Inspection on 25/04/07 for Harbourne Resource Centre

This inspection was carried out on 25th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 13/12/05

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 Ashley Fawthrop Key Unannounced Inspection 25th April 2007 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 Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 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.V330184.R01.S.doc Version 5.2 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 angela.matthews@bradford.gov.uk City of Bradford Metropolitan District Council Department of Social Services Angela Matthews 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.V330184.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 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. Fees to the 25th April 2007 were levied at £465.86. Items not covered by the fee were hairdressing, chiropody, some toiletries, magazines, papers, holidays, and taxi fares. Cost may vary depending on demand. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out without prior notification and was conducted by one inspector over the course of one day. The inspector would like to thank everyone who took the time to talk to them and express their views. People who live in the home completed seven survey forms and relatives carers or advocates completed five. Before the visit, accumulated information about the home was reviewed. This included looking at the number of reported accidents and incidents, adult protection issues, reports from other agencies, i.e., the Environmental Health Officer, and correspondence following the last inspection and subsequent issuing of enforcement notices. This information was used to plan this inspection visit. The inspector case tracked three people’s care plans. Case tracking is the method used to assess whether people who use services receive good quality care that meets their individual needs. Where appropriate, issues relating to the cultural and diverse needs of residents and staff were considered. Using this method, the inspectors assessed all twenty-one key standards from the Care Homes for Older People National Minimum Standards, plus other standards relevant to the visit. The inspectors spoke with identified people who live at the home and relevant members of the staff team who provide support to them. Documentation relating to these people was looked at. Where possible, contact was also made with external professionals to obtain their opinions about the quality of services provided at the home. What the service does well: The records were well organised and kept up to date. The people who use the service have records that 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. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 6 An excellent range of activities continues to be offered which both people who use the service and relatives appreciated. 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. Comments made about the service by people using the service and their relatives included I am very happy with Harbourne and the staff, as my relative is well looked after and has all the help he needs regarding his welfare. We feel the home looks after our relative well in many ways. Showing care and concern at all times. They also have activities and outings and social events that a lot of them seem to enjoy. Visitors are always made welcome which gives the home a homely atmosphere. They have a carers group that brings carers and families together. I do my own activities and go out by myself regularly. I sometimes go out with the home on outings, I like that. What has improved since the last inspection? What they could do better: Some of the information on the care plans was not dated. Therefore it was difficult to assess what was the most recent information. This may lead staff to give that inappropriate because they may not know when the plan was updated. Please contact the provider for advice of actions taken in response to this Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 8 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.V330184.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5, and 6 People who use the service experience excellent.quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who wish to use the service 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: There continues to be a detailed statement of purpose and service users guide are available. The information is kept up to date. The documents give information about moving in right the way through to moving on. There is practical information about your room, your personal care, visitors and friends and social life. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 10 There is also a charter of rights and records how people are treat with dignity, how to maintain their lifestyle how religious belief and political views are respected, social activities and personal care. A small additional advice booklet is available for the short stay and respite unit. People using the service can use this information to decide whether the home can meet their personal needs or not. The information is available in different languages. These booklets contain good information about the home and the services it can offer. It takes into account the diverse needs of people wishing to use the service. This is good practice. 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 DS0000033594.V330184.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The Care plans are individual, the record good information bout the need of the person and are updated appropriately. The medication system is safe. . EVIDENCE: The care plans of three people were case tracked. Detailed information was seen. The records included, assessment information, care plans, periodic reviews and details of health care visits. Health care monitoring and risk assessments are available. There was evidence that people are involved in the developing the individual care plan. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 12 A key worker system continues to be is used this is good practice and 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 people using the service and their family are invited. Daily information records provide detail of any progress or deterioration noted. Where a risk has been identified then assessment is done and recorded in the care plan. This is good practice as the staff have clear instructions o how the risk can me reduced. The care plans have clear information to staff about individual needs and what action needs to be taken to meet these. There are regular updates that are signed and dated. On reading a number of care plans it was noted that some information was not dated. This is not good practice as it is not clear what information is the most recent and may lead to staff following the wrong plan. People who use the service have good access to health care professionals. A local GP surgery holds a weekly surgery at the home. People can keep their own GP if they are willing to continue to cover, however many choose the use the local practice. Staff said it is their responsibility to keep the care plans up to date. They were able to explain what was in the plan were aware of the importance of keeping them accurate. Staff were keen to show us how the care plans are made individual and how the feeling of people who cannot speak are recorded. This works on the staff knowledge of the persons past life and their likes and dislikes and then interpreted into how they respond to situations in the home. This is good practice as staff trying to meet the needs of people on the minimum of information. People who visit the home said that they are always kept informed of any changes to the wellbeing of their relatives such as accidents or hospital admissions. Others said that staff are always open and honest and always discuss any problems with them and if a decision is made about the care their opinion is always sought. