Inspection on 12/07/05 for Harbourne Resource Centre

This inspection was carried out on 12th July 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 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

Harbourne Resource Centre 25/04/07

Harbourne Resource Centre 13/12/05

Harbourne Resource Centre 17/11/04

Harbourne Resource Centre 12/07/04

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

CARE HOMES FOR OLDER PEOPLE Harbourne Resource Centre Brearcliffe Drive Wibsey Bradford BD6 2LE Lead Inspector Michael Smithson Announced 10 am.12 July 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 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. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Harbourne Resource Centre Address Brearcliffe Drive, Wibsey, Bradford BD6 2LE 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) 01274 435450 01274 679383 City of Bradford Metropolitan District Council, Department of Social Services Care home only 27 Category(ies) of Dementia over 65 (14), Mental Disorder over 65 registration, with number (13) of places Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 November 2005 Brief Description of the Service: Harbourne Resource Centre is a local authority run residential home for older people who have an organic or functional mental illness. A day care service operates from the premises and this is run jointly between NHS and local authority staff. It is situated in a residential area of Bradford close to local amenities including shops, library, public houses, churches and GP services. The home is easily accessible by public transport and it is only a short bus ride from Bradford City Centre where there are lots more amenities available. The home has a large car park that can be used by visitors and there is a Social Services area office adjacent to the home. Accommodation is provided on two floors and there is a large garden at the rear of the home for the service users. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over the morning and early afternoon on the 12/07/05. This was the first visit undertaken at the home by the inspector. There are 2 inspections each year. This was the first inspection. The next visit will be unannounced. Copies of reports for this and previous inspections are available either from the home or the CSCI website. The visit focused on any outstanding requirements and recommendations, records, discussions with service users and staff. A high number of comment cards were returned prior to the inspection. The feedback from service users and relatives was very positive. They felt the home provided a very high standard of care. The premises were maintained to a high standard of hygiene and maintenance. They felt the acting manager and the staff were friendly, caring and committed to providing good quality care. What the service does well: The records were well organised and kept up to date. The service users records provide details of individual need and identify aims and objectives. The key worker system allows staff to focus on the needs of service users. During discussions with staff they showed good levels of knowledge and enthusiasm. Staff were observed treating service users with respect and maintaining privacy. An excellent range of activities are offered which were appreciated by both service users and relatives. The activities are varied and include both individuals and small groups. The menus offer a very good range of choice and variety. A winter and summer menu are available and special diets can be catered for. The staff are provided with a good range of training and support. Adequate numbers of staff are available to meet the needs of the service users. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 6 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. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4 and 5. Service users and relatives are provided with information to enable them to make an informed choice about the home. The admission process allows introductory visits to be undertaken prior to admission. EVIDENCE: A detailed statement of purpose and service users guide are available. The information is kept up to date. A small additional advice booklet is available for the short stay and respite unit. Pre- admission assessment information is completed by the referring social worker. The standard of information available did vary. All admissions are organised through a central allocation. The staff at the home are involved in the decision making process. Service users and family are encouraged to visit the home prior to admission. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 10 11. The health and personal care needs of service users are well met by the staff at the home. Some further input is required regarding weight loss. EVIDENCE: The records for 3 service users living on Margaret Wing were assessed. Detailed information was provided for all service users. The records included, assessment information, care plans, periodic reviews and details of health care visits. Health care monitoring and risk assessments are available. The service users are involved in the production of individual care plans and evidence of this is provided. A key worker system is in place which allows staff the opportunity to make entries in the service user records. A monitoring system is in place to make sure the information is kept up to date. Regular reviews are undertaken and service users and family are invited. Daily information records provide detail of any progress or deterioration noted. The records include information regarding service user weight. Each service user is weighed each month which is good practice. However significant weight Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 10 loss was noted for a number of service users. Where such weight loss has been noted this must be better recorded in the care plans and monitored in the regular updates. The nutritional assessments can be used to monitor progress or deterioration. Service users have good access to health care professionals. A local GP surgery holds a weekly surgery at the home. Service users can keep their own GP if they are willing to continue to cover, however many choose the use the local practice. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, 14 and 15. Harbourne provides an excellent range of activities geared to both individuals and small groups. The home allows service users the opportunity to make choices in their daily lives. EVIDENCE: An excellent range of activities are provided at the home. These include outings, exercise, ball games, quizzes, sing along and reminiscence therapy. The home employs an activity organiser to coordinate the activities offered. Very positive feedback regarding the activities was included in many of the high number of comment cards returned by relatives. Many of the service users spoken to also said how much they enjoyed the activities. The inspector joined the service users for lunch. The feedback regarding the meals was very positive. A detailed 5-week menu is provided which includes a high level of choice and information regarding special diets. On Margaret’s Wing there are 2 dining areas available. One for the more dependent service users and one where service users have the opportunity to be more independent and to serve themselves. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 12 Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 and 18. A robust adult protection and complaints policy and procedure ensures that service users are listened to and are protected from abuse. EVIDENCE: A detailed complaints and adult protection policy and procedure are available. All complaints are investigated and recorded. One complaint was currently being investigated, however it did not relate to care issues. Not all staff have received adult protection training. The manager has undertaken training and the senior staff will then be prioritised. It is planned all staff will receive adult protection training when places become available. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 14 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 standard(s) Not assessed at this inspection. EVIDENCE: A full building visit did not take place during this inspection. However the inspector was given a brief tour of the premises to familiarise himself with the environment. A number of improvements have been made since the last inspection. These include redecoration, new floor coverings and curtains. Some comments made by relatives did refer to the rear garden area. The area is in need of improvement. The acting manager is aware of this and is seeking funding from a local business to make the improvements. Plans have been drawn up to make significant changes. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 15 Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The staffing levels were adequate to meet the needs of the service users. A very good level of training has been provided to ensure staff have appropriate skills to meet their needs. EVIDENCE: The staff recruitment details are held at Bradford Social Services headquarters. However the acting manager does obtain copies of the information to be held on the premises. Two files were checked, one was recently employed and the acting manager was awaiting copies of the information to be sent to the home. The second had all the information required. The home has 2 staff vacancies which have been advertised. The shortfall in hours is being covered by staff on tempory contracts. The home has made very good progress in providing NVQ level 2 training for the care staff. The home exceeds the required level of 50 . A number of the remaining staff are in the middle of the training. The acting manager hopes to encourage all staff to undertake the training. Two members of staff were interviewed during the inspection. Both showed a good knowledge of the home and their role. They were aware of the needs of individual service users. Both demonstrated a high level of enthusiasm and said how much they enjoyed their work. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 17 Good levels of training are provided for the staff team. These include, induction, mandatory training and specialist courses relating to the needs of service users. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36 and 37. The home is very well run and staff are involved in the decision making process. The records, policies and procedures provide staff with up to date information. EVIDENCE: The post of registered manager is vacant. The deputy manager is currently covering the post until the post has been filed. The staff confirmed that they provide and receive regular supervision and appraisal. The supervision is used to monitor performance and identify training needs. The staff felt they had the opportunity to contribute to the decision making process and the day to day running of the home. The records seen were found to be well organised and kept up to date. All the required safety checks are completed and records are kept. Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 19 Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 3 x Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 21 No 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. Standard OP8 Regulation Reg 12(1)(a) Requirement The health care montoring records for signiicent weight loss must be improved. Timescale for action Immediate 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. 1. Refer to Standard Good Practice Recommendations Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 22 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 Harbourne Resource Centre J52 S33594 Harbourne Resource Centre V228575 120705 Stage 4.doc Version 1.30 Page 23 - 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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