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Please note that the information on this website is now out of date.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 08/02/06 for Church Avenue (12)

Also see our care home review for Church Avenue (12) for more information

This inspection was carried out on 8th February 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.

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 staff provide a warm and comfortable clean home for people to live in. One service user said that they are supported to maintain their independence and were treated at all times with respect and that he enjoyed living at the home. All of the service users have lived together at the home since it first opened in 2000. The atmosphere in the house was cheerful and friendly and it was clear from the interaction between service users that they all get on well together. The home is well run by an experienced manager and staff team who have developed good working relationships with the service users, which was evident on the day.

What has improved since the last inspection?

50% of all staff now holds NVQ level 2 or equivalent.

What the care home could do better:

The home should continue to maintain the high standard of care it provides as it continues to meet service users expectations and aspirations. The registered manager should obtain NVQ level 4 in management and care.

CARE HOME ADULTS 18-65 Church Avenue (12) 12 Church Avenue Harrogate North Yorkshire HG1 4HE Lead Inspector Mrs Irene Ward Unannounced Inspection 8th February 2006 16.30 Church Avenue (12) DS0000007886.V280276.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 Church Avenue (12) DS0000007886.V280276.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. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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.V280276.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 6 residents with Learning Disabilities all of whom also have a Sensory Impairment 7th October 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.V280276.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection carried out on the 8 February 2006, which started at 16.30 until 18.30. All service users were in at the time. The registered manager was not on duty at the time of inspection. A tour of the home was carried out which included two of the service users private accommodation. A selection of records was looked at and time was spent observing activity in the home, talking to all service users and staff on duty. The focus of the inspection was a number of key standards. There were also discussions with the senior staff member on duty. 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.V280276.R01.S.doc Version 5.1 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.V280276.R01.S.doc Version 5.1 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): 1, 4 and 5 Service users have all been given a written contract. EVIDENCE: No new service users have been admitted into the home as all the service users have lived together in the home since it opened. No changes have been made to the Statement of Purpose or the Service User Guide. Both these documents are available on audiotape, Braille and large print. Terms and Conditions of residency or licence agreements are given to service users and a copy held on their file. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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 and 8 Service users are supported in making decisions about their personal lives. EVIDENCE: There are comprehensive plans of care available for all six-service users, which have been regularly reviewed. The plans contained details of the service users daily living skills, personal care needs, interests and dietary needs. Risk assessments have been completed on different activities and the assessments are held on each service users file. Staff were observed to enable service users to be as independent as possible and also available to assist where necessary. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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): 17 Service users dietary needs are met . EVIDENCE: In discussions with service users who confirmed that they are all involved in choosing their menus and are offered a choice of food at each meal. Service users are encouraged and supported to plan their meals, shop for food and then prepare and cook a meal. This is part of the support service users receive from staff in living skills. Service users were in the process of preparing their evening meal at the time of the inspection. Through observation it was clear that with some support from staff, service users enjoyed cooking their own meals. From the records of food provision the home provides service users with a good varied diet. In discussions held with staff there is a 4-week menu plan in place, which is to be reviewed. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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 and 21 Service users health and personal care needs are well met. EVIDENCE: Care plans inspected indicated that the service users had contributed to them and in agreement with how their personal support needs were to be met. Arrangements are in place for service users to access health and social care professionals. The Harrogate District Hospital is accessed for any emergencies via the A & E department. Outpatient appointments are also made. Discussions were also held in respect of death and dying and how staff in the home would deal with such a situation. The organisations policy and procedure is in place, as this subject is also covered in induction training. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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): None EVIDENCE: Not assessed on this occasion. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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): 25,26,27 and 30 The environment of the home is maintained to a good standard and provides service users with a clean and homely place in which to live. EVIDENCE: Two service users showed me their bedrooms. They stated that they were very happy with their accommodation and all aspects of their home. Both bedrooms had been furnished to a good standard. Service users have personalised their own bedrooms. All communal areas of the home were warm, well lit, ventilated and clean. The home has sufficient bathrooms and toilets that were clean and well maintained. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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 and36 Service users benefit from well supervised staff. EVIDENCE: There were three staff on duty at the time of inspection. Staff confirmed that they are regularly supervised and that the registered manager is always available and approachable to discuss any issues. However supervision records were not inspected on this occasion, as staff files including records of staff supervision are kept locked by the manager. 50 of staff has now obtained NVQ level 2 or equivalent. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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 and 42 Service users’ health safety and welfare are promoted and protected. EVIDENCE: Throughout the time spent in the home and from discussions held with service users and staff and through observation, 12 Church Avenue continues to be managed well with a committed staff team. The registered manager should obtain NVQ level 4 in management and care. The organisations health and safety policies and procedures are in place. A number of health and safety records were inspected all of which were up to date and accurately maintained. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 3 5 3 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 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 2 X X X X 3 X Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? NO 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 YA37 Good Practice Recommendations 1. The registered manager should obtain NVQ Level 4 in management and care. Church Avenue (12) DS0000007886.V280276.R01.S.doc Version 5.1 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.V280276.R01.S.doc Version 5.1 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. 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!