Inspection on 12/04/05 for Aire House

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Aire House 14/07/08

Aire House 24/07/07

Aire House 08/08/06

Aire House 07/11/05

Aire House 26/10/04

Aire House 25/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Aire House 6 Westcliffe Grove Harrogate North Yorkshire HG2 0PL Lead Inspector Terry Downey Unannounced 12 April 2005 09:30 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 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 Stationary 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. Aire House Version 1.10 Page 3 SERVICE INFORMATION Name of service Aire House Address 6 Westcliffe Grove, Harrogate, North Yorkshire, HG2 0PL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01423 509285 Parkcare Homes CRH 8 Category(ies) of Learning Disability (8) registration, with number of places Aire House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26th October 2004 Brief Description of the Service: Aire House provides residential personal and social care to eight adults with learning disabilities. The home is a large semi detached house situated close to Harrogate town centre and with good access to the services and amenities. The registered provider is Parkcare Homes part of Craegmmoor Healthcare. The responsible individual is Mrs M Hill. The manager is Mrs Joy Andrews who has applied to be registered. Aire House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 12th April 2005. At the time of the inspection the manager Mrs Joy Andrews was on duty and one resident and one member of staff were in the home. During the course of the inspection two other staff members arrived for duty just before the other five residents returned from their day activities. The inspector had the opportunity to speak to the staff and residents. The inspection also involved a check on the requirements and recommendations from the previous inspection, a tour of the premises and a check on the records kept by the home. At present there are six residents and two vacancies in the home. What the service does well: What has improved since the last inspection? A lot of work has been done to improve the home with new windows, two new bathrooms, and some bedrooms redecorated making the residents ‘proud to live there’ . Aire House Version 1.10 Page 6 The admission procedure for new residents has improved. The manager does the assessments and existing residents are involved which makes sure that the right people are admitted into the home. Residents are involved more in the running of the home and feel it is their home and said they were very happy. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Aire House Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Aire House Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 4, and 5. Progress has been made to improve the admission procedure which ensures that prospective residents are suitable and that their needs can be met by the home. EVIDENCE: Although no new residents have been admitted two people have regular respite care in the home and one person was assessed but not considered suitable for the home. Comprehensive assessments are carried out by the manager and other professionals to ensure that needs can be met. Records showed that new residents are invited for visits before admission and have the opportunity to meet the staff and other residents. This helps them to get to know the residents and staff. Staff can also see if they can meet their care needs. All residents have an individual contract and reasonable steps have been taken to ensure that it is explained to them. This makes sure that they are aware of the terms and conditions of their stay in the home and that their needs can be met by the staff in the home. Aire House Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 The residents health and personal care needs are met and that they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: Comprehensive assessments and care plans identify their personal and social care needs. Risk assessments are included in the care plans so that both staff and residents are aware of the support required. There were many examples of residents making decisions in the home and about their lives and these included, choice of daily activity programmes, leisure activities, and menu planning. The residents were pleased to discuss these and they were aware that some required support and others could be more independent in different activities. The information in the home is kept securely in the office and the residents were aware that they were confidential and could only be shown to others with their permission. This gave them confidence in the manager and staff team that any concerns that they shared with them would be treated with respect. Aire House Version 1.10 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16,17 The residents eat well and enjoy a full range of activities. They are part of the local community. EVIDENCE: Five residents returned from day services during the inspection and were keen to discuss their achievements and what the longer term aims were. All day activities are chosen individually with each resident and provide stimulation as well as personal development All residents use the local facilities in Harrogate eg cinema, pubs, and clubs. Two residents also help a neighbour with his garden. During the inspection a gentleman arrived to have tea with the residents and stay for the evening with them. He attends the same day service as some of them but lives in the community with his wife. She has been unwell recently and in hospital so the residents befriended him and he comes to the home twice a week for tea. The meals are nutritious and balanced and provide a healthy diet. Residents have been made aware of their rights as citizens by the manager and staff in the home and this became the topic of conversation with the Aire House Version 1.10 Page 11 inspector. It was clear that some understood better than others what this actually meant for them. The inspector recommended that more support be offered to these residents so they could be clearer about their rights. It seems that the home has been a victim of its own success in helping residents make choices and be involved, and consulted and some have found it difficult to understand. The residents and some of the staff have started a slimming and get fit course. They have joined a local slimming club and used the information from there to plan their menus. Staff have received training in the nutritional