Inspection on 14/02/06 for Harehills

This inspection was carried out on 14th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Harehills 17/10/08

Harehills 26/10/06

Harehills 10/08/05

Harehills 02/03/05

Harehills 07/07/04

Harehills 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Harehills Burnfoot Way Kenton Newcastle upon Tyne NE3 4TL Lead Inspector Anne Brown Unannounced Inspection 14th February 2006 09:30 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 Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Harehills Address Burnfoot Way Kenton Newcastle upon Tyne NE3 4TL 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) 0191 285 2832 0191 284 0773 simon.mulligan@newcastle.gov.uk Newcastle City Council Social Sevices Department Mr Simeon Mulligan Care Home 30 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (22) of places Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 3 beds can be flexibly used to accommodate service users aged 55 to 64 years old, or service users over pensionable age. 10th August 2005 Date of last inspection Brief Description of the Service: Harehills Resource Centre is a registered care home that provides respite/short stay care to older people and older people with dementia. The home is located in Kenton, Newcastle Upon Tyne. Accommodation is over two floors and a passenger lift is provided. There are a variety of communal lounges and dining rooms throughout the home and a patio garden is accessible to the service users. There is access by public transport. Local amenities and shops are not within easy walking distance. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over five hours. A partial tour of the premises took place and a sample of care records was inspected along with the fire log book, accident book, maintenance contracts, complaints and compliments and minutes of meetings held in the home. Three staff files were examined at the Personnel Department, Newcastle Civic Centre. Discussions were held with five members of staff and the team leader in charge of the home. The majority of service users were seen and conversations were held with eight of them. What the service does well: The home provides a good standard of care to the people using the service. The staff team enjoy their work and make every effort to ensure the service users’ privacy and dignity is respected. They deal with the individual needs of the service users in a competent and caring manner. The home is clean and hygienic and the staff work hard to ensure all areas are homely and comfortable. Regular meetings take place to consult the service users about the food served in the home and activities provided. The menus are varied and nutritious and alternatives are always available. The service users stated that the food is very good and special diets are catered for. Staff members are offered a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the individual needs of the service users. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. A statement of purpose is available providing service users with the information they require to make an informed choice about staying in the home. Detailed pre-admission assessments are carried out and where possible new service users are invited to visit the home prior to admission to whether the home can meet their needs. EVIDENCE: The statement of purpose has recently been reviewed. It provides prospective service users with relevant information. This enables them to make a choice about whether they wish to stay in the home. All admissions are made through a single entry point referral process. Six case files were examined and all contained a full needs assessment carried out by appropriately trained people. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. The care plans include all the necessary information that helps ensure that the staff team are well informed about the needs of the service users. The service users’ privacy and dignity is respected. The medication procedure and system were appropriate. The staff treat service users with respect and sensitivity at the time of their death. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 10 EVIDENCE: Six care plans were examined and were up to date. They contained detailed information about the personal, health and social needs. The senior care staff audit the plans on a regular basis. The service users who commented confirmed that the staff respect their privacy and dignity at all times. The staff on duty were aware of the individual needs of the residents. They were observed to be treating them with respect and good relationships were observed. Residents are able to access their own bedrooms at any time and can choose how to spend their time. The medication system and a random sample of records were examined. These were in accordance with the pharmacy guidelines. The team leader confirmed that service users who self medicate are provided with a lockable facility in their bedroom. Policies are in place for dealing with death and care of the dying. Two staff members have completed a bereavement course. The team leader confirmed that extra staffing would be provided if necessary and relatives can be accommodated to remain with their loved ones. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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, 14 and 15. A wide range of activities take place in the home catering for the individual preferences of the service users. The staff encourage service users to exercise choice and retain control of their lives. Menus are nutritious and varied. Mealtimes are flexible. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 12 EVIDENCE: A list of activities taking place in the home was displayed in the dining rooms. These include bingo, hand care, crafts, quiz, reminiscence, sing-a-long, dominoes and entertainers. The service users can also participate in activities taking place in the day centre attached to the home. A mini bus used to transport service users to and from the day centre is also sometimes available for trips to local places of interest. One lady said the staff given her a manicure which she enjoyed. Some service users stated that they preferred to spend time in their bedrooms rather than join in the activities. Four weekly menus are in place and these are reviewed on a regular basis. The staff were observed to be consulting the service users about their choice of meal prior to lunchtime. The inspector enjoyed a meal with the service users. The food was well presented and the portion sizes were ample. The atmosphere was relaxed and unhurried. The dining room tables were appropriately set with condiments and napkins. The service users confirmed that they enjoyed the food served in the home and drinks are available throughout the day and night. One service user who had recently been admitted to the home said the choices of food was not always to their liking. The chef discussed this with the service user and agreed to prepare alternatives. