Inspection on 18/01/06 for Harper House

This inspection was carried out on 18th 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Harper House 16/10/07

Harper House 24/10/06

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 Unannounced Inspection 18th January 2006 09:30 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 Harper House DS0000059887.V267842.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 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.V267842.R01.S.doc Version 5.1 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 Miss Gail Louise Harper Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Old age, not falling within any of places other category (13) Harper House DS0000059887.V267842.R01.S.doc Version 5.1 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 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. 2nd August 2005 3. 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. Harper House DS0000059887.V267842.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 place over one and a half hours during the morning. Information was gained from documentation made available by the home, by discussions with the proprietors, the staff, the service users and by looking around the building. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. This home has a history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. 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. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 6 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.V267842.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards in this section were assessed at the inspection on 2nd August 2005 and were found to be satisfactory. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards in this section were assessed at the inspection on 2nd August 2005 and were found to be satisfactory. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The service users are able to take part in activities that they enjoy. They are also able to maintain contact with their families and friends where possible and to exercise choice and control over their lives appropriately. They also have a wholesome and balanced diet served at appropriate times. EVIDENCE: Talking with the service users, the staff and the manager confirmed that a variety of activities are arranged for each individual. All service users are free to come and go although there are some restrictions placed on some of the individuals for safety reasons and these are explained in their care plans. The care plans also identify where service users need to be encouraged to either come out of their rooms or the home to socialise more with specific goals being set for those concerned. These are reviewed on a monthly basis by the staff and more formally by the home on a six monthly basis. Talking with the service users also demonstrated that they are encouraged to make as many decisions for themselves as possible and the staff were heard making arrangements for them to be assisted in carrying out those Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 10 arrangements when necessary. A number of the service users spoke about their regular visits to or by friends and relatives. The service users were also very positive when they were asked about the meals, records of which are kept by the home. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards in this section were assessed at the inspection on 2nd August 2005 and were found to be satisfactory. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards in this section were assessed at the inspection on 2nd August 2005 and were found to be satisfactory. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 The enthusiastic staff team have yet to fully benefit from the training that is designed to help them meet the needs of the service users. EVIDENCE: Talking with the manager and looking at the staff training records established that the home is still working towards its target of having 50 of the staff qualified to NVQ2 having experienced some difficulties with their original training provider. No new staff have started at the home since the last inspection and therefore their recruitment procedures could not be reassessed. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 35 Although the home’s management structure is currently being changed it is still being managed in a safe and professional manner. EVIDENCE: The manager is currently preparing her application for registration with the Commission for Social Care Inspection. She reported that she has already started working towards her Registered Managers Award, the qualification appropriate for this position. The owner visits the home regularly and during this inspection the manager showed the format that they were about to start using to record the monthly visits that are required under the Care Homes Regulations 2001. The satisfaction surveys that were about to be sent out to service users and other interested parties were also seen. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 15 The home stores cash for the service users and the records used to record this were seen to be clear. Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 16 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 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 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 x 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? yes 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 OP29 Regulation 19(1) Requirement The home must obtain the appropriate clearances for staff before they are allowed to commence work with the service users. No new staff had started at the home since the last inspection therefore this requirement could not be reviewed on this occasion. 50 of the staff team must achieve NVQ2 or above Timescale for action 02/08/05 2 YA32 18(1)a 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Harper House DS0000059887.V267842.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 DS0000059887.V267842.R01.S.doc Version 5.1 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. 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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