Inspection on 23/11/05 for Courtfield

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Courtfield 11/10/07

Courtfield 19/10/06

Courtfield 06/02/06

Courtfield 11/01/05

Courtfield 12/07/04

Courtfield 11/03/04

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 Courtfield 3 St James Drive Harrogate North Yorkshire HG2 8HT Lead Inspector Chris Taylor Unannounced Inspection 23rd November 2005 13:00 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 Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Courtfield Address 3 St James Drive Harrogate North Yorkshire HG2 8HT 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 509277 01423 701559 The National Westminister Staff Foundation Mrs Louise Wiggins Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2005 Brief Description of the Service: Courtfield is registered to provide residential personal and social care for 24 older people. The home is owned by The National Westminster Staff Foundation, and run by a board of trustees. Service users have all either worked for the Group, or are dependants of those who have or still do, work for the Group The home is a large detached house set in its own grounds. It is close to Harrogate town centre and provides good access to the towns services and amenities. The registered manager is Mrs Louise Wiggins. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. Time was spent talking to the manager and people who live at Courtfield. A tour of the premises was made as well as checking records about how staff are recruited and trained. Records about service users were also checked. The inspection took three hours including preparation time. 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. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 6 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 Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 7 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. Service users care needs are properly assessed prior to a service user being admitted. EVIDENCE: The case records checked, including recent admissions, all had a preadmission assessment that had been completed by a senior member of staff. This provided clear evidence where the home would be able to meet the service users’ needs and where other agencies would need to be involved. It is usual practise that service users spend two weeks at the home before a decision to provide a long-term placement is made. Service users said that staff had talked to them about what aspects of care and support they needed before they were admitted to the home. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 8 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, 8, 9 and 10. Service users’ health and personal care needs are met. EVIDENCE: Care plans contain information about all aspects of the service users’ lives, what support is needed and how that support is to be provided. Where there is a risk, for instance of falling, a risk assessment was present. Care plans and risk assessments were reviewed regularly. Service users said that they talked to staff about what help they needed and said that staff are polite and always knock on bedroom doors before entering. They said that there were no problems in seeing a GP and the district nurse came to the home almost every day. The policy for the storage and administration of medication provides good instruction to staff. All staff receive accredited training. Medication is stored securely. If service users want the home to take responsibility for administering their medication service users sign an agreement form. For those that self medicate a risk assessment is completed, reviewed regularly and signed by the service user. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 9 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, 13, 14 and 15. Service users are supported with their chosen lifestyle. EVIDENCE: Service users said that they had plenty of visitors to the home and were able to make and receive phone calls. They said staff organise activities according to peoples’ interests but there is no pressure to join in. On the day of the inspection a member of staff was taking an exercise session. There are 3 main meals per day. Special dietary needs such as low-sugar diets are catered for and special requests can generally be met. Service users spoke positively about the quality of meals provided. Menus were looked at and these were varied. Hot and cold drinks are available throughout the day and a hot drink and snack is provided prior to bed. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 10 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 and 18. Complaints are dealt with in a proper manner. The risk of harm to service users is minimised by appropriate adult protection polices and procedures, and staff training. EVIDENCE: A complaints procedure is provided to service users and is included in the Statement of Purpose. Service users said that they felt able to talk to staff if they had complaints and that they would be dealt with properly. There have been no formal complaints made since the last inspection. The home has its own Adult Protection Policy and staff learn about this and the North Yorkshire Social Services procedures as part of induction and NVQ training. Service users said that staff always treat them sensitively, with kindness and respect. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 11 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 and 26. Service users live in a home that is clean, comfortable and well maintained. EVIDENCE: A tour of the premises was made. Everywhere was spotlessly clean and decorated to a high standard. The quality of furniture and fittings was also good and in keeping with the house and the age and needs of service users. All bedrooms are single the exception of two shared rooms. All are en suite and there are sufficient communal bathrooms and toilets. The home has suitably located grab rails and moving and handling equipment. There are two lounges and a dining room and large grounds which are accessible to service users. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 12 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): 27,28,29 and 30 Service users receive care from staff who complete appropriate training. EVIDENCE: Records confirmed staff training completed and included a rolling programme to ensure staff complete mandatory health and safety training. Additional training is available which relates to the specific needs of service users. The home meets the requirement to have 50 of staff qualified to NVQ level 2 and above. Records of those staff most recently recruited were checked; all had completed an application form, had CRB check and two written references. Staff complete induction and these records were seen. The manager works alongside staff and as such monitors their practice. At every shift change there is handover where specific issues relating to service users are discussed. Polices and procedures are discussed at regular staff meetings. Staff receive formal recorded supervision and an annual appraisal. The rota indicates that there are enough staff hours provided and more staff are on duty at key times during the day. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 13 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 and 38 This home operates with its service users best interest as its priority, Staff take proper precautions to ensure the health and safety of service users. EVIDENCE: Quality assurance surveys are completed and the results published. A copy of which was on the main notice board. Records were seen which confirmed that equipment is maintained; gas and electricity supplies in the home are safe and serviced appropriately. Fire detection and fire fighting equipment is tested and maintained regularly. Accidents are recorded and analysed. Staff receive training with regard to all health and safety matters. Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 14 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 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 3 18 x 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 15 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 16 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 Courtfield DS0000007812.V263320.R01.S.doc Version 5.0 Page 17 - 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!