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 13 The medication system is a pre packed system so that only the amount of medication needed is kept reducing the amount of medication in the home. The policies and procedures for safe storage and administration were available to staff and the system was seen to be safe. It was noted that on a number of administration charts the instructions on when the medication should be given I recommended to the manager that when this is done the alteration is initialled and dated so that a record is available should this be required. There were a number of people who kept their own medications and this was risk assessed by the home to reduce the risk of harm. There is also a system for spot-checking the medication system. This is good practice and there was evidence that the system had identified mistakes and the manager was able to address these quickly. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Harbourne provides an excellent range of activities geared to both individuals and small groups. The home allows people the opportunity to make choices in their daily lives. EVIDENCE: There continues to be an excellent range of activities within the home. These include outings, exercise, ball games, quizzes, sing along and reminiscence therapy. The home continues to employ 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. People visiting the home said the activity coordinator does an excellent job. Those who wish to take part Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 15 in activities can both inside and out of the home. People have the opportunity to keep fit both physically and mentally. Many of the people spoken to also said how much they enjoyed the activities. Other people said the home has activities and outings that people seem to enjoy. Visitors are always made to feel welcome which gives the home a homely atmosphere. Activities are an important part of the homes care planning system along with records of individual activities there is a record of who is important in the persons life on a number of the priests are recorded and the home makes sure that people who wish to can continue to practice their religion. Activities are on going each day organised by the coordinator but carried out with the help of staff. This is good practice because there is big commitment to activities and to meet the programme all staff are involved. Part of planning for social care is to ask people what is important in their lives. Among the range of answers were how to some people their religion was important and the home worked to make sure that each need was met. The activity coordinator organises a carers group where the relatives of the people in the home are invited to socialise and discuss any problems that may arise about their relatives. This is particularly helpful to people who look after their relatives at home but use the home as a short stay facility to give them a rest from caring. They can meet people in similar situations to discuss ideas and issues. The home has developed a five week menu, there is a range of meat and fish dishes, vegetables are available most days as are salad and fresh fruit. There is an alternative to the menu at all sittings. The menu appears to be well balanced and appetising. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by the homes policies and procedures and training given to staff relating to complaints and the protection of vulnerable adults. EVIDENCE: A detailed complaints and adult protection policy and procedure continue to be available. All complaints are investigated and recorded. There have been no complaints received about this service since the last inspection. Since the last inspection all staff have received adult protection training. There is information around the home about how to report suspected incidents of abuse, these are available to staff, people within the home and visitors. This is good practice as it shows an open positive approach to reducing the risk of abuse. All the people asked said that they knew how to make a complaint and who to speak to and no one felt uneasy about complaining should they need to do so. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24 and 26. People who use the service experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is comfortable well maintained and meets the needs of the people who live there. EVIDENCE: A full tour of the premises was done. The home provides an environment that is appropriate to the needs of the people who live there. The home is well maintained and is comfortably furnished. The home provides specialist equipment where needed and the home is pleasant and safe. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 18 On looking at individual bedrooms all are single accommodation and are furnished and decorated individually. The people who live there can bring furniture and personal possessions if they wish giving the rooms a feel of individuality and ownership. The garden area to the rear of the premises has been improved and has added a pleasant sitting area for people and visitors. The home is well lit clean and tidy and smells fresh. The home has an infection control policy to reduce the risk of infection. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staffing levels meet the needs of the people using the service. A very good level of training continues to be provided to ensure staff have appropriate skills to meet their needs. A robust recruitment and selection procedure has protected the people who live there from potential abusers. EVIDENCE: The staff recruitment details continue to be held at Bradford Social Services headquarters. However the manager does obtain copies of the information to be held on the premises. 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 a number of staff vacancies that have been advertised. Staffs on temporary contracts or agency staff are covering the shortfall in hours. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 20 The home continues to make progress in providing NVQ level 2 training for the care staff. A number of the remaining staff are in the middle of the training. The manager continues to encourage all staff to undertake the training and has developed a training needs analysis. This details all the training done by an individual member of staff and any future training needs are discussed at supervision. This is good practice, as the record makes sure that all staff have the opportunity to be trained to a good standard. All the staff spoken to during the inspection showed a good knowledge of the home and their role. They were aware of the needs of the people who lived there. They demonstrated a high level of enthusiasm and said how much they enjoyed their work. Good levels of training are provided for the staff team. These include, induction, mandatory training and specialist courses relating to the needs of people. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience Excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is run in the best interest of the people who live in the home. They the staff and visitors to the home are protected by the policies and procedures relating to health and safety. EVIDENCE: The registered manager has the skills and qualifications to manage the home, she is highly competent and meets the stated aims and objectives of the home. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 22 The manager has an understanding of the principles of working with people with dementia related illnesses. She has worked continually since being in post to increase the quality of life for people within the home focusing on their social needs as much as their physical care. The home has sound policies and procedures that are updated regularly and there are effective systems in place to supervise staff. There are good records relating to health and safety and there is a clear health and safety policy available to staff. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 23 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 4 X 3 X 4 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 3 X X 3 X 3 X 3 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 4 X 3 X 4 3 X 4 Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP7 Good Practice Recommendations All information in care plans must be dated so that any one reading it knows which information is the most recent. Harbourne Resource Centre DS0000033594.V330184.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 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 © 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.V330184.R01.S.doc Version 5.2 Page 26 - 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. 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