Inspection on 19/05/05 for Alderson Road 12

This inspection was carried out on 19th May 2005.

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

Alderson Road 12 11/07/07

Alderson Road 12 18/07/06

Alderson Road 12 05/01/06

Alderson Road 12 02/11/04

Alderson Road 12 14/04/04

Similar services:

Larch Avenue

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Alderson Road (12) 12 Alderson Road Harrogate North Yorkshire HG2 8AS Lead Inspector Chris Taylor Unannounced 19 May 2005 10.30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Alderson Road (12) Address 12 Alderson Road Harrogate North Yorkshire HG2 8AS 01423 520251 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) UBU post vacant Care Home 6 Category(ies) of Learning disability registration, with number of places Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 02.11.04 Brief Description of the Service: 12 Alderson Road is a large Victorian terrace house situated close to Harrogate town centre. The home provides accomodation and personal care to six adults with a learning disability some of whom have a physical disability. The home is owned by UBU formerly Northern Life Care. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Some people that live at this home have autism and find visitors to the home upsetting, so the home were told a few days before the inspection so that staff could prepare people. Time was spent talking to staff, managers and service users and observing how staff help service users have their lunch. Some records about service users and staff training were looked at. The way the home keeps medication was also checked. What the service does well: What has improved since the last inspection? What they could do better: There is a written system to check that everything in the home is OK and a record of what needs to be done in the future to improve it. This doesn’t include what service users, their families and other professionals think of the home and should do. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 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. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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 Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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) none EVIDENCE: Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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 Proper arrangements are made to ensure service users needs are assessed and met. EVIDENCE: Whilst staff were helping service users with morning activities and lunch it was clear that staff knew individuals needs and they were able to reassure and assist service users in a kind and supportive manner. Staff were seen using makaton and physical prompts to support service users. The speech therapist from the local learning disabilities team visits the home every three weeks to help staff develop communication systems for individuals with difficulties in this area. Service user plans contained information about every aspect of the service users life and included areas for developing new skills. There was clear instruction to staff about how care should be delivered. Also present were risk assessments that supported service users to live as independently as possible with safeguards in place, these were reviewed regularly. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 10 The training staff receive and evidence required to maintain accreditation with the National Autistic Society means service users receive care from a staff team with expertise in providing care for people with autisim. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 11 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 and 16 Service users have full and active lives. EVIDENCE: One service user was at the specialist day centre, 2 service users had gone swimming and one out for a walk. One service user had chosen to listen to music during the morning and was going with staff to the supermarket to complete the weekly shop in the afternoon. He indicated that he was looking forward to the disco at Gateway club that evening. Service user plans contained sections relating to service users leisure and daytime occupation. Staff said that service users enjoy visiting the pubs and restaurants, going to the cinema and shopping. Two service users are due to go on holiday to Center Parcs.. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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’ personal and healthcare is provided appropriately and sensitively. Arrangements for the storage and administration of medication are good. EVIDENCE: Service users’ health needs were detailed in service user plans. Staff said the support from the local learning-disabled team was good and service users can access psychology, physiotherapy, art therapy, speech therapy and specialist community nursing. Staff said that personal support is provided according to the service users wishes and this is detailed in the service specification. Sometimes service users choice is restricted because of safety and evidence of this was seen in service specifications. Medication is stored in a locked cabinet and a Nomad system is used. All staff have receive accredited training. The dispensing pharmacist checks medication storage and administration systems every three months. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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) none EVIDENCE: Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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) none EVIDENCE: Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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) none EVIDENCE: Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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 The views of service users and their representatives’ are not obtained and included as part of the home’s quality assurance system. EVIDENCE: The home has a formal quality assurance system called Continuous Quality Improvements. This includes details about improvements to be made over a 12-month period and progress is monitored closely. Identified areas for action include staff training, environment and service users targeted ambitions. The main source of input is from staff who work in the home. Information is gathered through talking to service users, knowledge of their likes and dislikes, staff meetings and reviews. However the views of service users and their representatives are not formally gathered as part of the CQI process. Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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 x x x x Standard No 22 23 ENVIRONMENT Score x x 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 x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Alderson Road (12) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 1 x x x x J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 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 39 Regulation 24 Requirement The registered person must implement a system which reviews the quality of the servcie provided and which includes the views of service users and their representatives. A copy of the report of such a review must be made available to the Commission for Social Care Inspection. Timescale for action April 2006 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 Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 Alderson Road (12) J53-J04 S7877 Alderson Road (12) V222290 040505 Stage 4.doc Version 1.30 Page 20 - 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. 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