CARE HOMES FOR OLDER PEOPLE
Emmaus House 115 Valley Drive Harrogate North Yorkshire HG2 0JS Lead Inspector
Ros Sanderson Unannounced Inspection 24th March 2006 10:15 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.V283758.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 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.V283758.R01.S.doc Version 5.1 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.V283758.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th November 2005 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. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection lasted for four and a half hours, including preparation time. The focus of the inspection was to assess the outcomes for service users. To do this the views of five service users, and four members of staff were sought. Their comments are included in the summary and the body of this report. The registered manager was available throughout the inspection and the catering manager was able to assist as well. The home was warm and welcoming and continues to offer a pleasant place in which to live. What the service does well:
Service users like living at Emmaus house. Comments received from them include, ‘It is wonderful living here, whatever you want, you only have to ask.’ And also, ‘‘The staff are wonderful I have no worries living here and feel very blessed that I do’ Activities offered at the home meet both individual and collective needs and wishes of the current client group. Service users said, ‘I love the singing of Hymns’ and ‘The church services are well attended.’ The food provided and the attention given to mealtimes ensures that service users enjoy mealtimes as a social event. Staff take their meals with the service users and service users are provided with tureens of vegetables so that they can help themselves when possible. Comments about the food provided included, ‘The food we get is the best I’ve had’ ‘I really look forward to the meals’ ‘I’ve never been so comfortable and well fed’ The home remains spotlessly clean and service users appreciate this, one said, ‘It is so clean and pleasant here’. Another said, ‘My laundry is always returned in a pristine condition’. The manager runs the home efficiently in the interests of service users and staff. Both groups offered comments, ‘‘It’s a lovely place to work, Christine (the manager) is very good and if we want specific training we only have to ask’
Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 6 Service users said, ‘’It is so pleasant here, the manager runs a good well organised home.’ ‘Whatever you want Christine (the manager) gets for you if it’s possible’ 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. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 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.V283758.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not looked at this time. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are assured that their health and social care needs are met. EVIDENCE: All service users have a care plan that details their health and social care needs. These are reviewed monthly to ensure that they remain relevant and the person receives the care they need. Service users spoken with commented, ‘The staff are wonderful’ and ‘I have no worries living here and feel very blessed that I do’ Others commented, ‘It is wonderful living here, whatever you want, you only have to ask.’ Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 The services provided meet the individual and collective needs of service users. EVIDENCE: Service users continue to enjoy living at Emmaus house and said that they are kept occupied with activities and events that they want to take part in. They commented, ‘I love the singing of Hymns’ ‘The church services are well attended’ The dedicated activity organiser arranges shopping trips and for those unable to go out a trolley shop is available. The church services are held weekly and Communion is available monthly. All spoken with appreciate the food provided at the home. They commented, ‘The food we get is the best I’ve had’ ‘I really look forward to the meals’ ‘I’ve never been so comfortable and well fed’ The home operates a four weekly winter and summer menu. Each day there is a choice of three meals at lunchtime and two at teatime, service users are able to choose what they would like for breakfast. All meals provided are
Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 11 nutritionally sound. The catering manager was knowledgeable about individual service users dietary needs and preferences. The dining room is bright and airy and service users are able to choose where they take their meals. At lunchtime meals are unhurried and the service users are offered tureens and gravy/sauce boats so that they can help themselves to the food as they like. Staff assist in an appropriate manner when needed. When all service users are served the staff sit with them for their meal. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not looked at this time Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users continue to live in a clean, safe environment. EVIDENCE: The home remains spotlessly clean with no unpleasant odours. The bedrooms are well decorated and pleasant. Service users are able to bring in small items of furniture and photographs to display in their rooms. Service users said they liked the cleanliness of the home and commented, ‘It is so clean and pleasant here’. Another said, ‘My laundry is always returned in a pristine condition’. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 The homes recruitment policy and procedures protect service users. EVIDENCE: The staff files now show that the manager follows robust recruitment procedures and all staff have the necessary checks in place before commencing employment. The Criminal Record Bureau checks for all current staff were looked at in order that they can be destroyed in accordance with the CRB code of practice. Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32 The home is well managed. EVIDENCE: The registered manager has many years experience and is suitably qualified in management and care. Positive comments were received from both service users and staff about her management style and ability. She operates an ‘open door’ policy and this was evident at the inspection when service users and staff freely approached her with any queries they may have had. Staff commented, ‘It’s a lovely place to work, Christine (the manager) is very good and if we want specific training we only have to ask’ Service users said, ’It is so pleasant here, the manager runs a good well organised home.’ ‘Whatever you want, Christine (the manager) gets for you if its possible’
Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 16 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 X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X X Emmaus House DS0000007808.V283758.R01.S.doc Version 5.1 Page 17 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.V283758.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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