Inspection on 19/10/05 for Errol House

This inspection was carried out on 19th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Errol House 04/04/07

Errol House 05/05/05

Errol House 12/10/04

Errol House 01/09/04

Errol House 04/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Errol House 155 High Street Boston Spa Leeds LS23 6BH Lead Inspector Hebrew Rawlins Unannounced 19 October 2005 th 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. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Errol House Address 155 High Street Boston Spa Leeds LS23 6BH 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) 01937 849726 01937 849725 Wilf Ward Family Trust Mrs Barbara Dowling Care Home Only 6 Category(ies) of Learning Disability (6) registration, with number of places Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5/5/05 Brief Description of the Service: The Wilf Ward Family Trust owns Errol House. The Trust was established in 1986 and has been providing services for people with learning and physical disabilities since 1988. The Trust provides a wide range of services which includes: Residential Respite Care Residential Care Supported accommodation Day Services Community Based ServicesThe organisation has a Board of Seven Trustees with a range of experience and skills, which include Corporate Management, Legal, Property Surveying, Accountancy, Social Work and Nursing. Errol House aims to provide an atmosphere where everyone can feel they have a useful role to play with dignity. It is their intention that the person with a disability will experience as high a quality of life as possible whilst resident and that this will have a positive impact on their lives.There are five single rooms plus an annex with a bedroom, activity room and bathroom, which can be used as part of the house or as a separate unit. The home is staffed on a 24-hour basis. The service is respite care only which offers a flexible approach to enable people to have from an overnight stay to one or two weeks. The house has its own minibus. This enables service users to have outings and visits to various community activities and events. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 19th October 2005 at 9.00am by one inspector. The purpose of the inspection was to ensure the home continues to provide a good standard of care for its’ guests (the home and its residents prefer to be called guests). Staff, relatives and guests present at the visit were made aware of the inspection through discussion with the inspector. They were invited to give their views on the care and services provided. Records were inspected and these included guests care plans and staff recruitment files. What the service does well: What has improved since the last inspection? Staff now have regular supervision. These supervision sessions have a planned agenda and a record of the meeting is signed and agreed by both the supervisor and the supervisee. Improvement has also taken place around the recording of care plans. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 6 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. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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 Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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) 1,2,3, There is up to date written information for guests and relatives about the home. This enables guests, relatives and friends to know their rights and obligations. All guests have trial a visit/stay to make sure their needs and aspirations are met. Assessment are undertaken and as much information as possible is obtained from health, social services and family about the care needs of guests before admission. However the home must make sure assessments are dated. EVIDENCE: Statements of terms and conditions are available in each resident file. However guests were unable to say if these have been discussed with them because of their disability so relatives agreed and signed on their behalf. The manager confirmed that pre admission assessments are always completed before any resident moves into the home. This was evident from information in guest’s files. The care plans had information from external professionals, which enable the home’s staff to complete a relevant plan of care for guests. The home makes available to residents and their families the aims, objectives and philosophy of care. Details of fees charged are dependant on individual needs and negotiated. Errol House’s capital fund is provided by donations from the Trusts’ founders. Guests are expected to help towards the general service Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 9 running costs and guest’s contributions are based on a number of factors. Relatives of guest spoken with said they visited the home before admission. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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 standard(s) 6,7,8,9,10. Staff are skilled in assisting guests to make choices and decisions. The health care needs of guests are met. Guests are treated with respect and their privacy is upheld. Care plans are easy to read and clearly show action staff needs to take to meet the guest’s needs. EVIDENCE: Care plans were examined and discussed with the manager. The layout of care plan made it easy to read and follow. It showed clearly the action to be taken by staff to meet the needs of the guest. Guests often require staff to interpret their speech given their individual communication difficulties. In establishing the individual guest plans, the rights of guest and their family are acknowledged. Where possible the home endeavours to comply with allowing guest to made decisions about their lives, bearing in mind the high disability level of some guest. Risk assessments have been completed on each guest and recorded in their care plans. One relative made a point of speaking with the inspector he stated information is handled appropriately and confidence is kept. It was pointed out to the manager that information about guest held in their files must be dated. