Inspection on 17/10/08 for Harehills

This inspection was carried out on 17th October 2008.

CSCI found this care home to be providing an Good service.

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

Harehills 26/10/06

Harehills 14/02/06

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 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Harehills Burnfoot Way Kenton Newcastle upon Tyne NE3 4TL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anne Brown     Date: 1 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Harehills Burnfoot Way Kenton Newcastle upon Tyne NE3 4TL 01912852832 01912840773 simon.mulligan@newcastle.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Newcastle City Council Social Services Department Type of registration: Number of places registered: care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Up to 3 beds can be flexibly used to accommodate service users aged 55 to 64 years old, or service users over pensionable age. Date of last inspection Brief description of the care home 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 there is a passenger lift. All bedrooms are single and 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. Information about the home and inspection reports are readily available. Care Homes for Older People Page 4 of 27 Over 65 8 22 0 0 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out. Care Homes for Older People Page 6 of 27 Before the visit, We looked at Information we have received since the last inspection on 26th October 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service and their relatives. Surveys were sent to ten people using the service, ten members of staff and two health care professionals. Six were returned by people using the service, two from members of staff and one from a health care professional. The visit. An unannounced visit was made on 17th October 2008. The visit lasted for six hours and forty minutes. During the visit we, Talked with people who use the service, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the manager what we found. Fees for respite care are sixty nine pounds and fifty five pence per week. What the care home does well: What has improved since the last inspection? Lockable facilities have been provided where people can keep their medications and valuables. Staff wear identity badges when they are on duty. This was a suggestion from a relative at the last inspection as some people using the service cannot always remember their names. Care Homes for Older People Page 8 of 27 Communal areas have been redecorated and recarpeted. New furniture, blinds, curtains and new pictures have been provided. A number of bedrooms have been redecorated and provided with new furniture. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed prior to using the service which gives the staff good information to help meet they can meet peoples needs. Evidence: Good information is available about the service and people are given a written contract stating the terms and conditions of their stay. All admissions are made through a single entry point referral process. Four case files were examined and all contained a full needs assessment carried out by appropriately trained people. They contained information on personal care, physical well being, diet, weight, sight, hearing, communication, oral health, foot care, mobility, continence, mental state, social interests, religion and cultural needs. Where possible people who will be using the service can visit the home prior to their Care Homes for Older People Page 11 of 27 Evidence: stay. Their individual needs are discussed with the staff team and are recorded. This helps ensure the staff can meet their needs when they are admitted. Two people staying in the home said they had visited before they can to stay there. Another person said her daughter had come to have a look around and decide if the service was suitable. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health and personal care needs are well supported by clear and informative care planning. This helps ensure that all aspects of peoples care are met in a person centred way. Evidence: Care plans are in place for each person using the service. The plans describe peoples individual needs and how the home will meet them. They give good information to the staff and tell them what they need to do to care for and support people. Each persons care and support is regularly reviewed and action is taken on any changes. The reviews are carried out as a matter of routine, or at the persons request. Health needs are monitored by the staff who work closely with a range of other professionals to ensure that any specialist needs are met. People staying in the home are registered temporarily with a designated GP if their own GP is out of the area. Care Homes for Older People Page 13 of 27 Evidence: The people using the service said the staff respect their privacy and dignity. Staff were observed to be working with people in a caring and sensitive way. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. The medication administration records are checked three times a day by the carer in charge of the shift. Medications are counted weekly to help ensure no errors have been made. The manager and team leaders carry out an annual competency assessment with all staff who administer medications. People staying in the home are assessed and encouraged to keep their own medication if they are able. Lockable facilities are provided. The medication room is small and there is not much space for staff to work when checking medications into the home. The manager is hoping to provide a larger room which would be more appropriate. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A good range of activities and events are provided in the home for the people using the service to enjoy and they are able to make personal choices. Evidence: The activities taking place in the home are chosen by the people staying there. These are discussed every week and people choose what they would like to do the following week. Activities include quoits, bingo, crosswords, movies, sherry mornings, play your cards right, music quiz, darts, sing a long and pie and pea suppers. Outings are also arranged to visit tea shops, garden centres etc. Some people staying in the home said they had enjoyed the trips out. They also said they enjoyed watching movies and having drinks and nibbles. The manager said people are encouraged to maintain their social networks as if they were in their own homes. Therefore the home has an open visiting policy and family and friends are encouraged to visit at any time. They can also have a meal with their Care Homes for Older People Page 15 of 27 Evidence: relative for a standard charge. Tea and coffee making facilities are also available for visitors. The people staying in the home confirmed that they can choose how and where to spend their time. Lunch time was relaxed and unhurried. People are asked for their choice from the menu the day before so they can have time to think about their choice. The dining room tables were appropriately set with condiments and napkins. The staff were dealing with individual needs in a sensitive and competent way. Comments included The meals are well cooked and I never leave anything. The meals are always very good. The food is lovely, I eat too much. