Inspection on 26/10/06 for Harehills

This inspection was carried out on 26th October 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 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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Harehills Burnfoot Way Kenton Newcastle upon Tyne NE3 4TL Lead Inspector Anne Brown Key Unannounced Inspection 26th October 2006 10:30 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.V304702.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. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 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 simeon.mulligan@newcastle.gov.uk Newcastle City Council Social Services 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.V304702.R01.S.doc Version 5.2 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. 14th February 2006 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 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. The fees are £64.65p per week for respite care. Information about the home and inspection reports are readily available. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 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. Discussions were held with six members of staff and the team leader in charge of the home. Nine service users and one relative were spoken to. Questionnaires were returned from three service users and one relative. 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 were dealing with the individual needs of the service users in a sensitive 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. A choice was offered at lunchtime and sandwiches are available on request. 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. A questionnaire from a service user and a relative said ‘the staff were outstanding’. All service users who commented said the food was very good. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 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.V304702.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed pre-admission assessments are carried out and new service users are invited to visit the home prior to admission. This means that the staff know they can meet the service users’ needs, and the service users can find out about where they will be staying. EVIDENCE: All admissions are made through a single entry point referral process. Five case files were examined and all contained a full needs assessment carried out by appropriately trained people. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 9 Where possible prospective service users are invited to visit the home prior to moving in. Their individual needs are discussed and recorded. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans include all the necessary information to ensure the staff team are well informed about the needs of the service users. The health care needs of the service users are well met and recorded in the care plans. The service users’ privacy and dignity is respected. The medication procedure and system were appropriate. EVIDENCE: Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 11 Each person has a service user plan that describes their individual needs and how the home will meet them. The plans state what staff need to do to care for and support people. The plans are reviewed and revised on a regular basis, either as a matter of routine, or at the person’s request. Each person’s care and support is regularly reviewed and action is taken on any changes. Health needs are monitored by the staff who work closely with a range of other professionals to ensure that any specialist needs are met. The service users confirmed that staff respect their privacy and dignity. Staff were observed to be working with the service users in a caring and sensitive way. One lady stays in her bedroom all day and staff were observed to be spending time with her. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. Service users are assessed and encouraged to keep their own medication if they are able. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A wide range of activities take place in the home, catering for the individual preferences of the service users. Service users are supported to maintain contact with family and friends. The staff encourage service users to exercise choice and retain control of their lives. Well-balanced menus are in place and alternatives are offered. 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, Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 13 dominoes and entertainers. The service users can also participate in activities taking place in the day centre attached to the home. Some service users said they were looking forward to seeing the entertainer who was performing in the home later that day. One service user said she really enjoyed the sing-a-longs held in 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. The staff confirmed that they were able to spend one to one time with the service users. One service user said they did not always join in the activities but preferred to spend time in their bedroom. One relative was present during the inspection. He confirmed he was always made welcome in the home and had no complaints about the care given to his relative. The staff were offering choice to the service users. Lunch was taken with the service users. The staff were offering choice and dealing with individual needs in a sensitive and competent manner. 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. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system and training in adult protection has been provided for the staff, which helps to protect the service users from abuse. EVIDENCE: A suitable complaints procedure is in place and complaints leaflets are displayed in the foyer area of the home. A logbook is in place for recording complaints and the outcome of the investigation. No complaints have been received since the last inspection. Numerous thank you cards and complimentary letters have been received from service users and relatives. All staff have undergone training on the protection of vulnerable adults (POVA). The management of the home are fully aware of the need to invoke the POVA procedure when necessary. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 15 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, pleasantly decorated and well maintained. There is a good standard of hygiene. EVIDENCE: A partial tour of the premises was carried out. All areas were well maintained, safe and comfortable. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 16 The team leader stated that money had been identified to redecorate the home in the near future. The staff felt that the overhead tracking in some bathrooms was not suitable for the service users, and felt showers would meet their needs more comfortably. Five new sets of bedroom furniture have been purchased. These are provided with lockable facilities to allow service users to store valuables and medications safely. These are not provided in all bedrooms. All areas were clean and hygienic. Protective clothing is readily available for the staff. There is up to date information for the control of infection. Liquid soap and paper towels are provided next to all wash hand basins. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are good and meet the needs of the service users in the home. The recruitment policy and practice supports and protects the service users. Staff are provided with training on health, safety and specialist issues to make sure they are competent to carry out their roles effectively. EVIDENCE: Fourteen service users were staying in the home on the day of the inspection. A team leader, three senior care officers, three care officers and three domestic assistants were on duty. Sixty per cent of the staff team have achieved a National Vocational Qualification (NVQ), Level 2 or above. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 18 Criminal Record Bureau checks are received prior to staff being employed in the home, which helps protect the service users from abuse. The Team Leader stated that photographs have not been placed on the staff files in accordance with schedule 2 of the Care Home Regulations. There is an ongoing programme of training to ensure staff receive up to date training on health and safety issues. The staff confirmed they are also provided with training on specialised issues to meet the individual needs of the service users. The service users said the staff were very helpful and they treated them well. One questionnaire returned by a service user said ‘the staff are outstanding, nothing is a problem’. One relative said the care and attention received by their mother was outstanding and she was very upset to leave. Two comments had been recorded in the minutes of meetings to say that some service users could not remember the staff names and would like them to wear identity badges. Not all staff were wearing badges on the day of the inspection. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 19 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run by a capable and competent manager. 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.V304702.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager has experience in working with older people and has appropriate qualifications. He shows commitment to updating his skills and competence. The staff on duty and the service users confirmed that the management are supportive and approachable. 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. A team leader evaluates these every three months to ensure issues are followed up. Meetings are held on a regular basis to discuss meals, activities, facilities and staff. 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. The staff who were spoken to confirmed that they receive formal supervision from the management on a regular basis. A sample of written supervision notes were examined and these were well recorded. Risk assessments are carried out for the individual service users and the premises. All accidents are recorded and monitored on a monthly basis. Certificates were not available to confirm safety tests had been carried out on the lift, fire extinguishers and electrical appliances. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 21 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 22 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. Standard OP19 Regulation 16(2)(c) Requirement Lockable facilities must be provided in all bedrooms. (Previous timescale of 31/3/05 not met). Photographs must be placed on staff files. Safety test certificates must be available for the passenger lift, fire extinguishers and electrical appliances. Timescale for action 31/12/06 2. 3 OP29 OP38 4(b) Schedule 2 4 31/12/06 31/12/06 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. Refer to Standard OP19 OP29 Good Practice Recommendations Consideration should be given to replacing some baths and overhead tracking with suitable showering facilities. Staff should wear identity badges when they are on duty so service users can see their name. Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Harehills DS0000033620.V304702.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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