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Inspection on 11/01/06 for Harlow Moor Drive (43)

Also see our care home review for Harlow Moor Drive (43) for more information

This inspection was carried out on 11th January 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The way that staff are recruited is good and helps make sure the staff employed have the right qualities to work with people with learning disabilities. Staff are trained especially to look after people with learning disabilities.

What has improved since the last inspection?

A new manager has been employed and she has good plans for ways to develop the staff team and the quality of life for service users.

What the care home could do better:

No areas for improvement where identified on this occasion.

CARE HOME ADULTS 18-65 Harlow Moor Drive (43) 43 Harlow Moor Drive Harrogate North Yorkshire HG2 0JY Lead Inspector Chris Taylor Unannounced Inspection 11th January 2006 10:30 Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 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 Harlow Moor Drive (43) DS0000007879.V277045.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 Adults 18-65. 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. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Harlow Moor Drive (43) Address 43 Harlow Moor Drive Harrogate North Yorkshire HG2 0JY 01423 502160 01423 502160 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) Northern Life Care Limited T/A U.B.U. ****Post Vacant**** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: 43 Harlow Moor Drive is registered to provide accommodation and personal care for six adults with learning disabilities. The home is situated in a residential area of Harrogate close to the town centre and overlooking the Valley Gardens. It is a large Victorian terrace house converted for its present use. 43 Harlow Moor Drive is owned by UBU formally known as Northern Life Care. Harlow Moor Drive (43) DS0000007879.V277045.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 2.5 hours including preparation time. The inspection concentrated on checking standards not assessed at the previous inspection which was mainly checking records about staff training, recruitment and health and safety matters. This report should be read in conjunction with the report from the previous inspection carried out on 27th June 2005. What the service does well: 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. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The process for admitting new service users includes carrying out an assessment of need. EVIDENCE: There has been one new admission since the last inspection. This service user lived in another UBU service and was well known to service users and staff at 43 Harlow Moor Drive. However, the admission procedure was followed and getting to know you assessments were completed, along with a review of service specifications. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Service users’ personal and healthcare support is provided appropriately and sensitively. EVIDENCE: Service users health needs are detailed in service user plans and medical information forms. Service users choose which GP they are registered with and specialist health care is accessible from the local learning disability team. Staff induction and training include the promotion of privacy and dignity. The policy for the storage and administration of medication provides good instruction to staff. All staff receive accredited training. Medication is stored securely. The practice of carrying individual medication to service users in a metal locked box is no longer required. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 11 It was noted that one service user had diabetes. And although not insulin dependant it could not be determined whether there was a risk of hyperglycaemia or hypoglycaemia. If a risk was present then appropriate risk assessments and staff guidance needs to be arranged. The standard with regard to death and dying was discussed with the manager and it was agreed that ageing, death and dying should be discussed in the context of service users lives and any specific wishes be recorded if discussed and appropriate. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users are safeguarded from abuse. Complaints are dealt with properly and in accordance with the home’s procedures. EVIDENCE: The record of complaints was looked at. Those complaint recorded had been dealt with properly and complainants were satisfied with the outcome of action taken. The record included complaints made by service users. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. Staff receive training in adult protection issues during induction and foundation training and as part of NVQ level 2 and 3. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Service users receive support from staff who are properly recruited and vetted. EVIDENCE: Staff recruitment procedures include the completion of an application and formal interview. Appropriate checks are made prior to an offer of employment and two written references are obtained. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42. The views of service users and their representatives are obtained and included as part of the home’s quality assurance system. Staff take proper precautions to ensure the health and safety of service users. EVIDENCE: The home has a formal quality assurance system called Continuous Quality Improvements. This includes details about improvements to be made over a 12-month period and progress is monitored closely. Identified areas for action include staff training, environment and service users targeted ambitions. The main source of input is from staff who work in the home and service users who complete a survey questionnaire. Service users are currently supported by staff in the home to complete these surveys but negotiations for the local advocacy scheme to undertake this support is being negotiated for the future. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 16 Records were seen which confirmed that equipment is maintained; gas and electricity supplies in the home are safe and serviced appropriately. Fire detection and fire fighting equipment is tested and maintained regularly. Accidents are recorded and analysed. Staff receive training with regard to all health and safety matters and although some are out of date updates have been arranged in the near future. The health and safety matter raised at the previous inspection with regard to pigeons has been resolved. Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 3 x x 3 x x 3 x Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 18 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 YA24 Regulation Requirement Timescale for action 27/09/05 13(4)(a) A risk assessment must be 23(2)(b)(o) completed and window restricors reduced to prevent pigeons entering the first floor rear bedroom. The top floor rear bedroom needs redecoration, repairs to the door frame and new carpet. The manager must complete an audit for repairs and redecoration thorughout the home. The uneven paving in the back yard must be repaired RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Harlow Moor Drive (43) DS0000007879.V277045.R01.S.doc Version 5.1 Page 20 - 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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