went for my personal shop yesterday and bough three CDs` and `I go to the crafts place two full days a week`. The home has a domestic style kitchen, so that people living there can be involved in making drinks, snack and meals if they are able. Care staff make the breakfast and lunch time meals, but a chef comes in during the week to cook the evening meal. The timing of the main meal during the week has recently been changed to the evening, so that it fits in better with people`s routines during the day. We joined people for the lunch time meal. This was a social affair with the staff and people who live at the home eating together. The food was tasty and healthy, with some people having different options depending on their preferences. People we spoke to confirmed that if they don`t like the main choice they can always have something different. People said that they liked the food, with comments including `I have nice food` and `foods nice, but the meat is a bit hard and chewy sometimes`. There have been no recent complaints made to us about the home. The manager confirmed that there have been no complaints made directly to the home either and that there have been no recent safeguarding incidents. However, staff have received training on safeguarding adults and the staff we spoke to felt that abusive practice would not be tolerated in the home. One staff member told us `Otley Road is a very honest and open place`. People who live at the home seemed at ease with the staff during our visit and those we spoke to knew who the manager was and felt able to talk to staff about any concerns they had. All six people who returned a survey told us there was someone they could speak to if they were unhappy and that they knew how to make a complaint if they needed to. The home is an older building, that has been converted for use as a care home. Parts of the home had recently been redecorated and some rooms were in the process of being redecorated during our visit. One person was having their bedroom re-designed, with wallpaper and things that reflected their personal interests. The home now employs a cleaner and a laundry assistant. The home was clean and tidy during or visit and provided people with a comfortable and homely place to live. Comments made to us by people who live at the home included `I like it here, I am having my room decorated`, `the home is always lovely and clean` and `oh yes, we have a cleaner and a laundry lady as well`. We checked the recruitment records for a new staff member and found that the required information and checks had been obtained before they started working at the home. The training records we looked at showed that staff receive a range of training, including manual handling, food hygiene, safeguarding adults and other health and safety related topics. Staff also receive specialist training to help them meet people`s needs. For example, training from the Royal National Institute for the Blind and in British Sign Language, to help give them a better knowledge and understanding of the needs of people with visual impairment and hearing difficulties. The staff we talked to and who returned surveys all confirmed that appropriate training and support was provided at the home. The manager is very experienced in running the home and looking after the people who live there. She is well qualified and is registered with us. The home has a deputy manager who assists the manager in the running of the home. The senior management ofthe organisation carry out regular monitoring visits, which include talking to the people who live there about their care. We saw records of these visits during our inspection. The manager also holds regular staff meetings and uses quality surveys to find out people`s views of the home. The home has arrangements in place to make sure that people benefit from a safe environment. We looked at a random selection of the home`s maintenance certificates and records, finding that these were up to date. Staff have also received training in health and safety, including regular up date training.

What the care home could do better:

The home continues to be well managed and to provide a very good standard of care and support to the people who live there. We have only made one recommendation as a result of this visit. We are asking that the home records all prescribed medications on the medication administration records, as they are not currently recording prescribed dietary supplements on them. This will help to ensure that there is a clear record of all prescribed medication that is being administered at the home.

