Inspection on 07/03/06 for Champion House - Leonard Cheshire Disability

This inspection was carried out on 7th March 2006.

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

Champion House - Leonard... 16/02/07

Champion House - Leonard... 06/10/05

Champion House - Leonard... 03/02/05

Champion House - Leonard... 27/07/04

Champion House - Leonard... 26/02/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Champion House Clara Drive Calverley Yorkshire LS28 5PQ Lead Inspector Pamela Cunningham Announced Inspection 7th March 2006 10:00 Champion House DS0000001329.V283005.R01.S.doc Version 5.1 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 Champion House DS0000001329.V283005.R01.S.doc Version 5.1 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. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Champion House Address Clara Drive Calverley Yorkshire LS28 5PQ 01274 612459 01274 619221 mary.harrison@ney.leonardcheshire.org www.leonard-cheshire.org.uk Leonard Cheshire 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) Mary Louise Harrison Care Home 26 Category(ies) of Physical disability (26) registration, with number of places Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Champion House which is a converted extended stone built property, previously a mill owners wife’s house, provides care for service users between the ages of 18 and 65 all with physical disabilities. Care is provided on two floors in singly occupied rooms some of which are very spacious. The top floor of the home is used as a training area for staff. Each individual has their own private room decorated to their own personal taste, and which is provided with all necessary aids and adaptations to suit individual’s requirements. Every room is fitted with a nurse call facility. It is situated in a rural area of Leeds. Entry to the home is down a long driveway therefore providing privacy for the service users. It is close to both Bradford Town Centre, and Leeds City Centre. There are many shops, a Post Office and supermarkets close by, and a large retail park is only a short drive away. There are extensive gardens and a large car park. There are three lounge areas provided, one of which is dedicated to those service users who smoke. The home has a mini bus, which is used to take service users out on arranged visits, and also out on shopping trips. Meals are taken in the large dining area, which also doubles as an activities area when not being used for dining purposes. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on 6 October 2005. This was an announced inspection carried out by one inspector who was at the home from 10.30 until 15.30. The main purpose of this inspection was to make sure that the home provides a good standard of care for the residents and to assess progress on meeting any requirements or recommendations made at the last visit. In addition to the time spent in the home, time was spent preparing for this inspection. The methods used at this inspection included looking at care records; observing working practices and talking to staff, residents, relatives and to the manager. Talking to the residents played a large part in the inspection. Comment cards were sent to the home prior to the inspection, six of which included two from relatives and four from residents were returned to the Commission. Comments on the cards were varied, and talked about the excellent standard of care provided, to comments about there not always being enough staff on duty, to the variety of entertainments provided. These were discussed with the manager, and with the residents making the adverse comments. Because of the detailed information package provided to prospective residents, they are able to make an informed choice whether or not to come to live at the home. Pre admission assessments ensure resident’s needs are assessed and documented. This assures their needs can be met once admitted. Care plan documentation continues to be of a good standard providing staff with a tool by which they can ensure the residents needs, and any special needs are met. The medication system is safe, since the last inspection, staff signatures are now present on hand written instructions on MAR charts, of medication prescribed out of the normal monthly ordering cycle. Social activities are provided at the home, and residents said they enjoyed them, and that they were involved in the choosing of them. They also said they enjoyed the food, and preferred the main meal of the day at teatime. Staff continue to be provided with training with many of the staff achieving NVQ at level 2 and 3. Staff spoken to said they looked forward to the training offered, as it gave them a better insight into the care residents should have. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? The home has had a new tumble dryer installed. There is a now a new deputy in place to replace the previous deputy manager who left for promotion elsewhere. Certain resident’s bedrooms and the nurse’s office have been redecorated. More volunteers have been recruited. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 7 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. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 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 Champion House DS0000001329.V283005.R01.S.doc Version 5.1 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 and 2 Residents are provided with information to enable them to make an informed choice about the home. The admission process is good and includes introductory visits. EVIDENCE: The service user guide and statement of purpose have recently been amended to reflect the status of the new deputy, and other staff changes. All residents have a pore admission assessment undertaken prior to being admitted into the home. One of the residents told me that he had been involved in the assessment process and had signed all his care plans. He said that all his needs were met. