Inspection on 10/11/05 for Harper House

This inspection was carried out on 10th November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harper House 16/02/07

Harper House 21/02/06

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

CARE HOME ADULTS 18-65 Harper House Harper House 2 Cathcart Road Stourbridge West Midlands DY8 3YZ Lead Inspector Christine Potter Unannounced Inspection 10th November 2005 11:30 Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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 Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harper House Address Harper House 2 Cathcart Road Stourbridge West Midlands DY8 3YZ 01902-416477 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) Miss Gail Louise Harper Mrs Nicola Stevens Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2005 Brief Description of the Service: Harper House is a large detached property, located in a residential area of Stourbridge. It is within close proximity of Stourbridge ring road. The location enables residents to access local amenities and facilities and also neighbouring towns. The home is registered to provide care for a maximum of five younger adults, all of whom have a varying degree of learning disability. There is a small drive to the front of the property and there is parking available on the road. There is a neat garden that is well maintained. The garden has mature shrubs and trees. There is a lounge and dining room on the ground floor. Resident’s bedrooms are all located on the first floor. The home offers two shared and one single occupancy rooms, which do not have en-suite facilities. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s unannounced which took place over four hours on the 10th November 2005 for part of the day. The inspection focused on the requirements from the last inspection, tour of the premises, care documentation and staff training records were reviewed. Since the last inspection the home has a new owner, and changed its service name. At the time of the visit two staff and one resident were at the home. The new owner and staff have worked hard to maintain and improve the standards. What the service does well: What has improved since the last inspection? Some improvements to the home, including a new boiler, a new fire alarm system and emergency lights. New furniture in the lounge and dining room. Security camara’s have been fitted. Policies and procedures have been updated since the last inspection. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 6 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. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 7 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 Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 8 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): 1,2,3,5 The home ensures that residents and prospective residents are provided with the information necessary to ensure that an informed decision about admission can be made EVIDENCE: Since the last inspection the home has updated their Statement of Purpose and service user’s guide. This is in a pictorial format to assist the residents in understanding the contents. No new residents have been admitted to the home since the last inspection. The new owner has developed a pre-admission policy to ensure that the residents’ needs can be met by the home. The owner is in process of updating the resident’s contracts and sharing this information with relatives. The resident spoken to was pleased with the home and the changes to the decoration and furniture, which have been completed. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 9 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): 6,7,8,9 The home ensures that residents are consulted on their changing needs and are supported to take risks. EVIDENCE: Three residents care records were reviewed during the inspection. The owner has reviewed all the care documentation since the last visit. The care records showed that appropriate risk assessments had been carried out and the records were being reviewed monthly. The need to reflect the residents’ history in more detail is recommended. Regular meetings were taking place between staff and residents, and the minutes show these centre around what residents want from the service. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 10 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): 11,12,13,14,15 and 17 Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: The menus have recently been updated and the residents had a meeting to discuss their likes and dislikes. All staff assist with the preparation and cooking of food. Given the residents tend to be out during the day the home have their cooked meal in the evening. All staff has food hygiene certificates. The resident in the home on the day of the visit stated that the food was nice. Drinks and snacks are available throughout the day and night. The residents’ meetings minutes recorded they were happy with the food. The owner has purchased a people carrier to improve the range of social activities available for the residents. Residents attend local day centres, shops, pubs and day trips. The care records show that residents are encouraged to maintain contact with families and friends. The owner has developed a good knowledge and understanding of the resident and their families and friends. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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 the following standard(s): 18,20 The health care needs of residents are identified, safeguarded and met. EVIDENCE: Individual plans of care are available, and progress has been made to ensure all aspects of health, personal and social care needs are identified and planned for. Discussions with staff confirmed they were aware of residents’ care needs; and how the care was to be provided. Medication was well managed. All staff have completed accredited training in medication. The home has purchased the latest copy of the B.N.F. this is commended. All medication records were appropriately completed. The District Nurse visits the home to administer an injection to one of the residents. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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 Complaints are handled objectively and residents are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: Since the new owner took over the registration of the home, one complaint was made via the CSCI. This was fully investigated and the owner co-operated fully with the investigation. Requirements from the investigation have been addressed by the home and the complaints policy has been updated. The owner has completed abuse training and staff sign to confirm they have read and understand the policy. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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): 24,25,27, and 30 The owner has invested money into the home to ensure a safe and comfortable environment for the residents. EVIDENCE: Since the new owner has taken over the home money has been spent to improve the environment and safety of the residents. A new boiler has been fitted. A new fire alarm system and emergency lighting fitted. Security cameras fitted. New furniture in lounge and dining room. New floor covering to lounge, dining room and bathroom. Given the owner is looking to convert the home to provide all residents with single en suite bedrooms, little has been done to the decoration. All areas of the home were clean and comfortable. The home should address the unguarded radiators to further protect residents. A legionella risk assessment has not been completed. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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): 31,34,35,36 Staffing levels and competencies are suitable to ensure that resident’s needs are identified and effectively met. EVIDENCE: At present the home is being managed on a temporary basis by the owner who is appropriately qualified. The home experienced staff difficulties when the new owner took over resulting in the loss of some staff. This appears to have stabilised and the number of staff on duty is two throughout the 24-hour day. Staff files examined showed that the home follow their recruitment policy. The owner is in the process of further developing a staff-training programme. No staff have completed NVQ awards in care. Learning Disability Award Framework training is being investigated for all staff to complete. The home should be able to demonstrate all training undertaken by all staff employed to work at the home. The home has yet to formalise their staff supervision programme. Supervision currently is not formalised. A staff meeting is to be held to allow staff to express their views about the home. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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): 37,40,42 There is clear leadership, guidance and direction to staff to ensure residents receive consistent care. EVIDENCE: The owner is clearly committed to improving the quality of life for the residents at Harper House. The changes completed in respect of health and safety and records are evident of this. The need to further develop the quality assurance for the home should be developed. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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 3 3 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 X 3 X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 2 3 X 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harper House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 2 X DS0000064200.V266355.R01.S.doc Version 5.0 Page 17 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 YA14 Regulation 12 Requirement The residents contracts are in the process of being updated and this should be shared with the resident and their family. Radiators must be guarded to protect the residents. The must ensure a legionella risk assessment is undertaken and the recommendations from this followed. The manager must pursue NVQ level 4 qualification. Formal supervision must be commenced for all staff. The home plans to further improve the home and redecorate as the plans progress. Could you please forward timescales of when the work is likely to commence. Care plans should clearly reflect the residents social and care needs, and how to achieve this. The information is available at the home and needs to be consolidated into one document. The results of the quality review audit should be included in the service user’s guide. Timescale for action 31/01/06 2 3 YA42 YA42 12 12 31/01/06 31/01/06 4 5 6 YA37 YA36 YA24 18 18 23 31/01/06 31/01/06 25/02/06 7 YA6 15 25/02/06 8 YA39 35 30/03/06 Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 18 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 YA35 Good Practice Recommendations The home should develop a staff training matrix for all staff working at the home. Harper House DS0000064200.V266355.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Harper House DS0000064200.V266355.R01.S.doc Version 5.0 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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