Random inspection report Care homes for adults (18-65 years) Name: Address: Otley Road 14 14 Otley Road Harrogate North Yorkshire HG2 0DN three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rachel Martin Date: 2 3 0 3 2 0 1 0 Information about the care home Name of care home: Address: Otley Road 14 14 Otley Road Harrogate North Yorkshire HG2 0DN 01423500700 01423500700 info@4sr.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Gladys Carol Sowerby Type of registration: Number of places registered: Conditions of registration: Category(ies) : Foresight Residential Ltd care home 13 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 13 Registered for 13 Service Users with Learning Disabilities, some or all of whom may also have a Physical Disability and/or Sensory Impairment. Date of last inspection Brief description of the care home 14 Otley Road is registered to provide residential personal and social care for 13 adults, who have learning disabilities and associated sensory impairment. The home is situated in a residential area, approximately one mile from Harrogate town centre and provides good access to the towns services and amenities. The property is a large converted manor house with an accessible garden. The first floor is accessible by passenger lift, but the respite room on the top floor can only be used by people who are able walk up stairs. The registered provider is Foresight Residential Ltd and the responsible person is Mr P Coldwell. The registered manager is Ms Carol Sowerby. The Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home fees at the time of the site visit ranged from £698 per week upwards and did not include costs for toiletries, hairdressing, magazines, holidays, leisure activities, hairdressing and chiropody. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This inspection visit took place on 23rd March 2010 and was completed by one inspector. It was an unannounced visit, so the service did not know we were coming to see them. The inspection was scheduled because we have not visited the service since April 2007 and we have a statutory duty to inspect services at least once every three years. The service has not been visited before now because it is rated as excellent and we have not received any information to raise concerns about it. However, an annual service review of the service has been completed each year. Before the inspection visit we looked at all of the information we have received about the service and asked the home to complete and return an annual quality assurance assessment (AQAA). This is a self-assessment that tells us about the service. It was completed well and returned to us on time. We also sent surveys to some of the people who live at the home and some of the staff who work there. Six people who live at the home and seven staff who work there completed and returned surveys to us. During our visit to the home we looked around the building, talked to some of the people who live and work there, observed care practice, joined in the lunch time meal and looked at a selection of the homes records. We found that the home is still providing people with a safe and comfortable place to live, with staff providing support and care in a caring and appropriate way. We found no reason to change the services quality rating and feel that the service continues to provide good and excellent outcomes for people. What the care home does well: Residents receive a good standard of care from a caring and committed staff team, who have a good understanding of their needs. Residents are encouraged to make their own choices and this gives them control over their lives. Each person living at the home has a person centred plan, care plans and risk assessments in place. These plans outline the persons care and support needs, their preferences, wishes and aspirations and help staff to provide the support people want and need. Comments made by people who use the service included they look after me really well and really like the staff. The home has in place safe systems for the storage and administration of medication. Medication is provided through a local pharmacist in a monitored dosage (blister pack) system. The deputy manager takes lead responsibility for medication at the home, including regular checks of records and making sure that staff are appropriately trained and competent to administer medication. Records showed that staff had received appropriate training, including training in the use of specialist medication where this was appropriate. Clear guidelines and information about the medication used in the home were also available. We checked a sample of medication records and stock balances and found that these were correct. There are a range of activities on offer for residents, so that they are able to pursue their leisure and social interests. Each person has their own weekly timetable, setting out their college and work placements, social activities and events that they take part in. Staffing Care Homes for Adults (18-65 years) Page 4 of 9 is provided so that people can do the things that are set out in their timetable during the week. Comments made to us by people who use the service included I just went to the library and for coffee this morning, yes, we go to college, I went for my personal shop yesterday and bough three CDs and I go to the crafts place two full days a week. The home has a domestic style kitchen, so that people living there can be involved in making drinks, snack and meals if they are able. Care staff make the breakfast and lunch time meals, but a chef comes in during the week to cook the evening meal. The timing of the main meal during the week has recently been changed to the evening, so that it fits in better with peoples routines during the day. We joined people for the lunch time meal. This was a social affair with the staff and people who live at the home eating together. The food was tasty and healthy, with some people having different options depending on their preferences. People we spoke to confirmed that if they dont like the main choice they can always have something different. People said that they liked the food, with comments including I have nice food and foods nice, but the meat is a bit hard and chewy sometimes. There have been no recent complaints made to us about the home. The manager confirmed that there have been no complaints made directly to the home either and that there have been no recent safeguarding incidents. However, staff have received training on safeguarding adults and the staff we spoke to felt that abusive practice would not be tolerated in the home. One staff member told us Otley Road is a very honest and open place. People who live at the home seemed at ease with the staff during our visit and those we spoke to knew who the manager was and felt able to talk to staff about any concerns they had. All six people who returned a survey told us there was someone they could speak to if they were unhappy and that they knew how to make a complaint if they needed to. The home is an older building, that has been converted for use as a care home. Parts of the home had recently been redecorated and some rooms were in the process of being redecorated during our visit. One person was having their bedroom re-designed, with wallpaper and things that reflected their personal interests. The home now employs a cleaner and a laundry assistant. The home was clean and tidy during or visit and provided people with a comfortable and homely place to live. Comments made to us by people who live at the home included I like it here, I am having my room decorated, the home is always lovely and clean and oh yes, we have a cleaner and a laundry lady as well. We checked the recruitment records for a new staff member and found that the required information and checks had been obtained before they started working at the home. The training records we looked at showed that staff receive a range of training, including manual handling, food hygiene, safeguarding adults and other health and safety related topics. Staff also receive specialist training to help them meet peoples needs. For example, training from the Royal National Institute for the Blind and in British Sign Language, to help give them a better knowledge and understanding of the needs of people with visual impairment and hearing difficulties. The staff we talked to and who returned surveys all confirmed that appropriate training and support was provided at the home. The manager is very experienced in running the home and looking after the people who live there. She is well qualified and is registered with us. The home has a deputy manager who assists the manager in the running of the home. The senior management of Care Homes for Adults (18-65 years) Page 5 of 9 the organisation carry out regular monitoring visits, which include talking to the people who live there about their care. We saw records of these visits during our inspection. The manager also holds regular staff meetings and uses quality surveys to find out peoples views of the home. The home has arrangements in place to make sure that people benefit from a safe environment. We looked at a random selection of the homes maintenance certificates and records, finding that these were up to date. Staff have also received training in health and safety, including regular up date training. 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 set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 20 All prescribed medications, including food supplements, should be recorded on the medication administration records, so that there is a clear record of all medications that are being administered in the home. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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