Inspection on 02/01/07 for Emmaus House

This inspection was carried out on 2nd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Emmaus House 24/03/06

Emmaus House 15/11/05

Emmaus House 18/01/05

Emmaus House 06/07/04

Emmaus House 18/11/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Emmaus House 115 Valley Drive Harrogate North Yorkshire HG2 0JS Lead Inspector Donna Burnett Key Unannounced Inspection 09:15 2nd January 2007 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 Emmaus House DS0000007808.V324271.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. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Emmaus House Address 115 Valley Drive Harrogate North Yorkshire HG2 0JS 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) 01423 565932 01423 565964 Harrogate Emmaus Trust Mrs Christine Alice Hornby Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th March 2006 Brief Description of the Service: Emmaus House is registered to provide personal and social care for 23 older people. The home is situated a short distance from Harrogate town centre and provides good access to services and amenities. The home is on three floors and there is a passenger lift to all levels. There are steps to the front of the building with level access at the rear. There are twenty-two bedrooms, three of which may be occupied by two people to a maximum of 23 service users. All bedrooms have en-suite facilities. Prospective service users are provided with relevant information about the home and what it offers. The statement of purpose details the qualifications of staff, the aims and objectives of the home and includes a health and safety guide. At the present time, the home charges between £365-£487 per week. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The registered manager completed and returned a ‘pre-inspection questionnaire’ before the inspection began. Information supplied was used to help plan the inspection and survey residents, relatives, GP’s, care managers and other health and social care professionals in regular contact with the home. Comments were received from nine service users, nine relatives, three GP’s, one social services care manager, one district nurse, one health care assistant, one community psychiatric nurse and one chiropodist. Their comments and feedback are included in the main body of the report. Three and a half hours were spent planning and gathering information before the inspection began. Seven hours and fifteen minutes were spent at the home. The registered manager, catering manager and several other members of staff were available to speak to throughout the day. Time was spent talking to service users and observing the day to day routines within the home to try and see what it was like for the people living there. A selection of service users and staff files were looked at as were a number of documents intended to protect the safety and welfare of people living at Emmaus House. What the service does well: Relatives describe the home as having a ‘friendly, homely atmosphere’ and ‘caring staff’. Service users are described as being ‘happy and content’ and ‘well cared for’. The home is very clean and the food provided is of a high standard. All bedrooms are en-suite and allow for privacy when washing and dressing. Staff are competent, reliable and provide care in a sensitive, dignified way. Service users say the staff are ‘very kind’ and ‘look after you well’. Independence is encouraged as much as possible. The same manager has run the home for number of years. She is highly thought of and has a good understanding of the needs of the people living at the home. Service users say she is ‘competent’ and that they can ‘speak to her about anything’. The service user’s health and safety is of up most importance and they are protected from harm through good, safe working practices. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 7 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 Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 8 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): 3 & 6. Quality in this outcome area is good. People who choose to live at the home have their needs identified and planned for before admission. Staff are aware of the needs of each person new to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective service users and their families can spend time at the home talking to people who live there and meeting the staff. This allows them to make their own minds up about whether or not this is where they want to live. The manager visits and assesses prospective service users prior to admission to the home. Admissions only take place once the manager is confident that the staff can meet individual care needs. Each service user has a key worker who takes a special interest in them. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 9 Admission documents provide good information. The needs of service users are identified and the information made available to staff so they can understand the social, personal and emotional needs of people who use the service and know what help to give. Respite care is available to allow carers and family members time to rest or take a break from their caring roles and responsibilities. This also allows further opportunity for prospective service users to ‘test drive’ the service. Standard 6 was not looked at as the home does not offer an intermediate care service. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 10 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 & 10. Quality in this outcome area is good. Service users get the care they need and are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual service user plans detail what staff need to do to make sure that the people they care for get the help and support that they need. The plans are reviewed regularly to take into account any significant changes. Visits from health and social care professionals are conducted in private. Specialist advice is followed and staff show a clear understanding of the needs of the people they care for. Close working relationships with a variety of health care professionals means that service users get the help and support they need and are entitled to. Medication is managed in a safe way, which ensures that service users get the medication they need, as prescribed. Service users who are able to are encouraged and supported to safely look after and take responsibility for their own medication. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 11 Family members are ‘very pleased’ with the way in which their relatives are looked after and ‘cannot speak highly enough’ of the ‘wonderful care’ that is provided. Service users say they always get the care and support that they need, including any medical attention. Care is provided showing respect for people’s need for dignity and privacy. Service users are addressed by the name they prefer. Clothing and personal belongings are kept in a good, respectable condition. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 12 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 & 15. Quality in this outcome area is good. Service users are offered a variety of activities with special consideration given to religious and spiritual needs. They enjoy meals which are nutritious and varied. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a diversional therapist. Records show that various opportunities for social interaction and stimulation, both inside and outside of the home, are on offer, should people wish to join in or participate. Service users can use the facilities of a mobile library. Family members say they are made welcome, can visit at any time and are able to meet with their relative in private. Refreshments are available for visitors. One family member who returned a comment card said that their relative ‘is encouraged to live her life to her full capabilities’. Service users choose their own daily routines and special consideration is given to religious needs. Service users either go out to Church or can attend services held at the home. An advocate is available for service users who may need someone else to act on their behalf. Service users are encouraged to remain independent and have as much control over their lives as is possible. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 13 Service users choose what they want to eat and are very complimentary about the quality and choice of food on offer. They say the food is ‘excellent’. Special diets and requests are catered for and the catering manager is currently looking into providing a specific meal which a service user has asked for. Most of the food is bought locally using fresh produce. The food on offer is nutritious, freshly cooked and of a high standard. The dining area is light and comfortable and provides a very pleasant environment in which to enjoy meals. An abundance of refreshments and home baking are available throughout the day. Service users who are able to can access a kitchenette and help themselves to drinks at any time. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 14 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 & 18. Quality in this outcome area is good. Service users are protected from harm. Suggestions and concerns are listened to and taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: None of the relatives or health and social care professionals who returned comment cards had ever had to complain. One family member said that concerns were dealt with ‘quickly and efficiently’. Service users and their families feel able to speak to the manager about any concerns they might have and know that they will be listened to and taken seriously. The home employs staff that have been police checked and are suitable to work with vulnerable people. New staff are trained how to spot abuse and told what to do should they suspect a service user of being harmed or treated unkindly. The home has a whistle blowing policy, which allows staff to report any concerns they might have without fear of reprisal. Service users and staff feel able to talk openly with the manager so it is unlikely that an abusive situation would go unnoticed or unreported. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 15 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): 19 & 26. Quality in this outcome area is good. Service users live in a safe, comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and visitors always find the home ‘clean and tidy’, ‘fresh and clean’. Repairs are carried out promptly. The manager ensures compliance with the local fire service and environmental health department so that service users are kept safe. The home is kept spotlessly clean so that the risk of service users becoming ill from poor hygiene is unlikely. The home was free from offensive smells for the duration of the inspection and made the environment pleasant. Service users say that this is always the case. The laundry is of a size capable to cope with the demands of the service users. Contaminated or infected clothing and bedding can be treated safely. Hand wash scrub, gloves and aprons are available throughout the home so as to minimise the risk of cross infection Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 16 from one person to another. The manager liaises with the infection control nurse to make sure that current practices in relation to hygiene are safe. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 17 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 & 30. Quality in this outcome area is excellent. The home employs enough, skilled staff to be able to meet the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Relatives who returned comment cards feel there is always enough staff on duty. Service users say there is staff available when they need them. Staff are described as ‘very dedicated and caring’, ‘lovely people’. Relatives have ‘nothing but praise for all the staff’ who are ‘welcoming and always have time for a chat’. Call bells are answered ‘in a shot’ so that nobody has to wait long to be tended to. The home does not use agency staff and holidays and sickness are covered ‘inhouse’. This means that service users are always cared for by people who know them well and who they say are ‘devoted’. The recruitment process is safe and only people who are suitable and have been police checked are employed to work at the home. The manager promotes equal opportunities for all applicants so that no one is disadvantaged because of disability or gender. Many of the staff have worked at the home for several years, which provides a consistent service for people living at the home. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 18 There is always a senior member of staff to talk to. Staff have the necessary skills required to care for service users well. Staff have limited experience of mental health issues but are aware of their limitations and work closely with the Community Mental Health Team to make sure that service users get any specialist help and support they require. New staff receive induction training so that they know how to work safely. Further training is provided as it is needed so that service users are cared for by staff who have the skills to provide the care they need. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 19 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, 33, 35 & 38.. Quality in this outcome area is excellent. The manager is well respected and runs the home safely, in the way service users want it to be run. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is organised, competent and runs the home to meet the needs of the people who live there. Service users, staff and families know who to go to if there is a problem and are very happy with the way in which the home is run. The manager keeps up to date with her own training and is knowledgeable about current ways of working. There is always a senior carer on duty to take responsibility for the smooth, safe running of the shift. Tasks are appropriately delegated so that the safety of service users, and the safe running of the home, is shared out among the more senior members of staff. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 20 The manager asks for service users opinions so that the home can be run the way people living in it want it to be run. Service users are also asked to comment about the food they receive. Comments and suggestions are acted upon. Regular, internal audits make sure that all the necessary health and safety checks are being carried out. A member of The Harrogate Emmaus Trust visits the home monthly and allows time for service users to talk about their satisfaction with the service. Service users’ money left at the home for safekeeping is stored securely. Accurate records of all transactions are kept to prevent the risk of financial irregularities. Service users can have access to their money at any time. A senior member of staff takes special responsibility for the health and safety of service users and the home. She works in collaboration with a health and safety consultant to make sure that the home is run safely and that service users and staff are protected from harm. The Trust allows extra time to be spent looking at health and safety issues which shows a commitment to ensuring the safety of service users. The fire procedure is prominently displayed throughout the home, the alarms are tested weekly and staff are trained to know what to do in the event of a fire. A number of staff are able to administer first aid should a service user get injured or require immediate treatment for a minor injury. Strict food hygiene procedures are followed so at so avoid the risk of food poisoning. Good infection control measures keep service users free from cross infection. The home is maintained in a safe way with regular checks to equipment made to make sure it is in a safe condition to use. A selection of records were looked at which showed the manager was obeying the law and keeping people living at the home, safe. Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 X X 4 Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Emmaus House DS0000007808.V324271.R01.S.doc Version 5.2 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. 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!