Inspection on 29/11/05 for East Park Road (2)

This inspection was carried out on 29th 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

East Park Road (2) 18/04/07

East Park Road (2) 02/03/06

East Park Road (2) 02/03/05

East Park Road (2) 12/08/04

East Park Road (2) 09/03/04

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 East Park Road (2) 2 East Park Road Victoria Place Harrogate North Yorkshire HG1 5QT Lead Inspector Kate Shackleton Unannounced Inspection 29th November 2005 09:30 East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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 East Park Road (2) DS0000007888.V265154.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 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. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service East Park Road (2) Address 2 East Park Road Victoria Place Harrogate North Yorkshire HG1 5QT 01423 521907 01423 541889 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) Henshaws Society for Blind People Mrs Julie Barker Care Home 6 Category(ies) of Learning disability (6) registration, with number of places East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 6 service users with a Learning Disability all of whom also have an additional Sensory Impairment 2nd March 2005 Date of last inspection Brief Description of the Service: 2 East Park Road is operated by Henshaws Society for Blind People and is registered to provide residential care for 6 younger adults aged 65 years and under who have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre where there is a wide range of shops and leisure facilities. It is a large three storey semidetached house with a paved garden area to the rear. There is on site car parking to the front of the property All bedrooms are designed for single occupancy. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first to be undertaken between April 2005 and March 2006. It was done on the 29 November 2005, at a time when some of the people living in the home were present. It took 6 hours plus 2 hour’s preparation time. Service users were spoken to and discussions held with the registered manager. A number of records were examined and the communal areas of the home were seen. What the service does well: What has improved since the last inspection? Since the last inspection there has been some redecoration and refurbishment including the installation of a new central heating system. This has improved the internal appearance and warmth of the house. The knowledge and understanding of staff about adult protection issues has improved through training, which staff found valuable. The manager has achieved a professional qualification and staff are on course to complete NVQ awards before the end of the year. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 6 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. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 7 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 East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 8 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 Service users have a choice about where to live. Comprehensive assessments ensure that the home can meet their needs before a service is offered. EVIDENCE: There have been no admissions to the home for a number of years. Service users who live at East Park Rd have previously attended Henshaw’s College and lived on the campus. Their needs are well known before they come to live in the home. Even though this is the case service users get to visit the house for short breaks and are admitted for a trial period. The trail period allows the prospective service user time to decide if they want to live there permanently. It also provides an opportunity for the people already living in the home to decide if the new person fits in with the group. Before anyone comes to live in a Henshaw’s home it is established that they want to live independently. Service users spoken to said that they are able to tell their key worker what they want to do and work out between them how to achieve it. Records examined confirmed that individual needs are regularly assessed. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 9 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 choose their own lifestyle and are well supported by staff to achieve their goals. EVIDENCE: Service users said that they enjoyed living at East Park Rd and are able to choose their own lifestyle. They were recently given the opportunity to move to some new homes that have been opened and no one wanted to move. Service users have their own meetings and have developed a code of conduct for the home, which respects the rights of everyone living in the house and promotes harmony amongst the group. At the time of this visit service users were in and out of the house engaged in ordinary activities in the community. Files examined showed good care planning and appropriate risk assessments. Staff were seen supporting service users in a positive and helpful manner to organise their day. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 10 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 fulfilling and interesting lives well integrated into the local community. EVIDENCE: Service users talked about a range of activities that they are involved in. Some examples given were: doing their own shopping, visiting family, going to the pub, joining local groups and holidays. They choose their own meals and shop for the main ingredients. A number of people can use the oven independently and do their own cooking, staff supports others. Service users have attended courses on healthy eating. Each service user has a key worker who works with them providing encouragement and support in achieving meaningful lives. Staff were seen providing encouragement to service users to help them reach their full potential. Service users are supported to develop and maintain relationships with families and friends. They are assisted to visit their relatives and friends who in turn are free to visit the home at any time and are made welcome when they do so. