This inspection was carried out on 1st June 2009.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: 484 Halifax Road 484 Halifax Road Bradford West Yorkshire BD6 2LH one star adequate service 11/12/2008 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: Caroline Long Date: 0 1 0 6 2 0 0 9 Information about the care home
Name of care home: Address: 484 Halifax Road 484 Halifax Road Bradford West Yorkshire BD6 2LH 01274676466 F/P01274676466 susanramsden@bdct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Brunel & Family Housing Association Limited care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 1 1 1 2 2 0 0 8 Halifax Road is a Yorkshire Housing Association home situated on the outskirts of Bradford. The home is registered to provide long-term personal and nursing care for up to six adults with learning disabilities. Staff are employed by Bradford District Care Trust. The building is a large three storey terraced house. Accommodation is provided on two floors, with six single bedrooms, three bath/shower rooms and a domestic style kitchen, living and dining room. Halifax Road has a garden at the front of the house and a car parking area to the rear
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home of the building. Local shops and bus routes are within easy access. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
At the key inspection carried out on the 12th December 2008 Halifax Road was awarded a one star adequate quality rating and some requirements were made. Following this inspection we have been provided with information which has indicated there are not enough staff at Halifax Road to meet peoples needs and there has been a change in the management of the home. A concern has also been raised with the Bradford Adult Protection about whether people were able to make a choice about the time they went to bed. We carried out this random visit to look these issues and to find out if the outcomes for people had changed. One inspector visited the home unannounced on the 1st June in the evening and stayed for one hour. During the visit they talked with people living at Halifax Road, and two staff and looked at some of peoples records of care. We did not inform the staff at Halifax Road that we were going to visit, we arrived at 7:30pm and found there were five people in the home with two staff, who were a nurse and a support worker. A support worker had taken another person to the cinema. Everyone was in their day clothes and looked clean, and appropriately dressed. There was a calm homely atmosphere and people appeared happy. Three people were watching the music channel on TV, which people said they preferred. There was a new larger screen TV, which staff said people could see better. One person was asleep on the sofa in the dining room and another person had chosen to make and take a cup of tea to their room. Whilst we were talking in the kitchen people came and left and made drinks as they wanted. In the lounge one person asked for a Chinese meal for supper the staff said they would get one when the night staff arrived. Staff explained people generally went to their rooms or bed when they wanted, they told us how there were three staff in the home during the day and evening and how this had enabled people to have more choices about their daily lives. Such as the time they rose and retired to bed. Also how this gave them more time to take people out to activities on an evening or during the day. Examples of the activities they told us about were to the cinema and bowling. People also accompanied the staff when they carried out the shopping for the home. At the previous inspection we asked that any allegations of abuse be reported immediately to Bradford Adult Protection Unit. We looked at the incidents report sheets and talked to the staff and found incidents were not being recorded and not reported to Bradford Adult Protection Unit. One of the incidents had involved the use of low level restraint. The nurse explained it is the manager who deals with the incident forms. To protect peoples rights and to keep them safe incident forms must always be completed and any allegations of abuse reported to Bradford Adult Protection Unit. Two staff told us there is one nurse and two support workers during the day from 7:30 am to 9:30 pm and one nurse and one support worker at nights. The support staff help people to make their meals and to clean their rooms. For the communal areas there is also a cleaner who works two hours a day. There were six people living at 484 Halifax Road, who required support with their daily lives and prompting with their personal care,
Care Homes for Adults (18-65 years) Page 4 of 9 and one person occasionally needs one to one support. Both told us this was generally enough to enable them to meet peoples needs, unless they had to provide one to one support, when this happened peoples choice of activities is limited. Staff explained the number of qualified nurses from agencies who were working at 484 Halifax road had increased due to a loss of two qualified nurses and they were unsure how these posts were to be filled. They were also concerned how this loss would affect people and the support they were receiving. At the previous inspection we asked that all the necessary criminal record bureau and protection of vulnerable adult checks and references were obtained before staff started work. We were unable to look at this during our visit because we visited in the nurse in charge did not have access to the recruitment files. We asked the staff about who is the temporary manager at Halifax Road we were told they visit the home spasmodically and was not at the home every day. However there was a nurse on duty each shift who is in charge of the shift. As the number of permanent staff nurses decreases in the home and more agency nursing staff are used, the provider needs to be confident the management they provide is sufficient and consistent to run the home in peoples best interests and to keep them safe. Following our visit as part of our overall inspection process we will continue to evaluate the information we receive and make any changes necessary to our inspection programmer if we are believe there are any changes to the quality of the service people are provided with. What the care home does well: 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 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 23 13 The registered provider must 01/01/2009 make sure any allegations of abuse are reported immediately to Bradford Adult Protection Unit. This is to make sure people are protected from abuse. 2 34 19 The provider must make sure 01/01/2009 all the necessary criminal record bureau and protection of vulnerable adult checks are made and appropriate references obtained before staff start work. This is to make sure only suitable people are employed. Care Homes for Adults (18-65 years) Page 6 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 1 23 13 A record of any serious 22/06/2009 incidents in the home must be kept and all incidents which involve a safeguarding issue must be referred to Bradford Adult Protection unit. This is to make sure people are always protected from abuse and to monitor any changes to their behaviour. 2 23 13 Staff must be follow Bradford 22/06/2009 Local Authority No Secrets policy when reporting any alleged incidents of abuse. This is to make sure peoples rights are protected. 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 36 To help provide a consistent standard of care and support staff should receive regular supervision. Care Homes for Adults (18-65 years) Page 7 of 9 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 2 37 To make sure the home is alway run in peoples best interests, there must be a consistent and available management team in place. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
