Inspection on 08/08/06 for Aire House

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aire House 14/07/08

Aire House 24/07/07

Aire House 07/11/05

Aire House 12/04/05

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 David White Key Unannounced Inspection 8th August 2006 09:00 Aire House DS0000007903.V303950.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 Aire House DS0000007903.V303950.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. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aire House Address 6 Westcliffe Grove Harrogate North Yorkshire HG2 0PL 01423 509285 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) www.craegmoor.co.uk Parkcare Homes (No. 2) Limited ****Post Vacant**** Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Aire House is registered to provide 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 town’s services and amenities. The registered provider is Parkcare Homes part of Craegmmoor Healthcare. The home does not have a registered manager at present but is being managed by a deputy manager, with support from the registered manager of Glenavon, a care home nearby. The current fees at the time of the site visit on 8th August 2006 ranged from £373 to £1380.58 per week and do not include costs for hairdressing, toiletries and activities. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on the 8th August 2006. This visit was carried out by one Regulation Inspector and took 7.5 hours with 6 hours preparation time. The home was able to return the requested information before this site visit. Due to administrative error surveys were not sent out to service users’, relatives and health and social care professionals prior to the site visit but will be carried out as part of the next key inspection. Information was used from the Regulation Inspector’s inspection record, which detailed the history of the home and relevant information about what had been happening in the home since the previous inspection visit. The site visit comprised of a full inspection of the premises and a visit to the Vocational Skills Centre to speak to one of the service users’. The care records of four service users’ were looked at which included service users assessments, care plans and medication records. Staff rotas and health and safety documentation were inspected. Time was spent talking to four service users, two members of care staff, the manager of the home and the deputy manager of the Vocational Skills Centre. The activity in the home and the interaction between service users and staff was observed. The focus of the inspection was on a number of key standards and inspecting the case records of a number of service users to establish whether they corresponded with their experiences of life in the home. The manager was available throughout the inspection and the findings were discussed at the end of the inspection. What the service does well: Service users’ said that the staff were “kind and helpful” and this made service users’ feel comfortable about being able to approach staff for support. The home provided a range of information to service users’ in verbal, written and picture formats and this helped service users’ to have more understanding about the care and services offered within the home and their rights and entitlements. Service users’ had access to a range of activities to enable them to pursue their social and leisure interests. Service users’ were given the opportunity to voice their views and contribute towards how the home was run. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 6 Service users’ and staff felt confident that the manager would deal properly with any concerns to safeguard their interests. What has improved since the last inspection? What they could do better: The care plans need to be more detailed so that all staff are clear about what they need to do to meet service users’ needs. Two aspects of health and safety need addressing to safeguard service users’ from harm. A thermostatically controlled valve was needed for the water system in the kitchen area to prevent risks to service users’ from scalding and sealed cooked meats which had been opened needed to be covered and dated so that service users’ health was not put at risk from food contamination. The home needs to have a registered manager so that the home is run in a consistent manner to meet the needs of the service users’ and to maintain and improve its standards. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 7 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. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 8 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 Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 1, 2 and 4. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Proper pre-admission procedures were in place and followed to ensure that service users’ needs could be met by the home. EVIDENCE: The statement of purpose and service user guide providing information about the home was available for service users’ and their representatives and was on display in the home. The records of four service users’ were looked at including those of a service user most recently admitted to the home. They identified that staff at the home collect information from a number of sources prior to admission so that they were able to make an informed decision as to whether the needs of prospective service users could be met. Each pre-admission assessment looked at the identified needs of each service user and a care plan was drawn up from this to describe how the assessed needs were to be met. Information was obtained from local authorities for those service users’ who were subject to care management arrangements and the home’s needs assessments reflected the information provided by the placing authority. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 10 A recently admitted service user said that prior to moving into the home they had been able to visit the home to get to know the other service users’ and staff. The service user confirmed that they had been given a contract and a range of information about the home prior to moving there. At the previous inspection visit concerns had been raised about a service user who had been inappropriately admitted to the home but who was still living there. The manager was able to confirm that this particular service user had since moved on into more appropriate alternative accommodation and service users’ commented that the atmosphere in the home was more calmer because of this. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 6, 7 and 9. