CARE HOME ADULTS 18-65
DALECROFT 94A Keighley Road Illingworth Halifax HX2 8DN Lead Inspector
Cheryl Stovin Unannounced 30 August 2005 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Dalecroft Address 94A Keighley Road Illingworth Halifax HX2 8DN 01422 246646 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Holly Bank Trust Miss Sarah OSullivan Care Home 6 Category(ies) of Learning Disability registration, with number of places DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 3/11/04 Brief Description of the Service: Dale Croft is owned and managed by the Holly Bank Trust and is registered to provide accommodation and care for for six young adults who have physical and learning disabilities. The accommodation comprises of an adapted bungalow and an adjacent self contained flat, which provides accommodation for a service user which promotes indepenance. Service users are included in decisions about their lives, through person centred approaches in the home. Dale Croft is located in the Illingworth area of Halifax and is within close proximity of the main Keighley Road and public transport links. The home is a detached property, designed over a single floor. Adaptations have been undertaken to promote wheelchair access and meet the mobility and personal care needs of service users. The accommodation offers spacious communal areas and a private, landscaped and accessible garden, where service users are able to spend time in the warmer weather. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. 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.
DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 7 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed on this occasion. EVIDENCE: DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 8 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 Service users needs are thoroughly assessed and the home has a good approach to promoting the service users health care. EVIDENCE: Each service user has an individual personal support plan, which is detailed and holistic and covers activities of daily living as well as social and emotional needs. Each service user signs to say they are in agreement with the content of the care plan, and the aims and objectives set at each review. All service users are routinely assessed by a Physiotherapist and an Occupational Therapist and have detailed manual handling plans. Risk assessments are in place with evidence of regular review. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 9 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,16,17 Service users are encouraged to exercise choice and care is provided in a flexible manner to enable residents to follow their preferred lifestyle. EVIDENCE: Service users are encouraged and enabled to participate in a wide range of community social and recreational activities. Recent activities have included going swimming, visiting the pub, pictures, adult educational classes and horse riding. Holidays are enjoyed by the service users and this years destinations have included: Florida, Torquay, Lytham St. Anne’s, Barcelona, a health spa and a stay at an outdoor activity centre. Each service user has a day when they choose what the main meal of the day will be, and they do the shopping and help prepare the meal. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 10 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Service users personal and health care support is given in accordance with their wishes. EVIDENCE: Service users personal support needs are assessed and form part of their plan of care. All personal care is given in private. Service users physical and psychological health care needs are assessed and detailed in their personal support plan. Service users have access to Physiotherapy and Occupational Therapy support on a on-going basis. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 11 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has robust systems to ensure that service users are safeguarded from abuse and that complaints are dealt with promptly. EVIDENCE: The organisations complaints procedure is displayed and clearly details the procedure to follow and all the correct contact details. All of the staff team have received training in adult protection and ‘whistle blowing’ procedures. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 12 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,28,29,30 The home is well maintained, with high standards of cleanliness throughout, providing a pleasant, fully accessible and safe environment for service users. EVIDENCE: Dalecroft is located in the Illingworth area of Halifax and is within close proximity of the main Keighley Road and public transport links. The home is a detached property, designed over a single floor. Adaptations have been undertaken to provide wheelchair access and meet the mobility and personal care needs of service users. The accommodation offers spacious communal areas and a private, landscaped and accessible garden, where service users are able to spend time in the warmer weather. All bedrooms are for single occupancy and highly personalised to reflect the individuals interests and hobbies. In the grounds of the establishment is a self contained flat occupied by a more independent service user who, at the time of the inspection, was choosing a colour scheme in preparation for redecoration. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 13 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35,36 The establishment is staffed by a well trained and motivated workforce. EVIDENCE: From records examined and following observation and discussion during the inspection, sufficient staff are employed to meet the needs of the service users. The staff team were observed to be meeting the needs of the service users in a sensitive and dignified manner, with appropriate use of informality and humour. There is a commitment to staff training within the home with an on-going programme of NVQ training. At the present time three members of staff are working towards their NVQ III award and a further five undertaking the level II award. All new staff receive appropriate induction training. A wide range of training courses are available, which are displayed in the staff room. The organisations recruitment procedure is robust and all new staff are subject to the relevant checks being carried out. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 14 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 The health and safety and welfare of services users is protected by the robust management and administrative systems that are in place throughout the home. EVIDENCE: Records demonstrate that health and safety matters are given high priority within the home. Risk assessments are regularly undertaken and identified risks minimised. Training records show that staff undertake training in moving and handling and fire evacuation procedures. The registered manager of the home is committed to ensuring an open and positive atmosphere is prevalent within the home and dictates a clear sense of leadership. She is currently nearing completion of her NVQ IV Registered Managers Award. DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 x 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
DALECROFT Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 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. 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. Refer to Standard Good Practice Recommendations DALECROFT 20050830 Dalecroft IR YA J52 V230936 S51646.doc Version 1.40 Page 17 Commission for Social Care Inspection 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
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