Inspection on 08/01/08 for Colne Valley

This inspection was carried out on 8th January 2008.

CSCI found this care home to be providing an Good service.

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 28/06/06

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 Key Unannounced Inspection 8th January 2008 08:30 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.V357303.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.V357303.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.V357303.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 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 basin. Although the home does not provide nursing care the community nursing team are involved with people who live at the home. 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 range from £368.12 - £375 per week. Items not included in the fee include, hairdressing, and residents who wish to have newspapers or magazines, arrange to have them delivered. Information about the home in the form of a Statement of Purpose, Service User’s Guide and the latest CSCI inspection report are available from the home. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report refers to an inspection, which included an unannounced visit to the home by an inspector on Tuesday 8th January 2008, commencing at 8.30 am, and the length of the inspection was 7.5 hours. There were 16 people living at the home on the day of this visit and 1 person was in hospital. Prior to the visit, the manager was asked to complete a pre inspection questionnaire. This she did, and the document provided the Commission for Social Care Inspection (CSCI) with information about the home and the staff who work there. During the visit the inspector spoke with members of staff and people who receive care to obtain their views. The inspector also looked at a sample of care records, staff recruitment, and training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, ten surveys were sent out to people living at the home. Eight of these were returned. Surveys were also sent to their next of kin and people’s doctors and health care workers (social workers, community nurses). None of these were returned at the time of writing the report. The feedback from those who returned surveys to the Commission was positive. The Commission would like to thank all the people who gave feedback about this home, and would like to thank the manager and staff for their cooperation throughout the inspection process. What the service does well: Relatives’ surveys asked, “Is there anything else that you would like to tell us?” Responses include: • “More than happy with all the care and attention I have received.” • “I have always found staff pleasant and ready to listen to anything I have to say.” Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 6 • “The staff make you feel very welcome when you visit. My mum feels at home here.” People who live at the home said, • “I have always found staff pleasant and ready to listen to anything I have to say.” • “Top level all round.” As a tribute to the standard of food provided the home has received a four stars, ‘Very Good’ award in association with Kirklees Council’s Health Choice Award; “Scores on the doors”. 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 Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Colne Valley DS0000026269.V357303.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.V357303.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 5 Standard 6 - the home does not take people who require intermediate care. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are assessed prior to them moving into the home and are able to visit the home to establish whether or not it is the right place for them. EVIDENCE: The care records of three people who use the service were examined, and the records contained a pre-admission assessment carried out by the funding local authority. In addition to this there was evidence that the home had carried out an assessment to ensure that they can meet any identified need and the placement will be appropriate. The manager also said that people were given information about the home and were encouraged to visit before making a decision to move in. People stated that they receive enough information about the home before making a decision to move in, and that they had received a contract of the care to be provided. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The level of care people need, which includes their health, personal and social care needs are clearly highlighted within their care plan. People are treated with respect. EVIDENCE: Three people’s care records were looked at and the documentation identified the care needs, and the level of support the person requires. Risk assessments had also been completed and included the risk of falls. There were also movement and handling assessments, nutritional assessment, skin integrity, social interests and people’s likes and dislikes recorded. There was evidence that care reviews had taken place, and that the care plans are updated monthly or as the needs of the person change. The daily record needs to be written in more detail to ensure that it fully reflects the care that has been provided that day. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 11 People who live at the home said that they receive the care and support that they need. Comments included, “Yes, and it’s like home.” “No problems, and everyone has been kind.” Everyone said that the staff listen and act on what they say. Staff were seen to call people by their preferred name and respect their wishes. There was also evidence in people’s care records that they are able to access health care services, such as the dentist, chiropodist, optician and everyone living at the home is registered with a doctor. People confirmed that they receive the medical support they need. The manager confirmed that all staff that gives medication to people have had training and the certificates of the training were seen in their files. A sample of medication and records were checked and the storage, administration and recording of the medication were done correctly. The manager said that each week she checks a sample of medication to ensure that it is correct. The checking of the medication should be recorded as proof that it has been carried out. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to maintain contact with their family and friends, and staff assist people in having a choice in most things they do. Meals provided are good, varied and served in a pleasant environment. EVIDENCE: At the time of the visit people had just finished their breakfasts and were making their way to various areas of the home. Those people who were spoken with said that they had enjoyed their breakfast and were going to sit and talk with other people within the home. They also said that they chose how they spent their day. There is a weekly activity plan letting people and their families know what activity is available each day, and this is displayed on the lounge door. There are photographs of events that individual people had taken part in, and these were displayed on the walls around the home. Activities include; listening to music, sing a longs, choosing a film to watch, board games, bingo, skittles, exercises, karaoke, etc., and an entertainer visits the home approximately every three weeks. The hairdresser visits weekly. The library also visits approximately every two weeks, and provides large print books and audiotapes Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 13 are available for people who have sight impairment. Newspapers and magazines are also provided by the home, and people can purchase their own if they so wish. People said that they usually or always enjoyed the activities arranged by the home, and one person said that they enjoyed the recent trip to Blackpool. 