Inspection on 24/05/05 for Emm Lane Care Home

This inspection was carried out on 24th May 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

Emm Lane Care Home 29/08/07

Emm Lane Care Home 29/08/06

Emm Lane Care Home 31/01/06

Emm Lane Care Home 23/02/05

Emm Lane Care Home 05/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Emm Lane Care Home 72 Emm Lane Bradford West Yorkshire BD9 4JH Lead Inspector Linda Trenouth Unannounced 2pm 24 May 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. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Emm Lane Care Home Address 72 Emm Lane, Heaton, Bradford, West Yorkshire, BD9 4JH 01274 541444 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) Mrs Kim Helen Jomeen Mrs Kim Helen Jomeen Care Home 14 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (11), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (1) Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 23/02/05 Brief Description of the Service: Emm Lane Care Home was first registered in November 1986 with Mrs. Kim Jomeen taking on the roles of manager/provider. The home is situated near Lister Park approximately 3 miles from Bradford city centre. The area is well serviced by public transport to Shipley and Bradford. The house is a semi-detached period property, providing care and accommodation to service users of either gender aged 40-80 years who are recovering from a mental illness. The accommodation is situated on three floors, with two double and ten single bedrooms. There are two lounges and a dining/kitchen. There are no special facilities provided for those with mobility needs. The home is not suitable for wheelchair users. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over the inspection year from April until March, regulated care homes have a minimum of two inspections for the year; these may be announced or unannounced. The last inspection was announced and took place in February 2005. The people who live in the home use the term residents; therefore this is the term that will be used throughout this report. During the inspection some areas of the home were seen, such as the lounge and kitchen. Time was spent speaking with service users, staff and seeing care practices. Other inspection methods used included the examination of records kept and case tracking, which involves reading care plan documentation and then observing and speaking to residents and staff involved with their care. On arrival at the home, the manager and staff were available, courteous and helpful. The home overall was clean and appeared in good order. Information about the inspection findings was feedback to Mr Jomeen. A list of requirements and recommendations identified from this inspection can be found at the end of this report What the service does well: The statement of purpose and contract have been completed for the home. The manager of the home is now organising individual support for each of the residents in agreeing and signing the contracts. The home has recently undergone some redecoration and continues to maintain a satisfactory standard of environment. Emm Lane provides a homely and comfortable atmosphere where residents are encouraged to make decisions and help in the home. The residents felt that it was clean and nicely decorated. Residents also felt that they had a good relationship with the staff and the owners of the home. Residents are involved with the daily decision-making in the home and encouraged to maintain friendships and family relationships. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 6 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. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 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 standard(s) 1, 4 and 5. Residents are provided with good information to make an informed choice about where to live and have an opportunity to visit and stay at the home prior to moving in. Each resident has a written contract which includes the terms and conditions of the home, and informs the residents about their individual rights whilst living at the home. EVIDENCE: All residents have now received their service user guide and new contracts. The home is in the process of ensuring all residents have individual support from a relative, social worker or advocate to understand and agree their contract. The contracts also now include details of any additional charges including the use of the disability living allowance. The residents talked about the service user guide and general information they had been given about the home. One resident said he had visited and stayed at the home prior to moving in. He said he had the opportunity to meet all the other residents and staff before choosing to live at the home. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 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 standard(s) 6, 7, 9 and 10. Staff are provided with the level of detail required to carry out care tasks and assist residents to participate in day-to-day decision making. Residents participate and are involved with their personal goals and individual care plans. EVIDENCE: The records reviewed included specialist assessments and detailed daily living plans. These care plans are reviewed by the resident and the staff in the planning meetings. In addition to this the home encourages the residents to complete questionnaires, which asks for further comments and ideas regarding the running of the home. The residents confirmed that they were involved with day-to-day decisionmaking and choices about their daily lives. One resident described how she likes to clean her own bedroom and manage her own personal shopping. She also helped in the preparation of food. Staff were able to give examples and details of the individual care needs of the residents and discuss how these related to the individual plan of daily living. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 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 standard(s) 11, 12, 15, and 16 Whilst holidays and outings were being organised there was little organised leisure activity in the community. Resident’s rights generally are respected and responsibilities recognised in their daily lives. EVIDENCE: A review of the records confirmed that health and social activities are included in the daily living plan, however there were few organised external activities. Staff and residents confirmed that no specific activities are organised. Whilst some residents attended day centres many of the residents spend a significant amount of time within the home. Some residents were happy to occupy themselves and had good independent living skills, however other residents required support and some form of therapeutic stimulation. Residents said that a meeting had recently been held to discuss holidays and outings for the summer. They were all asked for their ideas about possible locations for day trips and short holidays. The manager of the home confirmed Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 11 that holidays and day trips would be taking place in the summer with small groups of residents. Links between family and friends are encouraged, thus providing the opportunity for relationships to be maintained. Some residents spoken to said that they come and go from the home when they please and have friends both in and beyond the home. One resident also confirmed that constant contact was kept up with family and that she visited them regularly. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 12 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 and 20. The resident’s physical and health needs were met. Medication procedures ensure that residents are protected when taking medicines. EVIDENCE: Discussion with residents confirmed that they receive regular support from the staff manager of the home regarding their personal care. One resident stated that Mrs Jomeen had taken him shopping for new clothes. He stated that he had taken some time in choosing a new jacket but that Mrs Jomeen had helped in his final choice. One resident was unhappy with her pressure care mattress, she said that the staff and the district nurse had reassured her and explained how important the mattress was for her care. A medication procedure was in place and staff received training, advice and support from the local pharmacist regarding the administration of medication. The residents confirmed that they were consulted regarding their health needs and had regular visits to the hospital, GP, Opticians, Dentist and Chiropody. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 13 The care records and reviews address health care needs of the residents. The residents also have Mental Health reviews and Day Centre reviews, recommendation from these reviews are incorporated into the care plan. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 14 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 and 23. The complaints procedure encourages service users to complain and reassures them that their complaint will be taken seriously, as it is in a format easy to understand and is in both English and Urdu. Resident’s confirmed that their views were listened to and acted upon. EVIDENCE: The complaints procedure was seen within the statement of purpose. This procedure is in a simple format and reassures complainants that their complaint will be investigated. It is also displayed clearly in the home in both English and Urdu. Records of all complaints are kept along with how the complaint has been investigated. Staff had a good understanding of abuse and had have received in-house training on adult protection and adult abuse. One resident said that they would raise any concerns she found with the manager; she also said that she would talk to her relative if she was still unhappy. Resident spoken to confirmed that if they had any grumbles or concerns the management of the home acted them upon. The Commission for Social Care Inspection have received one complaint in the last inspection year for the home. This is currently not resolved and continues to be investigated. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 15 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 and 30. The residents live in a comfortable, clean and safe environment. EVIDENCE: Some redecoration has been undertaken within the home. This has improved the appearance and quality of the overall environment. The home is progressing with the idea of creating a non- smoking lounge, once an alternative outdoor smoking area has been established. It was agreed that any changes would be reviewed with a fire officer. The areas of the home seen were clean and well maintained. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 16 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) 34, 35 and 36 The safe recruitment of staff ensures the protection of service users. The residents have their health needs met and are supported by trained staff. EVIDENCE: The recruitment records were completed and included; application forms references and CRB checks for all new staff at the home. Previous training certificates and qualifications were included in the personnel records along with the employment contracts. The Staff receive mandatory and specialist training at the home, to ensure that they are able to meet the specialist needs of the residents. Staff receive mandatory and some specialist training at the home. Three staff have completed NVQ training. Further staff are now registered on the NVQ award and the organisation is committed to meeting the standard of 50 of their staff being qualified to level 2. Staff confirmed that supervision and appraisals had been introduced and that records were held. The records confirmed that from the supervision staff training needs had been identified. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 17 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 and 43. The residents are included in the decision-making and their views and opinions are sought. The home has a responsible approach to the Health and Safety of the residents by undertaking regular checks and training staff in health and safety awareness. The home has a good quality assurance system, which is appropriate to the size and needs of the home. EVIDENCE: Residents spoken with confirmed that they are included in daily decisionmaking and their views and opinions are sought. The home has a responsible approach to the Health and Safety of the residents. The electrical and fire testing is regularly monitored and discussions with staff confirmed a good awareness of general safety. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 18 The home has an informal, but appropriate quality assurance system, with resident’s qualitative questionnaires being distributed. The registered manager is enrolled on the NVQ IV in management and hopes to complete by December 2005. All residents spoken with confirmed that the manager was approachable and acted upon any concerns that they had. The residents had house meeting where they could air their views. Staff also said that they felt the leadership of the home was good and they could communicate easily with the owners of the home. The staff stated that Mrs Jomeen was regularly in the home throughout the week and provided good support. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 19 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 3 3 x 3 3 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 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 2 x 2 3 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Emm Lane Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 3 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 20 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 14 Regulation 16 Requirement Timescale for action 20.08.05 2. 32 9 3. 4. 5. 6. 7. 37 9 There must be more stimulation, activities and outings undertaken with service users. All residents on long-term placement must be offered a seven-day annual holiday. (This is a previous requirement from the 1.09.04 which was not met). The home is required to provide 31.12.05 50 of care staff qualified to NVQ level 2 by April 2005. ( This is a previous requirement from the 1.05.04 which was not met). The manager must complete 31.12.05 level 4 NVQ in management by 2005. 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 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 21 Emm Lane Care Home 1. none. Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds, LS13 1HP 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 Emm Lane Care Home 20050524 Emm Lane IR Stage 4 J52 V226985 S1139.doc Version 1.30 Page 23 - 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!