Inspection on 03/11/08 for Fox View

This inspection was carried out on 3rd November 2008.

CSCI found this care home to be providing an Good service.

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

Fox View 07/11/06

Fox View 08/12/05

Fox View 12/10/04

Fox View 07/07/04

Fox View 10/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fox View 3 Fox View Halifax Road Dewsbury West Yorkshire WF13 4AD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lynda Jones     Date: 0 3 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Fox View 3 Fox View Halifax Road Dewsbury West Yorkshire WF13 4AD 01924458187 01924458187 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Sara Jackson Type of registration: Number of places registered: St Anne`s Community Services care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: One named person with a physical disability and a learning disability. Date of last inspection Brief description of the care home 3 Fox View is a care home with nursing, registered to provide care and accommodation for six adults with learning disabilities, including one named service user who also has physical disabilities. The home is operated by a charitable organisation, St Annes Community Services. The property is a purpose built bungalow with a large enclosed garden to the rear and parking facilities to the front. It is located at the front of the grounds of Dewsbury District Hospital, next to living accommodation for hospital staff, a palliative day care centre and a respite care home. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means that people who use this service experience good quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Fox View. The visit to the home was carried out by one inspector over one day. The last key inspection was in November 2006. The methods used to gather information included conversations with staff and observation of care practice as well as looking at care plans and a selection of other records. Care Homes for Adults (18-65 years) Page 5 of 25 We received the homes self assessment questionnaire before the inspection visit. This gave us lots of useful information about the home and helped us plan the visit. We also received surveys from some of the people who live there, some of the staff and two health care providers who have regular contact with people who live there. In the surveys people gave us their views about the service provided and we have included some of their comments in this report. The fees charged are variable and depend on the level of the individuals care and support needs. We would like to thank the people who live at the home and the staff for their warm welcome, help and hospitality and for sharing their views during the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are appropriately assessed before they move in to make sure it is the right place for them and that their needs can be met. Evidence: There is a comprehensive Statement of Purpose and Service User Guide which provides information about the facilities and service provided. Both are available on request from the home. The Statement of Purpose is available in talking book format. Work is underway to produce a Service User Guide in pictorial format so that it easier to understand. Everyone is assessed before any decision is made about moving in, this is to make sure that their needs can be fully met at Fox View. In the information we were provided with before the inspection we were told that anyone considering moving in would always visit first, often accompanied by relatives. Staff confirmed that people can visit as often as they like, some people stay for a meal and have an overnight stay so they can meet other people and see if the home suits them. Care Homes for Adults (18-65 years) Page 9 of 25 Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are clearly set out in person centred plans. The staff provide excellent support and encouragement to enable people to make choices and decisions about their lives and live as independently as possible. Evidence: We looked at two person centred plans. Both contained excellent detail about the action staff must take to support people with their personal care, health and social care needs. When we looked at the plans we could see that they were regularly evaluated and updated to take account of any changes in peoples needs. We could also see that people living at the home, their relatives and a range of healthcare providers were actively involved in reviews. Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: In the information provided before the inspection took place the home told us that service users, carers, advocates and staff from multi-disciplinary teams are invited to attend support/care panning meetings. They said we strongly recognise that partnership working with other specialist organisations results in better outcomes for service users. From looking at the records and from talking to staff we could see that people are supported to make decisions and choices about things that affect their lives. We saw communication grids in personal plans which offered explanations and helpful interpretations of behavior that enable staff support people who are not able to communicate verbally. Personal communication books are used which contain photographs and recorded information that is relevant to each individual. We could see that people are supported to take reasonable risks in order to live as independent a life as possible. Risk assessments are detailed and contain clear information about the steps staff need to take to keep risks to a minimum. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy active and varied lifestyles and take part in a wide range of community activities. People are treated with dignity and their rights are respected at all times. Evidence: People lead varied lives and with support from staff they take part in educational and leisure activities of their choice. Everyone is part of the local community and makes use of the social and recreational facilities in the area. The records show that the staff support and encourage people to work towards the goals they have identified for themselves in their personal planning meetings. In the surveys, people told us they make decisions about what they want to do each day; one Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: person said this included what they want to eat, wear and how they want to spend their time. Two people told us that although they could choose what to do, this sometimes depended on whether there were enough staff available to support them in their chosen activity. The staff said there was sufficient flexibility within the staff rota to be able to accommodate most planned activities. People maintain links with their family and friends and visitors are always made welcome when they call at the house. Some people go out to visit their relatives and stay over with them. Staff support people to send cards and presents at birthdays and Christmas time. There is an emphasis on healthy eating at the home. The menus show that people are offered a varied, nutritious diet. Each persons likes and dislikes are well known and catered for accordingly. On most days someone chooses what they would like on the menu for the tea time meal, they go out with staff to buy the ingredients then help with the preparation of the meal as far as they are able. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff make sure that peoples healthcare needs are met and that everyone receives care and support in a way that suits them. Medication is safely managed. Evidence: The personal plans contain excellent, detailed accounts of the care and support that each person needs. This ensures that everyone receives support with consistency, in a way that suits them personally. Individual health care needs are well documented in an OK health check which is reviewed annually and everyone has an individual health action plan. The records of contact with health care providers are very good, they show why contact has been necessary and the outcome of every consultation, making it easy to keep track of any health care issues. Each person has a named nurse and key worker who are responsible for keeping these records up to date and making appointments for people etc. Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: Medication records are well maintained. These are signed when medication is administered; reasons are recorded when any medication is omitted. Good checks are in place on a daily and weekly basis to make sure that the balance of all medication held in stock tallies with that on the medication records sheets. Any errors are recorded and addressed by the manager. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the adult protection procedures which the staff understand and put into practice. There is a clear complaints procedure that is available for everyone. Evidence: The home has a clear complaints procedure that is also available in easy read format. No complaints have been received since the last inspection. In the surveys people told us they knew how to make a complaint and they knew who they would speak to if they were unhappy about anything in the home. All staff are aware of the local and organisational safeguarding procedures. Staff on duty confirmed that all of the team have have attended Kirklees safeguarding training, this is to make sure that people living at the home are safe and protected from harm. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean and homely throughout and it meets peoples needs. Evidence: All parts of the home were seen on this visit. Some of the shared areas and individual bedrooms have been decorated since the last inspection. Bedrooms are individualised and organised to reflect the needs and tastes of each person. Staff confirmed that people have been involved in the choice of colour schemes for their rooms. Before the inspection took place we asked the home to tell us what they do well in terms of the environment. They told us they maintain the home to a high standard and make sure that it is homely, secure and safe. They said they have regular cleaning schedules to make sure everywhere is kept clean and tidy. In the surveys people living there told us the home was always fresh and clean. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples neds are met by a well trained, competent staff team. People living at the home are proteceted by rigorous recruitment practices. Evidence: According to the staff rotas there are enough staff on duty at all times of the day to meet peoples needs. In the surveys, we asked the staff if there are enough staff to meet the individual needs of people living at the home, they said usually. On the visit to the home they qualified this by saying if someone is off sick or on leave then this can sometimes limit leisure activities until alternative arrangements can be made. People living at the home told us the staff always treat them well. From observation, it is clear that staff have positive relationships with people living there. We were informed that all staff have a job description, they are aware of their roles and all members of the team are apropriately qualified to deliver a high standard of support. Visiting health care providers told us that in their opinion staff have the right skills and experience to ensure that peoples health and social care needs are met. Staff recruitment records are held at the organisations head office. There is a checklist Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: in the home confirming that all the required checks are carried out on prospective employees before they start work at the home, this is to make sure that new staff are suitable and that people living there are protected. All staff receive a full induction when they start work at the home and all staff receive regular supervision. This was confirmed by staff on duty. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a home that is well managed and is run in their best interests by an experienced manager and a well trained staff team. Peoples health and welfare is protected by the homes health and safety policy and practices. Evidence: The registered manager is a qualified nurse having a RMNH qualification and NVQ level 4 in management. She has considerable experience and skills that enable her to manage the home well. She takes part in regular training to keep her practice skills up to date. In the information sent to us before the inspection we were told 3 Fox View operates on an open and transparent basis, welcoming input from all staff, visitors and other stakeholders. They do this on an informal basis by encouraging people to tell them if they could do things better and by asking people to complete an annual questionnaire Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: giving their views on the service provided. The organisation also conducts annual reviews of its services to look at their strengths and areas for development. There is a commitment to health and safety and safe working practices are observed. All staff receive mandatory health and safety training with regular updates.The information sent to us before the inspection indicates that all equipment used in the home is serviced at the required intervals. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!