content of foods so are able to advise on healthy options. They have also bought some keep fit equipment and work out together regularly. They were very pleased to discuss the amounts of weight they had lost. They were also aware that they miss certain things like take aways and the pub, but said it was worth it. Aire House Version 1.10 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,21 The residents personal and emotional health needs are met. EVIDENCE: The residents all helped to write their care plans which deal with personal support as well as their physical and emotional needs. They were happy that these were met in the way they wanted and staff felt confident that they were only doing what the resident had agreed to. The care plans were comprehensive documents agreed with the residents and in conversation both residents and staff were aware of them. Records showed that residents had been consulted about death and dying and arrangements for funeral services were recorded. Residents said they were happy to be asked about this and one had even chosen the hymns she wanted. Aire House Version 1.10 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The residents are protected from abuse, neglect and self harm. EVIDENCE: The home has a detailed complaints procedure but residents have not used it but felt safe knowing that it was there. They also said they could talk to the manager and staff and knew that they would take them seriously. The vulnerable adults procedure is available in the home and training of staff has been recorded. Staff were aware of the procedure and as with the complaints procedure above would take all reports seriously and deal with it properly. Residents said they felt safe knowing that everyone knew about it. The residents are part of the community, go out regularly, make choices, and have lots of advocates. Aire House Version 1.10 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,27,28,30. There have been many improvements in the home since the last inspection and these have made the home much more comfortable and a place where residents are ‘proud to live’ EVIDENCE: New windows, two new bathrooms, and several rooms redecorated have made a big improvement to the home and made it much more comfortable. Some residents bedrooms have been redecorated and new furniture provided and residents were very pleased with the work. They were keen to show off their room and had signed a form giving the inspector permission to look at their rooms should he call when they were out. The communal rooms are well furnished and decorated and residents said they were happy to bring people into the home. The home was clean and hygienic and free from offensive odours. There is an infection control policy to alert staff and ensure good hygiene practices. Aire House Version 1.10 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. The staff are well trained and well supported by the manager and this ensures that residents feel supported and staff are aware of their duties. A robust recruitment procedure offers protection for the residents in the home. Despite the training and supervision one member of staff’s communication skills and knowledge of residents needs is not satisfactory. EVIDENCE: The home has a settled staff team. They work at times suitable for the residents who all felt supported by them. Staff also felt that there were enough staff to meet the needs of the residents. Only one member of staff has been employed since the last inspection but records showed that the procedure was robust and offered protection to the residents. Staff training records were well kept and showed that all staff were doing NVQ level 2 and all statutory training was up to date. This provides protection to the residents Aire House Version 1.10 Page 16 The home is doing the Investors in People Award and the work for this means that staff are kept up to date with best practice and recent legislation which benefits the residents in the way their care is given. All staff receive supervision at least 6 times per year and this ensures that they are aware of the ethos of the home feel supported by the management. It was clear from conversations with the residents and staff that one member of staff has not responded to the training given or the managers supervision. If after further training and support she does not improve her suitability to work as a carer in the home must be reviewed. Aire House Version 1.10 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,42 There is clear leadership and guidance from the manager which ensures consistent quality care for the residents. This means that the health, safety and welfare of the residents is promoted at all times. EVIDENCE: The manager believes that the residents should be involved in the running of the home so tells them about everything that is happening and asks for their opinions. The residents said this gives them trust in the manager and staff. The residents have regular meetings as individuals and as a group to talk about the home so they feel that they have control over their lives. Craegmoor Healthcare have an official form asking for the resident’s opinions of the home. This gives the residents a chance to tell the owners of the home what they like and don’t like about the home. Aire House Version 1.10 Page 18 Records regarding health and safety are well kept which makes sure that the home is a safe place for residents and staff to live and work. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No Aire House Standard No 31 32 Version 1.10 Score 3 3 Page 19 11 12 13 14 15 16 17 x 3 3 3 3 3 3 33 34 35 36 2 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x Aire House Version 1.10 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 33 Regulation 18 Requirement The member of staff whose communication presents a problem and who doesnt have satisfactory knowledge of the residents needs must be given further training and support. Her suitability to work in this environment must be reviewed in three months. Timescale for action 30.06.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 16 Good Practice Recommendations Some residents will need more suport to fully understand what having rights actually means and to become more assertive. Aire House Version 1.10 Page 21 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ National Enquiry Line: 0845 015 0120 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 Aire House Version 1.10 Page 22 - 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!