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The care provided to service users’ was good and service users’ were encouraged to make their own decisions about how they lived their lives. EVIDENCE: Service users’ were complimentary about the care they received at the home. One service user said, “it’s lovely living here because staff are so kind and helpful” whilst all service users’ spoken to said they felt their independence was encouraged by the staff team. Service users’ felt that they made their own choices about how they wished to live their lives and information about their preferred daily routines was recorded within their individual care plan. One service user said that on occasions they liked to sit in the lounge and watch some television late on in the evening, however when one particular member of staff was on night duty the service user had at times felt pressurised to go to bed earlier than they would have chosen to do so. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 12 This matter was discussed with the manager who said that service users’ were sometimes encouraged not to stay up too late to bed if they had to get up for the Vocational Skills Centre the following day but nonetheless the decision about staying up late was the choice of the service user. The manager said that she would be discussing this matter with the member of staff concerned. The home was in the process of introducing a new care planning system and three of the four care plans looked at contained the new documentation. The updated care plans were much improved from the previous care planning systems and focused on the service users’ personal wishes about how they wished to be supported to achieve their aims and goals. The care plans detailed how needs had been assessed and what actions were needed to meet the identified needs although the required actions needed to be more detailed and specific so that staff were clear about how positive outcomes were to be achieved for service users’. Individual risk assessments had been carried out to promote independence and safety and these had been agreed with the service users’. One service user on occasions exhibited verbal and physical aggression and there was a management strategy in place to deal with this type of behaviour that had been agreed with the service user. One recently appointed member of staff said that they found the care plans easy to follow and understand. Service users’ said that they were given the opportunity to sit down and discuss their care with their key worker each month if they wanted to do so and the records showed that care plan reviews took place on a regular basis to address any changing needs for each service user. One of the service users’ had communication difficulties and used Makaton language to express their needs and choices. In order to be able to communicate more effectively with this particular service user, all the staff had received some Makaton training as well as two of the service users’ who had taken up the opportunity to also attend the training. The home was also looking to introduce the “Out and about” computer programme which aimed to encourage service users’ independence by assisting them in carrying out daily living skills such as cooking by following simple written instructions and pictures on a computer screen. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users’ enjoyed a good lifestyle both in and outside the home in order to meet their social and leisure preferences and needs. EVIDENCE: Each service user had an individual programme of activities aimed at developing their skills and service users’ interests and social needs were recorded within their care plans. Most of the service users’ attended the Vocational Skills Centre (VSC), which was run by Craegmoor and provided a good range of activities. Each service user spoken said that they enjoyed attending the Centre. The Vocational Skills Centre was visited during the site visit and service users’ were seen to be participating in and enjoying a range of activities such as arts and crafts, woodwork and computing. The deputy manager of the Centre said that service users’ were encouraged to develop their skills and were given individual support where this was needed and in accordance with service users’ wishes. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 14 Service users’ could access the local colleges to enhance their educational skills and learning and one service user was awaiting a catering work placement. Most of the service users’ used the local community facilities such as the swimming baths and pubs whilst others attended the nearby PHAB social club. Day outings were arranged in accordance with service users’ wishes and some of the service users’ had recently returned from a holiday in the Lake District. A member of staff had attended a “Travel Training Programme” at Bradford College and it was intended that with specialist assistance and support from the College training team, service users’ would be able to undertake training programmes with the aim of enabling them to access transport independently where this was appropriate. Visiting arrangements were flexible and service users’ could see family and friends whenever they wanted to maintain their relationships and had access to a telephone in the house if they wished to contact family and friends via this manner. Since the previous inspection visit the home had worked hard to help service users’ to understand their rights and entitlements. Service users’ said they were fully involved in any decision-making in relation to their care and were encouraged to voice their views and opinions about the home. Information about the service users’ rights was included within individual care plans and records showed that this was reinforced within regular house meetings between the service users’ and staff. Those service users’ spoken to were aware of their rights and entitlements and said they felt comfortable about giving their opinions about the home. Service users’ planned their menus with the staff in advance and said that there was always plenty of choice. On occasions service users’ chose to have a takeaway meal on a weekend. It was observed on the menus that all the service users’ tended to choose the same meal. A service user confirmed that this was often the case as the service users’ had similar tastes, however alternative food options were available if a service user changed their mind about their original food choice. All the staff had received food hygiene training and had attended a healthy eating course. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18, 19 and 20 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. The health needs of service users’ were met with good access available to specialist services when required. EVIDENCE: Staff aimed to promote the independence of the service users’ and to provide support in a sensitive manner. One service user confirmed that personal support was given to them in accordance with their wishes and staff could be observed to be providing support in a dignified manner and care records stated how service users’ preferred to be supported. Each service user had access to a GP, a dentist, a chiropodist and records were made of any input from specialist services so that the care staff were kept informed about the care being provided by healthcare specialists and others. The home’s medication system and facilities were inspected. Proper procedures were in place for the ordering, administration, storage, recording and disposal of medication although it was recommended that the supplying pharmacist carried out more regular checks of the home’s medication systems to ensure that the home was adhering to its medication policies and procedures. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 16 The Medication Administration Records (MAR) were accurate and up to date and a random check of the medication supplies tallied with the records. Staff who administered medication in the home had all received medication training. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Clear complaints and adult protection policies and procedures were in place and were understood by staff to safeguard service users’ from risk of abuse. EVIDENCE: The home had a complaints procedure that clearly detailed how complaints would be dealt with. The complaints procedure was openly on display in the home and was available in written and picture formats. Service users’ knew whom they needed to speak to if they had a complaint and felt confident that the manager would address any concerns properly. Two complaints had been made to the home since the previous inspection and these had been dealt with properly to safeguard the interests of the service users’. In the past the home had managed adult protection matters poorly. Since that time a number of measures had taken place to help protect service users’ from abuse. All the staff at the home had attended abuse awareness training and the manager had received some specific adult protection training from Leeds Social Services. Abuse awareness also formed part of the induction training for new workers and a recently appointed member of staff was able to confirm this. All three members of staff spoken to had a good understanding of what constituted abuse and knew what actions to take if abuse was suspected or had happened in order to protect service users’ from harm. The home had attained a copy of the North Yorkshire County Council (NYCC) policy and procedure for the protection of vulnerable adults to provide guidance to staff on how to deal with abuse. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 18 Since the previous inspection there had been no further allegations or incidences of abuse in the home therefore it was not possible to determine whether the home would be able to deal with this properly to ensure service users’ would be protected from harm. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 19 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 the following standard(s): 24 and 30. Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The home provided a comfortable and pleasant environment for service users’ to live in although two issues needed to be addressed to ensure the safety and wellbeing of the service users’. EVIDENCE: On the day of the site visit the home was warm, bright and comfortable for service users’. All the service users’ were mobile and could access all parts of the home however the lack of ramped access to and from the home would make it difficult for people with mobility problems to visit the home. At the back of the home was a patio area where service users’ could sit. Within the last year the home had undergone some refurbishment work that was still ongoing. Those parts of the home, which had been re-decorated, were bright and pleasant for service users’ and although the area near the kitchen looked in need of updating the manager said that the work on this area of the home was about to be undertaken as the next stage of the refurbishment programme. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 20 A number of service users’ bedrooms had been re-decorated and one service user was particularly pleased with their bedroom and the general location and peacefulness of the home. At the previous inspection there had been a problem with the first floor landing and bathroom lighting that had placed service users’ at risk of harm. The necessary work had been completed satisfactorily to rectify this problem and to reduce any risks to the service users’. The home had domestic laundry facilities and COSHH materials were securely stored so that service users’ did not have access to hazardous substances. Staff had attended infection control training to promote good hygiene practices. There were adequate food supplies in the kitchen and fridge and freezer temperature checks were carried out on a daily basis. However in the fridge two packets of cooked meats had been opened but had not been covered and dated so it was unclear as to when the meat had to be consumed by and this placed service users’ at risk to their health from possible food contamination. Random checks of the hot water temperatures were carried out and found to be within safe limits, however the hot water temperature records showed that the water temperatures from the kitchen sink could fluctuate and a replacement thermostatically controlled valve had been requested by the handyman carrying out the checks in March 2006. The manager said that the necessary work had yet to be carried out although regular monitoring of the hot water temperatures from the kitchen sink was taking place to reduce any risks from scalding to the service users’. This situation was discussed with the manager who will be dealing with the issue as a matter of priority. The home was clean and free from offensive odours. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Sufficient staffing levels, proper recruitment procedures and improvements in staff training meant that service users’ needs were met and their interests were safeguarded. EVIDENCE: On the day of the site visit the atmosphere in the home was pleasant and staff could be seen interacting well with the service users’. Duty rotas showed that staffing levels were adequate to be able to meet service users’ needs and service users’ said that there were always able to access staff if they needed to do so. The staff files of three members of the staff team were looked at including those of two recently appointed members of staff. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post in order to safeguard service users’ from harm. The manager and at least one other person carried out interviews for vacant posts in the home and service users’ had been actively involved in the home’s recruitment process. There had been some improvements in the staff training programmes and each member of staff had attended a range of health and safety training and abuse awareness training. