Inspection on 19/08/05 for Alder House

This inspection was carried out on 19th August 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

Alder House 12/06/07

Alder House 02/02/06

Alder House 17/02/05

Alder House 24/06/04

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

CARE HOME ADULTS 18-65 Alder House Alder Way New Earswick York YO32 4TH Lead Inspector Wendy Dixon Unannounced 19 August 2005 12:00 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. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alder House Address Alder Way New Earswick York YO32 4TH 01904 750453 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) Joseph Rowntree Housing Trust Mr David Charles Crampton Care Home Only 10 Category(ies) of PD Physical Disability (10) registration, with number PD (E) Physical Disability - over age of 65 (5) of places Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17/02/05 Brief Description of the Service: Alder House is a purpose built single storey care home jointly managed by the Joseph Rowntree Housing Trust and the York and District Cerebral Palsy Society, which provides long- term accommodation with personal care and a respite service for to up to ten people with physical disabilities. The home is situated in New Earswick, a village owned and managed by The Joseph Rowntree Housing Trust and is within easy walking distance of all of its facilities, which include shops, a post office, a library and a church. A regular bus service operates between the village and the city centre of York. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection that took place on Friday 19th August 2005.The inspection lasted 3.0 hours (12.noon to 3.00pm). There were 10 service users resident in the home, 9 requiring permanent care and 1 receiving respite care. The inspection focused on a number of key standards and on the areas of concern identified at the last inspection. An inspection of the premises took place, including a number of bedrooms, and lounges. The care records of three service users were examined in detail and a number of service users were spoken with during the inspection. There were also discussions with members of staff and management of the home. What the service does well: The home has a lovely relaxed friendly and informal atmosphere Service users at the home have a wide range of personal care and support needs, some managing to lead an independent lifestyle, working part-time and being very involved in the local community. Others require full support with health and personal care needs, such as being fed artificially. The manager and staff support all the service users in a very individual way, according to their needs abilities and wishes. Records are well kept and reflect the needs of service users in a straightforward way ensuring good communication within the staff team. Service users rooms are spacious to allow good access and very much service users own decorated to their personal taste. Access is good throughout the home meaning service users can be as independent as possible when moving about the home not needing to ask staff for help. Equipment to promote service users independence and assist staff in carrying out their work safely and protecting service users dignity such as assisted baths; hoists and mobility aids are in good supply. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 The service user’s needs are well assessed before they are admitted to the home EVIDENCE: All admissions are on a trail basis and prospective service users would visit for a meal perhaps then coming into the home for respite before deciding to take up a permanent placement. A service user who has previously received a respite service is about to become a permanent resident in the home. A comprehensive care plan had been complied by the service users key worker, the registered manager and the service user setting out the support the service user was to receive. This was detailed, clear and involved a number of other professionals as well as the service user, helping to ensure information to provide a good service are as comprehensive as possible and the service user receives the support they want. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 and 9 Service users are supported to live their lives are they choose in a safe way EVIDENCE: Three service users care plans were inspected. These were up to date and had been reviewed on a regular basis ensuring staff were aware of the care and support service users need. Care plans showed that service users and their families are involved in the planning and reviewing of the care helping to ensure these plans reflected the wishes of service users. Care plans contained a number of risk assessments outlining management of issues such as moving service users safely administering medication and service users going out alone. These had involved and been agreed with service users and struck a sensible balance between protecting service users and enabling them to lead a full life. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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) 12,13,15,16 and 17 Service users are supported to lead fulfilled lives and be as independent as possible. EVIDENCE: The home has a relaxed friendly and lively atmosphere. Visitors were welcomed and able to see friends in private Service users at the home ages range from service users being in their twenties and up to their sixties, staff have worked with service users and their families to ensure that service users lead full and active lives taking part in activities they enjoy. Service users attend colleges’ local day centres and some have part time employment depending on their capabilities. Service users at home at the time of the inspection were keen to talk about future events they were to attend/ take part in such as going to see the rugby league, swimming events. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 11 Meals are informal and menus planned with service users. These have to be flexible to suit the needs of all the service users; some trying to reduce weight others struggling to maintain a healthy one. Staff supports service users to make the correct choices for them. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 and 20 Service users health and personal care needs are well met. EVIDENCE: Service users were clean, tidy and appropriately dressed. Some service users at the home have very complex health needs and a great deal of assistance with personal care. Health and personal care needs were documented in a clear and understandable way to ensure good communication throughout the staff team. Records were regularly updated and reflected service users current needs. Medication was securely stored and stock balances checked correct. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 EVIDENCE: No complaints have been received since the last inspection. The home has a clear complaints procedure, which is included in the service user guide and staff handbook to inform service users and their families how to complain if they are unhappy with the care they receive. The Joseph Rowntree Housing Trust has produced robust policies regarding abuse copies of which were kept in the home and made available to staff members. As part of the staff induction programme, abuse training is given to all new staff to ensure service users are protected from harm. A copy of No Secrets is also available in the home. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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 and 30 The home offers very high quality accommodation to all its service users and is a clean comfortable and safe place for service users to live. EVIDENCE: The home is purpose built with good access into and throughout the building. Decoration and maintenance is to a very high standard. The home has secure well-maintained gardens for service users to enjoy. The home was clean and fresh smelling throughout and gloves and aprons were in good supply to help prevent the spread of infection. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 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) 35 The home provides enough suitably qualified and trained staff to meet service users needs. EVIDENCE: Over 50 of all staff have achieved NVQ level 2 or above in care and all new staff receive a full induction where they are informed as to how to meet service users care and support needs in a safe way. The rota inspected week commencing 14/08/05 showed enough staff are deployed to meet the needs of service users Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 16 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) 39 and 42 The home is well managed and provides a safe place for service users to live and staff to work. EVIDENCE: The registered manager is a qualified social worker with a number of year’s experience working with and managing this service user group. He has been working in the home for 18 months and ha a very good knowledge of service users needs. He has completed two modules of the registered managers award. He and or his deputy are available in the home on a daily basis to deal with issues as they arise. Regular meetings are held with service users to enable everybody who lives and works in the home to have a say as to how it is run. Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 x 3 3 x 4 4 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Alder House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 18 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 Regulation Requirement Timescale for action 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 Alder House J53 J04 S15788 Alder House V184103 160805 Stage 4.doc Version 1.40 Page 19 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. 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