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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 and 18. The home has a satisfactory complaints system in place. Service users are protected from abuse. EVIDENCE: A suitable complaints procedure is in place and complaints leaflets are displayed in the foyer area of the home. A log-book is in place for recording complaints and the outcome of the investigation. No complaints have been received since the last inspection. The majority of staff have undergone training on the protection of vulnerable adults (POVA). The manager has recently completed a course for managers on the protection of vulnerable adults and will cascade the training to the staff team. The management of the home are fully aware of the need invoke the POVA procedure when necessary. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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, 21, 23 and 26. The home is well maintained, safe, homely and comfortable. There are suitable lavatories and bathing facilities throughout the home. All bedrooms were comfortable and pleasantly decorated. All areas were clean and free from offensive odours. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 15 EVIDENCE: On the day of the inspection the home was welcoming, clean and well maintained. The home is divided into two units and each has its own lounge and dining areas. Lavatories and bathing facilities are located in various locations throughout the premises. Problems have been experienced with the hoist in one bathroom that often breaks down. A new specialist bath was delivered to the home during the inspection and will be fitted in the next few days. There was no toiletry rack in the shower room. The bedrooms were pleasantly furnished and decorated with coordinated bedding and curtains. Not all bedrooms are provided with a lockable facility for service users to lock away valuables if they wish. All areas of the home were clean, hygienic and free from offensive odours. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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, 29 and 30. Staffing levels are adequate to meet the needs of the number of service users in the home. The recruitment policy and practice supports and protects the service users. The staff team are well trained and competent to carry out their roles effectively. EVIDENCE: The team leader explained that as a temporary measure, eight beds in the home are not currently being used. This is because it was felt the current staffing levels were not adequate to fully meet the increasing needs of the service users. On the day of the inspection there were adequate numbers of staff on duty to deal with the needs of the service users. A visit was made to Newcastle Civic Centre and three staff files were examined. They contained the appropriate information and Criminal Records Bureau checks and two written references had been obtained. Photographs are not kept on the files. Fifty per cent of the staff team are achieved NVQ Level 2 or above. The staff confirmed that they received regular mandatory training and specialist training Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 17 to deal with the individual needs of the service users. They were observed to be caring for the service users in a competent and sensitive manner. Good relationships were observed throughout the home. The service users stated that the staff were very helpful and friendly. Questionnaires returned by service users stated ‘the care was excellent’, ‘I think there is some wonderful work carried out’. One relative commented I think the staff should wear uniforms as you don’t know who you are talking to’. The Team Leader stated that it was the home’s policy but identity badges have been issued. Some staff were not wearing these at the time of the inspection. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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 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): 33, 35, 36 and 38. The home is run in the best interests of the service users. Systems are in place to safeguard the service users’ finances. Staff receive appropriate supervision and support to ensure the service users receive good care. Health and safety of the service users is promoted by well trained staff and appropriate risk assessments are in place. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 19 EVIDENCE: Questionnaires are issued to service users at the end of their stay in the home. This enables them to make comments on the service and care they have received. Meetings are held on a regular basis to discuss the services offered. Newcastle City Council are currently developing a quality assurance and monitoring system that will be introduced to the home when available. Policies and procedures are in place for dealing with the service users’ finances. The staff in the home do not act as appointee or agent for any service users. Money is deposited by service users for safekeeping. A random sample of records and money held was examined. This confirmed that all transactions were appropriately recorded, receipts kept and two signatures retained. The staff who were spoken to confirmed that they receive formal supervision from the management on a regular basis. Risk assessments are carried out for the individual service users and the premises. All accidents are recorded and monitored on a monthly basis. The staff team receive mandatory training on health and safety issues that is updated on a regular basis. This was confirmed by the staff on duty. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X 2 X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 3 X 3 Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 21 YES 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. 2. Standard OP21 OP23 Regulation 23(2)(j) 16(2)(c) Requirement Toiletry rack must be provided in shower room. Lockable facilities must be provided in all bedrooms. Timescale for action 21/02/06 31/03/06 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 2 3 Refer to Standard OP29 OP30 OP33 Good Practice Recommendations Photographs to be placed on the staff files. All staff should wear identity badges. Quality Assurance and Monitoring system to be introduced to the home. Harehills DS0000033620.V276119.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Harehills DS0000033620.V276119.R01.S.doc Version 5.1 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. 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