Inspection on 04/01/07 for Emily Court

This inspection was carried out on 4th January 2007.

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

Emily Court 22/02/06

Emily Court 22/11/05

Emily Court 29/11/04

Emily Court 28/04/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Emily Court Oakwell Close Bradford West Yorkshire BD7 3PU Lead Inspector Pamela Cunningham Unannounced Inspection 4th January 2007 10:30 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 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 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. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Emily Court Address Oakwell Close Bradford West Yorkshire BD7 3PU 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) 01274 521733 01274 522607 smithr@brunelhousing.org.uk Brunel and Family Housing Mrs Ruth Smith Care Home 38 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (38), of places Physical disability over 65 years of age (11) Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Emily Court was originally opened as a sheltered housing scheme by Brunel Housing Association and has individual flats and communal spaces for the residents’. It was later registered as a home for older people and has recently merged with Yorkshire Housing. It is situated off the main road leading into Bradford City centre and is well served by public transport. There are shops, banks and other amenities close by. The home has a car park to the front and other parking is available close by. The home provides accommodation for 38 older people both male and female aged over 65. There is provision for people suffering from dementia and physical disabilities. Accommodation is provided over two floors with disabled access into the home and a shaft lift available to access the first floor. All rooms have en-suite facilities and there are specialised bathrooms around the home. Service users are encouraged to bring small items of their own furniture when they move into the home. The home has a large open plan lounge and dining area on the ground floor and there is an additional lounge on the first floor. On the day of the inspection fees charged for care provided were between £317.04, and £337.15 per week. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was made on 4th January 2007. The home did not know that this was going to happen. Feedback was given to the manager at the end of the visit. This was the first visit since 22nd February 2006. The purpose of this visit was to look at what improvements had been made and make sure that the home was being managed for the benefit and well being of the residents. Information had been asked for before the inspection, about what policies and procedures are in place, when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, and staff details and training provided. All information required was returned except details of menus, and when the five-year hard wiring had last been inspected. Details about the menus and wiring were provided at the inspection, and by a telephone call to the CSCI following the visit. Resident’ and visitors’ comment card were sent to the home before the inspection took place thereby giving the opportunity for anonymous feedback. 19 residents’ comments cards were returned along with 13 relatives comments cards. The care staff completed many of the residents’ comments cards after talking to the residents, and only relevant tick boxes completed, therefore not giving much useful information. Two relative cards had however been completed by a near relative and gave much more information on how the home suited their relatives care needs. Comments documented were. “This home was found for Mum by the social worker. I brought her to the home for a look around before bringing her to live at Emily Court. Mum always seems to receive plenty of care. Staff always tell me if Mums medication changes. All the staff are very helpful in finding the right person to speak to.” ” Mum always gets the right support she needs, so do my sister and I. Any concerns can be discussed with the manager and are always resolved properly.” Comments made by relatives on comment cards were in general very complimentary about the care their relative was receiving, and about the home in general. However two or three said they did not have access to inspection reports, were not told about forthcoming inspections, and said they did not think there was always sufficient staff on duty. During the visit residents’ visitors and staff were spoken to. Other records in the home were looked at such as staff files, complaints and accidents records. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Improvements could be made in the standard of care recording. Currently information about the residents is bitty and not kept together in one easy to read document. Also improvements could be made, and more evidence about care needs could be collected and documented during the pre-admission assessment time. Insufficient information could lead to certain care needs not being met. Care also needs to be more person centred. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 7 Residents’ are still at risk of their needs not being met because of there only being two waking staff on night duty The provider must look at residents’ physical, health and social care needs taking the size and layout of the building into account, in order to make sure that enough staff are duty at all times to meet residents needs. 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. The summary of this inspection report can be made available in other formats on request. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 8 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 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5, and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have enough information about the home to decide if it will meet their needs. EVIDENCE: The Certificate of Registration was clearly on view in the entrance hall, along with the latest inspection report, service user guide, Statement Of Purpose and complaints procedure. All are up to date with correct information The local authority funds most residents’ in the home, and contracts are in place between them, the home and the resident. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 10 If any residents pay privately for their care they are also provided with a contract between them and the provider. Some contracts were looked at. Some were signed by either the resident or their relative, however some did not contain a signature. The home provides care to 12 people with dementia. When talking to the staff, it was clear that their understanding of these subjects was enough to help them properly meet the needs of these residents’. People are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. Residents’ and their relatives can get information about the services provided in the home and decide if it will be suitable for them. The ones, which were looked at identified they were incomplete, and did not contain enough information to put together a plan of care of identified needs. During the feedback session at the end of the visit however, the manager made arrangements for a representative from a well-known system of care recording to visit the home and give advice. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans are in place but more detail is needed to make sure that care needs are not overlooked. The information collected before admission is scant, and could lead to some care needs being overlooked. EVIDENCE: Four sets of care documentation were looked at in detail, from admission, to present day. The standard of care recorded is fair, in that it is very bitty, and not kept together in one document and could lead to some care needs being overlooked. The care plans did however include a care plan that identified their care needs during the night, and a medication plan that identified side effects and how the medications should be given, which is good practice. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 12 I spoke to one district nurse and one GP during the visit. Both said that staff made appropriate decisions when they could no longer meet an individual residents care needs, and contacted them when necessary. They also said they found the senior staff to be very knowledgeable and helpful. There was also ample evidence in the care plans that healthcare needs were being met, and residents spoken to said they were given all the privacy they required. On talking to the staff and the manager about end of life situations, I was told they handled the subject sensitively, and sought the views of the relatives at these times. The home uses a monitored dosage system of medicine control, and is safe. All care staff involved in the handling of medication have had certificated training on the safe handling of medication, and samples of staff signatures were present. The home does not use homely remedies. Although both drug trolleys are stored in the office and secured to the wall when not in use, the office door is not always closed when empty, therefore a Yale type lock, and automatic self closer should be fitted to the door. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13. 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s lifestyle in the home matches their expectations and they are helped to exercise choice and control over their lives. EVIDENCE: Currently there is no activities person in the home, however this has not meant that there has been no activities provided. Residents spoken with said all the staff were very good at keeping them entertained, and that they had had a really good time over the Christmas period. On the evening of the visit a pantomime was to take place, and a member of staff was coming into the home to make a special cooked evening meal for the residents. Residents are taken on outings to Blackpool and Tong Garden Centre, and a singer attends the home monthly. The residents also enjoy chair aerobics by a visiting relative. Three of the residents also recently attended a family wedding, and staff from the home came in, in their own time to take them. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 14 I sampled the food, which was very well cooked and tasty. The cook said she regularly speaks the residents to see if they want to make any changes to the menu. There are choices available at all meal times and alternatives are offered if they do not want what is on the menu. Residents’ also said they had a choice of where to eat, be that in the dining room, or in their own rooms, and said they could also chose where they wanted to spend their leisure time. The kitchen was clean, tidy and well organised. Records of cleaning schedules, food delivery and serving temperatures and fridge temperatures are kept. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that any concerns they might have will be listened to, taken seriously and acted upon. The level of staff understanding gives assurance that complaints will be taken seriously and service users will be protected from abuse. EVIDENCE: The complaints procedure is in place and is displayed in the foyer of the home. It is clear and easy to follow. Residents and relatives said they had read the procedure and knew how to complain, however did not feel the need to because of the open management style of the manager who holds an open day once a week. There have been no complaints either directly to the Commission or to the home since the last inspection. All residents’ are protected from potential abuse by staff undertaking relevant training, and by the homes good recruitment procedures. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 16 Copies of the organisations adult protection procedures and the local authority adult protection procedures are kept in the manager’s office, and available for staff to read. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): All standards were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a safe environment for the residents and provides appropriate bathing and toilet facilities, however some refurbishment work needs to be done as the home is beginning to look quite shabby. EVIDENCE: Tour of the home was undertaken, and approximately 50 of the bedrooms were visited. Some were very nicely personalised with items residents had brought in from home, and all were quite spacious, clean and fresh smelling. The manager told me about the plans for refurbishment of the home, which will look nice when finished Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 18 There are plans to take out a fixed unit in all the bedrooms that used to house kettles etc. This will give the residents either more space to use, or to allow them to bring in additional pieces of personal possessions. All en-suite bathrooms are also to be upgraded. The home has identified the quiet room to be the place where relatives can stay during times when their relatives are ill, or when they have travelled a long way. This is good practice. New furniture is to be supplied in the main lounge area, and new carpets are to be provided in the corridors, upstairs and down. The whole home is to be redecorated, and the entrance area is to be altered and made more inviting There are also plans in place to make two rooms in the annexe, which is at the moment, not used. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are in safe hands and are protected by the homes recruitment policy and practices. EVIDENCE: Two weeks duty rotas were seen during the visit. These showed that there were enough staff on duty to meet the needs of residents, however, comments made in pre inspection surveys said there did not seem to be enough staff on duty at certain times. There is certainly some concern raised regarding there only being two members of waking night staff on duty at any one time. The home is divided up into two areas, separated by a communal lounge and is registered for 38 residents. Should both night staff be in one area tending to a resident, and be needed urgently in the other half of the home, it would be difficult for the staff to respond quickly, or even to prioritise the residents needs. This was discussed with the manager who said she had identified the problem and intended to resolve it. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 20 Training is a high priority within the organisation, and the home has achieved 100 on staff training to NVQ level 2. 2 team leaders have achieved NVQ level 3, and the manager has now successfully completed the registered managers award. There are two first aiders employed who are about to do a refresher course, and there is four other staff that have done the training. Induction training for all new staff is ongoing, and all staff are receiving formal supervision. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36,and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed and run in the best interests of residents. EVIDENCE: The manager is a very experiences manager who is well thought of by her staff, residents and relatives. She has recently achieved a management qualification, and holds open evenings so that any relatives who want to discuss anything with her can freely do so. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 22 Residents’ spoken to said they could do as they pleased and felt the care home was like home. The home is protected by the financial arrangements being part of a large organisation, and those residents’ who have no next of kin have their money safeguarded by Social Services. There are also a few residents whose affairs are protected by guardianship, otherwise relatives’ deal with their finances. All records are kept in a locked filing cabinet in the office when not being used by the staff. There were no concerns regarding health and safety. Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 23 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 3 3 2 N/A 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 X 3 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP3 Regulation 14(1)(a) Requirement The Registered Provider must ensure pre admission assessments accurately reflect residents care needs. The registered Person must ensure all care documentation is stored accurately, as a present it is difficult to read, due to it not being kept together in one document. This could lead to some care needs not being met. The Registered Provider must ensure that the décor of the home is improved. The Registered Provider must ensure that ther are staff present in the home at all times to meet residents needs. Timescale for action 01/04/07 2 OP7 15(1) 01/05/07 3 4 OP19 OP27 23(2)(b) 18 01/06/07 01/03/07 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 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 25 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Emily Court DS0000001242.V319569.R01.S.doc Version 5.2 Page 27 - 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!