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a good system in place for dealing with complaints and staff receive training in safeguarding adults. This helps to protect the people using the service. Evidence: A complaints procedure is in place and leaflets telling people how to complain are displayed in the reception area of the home. A complaints book is in place to record any complaints and the outcome of the investigation. Three complaints have been received and investigated since the last inspection. The surveys returned by the people using the service confirmed that they knew how to make a complaint. However one survey returned by a staff member said they did not know what to do if someone had concerns about the home. Several written compliments had been received from people using the service and their relatives. The manager stated that all staff have attended Departmental courses Equality and Diversity. He stated that any unacceptable views, opinions or practice would be challenged through the Whistle Blowing Policy. It has been reinforced to staff that they have a duty of care to whistle blow should they observe any inappropriate behaviour or bad practice and any safeguarding issue must be alerted appropriately to the Care Homes for Older People Page 17 of 27 Evidence: Safeguarding Adults Unit. The staff on duty confirmed they knew the procedure to follow. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides people with a comfortable and pleasant place to live. Hygiene standards are good. Evidence: All communal areas and bedrooms were comfortable and well maintained. During the last two years the home has been redecorated and new carpets have been fitted. Some new furniture, blinds and curtains have been purchased. A maintenance and renewal programme is in place. The manager stated that discussions are taking place to have the garden landscaped and french doors fitted to enable people to access this area. There are also plans to extend the hairdressing room. The manager is currently making enquiries to find out the cost of converting a toilet into a wet room as it is felt people will benefit from this. Bedrooms were pleasant and equipped to meet the needs of the people using the service. All areas of the home were clean and hygienic. Protective clothing was available for the Care Homes for Older People Page 19 of 27 Evidence: staff and there is up to date information for the control of infection. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are good which helps ensure the needs of the people using the service are met. A clearly defined recruitment policy and practice helps to protect people. Evidence: On the day of the inspection 12 people who staying in the home. The manager, two senior care officers, two care officers, one domestic assistant, cook and administrative assistant were on duty. There are two waking night care officers on duty every night and an on call sleep in member of staff. There is currently a vacancy for one full time care assistant. The manager said interviews were taking place next week to fill the vacancy. Following the closure of another resource centre run by Newcastle City Council, staff have been redeployed across the remaining resources. Therefore a number of staff have transferred to and from Harehills. The staff on duty said this had been very unsettling at first but they now felt everyone was working well together. The manager held staff meetings on a weekly basis and arranged individual supervision sessions to manage the change and help people settle in. Care Homes for Older People Page 21 of 27 Evidence: The manager confirmed that criminal record bureau checks and two written references are receive prior to staff being employed, which helps protect the people using the service. He said there were no staff employed in the home since the last inspection, who were not already working for the local authority. There are 34 care staff employed in the home, 17 of these have achieved a National Vocational Qualification, Level 2 or above. 6 staff are currently working towards achieving this. The home has a rolling programme of training to ensure staff receive up to date health and safety training. They also receive training on specialised issues to help meet the individual needs of the people using the service. The staff on duty said they felt they received a good level of training. The people using the services who commented said the staff were very kind and helpful. Comments included They are all very good. They are always there to help. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people living in the home and there are systems are in place to ensure their safety. Evidence: The manager has recently transferred from another home run by Newcastle City Council. He is experienced in managing care homes and holds appropriate qualifications. He is committed to ensuring the home is run in the best interests of the people staying there. He promotes an ethos amongst staff of involving the people staying in the home in decision-making. Surveys are issued to people at the end of their stay in the home so they can comment on the service they have received. These are evaluated every three months to help ensure any issues are followed up. Staff meetings are held on a regular basis and weekly meetings are held with the people using the service. The minutes of these were available for inspection. Care Homes for Older People Page 23 of 27 Evidence: The home has a quality assurance system in place to help them to self-monitor areas of their practice. They are currently developing the system further to help improve standards. Policies and procedures are in place for dealing with money and valuables held on behalf of the people staying in the home. A sample of records and money held was examined. This confirmed that all transactions were appropriately recorded. There are policies and procedures in place to promote the safety and welfare of the people staying in the home and the staff. Risk assessments are carried out for individuals and the premises. All accidents are recorded and monitored on a monthly basis. The staff on duty confirmed that they receive formal supervision from the senior staff on a regular basis. The staff and the people using the service confirmed that the manager is supportive and approachable. Comprehensive health and safety policies and procedures were in place. Health and safety checks are carried out on a regular basis. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 10 16 The staff should be provided with an adequate working space when checking medications in and out of the home. The manager should ensure that all staff employed in the home are aware of what they should do if a concern is reported to them. A new shower room should be provided to meet the needs of all the people who use the service. 3 22 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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