Inspection on 01/02/06 for Gatehouse The

This inspection was carried out on 1st February 2006.

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 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

Gatehouse The 03/01/07

Gatehouse The 15/12/04

Gatehouse The 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Gatehouse The 9 Manor Road Harrogate North Yorkshire HG2 0HP Lead Inspector John McGarva Unannounced Inspection 1st February 2006 10:00 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 Gatehouse The DS0000046949.V275375.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. Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Gatehouse The Address 9 Manor Road Harrogate North Yorkshire HG2 0HP 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 535730 The Franklyn Group Ltd Mr John Woolsey Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005. Brief Description of the Service: The Gatehouse is registered to provide personal care for 31 older people aged 65 years and above who do not have any specialist requirements. It is a large converted and extended detached property, previously a private residence and located in a residential area of Harrogate. It is a short walk to local amenities and approximately one mile from the town centre. The resident’s accommodation is on three floors with a vertical lift providing level access to the upper floors. Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection, which took place on Wednesday 1st February 2006 and the manager Mr J Howard Woolsey and Mrs Sue Mac Arthur (Director, Franklyn Group Ltd) were available throughout to assist with the process. The inspection commenced at 10.00hrs until 13.30 hrs, 3.5hrs in total. There were 31 residents in the home. Substantial development and improvements have taken place since the present owners arrived two years ago. These include, additional rooms, provision of a conservatory, an enclosed corridor from conservatory, improvements to the kitchen and equipment and decoration of communal and individual rooms. The inspections focused on issues raised at the last inspection and the general management of the home. An inspection of some of the resident’s rooms, lounges and other communal areas as well as the medication room also took place. Discussion took place with Mr Howard Woolsey, Mrs S Mac Arthur, care staff and residents. The residents appeared content, were well dressed and able to give good coherent accounts of their impressions and experiences of the home and these were universally favourable. What the service does well: The home provides a good quality of care in a homely and professional manner. The staff were observed to go about their duties in a quiet and assured manner and the exchanges observed between them and the resident’s was kindly and respectful. The home is committed to continuing training of the care staff, with 67 of care staff possessing NVQ qualifications. Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 6 Resident’s spoken to indicate their contentment at the quality of the care provided and also commented favourably on the quality of the food. The dining arrangements are attractive with linen tablecloths and serviettes being provided. 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. Gatehouse The DS0000046949.V275375.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 Gatehouse The DS0000046949.V275375.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): These standards were not inspected on this occasion. EVIDENCE: Gatehouse The DS0000046949.V275375.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): 9 The system of storage and management of the medications accords with good practice. EVIDENCE: The home have a seven-day blister pack system (NOMAD) which serves the residents well and six of them administer their own medication which they keep in their own rooms. The management of the medication records system has been reviewed since the last inspection to reduce possibility of error in the recording of the drug stocks. The manager now checks the controlled drug book on a daily basis to help ensure speedy resolution of possible recording mistakes. The controlled drug stocks of one resident was checked against the records and found to be correct. There is a system in place for the swift disposal of medications for residents who no longer require them. Gatehouse The DS0000046949.V275375.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): These standards were not inspected on this occasion. EVIDENCE: Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 11 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): These standards were not inspected on this occasion. EVIDENCE: Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 12 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, 24 & 26. The physical environment of the home is of a high standard. EVIDENCE: The home is located in a very pleasant residential are of Harrogate and has a pleasant enclosed rear garden with a cherry tree at the centre and wheelchair access is provided. Substantial building work including additional rooms and the provision of a large conservatory has been undertaken and tidying up of the front parking areas and side accesses have yet to be completed. The quality and furniture and fixtures of the resident’s individual rooms are of a high standard with lined curtains and attractive carpeting provided throughout. The rooms are redecorated when opportunity permits. Gatehouse The DS0000046949.V275375.R01.S.doc Version 5.1 Page 13 The residents are permitted to bring in items of furniture into their rooms and if there are more items than can be accommodated then they may be located in the communal areas or corridors so that they can still enjoy them on a daily basis. Good quality watercolours painted by residents are on display in the corridors. Magnetic catches are now fitted to resident’s room doors and connected to the fire alarm system so that they close whenever the fire alarm is activated. There were no malodours detected on the day of inspection and each room is provided with liquid soap dispensers and disposable towels to help ensure safe practice and reduce risk of cross infection. Gatehouse The DS0000046949.V275375.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): 28 The residents receive a good standard of care from sufficient staff who are appropriately trained. EVIDENCE: Twelve of the care staff have been trained to NVQ Level 2 standard and two have achieved NVQ Level 3 standard. The percentage of the care staff so trained is now 67 , thereby exceeding the 50 minimum standard set by the CSCI. Gatehouse The DS0000046949.V275375.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): These standards were not inspected on this occasion. EVIDENCE: Gatehouse The DS0000046949.V275375.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 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x 3 x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Gatehouse The DS0000046949.V275375.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 Gatehouse The DS0000046949.V275375.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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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