Inspection on 05/04/07 for 1 Hill Close

This inspection was carried out on 5th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 Hill Close 10/12/05

1 Hill Close 05/07/05

1 Hill Close 21/03/05

1 Hill Close 10/11/04

1 Hill Close 10/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Hill Close 1 Hill Close Pontefract West Yorks WF8 2SF Lead Inspector Tony Brindle Unannounced Inspection 5th April 2007 18:00 1 Hill Close DS0000006250.V336004.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 1 Hill Close DS0000006250.V336004.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. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Hill Close Address 1 Hill Close Pontefract West Yorks WF8 2SF 01977 797235 01977 705446 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) Mr Hunt Mrs J Hunt Mr J Hunt Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th December 2005 Brief Description of the Service: 1 Hill Close provides personal care for three adults with learning disabilities who are under 65 years old.. The home is located within a semi-detached house in a residential area of Pontefract. The home is a few minutes walk from the centre of Pontefract and all local amenities. It is on a main bus route, There are local shops, public houses and clubs close by. Service users are very able and a supported in living as ordinary life as possible.The services users, who are able to communicate the help they require from support workers set the tone of the home. The service users living in the home consider it a home for life and do not anticipate moving elsewhere. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the care home taking place over a two hour period. The inspector spoke with service users, the registered provider/manager and his wife, looked around the home and examined some records. The inspector would like to take this opportunity to thank everyone for their hospitality and assistance during this inspection visit. 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. 1 Hill Close DS0000006250.V336004.R01.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 1 Hill Close DS0000006250.V336004.R01.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. This judgement has been made using available evidence including a visit to this service. People who live at Hill Close are given information about the services available to them. EVIDENCE: The manager explained that if a new person was to move into Hill Close, then he and the staff would ensure that an assessment is carried out before offering them a place. The records confirmed this. The records show that when people have previously moved in to the home the assessment process continued after admission. 1 Hill Close DS0000006250.V336004.R01.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. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The manager explained that the main principle behind the work he, and the staff do is based on enabling people to take control of their own lives. Service users who were spoken said that they make their own decisions about the care and support they need. One person explained how the staff write up a care plan which is based on the information s/he gives. The records show that the manager and staff have consulted individual service users about their needs, about the things they like and dislike doing and have how any risks to them can be reduced or got rid of. One person explained that when they take part in a new activity the staff talk to them about any hazards or dangers involved in that activity, and the staff help them to avoid the hazards and dangers. 1 Hill Close DS0000006250.V336004.R01.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. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their life style, and supported to develop their life skills. A range of social, educational, cultural and recreational activities are provided by the manager and staff. EVIDENCE: The manager explained that the service has a strong commitment to enabling people who use live at Hill Close to develop their skills, including social, emotional, communication, and independent living skills. The records show that individuals are supported to identify their goals, and work to achieve them. Feedback from people living at the home indicated that they are given the opportunity to develop and maintain important personal and family relationships, and are able to access information and specialist guidance about issues such as intimate relationships. Discussion with the manager showed that individual rights and choices are promoted, and the records confirmed that 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 10 people are supported to make informed choices about things such as lifestyle choices, relationships, activities and holidays. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. EVIDENCE: The records show that the manager and staff ensure that people receive effective and individualised personal and healthcare support using a person centred approach. The Statement of Purpose sets out the competencies and specialisms the home offers and delivers this effectively through a skilled, trained and knowledgeable staff group that work in a person centered way. The manager explained that care plans are developed and written with the involvement of the person (where appropriate). The records show that the care plans are individualised, person centered, and provide clear guidance on how the care is to be delivered. Observations of the day showed that the care is person led. Staff were seen to respect service users preferences. The rota shows that the staff group is balanced to reflect the diverse needs of the people living in the home. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The records show that the manager has developed a clear complaints procedure provided in a format people living in the home can understand. It highlights the importance of complaining or making suggestions for improvement that benefit the people living in the home. The manager explained that he has explored the possibilities of making the procedure available in a wide variety of formats (including variety of languages, tape, Braille, symbol, large print). Following discussions with people living at the home it was clear that people understand how to make complaints. The records show that quality monitoring systems are in place to inform future practice and the staffs’ personal development. The records show that regular training and supervision takes place to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the rights of people living at the home. Observations made on the day indicated that the views and experiences of people living at the home are valued. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service. Discussions with the people living at the home showed that they are happy with their house and that the living environment is appropriate for their particular lifestyle and needs. Discussions with people indicated that they are encouraged to see the home as their own. It is a very well maintained, attractive and has very good access to community facilities and services. 1 Hill Close DS0000006250.V336004.R01.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. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and there are enough of them to support the people who use the service. EVIDENCE: The records show that the service has a highly developed recruitment procedure that has the needs of people who use the service at its core. The manager explained that the recruitment of good quality carers is seen as integral to the delivery of an excellent service, and continued to say that the recruitment of the right person for the job is always seen as more important than the filling of a vacancy. The rotas show that the service has enough staff available at all times to support the needs, activities and aspirations of the people using the service in an individualised and person centred way. The records show that the service is proactive rather than reactive in its staffing, recruitment and training, with planning for the needs of service users taking place on a day to day basis. The result of this is a diverse staff team that has a balance of all the skills, knowledge and experience to meet the needs of people who use services. There is evidence that they demonstrate a thorough understanding of the particular needs of the people who use services, and can deliver highly effective person centred care. 1 Hill Close DS0000006250.V336004.R01.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 excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. Discussions with him sounds that he has sound knowledge of both strategic and financial planning and review. The records show that spot checks and quality monitoring systems are in place which provide the management with evidence that systems are working and that the health and safety of people are promoted. Discussions with people living at the home indicated that the home is open and transparent. The views of both residents and staff are listened to, and valued. 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 16 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X 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 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 17 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. Standard Regulation Requirement Timescale for action 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 1 Hill Close DS0000006250.V336004.R01.S.doc Version 5.2 Page 18 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. 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