Inspection on 28/06/06 for Colne Valley

This inspection was carried out on 28th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Colne Valley 08/01/08

Colne Valley 05/01/06

Colne Valley 15/09/05

Colne Valley 21/03/05

Colne Valley 10/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Colne Valley 185 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ Lead Inspector Karen Summers Unannounced Inspection 28th June 2006 09:20 X10015.doc Version 1.40 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 Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 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 Older People. 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. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Colne Valley Address 185 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ 01484 659176 01484 659176 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) Mrs Cynthia Hesp Mrs Catherine L Horne Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Colne Valley care home provides care and accommodation for up to twenty older people with a range of needs. The accommodation is spacious and all but one room has private en-suite toilet and hand basins. Although the home does not provide nursing care the community nursing team are involved with service users at the home, as are other primary care services. The home is located close to the centre of Milnsbridge in the Colne Valley, approximately three miles from Huddersfield, and there is access to local services, including public transport. Fees at the home start at £ 344.71 - £354.71 per week. Items not covered by the fee include: Hairdressing, and residents who wish to have newspapers or magazines, arrange to have them delivered. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced site visit on the 28th and 30th June 2006, and the duration of the inspection was 8 hours. There were 18 service users in residence at the time. Mrs Cathy Horne, manager, was present throughout the inspection. The following areas were looked at and have been used in the production of this report; a sample of records, care plans, medication, individual discussion with four service users, two members of staff, tour of the premises and document reading. To reflect the views of those who use the service, satisfaction questionnaires were sent to: 10 service user, 7 were returned; 10 relatives, 4 were returned, 2 GP practices, 1was returned, and 1 questionnaires was returned from the district nursing team. The inspector would like to thank those who contributed to the inspection process, and also thank Mrs Horne, her staff, and service users for their time and hospitality on the day of inspection. What the service does well: What has improved since the last inspection? The registered provider now prepares a written report on the conduct of the home, and sends a copy to the Commission. Care records have greatly improved since the last inspection, and Cathy Horne, manager, should be complimented on her hard work in updating the documentation, which was of a good standard. One service user made commented on their questionnaire, “Each person in the home is allocated a key worker and they liaise with the family, which makes care a bit more personal.” Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 6 The laundry floor covering has been replaced. A minimum of 50 of care staff has an NVQ level 2. New weighing scales have been purchased. The results of service users surveys are now made available to service users and interested parties. 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 Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2-5 No service user moves into the home without having had his/ her needs assessed and been assured that those needs will be met. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Prospective service users and their relatives are encouraged to have a look around the home, and spend some time there before deciding to move in, and without exception, all service user questionnaires stated that they receive enough information about the home before deciding it is the right home for them. One service user said, “Colne Valley has a warm, friendly atmosphere.” A welcome pack, of toiletries and fresh flower are placed in rooms where new residents are being admitted, as is the statement of purpose and service user guide. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 10 Service users are admitted following a full assessment of their needs, and to which the service user, his/ her representative (if any) and relevant professionals have been party. Each service user then has a plan of care based on the pre admission assessment. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10 The service users’ health, personal, and social needs are set out in a plan of care, and they receive the level of support they require to ensure that those needs are maintained. Service users are protected by the home’s policies and procedures for dealing with medicines. Service users are treated with respect. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Care plans were of a good standard and set out the action that needs to be taken by care staff, to ensure that the needs of the service users are met. The daily record was also comprehensive and referred to the identified needs. One of the service user questionnaires said, “Everything is explained.” “I am very confident of care given.” Another service user said, “I am very happy in this place.” One service user said that she was very happy living at the home, Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 12 and that staff were kind. Another commented, “Each person in the home is allocated a key worker and they liaise with the family, which makes care a bit more personal.” One of the relative’s questionnaires stated, “The staff at Colne Valley are always friendly, polite and approachable.” “I have no concerns about my father’s care at all.” The questionnaires returned from a doctor stated, “The residential facility provides a “homely” environment for its residents.” The District nurse questionnaire stated that they were satisfied with the overall care provided to service users within the home. Medication housekeeping was of a satisfactory standard; should a service user wish to self- administer their medication, there is a risk assessment and documentation. