Inspection on 14/12/05 for Airedale Residential Care Home

This inspection was carried out on 14th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Airedale Residential Care Home 03/07/08

Airedale Residential Care Home 12/07/07

Airedale Residential Care Home 31/01/07

Airedale Residential Care Home 20/05/05

Airedale Residential Care Home 03/02/05

Airedale Residential Care Home 24/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Airedale Residential Care Home Church Lane Pudsey Leeds West Yorkshire LS28 7RF Lead Inspector Hebrew Rawlins Unannounced Inspection 14th December 2005 09:30 X10015.doc Version 1.40 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 Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 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 Older People. 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. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Airedale Residential Care Home Address Church Lane Pudsey Leeds West Yorkshire LS28 7RF 0113 257 2138 0113 2363935 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) BUPA Care Homes (GL) Ltd Mrs Janet Gilder Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th May 2005 Brief Description of the Service: Airedale Residential Home is a former vicarage situated between a park and the church ground in the small town of Pudsey on the outskirts of Leeds. Although the home does not have its own garden residents are able to sit overlooking the attractive park gardens. The home is able to accommodate forty residents over three floors, there are 36 rooms of which twenty-one have en-suite facilities and four are shared. Every room is equipped with a staff call system. There is an integral lift to access the majority of the areas and a chair lift to access one area. Lifting and hoisting equipment is also available. All laundry is undertaken on the premises. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector between 10am and 4.00pm carried out this unannounced inspection. The purpose of the inspection was to ensure the home continues to provide a good standard of care for its residents. The manager made her selfavailable throughout the inspection. Time was spent talking to residents, relatives and staff. I also looked at records including duty rotas; residents’ care records, and assessments and observed the lunchtime meal. Some bedrooms and other areas of the home were checked. What the service does well: What has improved since the last inspection? The staffing levels have being reviewed and the recruitment procedure now ensures the protection of residents. The home has addressed deep cleaning in the kitchen and odour control in bedrooms. The manager and chef have made it clear to residents that a cooked breakfast is available. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 6 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. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, and 4. The home provides sufficient information to allow prospective residents to make an informed choice about moving in. All residents are assessed before admission to make sure that the home can meet their needs. EVIDENCE: There is information about the home in the reception area. People making initial enquiries are sent a letter, copy of the home’s brochure and other relevant information such as the BUPA booklets on dementia care and moving into a care home. In each resident’s room there is a copy of the home’s Statement of Purpose, which provides detailed information about the service and facilities. The pre admission assessments were in the residents’ files. Residents spoken with confirmed that they or their family had visited the home prior to their admission. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. More detailed information is required in the care plans to show how specific health care needs are met. EVIDENCE: Case tracking was done for four residents which involved looking at their care records and medication charts. The care plans provided some good information about how care needs were met and showed evidence of regular review. However there are some areas where improvements could be made in relation to health care needs. The records showed the fall risk assessment of a resident identified a very high risk. The care plan said, “support with walking and standing needs observing”. Yet there was no record to show how this was being monitored. The care records should be dated, signed and clearly show what action has been taken by staff to make sure resident needs are met and to prevent serious consequences to their health. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 10 The district nurses visit the home regularly however staff are not always aware of what treatment was administered. The manager was advised to seek advice from the nurses to the treatment of residents Medication ordering and administration systems were looked at. Detailed records show the medication ordered and received for each resident. Administration charts are generally well completed. Resident said that they were well looked after and described the staff as “lovely” and “good”. One resident in her bedroom said that staff were quick to respond if she needed help. Staff were seen to knock on resident’s bedroom doors before entering. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. The range and frequency of activities appeared to be good and residents have some choice and control over some areas of their lives. EVIDENCE: The home employs an activity co-ordinator and produces a newsletter each month, which keeps residents informed of activities and any news throughout the home. Several residents are able to entertain themselves watching television, reading, doing crosswords or chatting with one another. For those residents that are less able they welcome the stimulation and engagement. Activity records for residents who were case tracked were not regularly recorded. Several residents said that they were given choices as what time they got up and went to bed, what they had for their meals and what clothes they wanted to wear. They also stated they maintain regular contact with their family and friends. Residents confirmed that the chef had consulted them about preferences and were happy with the meals provided. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The complaints policy and procedure ensures that residents are listened to and are protected from abuse. However staff would benefit from training on adult protection. EVIDENCE: A detailed complaints and adult protection policy and procedure are available. All complaints are investigated and recorded. Residents said they would talk to the manager if they have any worries. Talking to staff, they are all clear on their responsibility about reporting any allegations of abuse. However they stated they had not had training on adult protection and the multi agency approach to the protection of vulnerable adults. This training would ensure that all staff are competent in protecting resident from any abuse. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. The individual accommodation ensures residents are safe and their needs are being met. Generally the areas of the home seen on this visit were clean and well cared for. EVIDENCE: The kitchen is showing signs of wear and tear. However the manager and cook said that a major refurbishment programme is due to start early in 2006. A number of improvements have taken place since the last inspection. These include deep cleaning in the kitchen and odour control in bedrooms. The self-controlled radiators, which would allow residents some control of the temperature in their rooms, have not been addressed. The home appeared safe from hazards that may put residents at risk. All communal toilets can be locked to maintain resident’s privacy. The home has a varied range of adaptations and equipment that assist residents in a number of ways. An internal lift ensures that all facilities are accessible to residents. There is a call bell system in place, which was tested, and this was answered in good time. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 14 Resident said they felt that they did not have to wait long when they used the call bell. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30. Recruitment procedures make sure that staff are suitable before they start work. There is a comprehensive training programme to make sure that staff receive the training and support they need to carry out their jobs. EVIDENCE: Staff appears happy to be working at Airedale. Four staff files were checked, one person was recently employed, and all files had the information required. The home makes sure that staff receive the training necessary for providing care to older people. Records show that all staff have completed induction and foundation training. Two members of staff were spoken with. Both showed a good knowledge of the home and their role. They were aware of the needs of individual service users. Both demonstrated a high level of enthusiasm and said how much they enjoyed their work. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 36 and 38. The home is well organised and the manager provides effective leadership. Residents and relatives are encouraged to participate in all aspects of the home. Health and safety of residents and staff is promoted and protected. Formal supervision has started and should encompass all staff. EVIDENCE: The manager has started formal supervision with her staff to ensure that care staff understand and have the opportunity to discuss their work. This is to ensure residents receive the best possible care. However not all staff have received formal supervision and the form used to record does not allow room for detailed discussion and should be reviewed. Training records show that all staff have received training in health and safety. Staff were observed using correct methods of moving and handling. Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X 3 X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X 2 X 3 Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP8OP7 Regulation 15,14 Requirement Care plans must have more detailed information to show how specific health care needs are met. The manager and staff must be aware of what treatment or action the district nurse has taken when visiting residents. Staff must have training on adult protection and the multi agency approach to the protection of vulnerable adults. The refurbishment programme planned for the kitchen must be carried out. Radiators should be under thermostatic control (from last inspection). A formal supervision must be implemented for all staff. Timescale for action 27/03/06 2. OP18 13 03/04/06 3. 4. 5. OP19 OP24 OP36 23 23 18 01/06/06 31/08/05 01/04/06 Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 19 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 Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Airedale Residential Care Home DS0000001408.V267101.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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