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 22 A recently appointed member of staff was able to confirm that they had received induction training when starting work at the home. In the past there had been a lack of training in relation to the specific needs of people with a learning disability and whilst this remains an issue the manager did say she had made arrangements for an external training organisation to provide staff with autism training and other specific training in relation to the needs of people with a learning disability. Two of the care team staff had attained the NVQ level 2 and other care staff had been enrolled on the training to enhance their skills and knowledge in meeting service users’ needs. Concerns had been raised at the previous inspection visit that some staff had communication difficulties which led to them having problems in fully understanding training which had been provided to them. The manager said that most staff spoke English well and had a good understanding of language and literacy skills and systems were in place including individual supervision to monitor their understanding of training received. One member of staff had attended an English course to improve their skills and was now doing the NVQ training. Service users’ said that they felt they could communicate with the staff and that their needs were understood, although one service user did say that on some occasions it was difficult to understand what one particular member of staff was saying. At the time of the site visit the staff were observed to be communicating effectively with the service users’ present in the home. Regular staff meetings were held and these were recorded and staff supervision systems were in place. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed despite the need for improvements in management arrangements to ensure a more consistent approach in meeting service users’ needs and to maintain and improve the standards in the home. EVIDENCE: In the last four years the home has had a number of different managers none of whom have applied to be the registered manager of the home with the Commission. This issue needs to be addressed by Craegmoor Healthcare so that consistent management arrangements are in place in order to meet service users’ needs and the aims and objectives of the home. The current manager who is also the registered manager of another nearby Craegmoor Healthcare care home had been the manager of this home for a year. She said that she spent around the same amount of time between both homes but did feel that the appointment of a deputy manager at the home had helped to support her with her management duties. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 24 The manager had undertaken the NVQ level 4 and the Registered Manager’s Award and was about to complete both of these. Both staff and service users’ said that they found the manager to be “kind, approachable and supportive” and staff said they could easily access the manager if they needed to do so. Since the previous inspection the home had achieved the Investors in People Award for the positive impact they had made on service users’ lives and systems were in place to monitor the effectiveness of the care and services provided at the home. Recently a questionnaire had been sent to service users’ and relatives to seek their views about the service. The replies from the questionnaires were sent directly to the regional office where the information was analysed and then an action plan was requested from the home based on the findings from the questionnaire. The manager and deputy manager have audit systems in place to monitor various aspects of care and health and safety practices within the home. House meetings between service users’ and staff were held on a regular basis and were recorded. The responsible person for Craegmoor Healthcare carried out a monthly-unannounced visit to the home and reported on their findings. A number of health and safety certificates were looked at and were satisfactory. Staff had received updated health and safety and fire safety training and fire drills were carried out on a regular basis. However as previously mentioned in this report under the heading of environment, a thermostatically controlled valve needed to be fitted to the water system in the kitchen area to protect service users’ from being at risk from scalding and food hygiene practices needed to be improved so that service users’ health was not put at risk. Service users’ monies were discussed and the financial systems used by the home were looked at. Each service user’s money was held individually and records and receipts were maintained to account for incoming and outgoing monies to safeguard service users’ interests. Service users’ had their own personal bank account and had cash cards to enable them to be able to access their monies at all times. Only small amounts of monies were held in the home and these were stored safely and a random check of the monies tallied with the records. Individual service user and home records were in good order and information was easy to access. Aire House DS0000007903.V303950.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 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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 1 X Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 26 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 YA6 Regulation 15 Requirement Timescale for action 30/09/06 2. YA24 13 3. YA37 8 4. YA42 13 Care plans must be more detailed to explain the specific actions needed to meet the agreed outcomes for service users’ (previous timescale of 31/12/05 not met). Packed meats once opened must 08/08/06 be covered and dated so that service users’ are not at risks to their health from foods which have exceeded the consume by date. The home must have a 31/12/06 registered manager to ensure that service users’ needs are met and the home is run in a consistent manner. The registered provider must 31/08/06 make arrangements for a thermostatically controlled valve to be fitted to the water system in the kitchen so that service users’ are not at risk from scalding from the water outlets. Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 27 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 Refer to Standard YA20 YA35 Good Practice Recommendations The home should seek more regular checks of the home’s medication systems by the supplying pharmacist. Further training should be provided to one particular member of staff to improve their communication skills so that they are clearly understood by service users’ at all times. All staff should receive more training that is specific to the service user group to improve their skills, knowledge and understanding of the needs of people with a learning disability. At least 50 of the care staff should be trained to NVQ level 2 or equivalent. 3 YA35 4 YA35 Aire House DS0000007903.V303950.R01.S.doc Version 5.2 Page 28 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 DS0000007903.V303950.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. 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. 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