Inspection on 05/05/05 for Errol House

This inspection was carried out on 5th 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 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 19/10/05

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 5th 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. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Errol House Address 155 High Street Boston Spa Leeds LS23 6BH 01937 849726 01943 849725 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) Wilf Ward Family Trust Mrs Barbara Dowling Care Home only - Younger Adults 6 Category(ies) of Learning Disability - 6 registration, with number of places Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12/10/2004 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 and Community Based Services. The 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 guest and that this will have a positive impact on their lives.The house has five private 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. All rooms are equipped to meet the needs of the guest. 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 J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on the 5th May 2005 at 10.00am 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 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? What they could do better: The care plan, risk assessment and daily recording should interlink and one document should inform the other and all staff should have formal staff supervision. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 6 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 J52_J03 S1448 Errol House V225121 050505 Stage 4.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 Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.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) 1,2,3,4. The home practises a flexible approach towards individual needs when arranging visits and admissions for prospective guest. A proper assessment is undertaken on all guests before they are admitted to the home. Guest and their family are invited to visit the home at any time. EVIDENCE: The home makes available to residents and their families the Aims, Objectives and philosophy of care for Errol House. Details of fees charged are dependant on individual needs and negotiated. Errol House’s capital fund was provided by donations from the Trusts’ founders. Service users are expected to help towards the general service running costs and service user’s contributions are based on a number of factors. The manager confirmed that pre admissions are always completed before any guest moves into the home. This was evident from guest files. Relatives of guest spoken with stated they visited the home before hand and spoke with the manager and staff. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.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 The care planning system continues to improve although staff do not always sign and date documents and daily recording documents do not interlink. Family spoken with stated they are involved in the care plan of their relative. EVIDENCE: In discussion with the manager it was said guest at Errol House 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. Relatives spoken with stated information is handled appropriately and confidence is kept. Through case tracking care plans were examined and their use was discussed with the manager it was made clear that staff must fully date and sign documents that helps to make up guest care plans. The care plans, risk assessment and daily recording should interlink and one document should inform the other. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.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) 12,13,14, 17. Local facilities are regularly used and all guests are encouraged to make full use of the home and community facilities. Staff recognises that time and support for guests in and outside is an important part of their life. The home encourages all guests to become involved in menu planning. However after speaking with staff it is felt guests would benefit more if the home employed a permanent cook. EVIDENCE: Staff and guest at Errol House participated in lively banter the atmosphere was good throughout the visit. Guest rights are respected as evidenced in guest files and communication books/diaries within the home. This was also confirmed in discussion with relatives. Staff are aware of the aspirations of individual guest and encourage them to make full use of local amenities. Talking to one guest, it was said, “staff are great,” “this is a nice place to come.” We had a good discussion about which football team we support and why. He told me he had a choice of how he spends his day and what time he rise and go to bed he feel this is respected by staff. Relatives visiting to the home said they were made welcome and were kept up to date with any changes in their relative’s wellbeing. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 11 Discussion with staff took place around food provided by the home. Care staff would ask guest and relatives what they like and dislike and who ever is on duty would cook for the guest. This system means some meals are bettered prepared and cooked depending who is on duty, this might not always offer a healthy diet. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.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, 19,20. Although care documentation has improved further work is required to meet the Commission standard. Medication is well managed and there was evidence of other health professionals meeting identified health needs. EVIDENCE: Six guest care plans were inspected. These did not contain a photo of the guest and documents need to be concise. Risk assessments in place where appropriate. Although the home records accidents there were no record to show that relatives have been informed. There is good communication system in place to ensure the changing needs of guests were met and health care visits are recorded in guest files. The safe storage and administration of medication to guest, by staff, was observed and records of medication were checked. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 13 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. 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. EVIDENCE: The appropriate policies and procedures were seen to be in place and staff confirmed they know about Adult Protection procedure. They were aware of what to do if a complaint was made. Relatives confirmed that they feel able to speak to staff if there is anything they are unhappy about. A relative one stated she had some concern last year and felt it was dealt with quickly and appropriately. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 14 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) 24,25,26,30. The home offers a safe, well-maintained environment for its guests who are able to access the garden and areas of the home easily if they so choose. Communal areas are decorated and furnished to a good standard offering safety and comfort. EVIDENCE: The home is decorated and furnished to a good standard throughout and the communal rooms offer a safe and comfortable space for the guests. All areas of the home were clean and tidy and nothing was seen during the inspection that could cause a hazard to guests. Although guest stay tends to be short they are encouraged to bring small possessions with them to help make them feel at home. The rooms offer sufficient space and are comfortably furnished. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 15 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) 32,35,36. At the time of the inspection not all staff had formal supervision. This is something the manager is working on. Several staff have worked hard to achieve their NVQ award and some are working on their award and have a better understanding of ‘good care practice’. EVIDENCE: The staff numbers were appropriate at the time of the inspection relatives and staff confirmed that this is the normal way of working. Staff rosters also confirmed the numbers on duty at any time. Discussion with staff led to the conclusion that staff have a good knowledge of individual guest and seemed to understand the importance of encouraging guests to maintain their independence and dignity. Some staff have enjoyed working on their award others have not it depended on which college they enrolled with. The manager is working on making sure all staff have formal supervision. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 16 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) 37,38,40,43. The manager of the home is suitably experienced for this post. The interests of the guests are very important to the manager and staff and are safeguarded at all times. Although all staff have not receive formal supervision health and safety is promoted within the home. EVIDENCE: The manager has completed the registration for the Commission for Social Care and has started the management qualification course. Speaking to relatives and staff it was clear that they feel she offers excellent support and is always prepared to listen to new ides. Everyone spoken to felt that they could approach her if they had a problem/concern. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 17 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 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 2 Standard No 31 32 33 34 35 36 Score x 3 x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Errol House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x x 3 J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 18 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. Standard 6 36 43 Regulation 15 18 9 Requirement Documents that make up care plans should interlink and inform others. Staff should have formal supervision. Manager must complete management qualification. Timescale for action 30/6/05 30/6/05 2006 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. Refer to Standard 17 Good Practice Recommendations Permanent cook would help to sustain the quality of food provided. Errol House J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 19 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 J52_J03 S1448 Errol House V225121 050505 Stage 4.doc Version 1.30 Page 20 - 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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