Inspection on 02/08/05 for Harper House

This inspection was carried out on 2nd August 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 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 18/01/06

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 Michael Moloney Unannounced 2 August 2005 12.15 nd 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 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 E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 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 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 Harper Miss Gail Harper Care Home 13 Category(ies) of 13 Mental Disorder registration, with number 13 Old Age of places Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 13 Service Users. 2. The home may accommodate a maximum of 13 person with mental disorder requiring personal care, the remainder being persons who are over 65 years who do not fall within any other category. 3. The client group of MD Mental Disorder is for adults aged 55 years and over. Date of last inspection 6th October 2004 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 E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced, commenced at 12.15 and lasted 3 hours. Various files and documents were seen and discussions took place with the proprietor, the deputy manager and a number of the service users. Sadly, on the morning of the inspection one of the service users had passed away unexpectedly and this was clearly an emotional time for many in the home including the proprietor and her staff. Due to this it was thought appropriate to inspect the minimum number of standards and therefore make the visit less intrusive. What the service does well: What has improved since the last inspection?” it must be acknowledged the scale of the achievements themselves show that one of the things that the home does well is to respond quickly and positively to any changes that may be identified as necessary. What has improved since the last inspection? A great deal of work has been carried on the fabric of the building and the grounds since the last inspection. Some of this work is still ongoing but will clearly result in an improvement in the quality of life of the service users. As well as this the home has put a great deal of effort into identifying areas of shortfall in their service and have started to respond to their findings. 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 E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 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 standard(s) 3 The home has a thorough assessment procedure. EVIDENCE: One service user has been admitted to the home since the last inspection and talking to him and looking at the home’s records of the process showed that this was done in an effective way highlighting all of that persons needs and wants. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10 and 11 The personal and healthcare needs of the service users are met in a dignified and sensitive way with records of this being maintained to a high standard. EVIDENCE: By looking at the service users’ files it was clear that the home has an effective service user planning procedure that identifies the needs and wants of the individuals and sets goals so that achievements can be measured. The records also showed that progress against these goals is reviewed on a monthly basis giving the opportunity to modify them. Talking to the management and reading the files also showed that the service users have good access to any health-care professionals that they may need. The home has to manage the medication for the service users. The proprietor confirmed that the staff are being trained in the administration and storage of medication and it was clear from the records that the home’s policies and procedures were being followed ensuring that the right people get the correct medication at the right times. Throughout the visit the staff were seen to be treating the service users with dignity and respect and handling the sad circumstances of that day appropriately. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 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 standard(s) x EVIDENCE: None of the standards within this section were assessed on this occasion. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 16 and 18 The service users are protected from abuse. EVIDENCE: The home has a complaints procedure that complies with the law. Two issues have been raised since the last inspection. This had been investigated by the proprietor but only partially upheld. The home has a policy relating to the protection of vulnerable adults. No referrals have been necessary in relation to this since the last inspection. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19, 20, 21, 23, 24 and 26 The home is working hard towards providing a safe and pleasant environment for the service users. EVIDENCE: It was very evident that a great deal of work has been carried out around the building in recent months. The rear courtyard has been partly enclosed with glazing units and the whole of it has been ‘decked’. Inside much recent decorating was in evidence as was new carpeting, new nurse call systems, fire alarm and detection systems and building work to create fire escapes as well as alter and upgrade the bathing and toilet facilities. All of this can only enhance the quality of life of those who live at the home. The laundry facilities were also seen to be appropriate. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The home ensures that enough staff are available to carry out the service user plans. Those staff receive the necessary training but they have not been fully screened before being allowed to commence work with the service users. EVIDENCE: At the time of the visit the home was fully staffed both in the afternoon and in the morning. A lot of their time was seen to be spent working and talking with the service users who were all very complimentary about them. This is a well trained staff group who receive the appropriate training which includes induction training, NVQ training, the necessary safety training and other items of training that benefit the service users. The only issue relating to the staffing of the home is that recent recruits had been allowed to start work at the home without the correct Criminal Records Bureau approval. The proprietor appears to have been unaware that the system had changed and was still working to the old rules. Following the required procedure can only further enhance the safety of the service users. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The premises are maintained in a safe manner. EVIDENCE: Accident and fire prevention records were seen to be appropriately maintained and records showed and the manager confirmed that Portable Appliance Testing had taken place ensuring a safe environment for the service users. Although the standard regarding quality assurance were not fully assessed on this occasion it was seen that the home has recently undergone a full self assessment of its position in relation to the standards required of them. Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 15 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 29 Regulation 19(1) Requirement The home must obtain the appropriate clearances for staff before they are allowed to commence work with the srvice users. Timescale for action immediate 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 Harper House E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn 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 E56 E01 S59887 Harper House UAI V242737 020805 Stage 4.doc Version 1.40 Page 17 - 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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