CARE HOMES FOR OLDER PEOPLE
Ghyll Court The Wells Walk Ilkley West Yorkshire LS29 9LH Lead Inspector
Sughra Nazir Unannounced Inspection 05/10/05 12:30
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 Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ghyll Court Address The Wells Walk Ilkley West Yorkshire LS29 9LH 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) 01943 607059 01943 607059 Mrs Jane Mary Verfuerth Mrs Jane Mary Verfuerth Care Home 14 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (11) of places Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th February 2005 Brief Description of the Service: Ghyll Court is a converted, extended property situated close to Ilkley town centre. It was first registered in November 1989 and bought by the present owner in 2001. Mrs Verfuerth, the owner, also manages the home on a day-to-day basis. The home provides personal care and support for 14 older people who do not require nursing care. There are twelve single bedrooms and one double room, most with en-suite facilities. The home stands in attractive gardens and is within easy reach of Ilkley Moor, the railway station and public transport links to Leeds, Bradford and Skipton. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out without prior announcement and was conducted by one inspector during the afternoon period. Reports of this and previous inspections are available to read either at the home or via the CSCI web-site www.csci.org.uk The manager had taken action to address the requirements that had arisen from the last inspection. What the service does well: What has improved since the last inspection?
The practice of carrying soiled laundry through the dining area has ceased with alternative arrangements now in place. A programme of maintenance continues to be implemented with redecoration of bedrooms as they become available. A recent fire inspection report recommended an additional fire door upstairs and the home is taking steps to implement this recommendation. Four staff have registered for training that will lead to the NVQ2 qualification. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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 Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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): 1,2,3,4 and 5 Service users have the information they need to make sure that the home will meet their needs. EVIDENCE: Ghyll Court has a brochure for prospective service users and a detailed Statement of Purpose. The Statement of Purpose contains The home does not provide an intermediate care service. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10,11 Service users wishes about death and dying have not all been established EVIDENCE: Service user care plans follow a simple format that meets the standard but require some work in terms of risk assessments and noting service user’s wishes in respect of death and dying. Recording of monthly reviews takes place and the recording of periodic weight measurements cold be made clearer. In general the layout and contents of service user files, care plans and daily records should be standardised so that information is easier to find. Service users who are able to do so have signed their care plans. Every service user’s care plan contains very detailed information about their preferences in relation to getting up, having a bath, drinks and night time routines. This is good practice. The wishes of service users in relation to death and dying have not been ascertained in all cases and the manager was advised that this information should be obtained and recorded.
Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 Service users enjoy a range of activities and can decide when they get up, go to bed and where they choose to have meals. EVIDENCE: A range of activities was seen to be available at the home including crafts, carpet bowls A notice was seen promoting forthcoming events for service users and relatives. The home is looking at ways to encourage service users to participate in activities and to develop one-to-one activities to suit the preferences of the significant proportion of service users who choose to remain in their rooms. Service users said they enjoyed contact with their families and the local community. Every service user’s care plan contains very detailed information about their preferences in relation to getting up, having a bath, drinks and night time routines. This is good practice and shows that service users can exercise choice about how they live. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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): 18 Staff know what Adult Protection is and service users are protected from abuse. EVIDENCE: All staff have had training on Adult Protection. The manager observes care staff practice first hand on a daily basis. There is a whistle-blowing policy in place for staff to raise any concerns. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 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): 19,20,21,22,24,25,26 Service users live in a well-maintained and safe environment. EVIDENCE: All the bedrooms inspected showed high degrees of personalisation and were decorated to a very high standard. This commendably high standard of décor is maintained throughout the home. The home was clean and free from odours. The practice of carrying soiled laundry through the dining area has now ceased with staff now taking laundry outside. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 13 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): 30 Service users receive care from staff who have had adequate training. EVIDENCE: All staff have had training on health and safety, adult protection, moving and handling etc. Individual staff records provide evidence of additional training such as challenging behaviour. A learning need for dementia care training has been identified by one member of staff and will be pursued. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 Service users live in a home that is well-managed. EVIDENCE: Service users spoke very positively about the culture within the home. All staff including the handyperson care staff and the manager were observed to be engaging service users in friendly banter. The manager has a management qualification at the required level and shows strong leadership and commitment to the home and service users. Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 15 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X X Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 16 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. 1 Standard OP1111 Regulation 12(2) 15(1) Requirement The home must ensure that service users wishes concerning terminal care and that their preferences for arrangements after their death are discussed and recorded. Timescale for action 31/12/05 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 Ghyll Court DS0000001279.V253517.R02.S.doc Version 5.0 Page 17 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
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