Inspection on 31/01/06 for Emm Lane Care Home

This inspection was carried out on 31st 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Emm Lane Care Home 29/08/07

Emm Lane Care Home 29/08/06

Emm Lane Care Home 24/05/05

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 Heaton Bradford West Yorkshire BD9 4JH Lead Inspector Linda Trenouth Unannounced Inspection 31st January 2006 12:10 Emm Lane Care Home DS0000001139.V259516.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 Emm Lane Care Home DS0000001139.V259516.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. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 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 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) 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 (12), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (12) Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/05/05 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 DS0000001139.V259516.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on 11th May 2005. There has been one additional visit made to the home since the last inspection. This was an unannounced inspection carried out by one inspector who was at the home on the 31st January 2006 for approximately 5 hours. The last inspection was also unannounced. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices and talking to residents and staff. Comment cards were left at the home to provide residents and visitors with the opportunity to comment on the service. The findings from these cards are included in the report. Feedback was given to the Mr and Mrs Jomeen at the end of the visit. Requirements and recommendations made during this visit, and outstanding from previous inspection visits can be found at the end of the report. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 7 There are limited therapeutic activities planned or organised by the home and inadequate staffing levels to realistically provide this. This has been raised at previous inspections. 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 DS0000001139.V259516.R01.S.doc Version 5.1 Page 8 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 Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 9 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): 1 and 2. The residents have good information to make an informed choice about moving into the home. Residents needs are assessed before they move into the home to make sure the home can meet all their needs. EVIDENCE: The owners of the home are presently amending the Service User Guide. Upon completion new copies will be distributed to all residents and interested parties. Prospective residents have a core assessment undertaken by a multidisciplinary team prior to moving into the home. The home then carries out its own assessment to make sure that they can meet all the needs of the residents. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 10 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 and 9 Residents participate and are involved with their personal goals and individual care plans. EVIDENCE: The home undertakes risk assessments to support residents to self medicate or manage their own money. The residents sign the risk assessments and care plans to acknowledge their understanding and agreement. The manager and staff at the home encourage the residents to be as independent as possible and help around the home. Some residents help in the preparation of food, setting the table, making their own beds and helping with their laundry. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 11 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): 14. There has been an improvement in one to one activities with some residents but the homes activities are still limited by staffing levels at the home. EVIDENCE: The residents activities are beginning to improve; the manager has undertaken many shopping trips with the residents and supported individuals to visit their relatives. One resident visits the Cathedral Centre in Bradford and activities such as board games and arts and crafts are available in the home. Residents are also encouraged to participate in household tasks such as meal preparation, baking and cleaning their own rooms. 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 had a meeting to discuss holidays and outings for the summer. They were all asked for their ideas about possible locations for day trips and short holidays, unfortunately due to staffing levels these did not take place. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 12 Links between family and friends are encouraged providing the opportunity for relationships to be maintained. One resident had regular contact with their family visiting them weekly. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 13 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): 19 and 20 The manager and staff strive to support and meet the residents health and emotional needs. Medication procedures ensure that residents are protected when taking medicines. EVIDENCE: From discussion with staff and review of the records it was clear that the manager and staff were sensitive to the emotional needs of the residents. During recent family illness one resident had been supported and reassured by staff and manager and supported to visit her relative. In addition to this the manager had also provided one to one support during her distress and concerns over an ill relative. The health needs of individuals are reviewed regularly and residents are supported in their appointments to the Mental Health Services, GP, Opticians, Dentist and Chiropodist are maintained. The District Nurses also support a resident in the home and visit daily. The medication and medication records were reviewed and were all in order. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 14 A medication procedure was in place and staff received training, advice and support from the local pharmacist regarding the administration of medication. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 15 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): Not reviewed. EVIDENCE: Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 16 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, 27 and 30. The residents live in a homely, comfortable and safe environment. EVIDENCE: Residents spoken to said that they liked the home and they thought it was comfortable and well decorated. They also liked their bedrooms and felt they had everything they needed. The areas of the home reviewed were the lounge, kitchen, bathrooms, toilets and two bedrooms. All these area were clean to a good standard. The bathrooms and toilets provided appropriate privacy. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 17 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, 33 and 36. The safe recruitment of staff ensures the protection of service users. The residents have their health needs met and are supported by the manager and staff at the home. 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. Recent training in diabetes has been undertaken by the staff at the home to support residents needs. Staff receive mandatory and some specialist training at the home. Two staff have completed NVQ training. Due to staff turnover there are no staff presently registered on NVQ, the manager is hopeful that further new staff will enrol. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 18 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 DS0000001139.V259516.R01.S.doc Version 5.1 Page 19 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): 39, 41, 42 and 43. The residents and staff are included in the decision-making and their views and opinions are sought. The home has a responsible approach to Health and Safety within the home by undertaking regular checks and training staff in Health and Safety awareness. The home has their own 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 is planning a residents and staff meeting in the next month. The home has a responsible approach to the Health and Safety of the residents. The electrical and fire testing is regularly monitored. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 20 The owners of the home undertake their own quality assurance monitoring, updating the service user guide, policies and procedures and health and safety monitoring within the home. Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 21 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 3 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 x 14 2 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X 3 X 3 3 3 Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA14 Regulation 16 Requirement Timescale for action 01/04/06 2. YA32 9 There must be more stimulation, activities and outings undertaken with service users. (This is a previous requirement from the 1.09.04 and 20/08/05 which was not met). The home is required to provide 01/04/06 50 of care staff qualified to NVQ level 2 by April 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 Emm Lane Care Home DS0000001139.V259516.R01.S.doc Version 5.1 Page 23 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 DS0000001139.V259516.R01.S.doc Version 5.1 Page 24 - 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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