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Inspection on 27/06/05 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 27th June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Service users said that staff were kind and friendly and they helped them do the things they liked doing. Staff were friendly and kind towards service users. Staff gave support and reassurance in a discreet and sensitive way. Records kept about service users are good and had a lot of information that help staff look after people properly. Service users are encouraged to be as independent as possible and where there is a risk involved the correct people are consulted and a plan agreed.

What has improved since the last inspection?

The island unit in the kitchen has been taken out and the kitchen re decorated.

What the care home could do better:

Some areas of the home are in need of redecoration and repair.

CARE HOME ADULTS 18-65 Harlow Moor Drive (43) 43 Harlow Moor Drive Harrogate North Yorkshire HG2 0JY Lead Inspector Chris Taylor Unannounced 27 June 2005 11:30 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 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 Stationary 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) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 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 Ltd Mrs Jane Beverley Lancaster Care home only 6 Category(ies) of LD Learning disability (6) registration, with number of places Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01.03.05 Brief Description of the Service: 43 Harlow Moor Drive is registered to provide accomodation and personal care for six adults with learning disabilites. 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) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took four hours including preparation time. Time was spent observing staff and service users unpacking shopping and preparing and eating lunch. I talked to the manager, staff and service users, checked some records and looked around the home. 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) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 standard(s) none EVIDENCE: Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 standard(s) 6,7 and 9 Proper arrangements are made to make sure service users needs are assessed and met. EVIDENCE: Whilst staff were helping service users with the morning activities and lunch it was clear that staff knew individuals needs. They were able to reassure and assist them in a kind and sensitive manner. Service users’ plans are now kept on computer. They have information about everything staff need to know to look after them properly and safely. There were documents that listed any areas of risk for the service users with a plan to make it safer for service users to try new things and be as independent as possible. Staff said that they had good induction and foundation training which was relevant to their job. One service user said that she had a care plan and staff had talked to her about it. She said that she attended her review meetings. Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 standard(s) 12,13,15,16 and 17 Service users have full and active lives and are supported with their chosen life style. EVIDENCE: It was a busy morning with service users getting ready to go out. Staff and service users returned from doing the weekly shop. Service users helped to put the shopping away. Some people prepared their own lunch and staff helped others get theirs. Service users talked about the day services they attend and how they spend their leisure time. All of them said that staff ask them what they want to do through the day and how they wanted to spend their leisure time. They described a variety of day services some of which have a work ethos. They talked about going to the pub, church and using local amenities. They said that they knew people who worked at local shops and they were always friendly towards them. Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 10 Service user plans contained sections relating to service users leisure and daytime occupation preferences. Respecting service users is included in staff induction, training and supervision. The menus had lots of choice and variety. Staff said that they try and encourage healthy eating. Lunchtime was informal and service users and staff had the chance to sit and chat and catch up with what everyone was doing that day. Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 11 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 standard(s) none EVIDENCE: Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 standard(s) none EVIDENCE: Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 standard(s) 24 and 30 Service users live in a home that is clean and comfortable. EVIDENCE: A tour of the premises was made. There is a large kitchen, dining room and lounge. The island in the middle of the kitchen has been removed which makes it a much safer place. There are enough bathrooms and toilets but some need redecorating because they are looking shabby. Only two bedrooms were looked at with the service users’ permission. One of the bedrooms had the sash window open to such an extent that two pigeons had flown in. Staff said that the service user likes the pigeons because they talk to her. Staff have been concerned about the health and safety risk and I suggested that a risk assessment was carried out and the window opening is restricted to allow enough ventilation but stop the pigeons entering the room. The back yard has a bench and some pots filled with bedding plants. I asked service users about being able to sit out in the small back yard and they said they liked to but the paving was very uneven and difficult to walk on. The home was clean. Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users receive care and support from a well-trained staff team. EVIDENCE: One member of staff talked about her induction and foundation training. She said that it was very through and covered all aspects of the job, especially about supporting people with learning disabilities. She said that the support from her manager has been excellent and helped her to learn about the job and feel more confident. And she has to complete and provide evidence of competence in all areas before she can progress through her probationary period. Staff progress from induction to complete LDAF training and NVQ level 2 and 3. There was evidence that both UBU and the home’s manager is committed and promotes the value of having a well-trained staff team. UBU provide an annual programme of training which covers statutory health and safety and more specific topics such as loss and bereavement, challenging behaviours and recognising and dealing with abuse. Additionally training can be arranged externally, which is specific to the home or the needs of a person living there. Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) none EVIDENCE: Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harlow Moor Drive (43) Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 17 no 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 24 Regulation 13 (4) (a) 23(2)(b) (o) Requirement A risk assessment must be 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 Timescale for action 4 weeks 27/09/05 27/09/05 27.09.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Harlow Moor Drive (43) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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) J53-J04 S7879 Harlow Moor Drive V234195 270605 Stage 4.doc Version 1.30 Page 19 - 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. 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