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Inspection on 19/07/05 for Harry Booth House

Also see our care home review for Harry Booth House for more information

This inspection was carried out on 19th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The building offers all service users a single room and en-suite facilities. The areas seen during the inspection were decorated to a good standard and were kept clean. A number of small communal areas are available which offer service users choice and privacy. The atmosphere at the home was very friendly and supportive. A good relationship was noted between the service users and the staff members. Service users felt confident to approach staff with questions and to ask for assistance. Staff were aware of the need to maintain privacy and dignity. A good range of choices was offered at mealtimes and throughout the day. Service users were free to use all areas of the home and some choose to stay in their bedrooms. An excellent range of activities is offered. These are organised both in small groups and one to one. Service users are consulted as to the range of activities offered and feedback regarding their success is sought. The home is well managed and staff have the opportunity to contribute to the decision making process. Regular staff meetings and individual supervision is provided. The service user records were found to be accurate and kept up to date. They provided a good picture of individual needs and help monitor any progress or deterioration.

What has improved since the last inspection?

Two requirements were made at the last inspection. Both have now been completed. The respite care records have been improved and the shower room on the ground floor has been refurbished.

What the care home could do better:

Details of the complaint investigations and any correspondence must be kept on the premises and available for inspection.

CARE HOMES FOR OLDER PEOPLE Harry Booth House 2 Atha Crescent Beeston Leeds LS11 7BD Lead Inspector Michael Smithson Announced 10 am. 19 July 2005 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. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Harry Booth House Address 2 Atha Crescent, Beeston, Leeds LS11 7BD 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) 0113 2760672 Leeds City Council, Department of Social Services Mrs Michelle Haunch Care home only 40 Category(ies) of Old age (40), Physical disability (1) registration, with number of places Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 January 2005 Brief Description of the Service: Harry Booth House is located not far from Elland Road football ground and is situated off Dewsbury Road. There are a number of small shops close by and good public transport links Leeds and Wakefield.The home can accommodate up to forty service users over the age of 65 years who require personal care. Four of the forty beds are used for respite care and registration allows for one service user who may be disabled to be accommodated. Nursing care is not provided but the home is supported by local health care services. All service users are accommodated in single bedrooms that have en suite facilities. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over the morning and early afternoon of the 19/07/05. This was the first of 2 visits for this inspection year. The second will be an unannounced visit. Copies of this and previous inspection reports are available either from the home or the CSCI website. The views of service users and relatives were sought as part of the inspection. Comment cards were returned prior to the inspection and discussions took place with many service users and 2 relatives on the day of the inspection. The feedback provided from both was very positive. They felt the staff team was very committed and enthusiastic and the care where of a very high standard. What the service does well: The building offers all service users a single room and en-suite facilities. The areas seen during the inspection were decorated to a good standard and were kept clean. A number of small communal areas are available which offer service users choice and privacy. The atmosphere at the home was very friendly and supportive. A good relationship was noted between the service users and the staff members. Service users felt confident to approach staff with questions and to ask for assistance. Staff were aware of the need to maintain privacy and dignity. A good range of choices was offered at mealtimes and throughout the day. Service users were free to use all areas of the home and some choose to stay in their bedrooms. An excellent range of activities is offered. These are organised both in small groups and one to one. Service users are consulted as to the range of activities offered and feedback regarding their success is sought. The home is well managed and staff have the opportunity to contribute to the decision making process. Regular staff meetings and individual supervision is provided. The service user records were found to be accurate and kept up to date. They provided a good picture of individual needs and help monitor any progress or deterioration. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 6 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. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5. Service users are provided with information to enable them to make an informed choice about the home. The admission process is good which includes introductory visits. EVIDENCE: A detailed statement of purpose and service user guide is available. The information is regularly reviewed and up dated. They provide useful information for service users, relatives and placing agents. All service users are provided with a copy of the terms and conditions of residency. A pre-admission assessment is completed by the placing social worker. Service users are offered the opportunity to visit the home either for the day or an overnight stay prior to admission. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 9 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, 10 and 11. The personal care records are very informative and provide information regarding progress or deterioration. The health and personal care needs of service users are well met by the staff at the home. EVIDENCE: The records for 4 service users were assessed during the inspection. Two were for long stay service users and 2 for respite. The long stay records were very well recorded and kept up to date. Detailed pre-admission assessments were completed and a care plan produced. The care plans are up dated monthly by the key workers. The service users are encouraged to sign the care plans to confirm involvement. Health care assessments and monitoring are available including, falls assessment, nutrition and manual handling. The respite records include a special assessment format for both respite and emergency admissions. Any special needs identified are then included in a detailed risk assessment. The information is regularly updated. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 10 A policy and procedure are available for care of the dying and the funeral wishes of service users are recorded in the care plans. Service users were treated with dignity and respect. Staff were observed knocking on bedroom doors before entering and service users were addressed by their preferred name. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 11 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) 12, 13, 14 and 15. Harry Booth House provides an excellent range of activities geared to both individuals and small groups. Service users are provided with a high level of choice. EVIDENCE: An excellent range of activities is offered for service users. These include, outings, shopping trips, games, quizzes and visiting entertainers. The service users are consulted regarding the activities offered and feedback is sought to determine their success. A fulltime activity organiser is employed and the care staff assists. The inspector joined the service users for lunch. There are 2 sittings organised and service users are free to choose which they attend. Copies of the menus are on display. A very good choice is offered at all meals. The lunch tends to be a snack with the main meal provided in the evening. The feedback regarding the meals was very positive. A number of relative comment cards were returned prior to the inspection. Two relatives were present during the inspection. The feedback provided was very positive and complimentary. Relatives are free to visit at anytime and felt they Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 12 were kept well informed of any changes, incidents and illness. One relative was particularly happy with the flexibility of the use of the respite beds. She was often able to ring up to book a bed at short notice, which helped her to continue to care for her mother at home. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 13 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, 17 and 18 The adult protection and complaints policy and procedure ensures that service users are listened to and are protected from abuse. The recording outcomes of complaint investigations needs to be improved. EVIDENCE: Detailed adult protection information is provided and is available to the staff team. Training regarding adult protection has been included for the staff team. All complaints are included in the complaints register. However they do not all include the details of the investigation and any response letters. This information is completed, but needs to be kept on the premises and available for inspection. Service users are included on the electoral register and have the opportunity to vote. Information regarding the advocacy service is also available. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 14 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) Not assessed. EVIDENCE: A building inspection was not undertaken during this visit. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 15 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, 29 and 30. The staffing levels were adequate to meet the needs of the service users. A very good level of training has been provided to ensure staff had appropriate skills to meet their needs. EVIDENCE: The staff team is experienced and has remained stable. Good levels of training are provided. This includes, induction and foundation training. Nine of the 21 care staff have completed National Vocational Qualification (NVQ) 2, four are in the process of completion and 5 are due to commence in the near future. Individual staff training records are available and are kept up to date. The recruitment records were checked for 2 staff recently employed. All the required information was available including: job applications, 2 references and a Criminal Records Bureau (CRB) check. Two staff were interviewed during the inspection. They showed a very good knowledge of the home and the needs of service users. They felt able to contribute to the day to day running of the home and the decision making process. They also felt very well supported by the senior staff team. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 16 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) 31, 32, 36 and 37. The home is very well run and staff are involved in the decision making process. EVIDENCE: The manager and the senior team are all knowledgeable and experienced. The registered manger has obtained the Registered Managers Award. The senior staff takes on specific responsibilities within the home. Regular staff meetings are held and individual supervision and appraisals are undertaken. The line manager for the home undertakes the Regulation 37 monthly visits and records of the visits are available for inspection. All the records seen were accurate and kept up to date. Safe storage is provided for confidential information. Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 17 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 x x x 4 3 x Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 18 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 OP16 Regulation Reg 22 Requirement Copies of complaint investigations and any correspondence must be held on the premises and available for inspection. Timescale for action Immediate 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. 1. Refer to Standard Good Practice Recommendations Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Harry Booth House 20050705 S33228 Harry Booth House V230458 Stage 4.doc Version 1.30 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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