Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 20/05/05 for Airedale Residential Care Home

Also see our care home review for Airedale Residential Care Home for more information

This inspection was carried out on 20th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home produces the Airedale Chronicle, which keeps the residents up to date with what going on around the home.

What has improved since the last inspection?

Staff appears to adhere to the procedures for the receipt, recording, handling and administration of medicines.

What the care home could do better:

Review it staffing levels to ensure the needs of resident are being met and operate a through recruitment procedure ensuring the protection of service users.

CARE HOMES FOR OLDER PEOPLE Airedale Residential Home Church Lane Pudsey Leeds LS28 7RF Lead Inspector Hebrew Rawlins Unannounced 20 May 2005 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 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 Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Airedale Residential Home Address Church Lane Pudsey Leeds Ls28 7RF 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) 0113 2572138 0113 2363935 Bupa Mrs J Gilder Care Home 40 Category(ies) of Old age (40) registration, with number of places Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3/2/05 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 Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on the 20th May 2005 by one inspector. The purpose of the inspection was to ensure the home continues to provide a good standard of care for its residents. The Registered Manager was on annual leave and the Deputy Manager was on sick leave. Two senior care workers were in charge and a Manager from another of BUPA home made her self-available throughout the inspection. Service users and staff present at the visit were made aware of the inspection through discussion with the inspector. They were invited to give their views on the care and services provided. Records were inspected and these included resident’s care plans and staff recruitment files. What the service does well: What has improved since the last inspection? What they could do better: Review it staffing levels to ensure the needs of resident are being met and operate a through recruitment procedure ensuring the protection of service users. Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 6 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 Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 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 standard(s) 1,2,5, People are able to make an informed decision about the home the written information they receive and from what they are able to see on their visit to the home. All residents receive a contract of terms and conditions of the home. EVIDENCE: A copy of the Service user guide which all prospective residents is given was seen and was found to contain sufficient information to enable the person to make an informed choice about the home. Copies of the terms and conditions of the home were seen in individual files and contained all the appropriate information. The pre admissions 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 Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 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 standard(s) 7,9,10. Further developments are needed to ensure consistency is applied where care planning is concerned to take in all the required standards. Residents stated they are respected and cared for well by staff in the home. EVIDENCE: Residents said their needs were well met and staff looked after them very well. They stated nothing was too much trouble for most of the staff, this was also confirmed by relatives visiting. During the visit staff were observed maintaining the dignity and privacy of residents at all times. Medication records were seen and found up to be up to date signed and the storage of medication was satisfactory. Care plans examined did not contain resident likes and dislike of food, some files had not been reviewed on regular basis and social activities were not recorded in care plans. Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13,15. A range of activities is provided in the home, however these are not recorded in resident file as to identify who has taken and who have not. The manager should make it clear or reminded residents that a cooked breakfasts are available for those who wish. EVIDENCE: The home has an activities organiser and the Airedale Chronicle is produced each month. The month of May talk about the new pope in Rome, the Grand National and the General Election. Regular committee meetings are held covering much ground, raising and suggesting many ideas. Summer outings are planned and residents and staff birthdays are celebrated. Although there is a list for each month these are not recorded in residents files. Discussion took place with several residents about the meals in the home. All but one resident was happy to state there was a choice for each meal and the food was well presented and well cooked. The unhappy resident concern was at breakfast time there was not a cooked meal. The cook spoken to stated cooked breakfast is available for those who asked. Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 11 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 standard(s) EVIDENCE: Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19,23,24,26. Some improvements relating to the environment are required, deep cleaning in the kitchen, odour control in bedrooms and radiators in some residents rooms need to be under thermostatic control. EVIDENCE: A tour of the building took place and most of the residents bedroom showed signs of personal belongings. Not all radiators were self- controlled which would allow residents to have some control the temperature in their bedrooms as they see fit. The domestic member of the staff told how she manages her workload to ensure the home is kept clean and tidy, which it was on the day of the inspection. However the odour in some bedrooms needs to be kept under control and deep cleaning is required in the kitchen. Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 The recruitment practice is not satisfactory, which could result in unsuitable persons being employed at the home. The manager must review the staffing number of the home and take into account the changing needs of the residents and the layout of the building. EVIDENCE: Staff files were looked at, and discussion with the manager on call from one of BUPA other homes took place. The most recently recruited staff member has left and returned back at Airedale. There was no evidence of a full interview process taking place and references were partly filled in not showing the dates the person worked at other employment since leaving Airedale. Speaking with residents, visitors and staff it appears the home is running on staffing number, which is not meeting the full, care needs of its residents. The Registered Person was ask to formally review the staffing levels at the last inspection to make sure the needs of residents are being met. Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x x 3 2 x 2 STAFFING Standard No Score 27 2 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 16 yes 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 7 Regulation 15,14 Requirement Care plans must contain information that identifies how personal, social and health care needs are to be met and reviewed regularly. Acitivies residents have taken part should be recorded in their files The manager must make it clear to resident that a cooked breakfast is available. Radiators should be under thermostatic control. Deep cleaning is required in the kitchen. Odour control is required in some residents bedroom. A formal staffing review must take place to ensure the needs of residents are met. This was raised at the last inspection. The home must operate a through recruitment procedure ensuring the protection of residents. Timescale for action 30/7/05 2. 3. 4. 5. 6. 7. 12 15 24 26 26 27 15 16 23 23 16 18 30/7/05 30/705 31/8/05 30/7/05 30/7/05 30/7/05 8. 29 19 30/7/05 Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 17 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 Good Practice Recommendations Airedale Residential Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Aire House Town Street Rodley 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 Home J52 S1408 Airedale V228660 200505 Stage 4.doc Version 1.30 Page 19 - 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!