Inspection on 19/01/06 for Duchy Avenue (13)

This inspection was carried out on 19th January 2006.

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

Duchy Avenue (13) 25/04/07

Duchy Avenue (13) 17/06/05

Duchy Avenue (13) 24/02/05

Duchy Avenue (13) 06/01/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Duchy Avenue (13) 13 Duchy Avenue Harrogate North Yorkshire HG2 0NB Lead Inspector Kate Shackleton Unannounced Inspection 19th January 2006 10:30 Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 Adults 18-65. 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. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Duchy Avenue (13) Address 13 Duchy Avenue Harrogate North Yorkshire HG2 0NB 01423 528208 01423 528208 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) Northern Life Care Limited T/A U.B.U. Mrs Jean Annette Baross Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 4 Service Users with Learning Disabilities two of whom may be over 65 17th June 2005 Date of last inspection Brief Description of the Service: 13 Duchy Avenue is registered to provide accommodation and personal care to four adults with learning disabilities. The house is a three storey large victorian terrace and is located close to Harrogate town centre. The home is owned by UBU formally Northern Life Care. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on the 19th January 2006. It was unannounced and took one and a half hours to complete. All of the time was spent sitting with one service user discussing the service provided. There were opportunities to have discussions with staff and observe their interaction with the service users. A sample of service user files and other records were examined. 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. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 the following standard(s): 2 Prospective service users’ needs are assessed prior to admission to the home to make sure that the service can meet their needs. EVIDENCE: There have been no admissions in the last two years. All service users are admitted following care management assessment and the homes own pre admission assessment: from this the home agrees a service user plan. The plan includes any specialist services and/or other service providers. One service user spoken to recalls being fully involved with the decision to live at Duchy Avenue. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 the following standard(s): 6,7 and 9 Service users are well supported to make choices in every aspect of their lives. EVIDENCE: The home uses a comprehensive system to ensure relevant and detailed information is available to staff in order to provide a high standard of care. The Person Centred Plan includes sections covering all aspects of the service users life and is backed up with detailed daily task information. Four person-centred plans were inspected, they provided detailed and relevant information about how a service user wishes to be supported. The philosophy and principles of the home are that service users rights are respected and service users are included in the decision-making process. Areas of risk are agreed and discussed through the care planning process and include other professionals. Their function is to ensure a balance between service user safety and the opportunity to be independent and develop new skills. Risk assessments are regularly reviewed. One service user spoken to confirmed that she is completely involved in any decisions taken about how she lives her life. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16, and 17. Service users live full and interesting lives. EVIDENCE: The principles and ethos of the home is that service users have the ability to live as independently as possible according to their assessed needs. Staff provided examples and feedback from one service user confirmed that assistance is provided to participate in leisure events, pursue individual interests and participate in community activities. One recent example given was that all the service users decided to spend Christmas in a hotel in Scotland, which every one had enjoyed. Each service user has a weekly programme of activities. Some are based in specialist day services and in local community activities. Others are based at home where opportunities to develop daily living skills are taken. Contact with community life is encouraged on an individual basis as appropriate and according to how the service user wants to be involved. Service users are supported to maintain links with family and friends by telephone, letter or supporting visits. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 10 Service users and staff confirmed that daily routines are flexible and that independence is promoted. Any restrictions within the house relate to respecting individual privacy, e.g. bedrooms are private and permission is sought to enter them. Service users can invite friends back to the house and are helped to maintain personal relationships with people of their choice and are supported to make appropriate decisions. There is a basic timetable for meals but no restrictions are given in terms of getting up and going to bed unless agreed in service user plans A healthy eating lifestyle is promoted. Service users confirmed that they meet weekly to decide on the menu and are involved in the preparation of meals. Menus examined showed a varied diet. During this inspection one service user and staff member returned from doing the weekly shopping at the local supermarket. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 18,19 and 20 Service users personal and healthcare needs are fully met. EVIDENCE: The service user spoken to said that staff provide support in the manner that suits her. Service user plans examined showed clear detailed guidance to staff as to how they should support individual service users to maintain their independence and achieve their maximum potential. Each of the people living in the home is registered with a GP through whom specialist health services are accessed as and when required. They have regular health checks and checks with their dentist, chiropodist and optician. Medication is stored and administered in a safe manner. The community pharmacist inspects the system in the home every quarter. Each service user has a medical information sheet which describes medical needs and the required treatment /support. Available to staff is information about side effects Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 12 of medication prescribed. Currently one service user self medicates and there is a risk assessment and systems in place to monitor that medication is being taken according to prescription. Staff are provided with training as part of the induction programme and complete accredited training. Staff do not administer medication until they are assessed as safe to do so. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 Service users are listened to and concerns are appropriately dealt with. EVIDENCE: A complaints policy and procedure is available within the home. Complaints forms are available. A copy of the complaints policy is included in the service users’ guide to the home and is produced in pictorial form. The procedure is made available to anyone who wishes to see it. The service user spoken to says it is easy to discuss any dissatisfaction or complaints with anyone on the staff team. Staff was seen to have developed very positive relationships with service users and to communicate very well with them. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 14 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 the following standard(s): None of these standards were assessed at this visit. EVIDENCE: Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this visit. EVIDENCE: Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 16 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this visit EVIDENCE: Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 17 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X X X Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 18 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 Duchy Avenue (13) DS0000007882.V277479.R01.S.doc Version 5.1 Page 19 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. 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