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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 standard(s) 12,13,14,15,16,17 Guests are encouraged to participate in social and leisure activities and local facilities are regularly used. Families are encouraged to maintain links with the home. Staff were pleasant and interacted well with the guests to create a relaxed and friendly atmosphere. The home encourages all guests to become involved in menu planning with individual choice. Guests’ nutritional needs are not routinely assessed. EVIDENCE: The relative spoken with said everyone is made welcome and they can ask and are kept up to date about any changes. It was good to note that all staff in the home responded to the guests and were seen to offer reassurance and assistance. The home encourages all guests to become involved in menu planning and the menu is determined by individual choice. Guests’ nutritional needs are not routinely assessed. Several chopping boards in the kitchen were well worn, which could make it difficult to Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 12 maintain hygiene. Staff were pleasant and encouraging and assisted those people who needed feeding in an appropriate manner. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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 standard(s) 20 Guests’ involvement in the care documentation is limited because of their learning disability. Because of this it is difficult to make a judgement on standard 18. Medication is well managed and external professionals are well used for any identified health needs. EVIDENCE: The home has a policy for dealing with guest’s medication. Senior care staff are responsible for the administration of medicines and the manager has responsibilities for monitoring the drugs administration system. All medication records were correctly completed. Whilst checking guest’s files it was found that accidents were not always transferred from the accidents book to their files, which would make it easier to monitor. Risk assessments in place where appropriate. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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) 22,23. Relatives feel confident that their complaints would be dealt with. Staff had an understanding of adult protection, however they must have adult protection training if they and guests are not to be at risk. EVIDENCE: The home provides clear information on how to make a complaint about the service. It includes reference to the Commission for Social Care Inspection if people wish to take a complaint outside the home. The home has had one complaint since the last inspection, which was not upheld. Talking to staff on the day it was evident they are all clear on their responsibility about reporting any allegations of abuse. However from checking the training records there are some staff that has not yet had adult protection training to ensure they and guests are not at risk. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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) 24,25,26,27,28.29,30. The home provides a safe environment for residents and staff. The home is comfortable for guests. However in some parts redecoration is required. The individuality of each guest is promoted. EVIDENCE: Guests’ bedrooms meet their own needs, with all having single accommodation which meets minimum space. Their rooms are tastefully decorated although some areas are showing sign of wear and tear. The home is comfortably furnished and meet individual guest needs. The home provides appropriate communal space of a good standard for guests for dining as well as recreational purposes. Guests are able to meet with visitors in private in their own rooms, or communal areas if they wish. All areas of the home were clean and tidy and nothing was seen during the inspection that could cause a hazard to guests. Guests have access to a well-maintained garden, which is well used. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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) 31,32,33,34,36. Staff morale is high. Staff demonstrated a good level of knowledge of individual guests and seemed to understand the importance of encouraging guests to maintain their independence and dignity. EVIDENCE: The home operates a recruitment procedure based on equal opportunities and ensuring the protection of service users. The manager stated that written references are taken up and CRB checks made before appointments are confirmed. However staff application forms and references obtained are held at the company’s head office and were not available for inspection. These must be kept at the home. Staff have had regular supervision. These supervision sessions are planned with an agenda and a record of the meeting is signed and agreed by both the supervisor and the supervisee. Staff are continuing to work towards NVQs in Care levels 2 and 3. Questionnaires were sent out by the home in February to 51 families to seek their views of the care provided. 41 returned the forms; of that 100 stated staff are polite and courteous. Comments back also included “rest easy knowing my son is in safe hands” “nice to have a quiet time” and “I really appreciate it”. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 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) 37,38,39,42,43. Staff are well supported by the manager. The staff confirmed that the manager offer excellent support and make herself available to discuss any issues that may arise. She is working hard on completing the NVQ manager qualification course. EVIDENCE: The manager is hoping to finish the Registered manager qualification by the end of February 2006. Policies and procedures are located in the office and staff said these documents are readily accessible. All records are secure and maintained in accordance with the Data Protection Act. Speaking with guests, their relatives and staff it was clear that they feel the manager offers excellent support and is always prepared to listen to them. Everyone spoken with felt that they could approach her if they had any problems or concerns. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 18 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Errol House Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 19 yes 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. 2. 3. 4. Standard 23 34 Regulation 18 17&19 Requirement All staff must have adult protection training. Staff application forms and references should be kept at the home for inspecting. Timescale for action 1/4/06 1/4/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 18 24 2 17 Good Practice Recommendations Accidents should be recorded in guest file. Areas of the home that are showing signs of wear and tear should be addressed. The home should make sure information obtained about guests are dated. Nutritional needs should be routinely assessed and several chopping kitchen boards needs replacing. Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 20 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 Errol House 20051019 Errol House UN Stage 4 S1448 V245152 J52.doc Version 1.40 Page 21 - 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. 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