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 10 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 and 10 The health care needs of residents are met and care plans provide clear and detailed instructions for staff to follow. Residents are treated with respect and their privacy is upheld. Staff are aware of the residents’ needs and there is good communication amongst the staff group. EVIDENCE: All residents have a comprehensive, holistic care plan that gives information about their needs. Relatives and or residents are involved in drawing up the plans and sign to say that they agree with them. Evidence of resident involvement was seen in the documentation reviewed, and confirmed by speaking to the residents. The plans are reviewed and updated on a regular basis. Very comprehensive risk assessments with the relevant coping strategies are in place. Specific instructions were seen in the care plans about what the home needs to do to meet the residents’ needs. The residents’ rights are respected and this was seen throughout the inspection. Residents are also involved in the recruitment process. They are Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 11 supported to follow their individual interests and appropriate risk assessments are in place detailing these. The nurse in charge, and staff showed a good awareness of residents’ right to take risks as well as their duty of care. Certain residents go out into the grounds unescorted and sit in one of the patio areas, which are a recent attraction. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 12 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): 13 and 14 Residents are encouraged to join in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. EVIDENCE: Residents told me they had been consulted by Leeds City Council regarding refurbishment of the local swimming baths and disabled access. They said they hoped it would include the installation of a poolside hoist. They have also been involved in a pub audit, which has gone on to be a national audit of access to pubs in the local area, for the disabled. Residents said they had regular access to local shops and facilities, and are also involved in fund raising. One resident is particularly interested in fund raising, and is always fund raising for one charity or another. The local area support group also attend the home every month. Residents spoken to during the visit told me they are very interested in horse riding, ten pin bowling, going out to the cinema and the theatre, and going out to the local pubs. They said some of the staff were very good with them and Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 13 stayed later into the evening so that they could escort them back and help with putting them to bed. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 14 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): 19 and 21 End of life situations are dealt with sensitively with the resident or next of kin when the occasion arises. Medication systems are sound. EVIDENCE: All end of life wishes are documented in the resident’s individual service plan (care documentation), which are kept in the resident bedrooms. Training on bereavement and Palliative care has been provided for all staff. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 15 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): Neither standard was assessed at this inspection EVIDENCE: None gained Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 16 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): None of the above standards were assessed during this visit. EVIDENCE: None gained. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 17 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): 31, 32, 33, 34, 35 and 36 Due to the previous deputy manager gaining promotion, there has been a new deputy employed who has been a senior nurse at the home for quite a while. Recruitment policies and procedures make sure that staff are properly vetted and suitable to work at the home. Some safe working practice and training are provided to make sure that all staff are up to date. EVIDENCE: The recruitment files for two staff were checked and found to have the relevant documentation, references and evidence that CRB and POVA checks had been made. Job descriptions and contracts were also on file. Other staff who were spoken confirmed induction and ongoing training was completed and up to date. The training manager confirmed this also. Progress has also been made, to achieve targets for the numbers of staff who must be NVQ qualified. There is now just over 50 of the care staff that have completed NVQ at various levels. (Leonard Cheshire standard is 70 ) I spoke to the training coordinator who told me that Manual Handling and Fire Safety training has been fully implemented, and this was confirmed by staff I spoke to at the tine of the visit. The home was having a Health and Safety inspection as I undertook the inspection. The manager said that the new deputy manager was doing very well. That she has 4 years experience as a senior nurse, and has completed the team leaders Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 18 course through the institute of Learning Management. It is also expected she will complete the registered managers award. Staff files inspected contained all necessary documentation and identified staff were being formally supervised. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 19 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, 38, 39 and 40 The home is well managed and the manager is well able to discharge her responsibilities. She offers good leadership to the staff and ensures the residents are protected and cared for in a correct manner. There is evidence of strong leadership in the home. EVIDENCE: Residents spoken to during the inspection said they are involved in all aspects of the running of the home, including recruitment of new staff. One of the residents is the spokesperson for the home. Residents told the inspector that they were aware they could have access to their records if they so choose. One resident said there had been a noticeable improvement in the home in all aspects since the employment of the current manager All records were properly maintained and safely stored, and there was evidence that Policies and procedures are updated as required, some very recently. Residents care records are updated every three months. Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 20 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 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 4 14 4 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 x 3 3 3 3 3 x x x Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 21 No 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. 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. Refer to Standard Good Practice Recommendations Champion House DS0000001329.V283005.R01.S.doc Version 5.1 Page 22 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. 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