Inspection on 13/12/05 for Harbourne Resource Centre

This inspection was carried out on 13th December 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 12/07/05

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 Unannounced Inspection 13th December 2005 10:15 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 Harbourne Resource Centre DS0000033594.V270913.R01.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. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harbourne Resource Centre Address Brearcliffe Drive Wibsey Bradford BD6 2LE 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) 01274 435450 01274 679383 City of Bradford Metropolitan District Council Department of Social Services Care Home 27 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (13) Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 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 DS0000033594.V270913.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was the second undertaken during this inspection year. The first inspection was announced and took place in July 2005. Sight of inspection reports for this and previous inspections are available either from the home or on the CSCI website. The inspection took place over the morning and early afternoon. The visit was mainly a building inspection but time was spent with service users and records on Elizabeth unit were sampled. A number of questionnaires were left for service users and visitors. The home continues to provide a very good service. The 3 separate units have different functions. One is specifically for service users diagnosed with Dementia. One is for older people, who live permanently, and one is for respite and short stays. The feedback from all the service users was very positive and all felt they benefited from living at the home. The short stay service users looked forward to their visits and felt it gave them and their family a break. What the service does well: The records were well organised and kept up to date. Service users and relatives are included in the care planning process. The service user 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 and dignity. 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 building meets the needs of the service users and is maintained to a good standard of hygiene and decoration. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 6 Good progress continues to be made regarding the numbers of staff achieving NVQ level 2. A good range of additional training is offered. Many of the staff are currently completing a recognised drug administration course. 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 DS0000033594.V270913.R01.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 Harbourne Resource Centre DS0000033594.V270913.R01.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 and 3 The home provides detailed information regarding the service provided. EVIDENCE: The statement of purpose and service users guide has been up dated and provides detailed information about the home and the service offered. All service users are admitted following a detailed assessment undertaken by the placing social worker. The assessments form the basis of the information then included in the care plans. Harbourne Resource Centre DS0000033594.V270913.R01.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 and 9. The health and personal care needs of service users are well met by the staff at the home. The levels of care required are recorded in the care documentation. EVIDENCE: The care documentation for 2 service users living on Elizabeth unit were checked. The records were very informative and provided up to date information about levels of care required. Detailed assessments were completed prior to and following the admission. A standard care plan is used for all service users. The care plans include information on all aspects of the service users daily lives and are regularly updated. The service users and the relatives are encouraged to sign the care plans to agree the content. Formal reviews are held and again the service users and relatives are invited to attend. Health care information is included in the care plans and records are kept of contact with the GP and Nursing services. At the last inspection it was required that the monitoring and recording of service user weight is improved. It was Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 10 noted that one service users who required regular monitoring had up to date records of her weight. The medications are held separately on each of the 3 units. The medications are administered by the care staff on each of the units and are overseen by the officer team. Many of the care staff are completing a detailed drug administration training course. A spot check was undertaken on each of the units and the records and medication was in order. However it was noted that it does prove difficult to carry out a stock check of the PRN medication not held in the monitored dosage system. I suggested that the current numbers of stock held are transferred to the new monthly drug sheets. This will allow staff to monitor the stock. I also noted that staff had different ways of recording when PRN medications were administered. One system must be agreed and used by all staff. I did suggest that they only record when given rather than when not given. Some medications are held in the fridges and the units. On Elizabeth unit injection ampoules were stored in the fridge. The unit accommodates service users who suffer from Dementia and does pose a risk. It is recommended that a small lockable fridge is provided to be kept in the medical room. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 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 the following standard(s): 12 and 14. Harbourne provides a good range of activities geared to both individuals and small groups. Service users can exercise high levels of choice. EVIDENCE: A range of activities are offered at the home. Service users can use the day centre attached to the care home. On the day of the inspection a Christmas party had been organised in the day centre and all service users were invited to attend. I spoke to a number of service users in the small lounges and in their bedrooms. All felt the home offered a good range of choices and allowed them the opportunity to maintain control of their daily lives. They felt the daily routines were flexible and staff were happy to provide any assistance required. Some service users preferred to spend time in their bedrooms while others liked to use the small lounges on each of the units. Some liked to use the day centre. Positive comments were made about the food provided and some service users liked to use the small kitchens to make drinks for themselves and relatives. The main kitchen provides the lunch and tea and the breakfast is provided Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 12 from the small kitchens. This allows service users time to get up when they wish and have a leisurely breakfast. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 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 the following standard(s): 16 A robust adult protection and complaints policy and procedure ensures that service users are listened to and are protected from abuse. EVIDENCE: No complaints had been made since the last inspection. The complaints recorded had been investigated and resolved. Information regarding the complaints procedure is available for service users and visitors. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. The premises are very well maintained and are safe. Good levels of specialist equipment ensure that independence is maintained and service users needs are met. EVIDENCE: A full tour of the building was undertaken. The 3 units were maintained to a good standard of hygiene and decoration. All the bedrooms are single rooms and contain all the required fixtures and fittings. Many of the bedrooms have been personalised by the service users and their relatives. Adequate bathrooms and toilets are provided and facilities are available for service users with disabilities. A variety of lifting aids are provided. Each of the 3 units has its own lounge and dining area. A small kitchen is available for staff and service users to make drinks and snacks. The kitchens were maintained to a good standard of hygiene. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 15 All the required health and safety checks are completed and no hazards were noted during the inspection. However a recommendation was made regarding the storage of medication in the unit fridges. A small number of minor repairs were noted. A number of light switch knobs were missing and need to be replaced. A light shade is required in bedroom 21. The light in the bathroom on Elizabeth unit is broken and needs to be repaired. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 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 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): 27 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 had appropriate skills to meet their needs. EVIDENCE: The staffing at the home is currently being reorganised. The post of senior care has been created and a number of senior care staff are being recruited. A number of care assistant posts have been advertised and interviews have been held. The home continues to make very good progress with regard to NVQ level 2. The majority of the care staff have now completed NVQ level 2 or are currently undertaking the course. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 17 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 and 35. The home is very well run and staff are involved in the decision making process. Service users financial interests are safeguarded. EVIDENCE: The management at the home is due to change. The current manager was employed on a temporary basis. She has now been successful in obtaining a post at another local authority home. The permanent post at Harbourne has now been advertised and has been filled. The successful candidate now requires to be registered. The staff team have been kept informed of the planned changes and are able to make contributions to the day to day running of the home and the decision making process. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 18 Monies are held for safe keeping for a small number of service users. A spot check was undertaken and the records and monies held were in order. Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 19 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 20 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. 2. OP9 Standard Regulation Reg 13(2) Reg 13(2) Requirement The monitoring recording and stock control of PRN medications must be improved. More suitable storage facilities must be provided for the medications currently stored in the fridges on the units. The following minor repairs are required: All the missing light switch knobs must be replaced. 01/02/06 The missing light shade in bedroom 21 must be replaced. The light in the bathroom on Elizabeth unit must be repaired. Timescale for action 01/02/06 01/02/06 3. OP19 Reg 23 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 Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 Page 21 Harbourne Resource Centre DS0000033594.V270913.R01.S.doc Version 5.0 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 DS0000033594.V270913.R01.S.doc Version 5.0 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. 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!