Inspection on 16/10/07 for Harper House

This inspection was carried out on 16th October 2007.

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.

Other inspections for this house

Harper House 24/10/06

Harper House 18/01/06

Harper House 02/08/05

Harper House 06/10/04

Harper House 21/06/04

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

CARE HOMES FOR OLDER PEOPLE Harper House 1 Moathouse Lane West Wednesfield Wolverhampton West Midlands WV11 3HB Lead Inspector Mike Moloney Key Unannounced Inspection 16th October 2007 10:00 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 Harper House DS0000059887.V347909.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. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harper House Address 1 Moathouse Lane West Wednesfield Wolverhampton West Midlands WV11 3HB 01902-731732 01902 731732 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 Julie Dawn Fraser Care Home 13 Category(ies) of Dementia (13), Mental disorder, excluding registration, with number learning disability or dementia (13), Old age, of places not falling within any other category (13) Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate a maximum of 13 Service Users The home may accommodate a maximum of 13 persons with mental disorder or dementia requiring personal care, the remainder being persons who are over 65 years who do not fall within any other category. The client group of MD Mental disorder is for adults aged 55 years and over. The home may accommodate one (1) Service User age 52 years under the MD category. 24th October 2006 3. 4. Date of last inspection Brief Description of the Service: Harper House, formerly known as Margaret House, was first registered as a care home in 1986. It provides care for thirteen people who have a mental disorder with the majority of the service users being over the age of 65. The home is a detached building which was adapted from terraced houses. It is situated one mile from the centre of Wednesfield and three miles from the centre of Wolverhampton. There are good public transport links. There are a number of local shops and public houses nearby. There is a small courtyard to the rear of the property. Further information is available in the home’s service user guide. The fees range from £315 per week to £420 per week. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. 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 Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Harper House DS0000059887.V347909.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 Harper House DS0000059887.V347909.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): 1, 2 and 3 Quality in this outcome area is good. Prospective residents and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the one person admitted to the home since the last inspection were looked at and these showed that the home had completed an assessment of that person to ensure that they could met her needs. This assessment had included information provided by the service user and her family. The records also contained a copy of a contract which identified what service could expect and what the cost would be. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 9 The home was also seen to have an up to date service users guide that was easily accessible to the residents. Harper House DS0000059887.V347909.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 excellent. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records of a number of individual service users showed that their care plans are reviewed on a monthly basis by the person’s key worker and the manager. The review is carried out against the individual issues identified within the care plans which was seen to have been altered as necessary. All of the service users said that they had filled out the ‘Getting to Know You’ documents referred to in the previous section and some had help from the staff or from their relatives. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 11 Through these documents they were able to tell those caring for them about their personal histories and included information about such things as their religion, their age, hobbies and interests as well as providing information about things such as being married, bereavements and where such people may be buried, what schools they attended and how well they thought they did, what help they liked with personal care and what assistance they might need whilst eating and drinking. The record also showed what name they liked to be known by. This, and other information gained by day to day experience had been used to develop the care plans for each individual. The files looked at also contained assessments of any risks to do with activities identified in the care plans and ways in which those risks could be reduced to an acceptable level. Talking with the service users as a group at lunch time established that they feel quite strongly that the manager and her staff team are very supportive as well as always being sensitive and polite. This confirmed what was seen throughout the inspection. Medication was seen to be stored in an appropriate locked cabinet within a locked cupboard. Medication records were seen to be properly maintained by the staff who confirmed that they receive the training to do so. Harper House DS0000059887.V347909.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. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection a number of people were spoken to and they talked about going out on a regular basis; some with staff support and others on their own. Places visited included the cinema, the betting shop and a local gym. The manager confirmed that the home has a vehicle that can be available to take people out if necessary. The residents also talked about a range of in-house activities that are arranged for them on a regular basis, karaoke being an example of this. Board games and jig-saw puzzles were also seen to be popular activities. All of these Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 13 activities were consistent with what had been identified as ‘likes’ within the individuals’ files. The service users also said that visits from their relatives are encouraged and this was evidenced in the daily records that were looked at. When talking about their bedrooms all of the service users insisted that, although each room had an appropriate lock, they did not want a key to it. Each person’s records said what their favourite foods were and what they disliked and all said that they liked the food that they were provided with and, indeed, the sausage, potatoes and gravy that were served during the inspection appeared to be very Past menus were looked at and it appeared that the service users were provided with a well balanced diet that was in keeping with the likes and dislikes identified on their files. The manager stated that none of the service users had any special dietary requirements at the time of the inspection. Harper House DS0000059887.V347909.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. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints book was looked at and no complaints had been received since last inspection. The complaints policy was also looked at and was seen to contain the appropriate information. A number of the service users spoken said that any issues that they had raised with the staff or the manager had been dealt with quickly and efficiently. No referrals had been made under the local vulnerable adults policies and procedures since the last inspection. Records seen showed that adult protection training for staff is ongoing. Harper House DS0000059887.V347909.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. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The décor in the lounge and dining rooms is modern and the furniture comfortable, both have modern style laminate flooring which service users said they like. There is a large widescreen television in the lounge that is very suitable for the size of the room. The bedrooms are clean and well furnished and have been personalised to each service users taste. Talking to some of the service users confirmed that they had been consulted about the décor in any recent redecorating. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 16 There is a separate shelter in the garden for those who wish to smoke. The smoking and outside areas have decking and there is outside furniture for the finer weather. The home has an appropriately equipped laundry room that also contains the store for hazardous materials. Harper House DS0000059887.V347909.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. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be polite, sensitive and friendly towards the service users with the residents spoken to during the visit saying that this was what they had come to expect. Staff rotas showed that staffing levels meet the needs of the service users. Service users said that staff are always available to help when they need them. The records showed that a variety of training courses are available to the staff on a variety of subjects from the basic mandatory safety training to medication and adult protection training. The staff confirmed that they are encouraged to undertake this training as well as to be part of the National Vocational Qualification training programme run by the home. Over 50 of the staff team are qualified to at least National Vocational Qualification level 2 in care. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 18 The home was seen to carry out appropriate pre-employment checks to ensure that new employees are fit to work with vulnerable people. New staff are then put through an induction programme that is designed for people who are new to the care industry. Harper House DS0000059887.V347909.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, 36 and 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that she has successfully completed the Registered Managers Award and is awaiting the arrival of the certificate that confirms this. The Registered Managers Award is a qualification that is considered appropriate for person who manages a service of this kind. Both the staff and the service users confirmed that the proprietor visits the home frequently to see how well they are doing. Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 20 Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. A variety of records that showed that the safety of the environment in which the service users live is monitored were seen and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, fire equipment test logs, hot water temperatures and the portable appliance test records. The home was also seen to have secure storage for hazardous materials and have developed instructions for their safe use. As mentioned elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. Harper House DS0000059887.V347909.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 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? no 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. Standard Regulation Requirement Timescale for action 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 Harper House DS0000059887.V347909.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE 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. 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