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 people, 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 people individually, what they would like to eat. Discussions were held regarding offering a menu that offered a daily choice of the meals available. People said that they enjoyed their meals and one person said, “Very much so.” Whilst another said that the meals were lovely. When asked if people like the meals at the home everyone said that they did. One person commented, “Very much so.” Another person said, “The meals are lovely.” As a tribute to the standard of food provided the home has received a four stars, ‘Very Good’ award in association with Kirklees Council’s Health Choice Award; “Scores on the doors” Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The home’s complaints procedure was seen in people’s care files and the service user guide. The manager was advised to display the procedure in a prominent place for people to see. According to information provided by the manager, there have not been any complaints within the last twelve months. Without exception people said they knew how to make a complaint and knew whom they would go to if they were concerned about something. One person said, “I would speak to Cathy the manager if I wasn’t happy.” Another person said that the manager was always available. Staff who were spoken with said that they were aware of the procedure to follow if they suspected abuse of a person, and that they also were aware of the home’s Whistle Blowing policy. Training records were seen and showed that staff have attended safeguarding (adult protection) training, and there were also policies and procedures relating to safeguarding within the home. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home offers people a homely, comfortable and clean environment. EVIDENCE: As part of the inspection a tour of the home was conducted which included the communal areas, a number of people’s bedrooms, and the laundry. The decorative condition of the home continues to be a good standard. The premises were clean and systems are in place to control the spread of infection. Without exception people commented that the home was always clean. One person when asked the question said, “Oh definitely.” While another person said, “Very clean.” The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. There are sufficient numbers of staff to meet people’s needs. Staff receive training to assist them to carry out their responsibilities and they have had all the necessary checks before working with people so that they are kept safe. EVIDENCE: On the day of inspection there were sixteen people in residence and the duty rota confirmed that there were sufficient staff on duty with the necessary skills to care for those people. Without exception people said in the surveys that staff listen and act on what they say, and are available when they need them. One person said that they were “Very satisfied”, and another person said, “I am quite happy with all the staff do for me.” Sixty nine percent of care staff have an NVQ (National Vocational Qualification) level two or above, and a four staff are working towards the qualification. Ten staff have also enrolled to do a course in dementia care. It was also evident from observation and discussion with people and staff, that staff have the skills necessary to support people. Staff were observed to approach people in a respectful manner. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 17 The recruitment files of three members of staff were looked at in detail and they contained the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. The staff that were spoken with confirmed that they had received induction training when they came to work at the home, and the manager also said that the training was in accordance with Skills for Care, the National Training Organisation for care staff. The training records showed that all staff had up to date training in first aid, movement and handling, basic food hygiene, safeguarding and fire. Those staff who administer medication had received training in the administration of medication. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People benefit from the management approach of the home and the manager ensures so far as is practicable that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. EVIDENCE: Mrs Cathy Horne is the registered manager, and has a number of years experience in the care of older people. It was clear when speaking with people living at the home that she is well liked, and from speaking with the staff that Mrs Horne is respected and approachable. Mrs Horne is leaving her position as manager at the end of the month, therefore the owner is currently advertising for someone to fill the position. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 19 For those people who wish, small amounts of personal money are held safely at the home. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Three peoples’ finances were checked during the visit. One of the records showed that there was less in the account then the monies audited, and it was explained that the last payment for something the person had purchased had not been taken out of the account. It is advised that the monies held on behalf of people are updated as soon as practically possible to ensure that accurate records are maintained. The manager said that meetings involving people who live at the home take place approximately twice a year, and records of the meeting are kept. The things that are discussed at the meetings include the environment, laundry, activities, staffing, the quality of food etc. Opinion surveys are sent out annually to people who live at the home and their relatives, and the results of those surveys are discussed with the residents and also attached to the service users guide. Comments include, “Very nice atmosphere.” “Happy with level of care provided.” Could not meet better staff.” “The staff make you feel welcome when you visit.” Staff said that they received regular supervision, and there were records to show what had taken place. There was evidence to suggest that all staff have had fire drills/ lectures and movement and handling training, and staff also confirmed this. Emergency lighting is checked every seven to eight days and records are kept. The fire alarms had been tested seven to twelve days. In the interest of people’s safety the fire alarms should be tested every seven days. Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 20 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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 X 3 X 2 X X 2 Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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. 3. Refer to Standard OP7 OP16 OP38 Good Practice Recommendations The daily record needs to be written in more detail to show the care that has been given that day. The complaints procedure should be displayed in a prominent place for people to see. The monies held on behalf of people should be updated as soon as practically possible to ensure that accurate records are maintained. In the interest of people’s safety the fire alarms should be tested every seven days. 4. OP38 Colne Valley DS0000026269.V357303.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V357303.R01.S.doc Version 5.2 Page 23 - 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!