Inspection on 28/11/05 for Church Avenue (12)

This inspection was carried out on 28th November 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

Church Avenue (12) 19/07/07

Church Avenue (12) 26/07/06

Church Avenue (12) 08/02/06

Church Avenue (12) 07/02/05

Church Avenue (12) 07/10/04

Church Avenue (12) 02/03/04

Church Avenue (12) 14/10/03

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Church Avenue (12) 12 Church Avenue Harrogate North Yorkshire HG1 4HE Lead Inspector Brian Hallgate Unannounced Inspection 28th November 2005 12:15p Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 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 Church Avenue (12) DS0000007886.V264458.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 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. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Church Avenue (12) Address 12 Church Avenue Harrogate North Yorkshire HG1 4HE 01423 541888 01423 541889 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) Henshaws Society for Blind People Mr Iain Houston Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 6 residents with Learning Disabilities all of whom also have a Sensory Impairment 7th February 2005 Date of last inspection Brief Description of the Service: 12 Church Avenue is operated by Henshaws Society for Blind People and is registered to provide personal care for 6 younger adults aged 65 years and under who have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre and there are local amenities close by in Bilton. It is a large three storey semi-detached house with a small garden to the front and rear paved area. All bedrooms are designed for single occupancy. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection that took three and a half hours, including preparation time, and commenced at 12.15pm. A tour of the building was made with two service users and a number of records were inspected. Three service users and the member of staff on duty were spoken to. All service users spoken to stated that they were very happy with their accommodation and the care provided. One service user stated that the home was “brilliant”. What the service does well: 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. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 6 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 Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 7 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): 2 The manager is aware of the need to obtain a care management assessment before any person is admitted to the home. EVIDENCE: There have been no new admissions to the home since it was opened five years ago. The manager is aware that a full care management assessment is required before a new service user can be admitted to the home. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 8 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, 7 and 9 The home has a satisfactory system to enable service users to be fully involved in their care plans and the reviews of the plans. EVIDENCE: All service users have a written care plan. The care plans have been written with the service users and detail the approach that they wish the staff to take. Risk assessments are completed on a number of activities, including mobility training, before service users are allowed to take a new route independently. Care plans are formally reviewed as necessary and at least once every six months. Reviews are recorded on a keyworker monthly evaluation sheet. Service users stated that they are able to make decisions about their lives and are supported in these decisions by the staff. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 9 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): 12,13,15,16 and 17 Service users are encouraged to develop personally and to be involved in any activities that they wish. EVIDENCE: Service users are involved in a wide range of activities including visits to the cinema, theatre, eating out, bowling, pub meals, concerts, nightclubs, discos, minibus outings and shopping. Service users go out independently when the mobility routes have been tested to ensure that the service users are fully aware of which routes to take. The organisation has its own mobility officer who supervises service users until she is confident they are able to undertake independent journeys. All service users are in contact with their own families. Parents visit the home regularly and service users are able to spend time at home if they wish. Some of the service users have partners and they visit for meals and join in some of the activities that are organised. Staff do not enter service users rooms unless they are present. All service users plan their own individual meals on a weekly basis. They shop for their own food and prepare and cook the food on an individual basis. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 10 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): 18,19 and 20 Service users receive personal support tailored to their individual needs. EVIDENCE: The service users receive the personal support that they need if they are unable to be independent in any specific areas of their lives. All service users are independent of personal care. They receive any support in accordance with the service user plan that has been devised with the service users. Service users are able to talk to staff about any difficulties or problems in their lives. Two service users self medicate and keep their medication in a locked cupboard in their own room. One service users medication is administered by staff. The records and medication were checked and found to be in order and up to date. There is a policy and procedure on the administration of medication. The pharmacist visits the home to check the medication system on a regular basis. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 11 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): 22 and 23 There are satisfactory complaints and abuse policies in place. EVIDENCE: There is a version of the complaints procedure on tape for any service user who wishes to access it. Service users are informed of the procedures, it is discussed at house meetings and individual service users discuss any concerns with any member of staff. There is a policy and procedure on vulnerable adults and the action to take in the event of an alleged abuse situation. There is also a copy of the multi-agency procedure in the file. The member of staff on duty was fully aware of what action to take if a suspected abuse situation occurred. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 12 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): 24 and 30 The home is comfortable, clean and suitable for the needs of the service users. EVIDENCE: The one outstanding issue at the previous inspection has been resolved. The item of furniture has been repaired and is no longer a health and safety issue. Two service users showed me around their home. They stated that they were very happy with their accommodation and all aspects of their home. Another service users described the home as “brilliant”. The home is clean, tidy and hygienic. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 13 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): 32, 34 and 35 The staff provide good quality care to the service users and support them in any aspect of their lives that they require assistance. EVIDENCE: All service users spoken to stated that they were very happy with the care provided by members of staff. Staff enable the service users to be independent and only provide assistance where necessary. This was confirmed by the discussions with the three members of staff at home during the inspection. One member of staff is at present working towards NVQ Level 2 in care. There is a policy on the recruitment of staff. Staff records are kept in the head office of the organisation in Knaresborough. Potential staff complete an application form. Two written references and a CRB check are made before new members of staff commence employment. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 14 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): 37,39 and 42 The management approach to the home, supported by the staff team, provides service users with the opportunity to be independent and to access any activity that they wish. EVIDENCE: The registered manager has 19 years experience of working with people with learning disabilities and visual impairment. He is at present working towards the Registered Managers Award at NVQ Level 4. The service users and the member of staff spoken to considered that the home was very well run. The member of staff considered that there was good team spirit between all members of staff. All health and safety records checked, including fire alarm test, service of the alarm system and fire fighting equipment, fire drills and evacuations, gas and electrical safety certificates were in order and up to date. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 15 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Church Avenue (12) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 x DS0000007886.V264458.R01.S.doc Version 5.0 Page 16 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. 1 1 Refer to Standard YA32YA32 YA37 Good Practice Recommendations At least 50 of care staff should obtain an NVQ Level 2 qualification in care The registered manager should obtain NVQ Level 4 in management and care. Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI Church Avenue (12) DS0000007886.V264458.R01.S.doc Version 5.0 Page 18 - 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. 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