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Inspection on 29/09/05 for Cornerways Residential Home

Also see our care home review for Cornerways Residential Home for more information

This inspection was carried out on 29th September 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.

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

Staff were observed to work with service users in a considerate and respectful way. Service users said that they found staff to be helpful and courteous. Policies and procedures and other statutory records are well organised ensuring that the home can be run in an efficient manner

What has improved since the last inspection?

Since the last inspection, work has been completed to improve care planning which should assist staff to understand and meet the individual care needs of service users.

What the care home could do better:

Some issues arose during the inspection where action needs to be taken to ensure the ongoing safety of service users. This included the safety of some bedroom door locks and access to the loft space. In the interest of the privacy of service users, there are some bathroom/toilets and bedroom which require appropriate locks to be fitted. The vetting of staff prior to commencing employment needs to be tightened up to ensure that service users are, as far as possible, protected from abuse. Staff training could be improved to ensure that service users benefit from receiving a service from carers whose practice is up-to-date.

CARE HOMES FOR OLDER PEOPLE Cornerways Residential Home 15 Leadhall Crescent Harrogate North Yorkshire HG2 9NG Lead Inspector David Martin Unannounced Inspection 29th September 2005 09:30 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 Cornerways Residential Home DS0000007963.V255243.R02.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 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. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cornerways Residential Home Address 15 Leadhall Crescent Harrogate North Yorkshire HG2 9NG 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) 01423 871017 01423 871017 Amocura Limited Mrs Valerie Healey Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2005 Brief Description of the Service: Cornerways is run by Amocura Limited and is registered to provide care for 24 older people aged 65 years and above who have no specialist care needs. The home is a converted and extended two-storey building set in its own grounds. It is in a quiet residential area on the outskirts of Harrogate within walking distance of local shops and public transport links. The upper floor is accessible via passenger lift. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 29 September 2005. It was unannounced and took 4 hours to complete. The majority of time was spent within with the service users in the home at the time of the inspection and with the staff on duty. There were opportunities to observe staff interaction with the service users. A sample of service user files was examined and a check was made as to whether the home had complied with recommendations from the last inspection. Feedback was given at the end of the inspection to the Registered Manager. What the service does well: What has improved since the last inspection? What they could do better: Some issues arose during the inspection where action needs to be taken to ensure the ongoing safety of service users. This included the safety of some bedroom door locks and access to the loft space. In the interest of the privacy of service users, there are some bathroom/toilets and bedroom which require appropriate locks to be fitted. The vetting of staff prior to commencing employment needs to be tightened up to ensure that service users are, as far as possible, protected from abuse. Staff training could be improved to ensure that service users benefit from receiving a service from carers whose practice is up-to-date. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 6 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. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 7 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 Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 8 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): 3&6 Prospective service users have information about the home prior to admission. EVIDENCE: The manager always visits prospective service users in their own homes or in hospital. This was confirmed in the case notes of the service user most recently admitted to the home. Where possible they would be invited to spend some time in the home prior to admission as part of the assessment process. An initial assessment is recorded. Intermediate care is not provided. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 9 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 Service users’ health and social care needs are met. EVIDENCE: A sample of service user plans was inspected. They provided background information and a description of the day-to-day task that service users can accomplish and those where some assistance and support is required. All service users are registered with a GP of their choice and are able to see other health care professionals as the need arises. Service users confirmed this and evidence was also available in case files. One of the service users said that she had been waiting for 12 months to have a hearing aid fitted. This information was shared with the manager for follow up. The systems for the administration of medication were inspected and were found to be satisfactory. None of the current group of service users is self-medicating Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 10 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 said that the service offered at Cornerways was adequate. EVIDENCE: On the day on inspection, service users said they were reasonably happy living in the home but no one was able to identify particular shortcomings. There are some organised activities including ‘pat-a-dog’, visits from the local vicar and reminiscence work. An ‘activities lady’ attends one day per week. Service users said that they are able to see their relatives and friends at times convenient to them. They also said that the food was good and there was evidence that choices are available at each meal. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 11 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 There are policies and procedures in place to protect service users from abuse. EVIDENCE: Service users have been provided with the home’s complaints leaflet. One complaint has been recorded since the last inspection. It has been fully investigated and was resolved appropriately. The home has a copy of the latest version of the multi-agency procedures for the protection of vulnerable adults (POVA). Staff said they had received training in safeguarding older people as part of NVQ training courses. They understood the need to report any concerns. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 12 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 Service users live in a home which is adequately maintained although there are some safety issues which require attention. EVIDENCE: Communal rooms are comfortably furnished and are in acceptable decorative order. Service users’ bedrooms have been decorated with personal items such as photographs and ornaments. They are adequately furnished. And decorated. Bathrooms and toilets were clean. Service users said that staff respond promptly to the alarm call system. There are some safety issues requiring attention. Some bedroom door locks have deadlocking devices fitted and these need to be disabled. There are some bedroom and toilet and bathroom doors that that require locks to be fitted. The chain pulling down the loft access door was hanging down and needs to be moved out of the way of service users. Some service users were concerned that there is only 2 toilets downstairs and on hairdressing days the one in the bathroom is occupied. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 13 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 Service users’ needs are met by adequate numbers of staff but the vetting process needs to be tightened up. EVIDENCE: Staff confirmed that they have started or completed NVQ2 qualifications but the home is still short of the requirement that this is achieved by 50 of the staff team. There are adequate numbers of staff on duty and staff confirmed that there are arrangements in place for supervision and team meetings. There is a pool of bank staff and agency workers are used infrequently. A sample of staff records provided evidence that new staff have been employed in the home prior to confirmation that CRB (Criminal Records Bureau) clearance has been received. (In both cases, however, POVA first checks had been completed). The routine employment of staff without CRB clearance should not take place. Guidance issued by CSCI is clear that new starters having regular contact with service users must have CRB prior to starting work. This applies whether the member of staff is providing personal care or not. Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 14 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 Service users live in home that is run in an organised manner. EVIDENCE: The registered manager has achieved the Registered Managers Award and has many years experience working with older people. She is supervised on a regular basis and Regulation 26 visits are carried out on behalf of the registered provider. The staff said that the manager is both approachable and knowledgeable. A sample of monies held on behalf of service users was checked against the record and tallied. The home has a health and safety policy and maintains appropriate records including fire safety. Cornerways Residential Home DS0000007963.V255243.R02.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 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 1 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Cornerways Residential Home DS0000007963.V255243.R02.S.doc Version 5.0 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 Standard OP19 OP19 OP19 OP29 Regulation 23 23 13 19 Requirement Bedroom door lock deadlocking devices must be disabled. All bedroom and toilet/bathroom doors should be fitted with appropriate locks. Access to the loft door should be made safe. New staff should not be employed prior to confirmation of Criminal Records Bureau clearance Timescale for action 07/10/05 15/10/05 07/10/05 07/10/05 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 OP19 OP27 Good Practice Recommendations Toilet facilities on the ground floor should be reviewed to ensure there are sufficient numbers. 50 of care staff should be qualified to NVQ2 in care. Cornerways Residential Home DS0000007963.V255243.R02.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 Cornerways Residential Home DS0000007963.V255243.R02.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. 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