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, religious and recreational interests and needs. Service users maintain contact with family, friends and the local community if they wish. A variety of meals is offered that take into account the likes and dislikes of the service users and their religious and medical needs. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A varied activity programme of the main activities is displayed on the notice board however; the activities that are organised on a daily basis are not displayed. The information is recorded in the service users care records, and staff were seen to individually invite service users to participate in the day’s event. The service users who were spoken with said that activities did take place, and they included: a weekly visit to the local garden centre for coffee, throw and catch ball, bingo, visiting entertainers, a trip to Blackpool, reminiscing, and a general knowledge quiz. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 14 The menus offered a variety of food, and even though there is not a recorded choice at lunchtime, the cook knows the food preferences of the service users, and should someone not like the meal that is planned, an alternative is offered. At breakfast and teatime there is a varied choice and staff ask service users individually, what they would like to eat. The manager has written a sample of menus that take into account variety and choice and that would be a change from those already on offer, these have yet to be trialled. Service user questionnaires stated that the majority of the time they like the meals at the home, and a service user that was spoken with said that the meals were lovely. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Service users and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon in a timely manner. Service users are protected from abuse. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, and with an assurance that they will be responded to within a maximum of 28 days. There is a whistle blowing procedure, and staff have abuse awareness training. Three out of four relatives were aware of the complaints procedure, and all questionnaires received from service users stated that they knew who to speak to if they were not happy. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 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 & 26 The home is in a good state of repair and decorative condition, and service users’ individual needs are met in a comfortable and homely setting. The premises are clean and systems are in place to control the spread of infection. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The exterior of the building has recently been developed to include a patio area to the front of the building, and well-maintained garden and grounds are provided for the use of service users in the warmer weather. Disabled/ wheelchair access to the building is also good. Generally the home is in a good state of repair and decorative condition. The lounge has recently been redecorated and curtains replaced. Bedrooms are in the process of being redecorated, and as they become vacant. Service users Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 17 are encouraged to bring small items of furniture and memorabilia into the home, and a number of bedrooms had been individualised with belongings. The premises were clean and systems are in place to control the spread of infection. The service user satisfaction questionnaires commented that the home was always clean. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 The staffing levels and skill mix were sufficient to meet the number and needs of service users. Service users are supported and protected by the home’s recruitment practices. Staff are trained and competent to do their jobs. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The staffing levels and skill mix were sufficient to meet the number and needs of service users. Relative’s questionnaires stated that there were enough staff on duty, and two service user satisfaction questionnaires stated, that there were usually enough staff on duty, and the remaining five said that there were always enough staff on duty. Fifty percent of care staff have achieved an NVQ level 2, or equivalent. The registered person operates a thorough recruitment procedure ensuring the protection of service users. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 35 & 38 The registered manager is of good character and competent to manage the home. The home is run in the best interest of service users. Service users’ financial interests are safeguarded. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Cathy Horne, the manager, has much year experience in the care of older people, and she has commenced an NVQ level 4 in management and care. Unfortunately there have been some problems with accessing support from the NVQ providers; therefore the course is taking longer than expected. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 20 Residents/ relative questionnaires are sent out each year published. A monthly newsletter is also published and includes items of interest for the residents/ relatives and prospective residents. Service users personal finances were inspected and were correct. The supervision of staff takes place approximately every two months, and records are maintained. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 22 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. 1. 2. Refer to Standard OP12 OP31 Good Practice Recommendations 12.4 – A list of activities that take place on a daily basis should be circulated to all service users. 31.2 - The manager should have an NVQ level 4 in management and care or equivalent. Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Colne Valley DS0000026269.V293546.R01.S.doc Version 5.2 Page 24 - 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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