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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 receive a service that meets their personal and health care needs. EVIDENCE: Service users said that they get the support they need in the way that they want. Staff were seen to communicate very well with residents and to support them with their personal care needs in a way that respected the individual’s dignity. Service users have their own GP and visit the surgery for appointments. They are able to access all community health care professionals. Staff support service users in having regular health checks and checks with their dentist, chiropodist and optician. Files examined showed that input from specialists is sought when needed. It was clear that the registered manager is very knowledgeable about the each resident’s health care needs and is committed to having these fully met at all times. Service users self medicate. The way this is done may have the potential to cause errors. The manager said that this method had been discussed with the community pharmacist who had passed it as safe. There is up to date guidance in a Royal Pharmaceutical Society publication, which suggests that the method East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 12 used is contrary to best practice. Advice given for the manager to seek further guidance on this matter. A stock control of medicines received is kept and service users are provided with a secure place to store their medicines. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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): Service users concerns are taken seriously and acted upon. EVIDENCE: Service users said that if they were unhappy about the way in which they were treated they would talk to their key worker or the manager. Records looked at showed that concerns raised were dealt with quickly and sought to resolve the situation to everyone’s satisfaction. There are policies and procedures in place to protect service users from abuse. Staff receive training in abuse awareness. Sound accounting and recording procedures ensure the safety of any money held by the home on behalf of service users. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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): 24 and 30 Service users live in a clean comfortable home. EVIDENCE: The house is furnished and decorated as any ordinary domestic household. It is warm and comfortable and feels like it is the service users home as opposed to a care home. There is evidence of service users own possessions around the house and service users said that they could personalise their own rooms in a manner that reflects their tastes. Since the last inspection three bedrooms have been redecorated. The service users choose the colour scheme. A new central heating system has been installed and a new hall stairs and landing carpet has been fitted. The home is clean. The staff does some of the cleaning with service users also taking some responsibility as part of the independent living ethos of the home. The home is ideally situated close to the centre of Harrogate. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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): 32,34 and 35 The Service users receive a good standard of care from a skilled and motivated staff team. EVIDENCE: There is a commitment to staff training. The staff training report seen showed a full range of statutory and specialist training programmes provided for staff. On the day of this visit staff were attending a training session held in the home. A number of staff are close to completing their National Vocational Qualification level 3. Rota’s examined showed enough staff on duty at times of peak activity. The home has a stable and consistent staff team. Staff morale seems high. Observing staff working with service users they appear to have developed very positive relationships and know service users well. Service users spoke positively about staff. No new staff have been recruited for a number of years. It has been determined at previous inspections that the recruitment procedure is robust enough to ensure that unsuitable people are not employed. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 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): 37,39 and 42 The Service users benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The registered manager has considerable management experience and since the last inspection has obtained the Registered Managers Award. She is seeking advice about whether she needs to complete the NVQ in Care level 4 given that she has other qualifications in care work. The home operates a Quality Assurance Scheme, which asks service users about the standard of the service that they receive. A manager from another home visits and completes a monthly report with recommendations if needed. An Annual Development plan is developed taking into account service users wishes. Service users are supported to develop and maintain relationships with families and friends. They are assisted to visit their relatives who in turn are free to East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 17 visit the home at any time and are made welcome when they do so. Friends can be invited around for a meal. There is a range of health and safety checks carried out including the servicing and maintenance of equipment to ensure the safety of service users. Recent visits by the Fire Safety officer and the Environmental Health Officer have determined that the premises meet satisfactory standards. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 18 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 East Park Road (2) Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000007888.V265154.R01.S.doc Version 5.0 Page 19 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. 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 YA20 Good Practice Recommendations The manager should seek advice from the community pharmacist that the way in which service users self medicate complies with current best practice. East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 20 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 East Park Road (2) DS0000007888.V265154.R01.S.doc Version 5.0 Page 21 - 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. 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