This inspection was carried out on 3rd 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Harry Booth House 2 Atha Crescent Beeston Leeds LS11 7BD Lead Inspector
Michael Smithson Unannounced Inspection 3rd January 2006 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 Harry Booth House DS0000033228.V271736.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 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 DS0000033228.V271736.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Harry Booth House Address 2 Atha Crescent Beeston Leeds LS11 7BD 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) 0113 2760672 Leeds City Council Department of Social Services Mrs Michelle Haunch Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (1) of places Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 19th July 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 to 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 DS0000033228.V271736.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the morning and early afternoon of the 3rd January 2006. This was the second and final visit for this inspection year. The first inspection was announced and took place in July 2005. Copies of reports for this and previous inspections are available either from the home or on the CSCI website. This inspection focused mainly on the environment. However time was spent looking at a sample of care records and chatting to service users. What the service does well: What has improved since the last inspection?
Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 6 The details of complaints investigated are now all to be kept on the premises. 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 DS0000033228.V271736.R01.S.doc Version 5.0 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 Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 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 the following 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 and includes introductory visits. EVIDENCE: The statement of purpose and service user guide remain the same as supplied at registration. The information is due to be reviewed in the near future. Information regarding the levels of care provided are made available to service users and relatives. The admission procedure includes an introductory visit to the home by both the service user and their relatives The records for the last 2 admissions to the home were checked. The records included detailed assessments completed by the referring agency. The information provided forms the basis of the details included in the care plans. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 and 9. The health and personal care needs of service users are well met by the staff at the home. The care records were accurate and kept up to date. EVIDENCE: The care records for 2 service users were seen during the inspection. The information held was very well recorded. Detailed assessments had been completed and care plans produced. The care plans reflect the needs of service users and were regularly updated by the allocated key workers. The care plans had been signed by the service users to confirm they had been involved in their completion. The care plans were reviewed 6 weekly initially and then every 6 months. The service users and family were involved in the reviews. Detailed health care assessments were completed including a manual handling and nutritional assessment. A detailed record was kept of the service users weight. A medication check was undertaken during the inspection. A monitored dosage system is used at the home. All the drug administration records were kept up
Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 10 to date and the medication spot checked was in order. A small number of service users self medicate, however it tends to be inhalers. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 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 the following standard(s): 12. Harry Booth House provides a good range of activities geared to both individuals and small groups. EVIDENCE: A number of activities were taking place during the inspection. Some service users were in their bedrooms watching the television or reading the papers. A small group were in one of the small lounges doing keep fit exercises with a member of staff. The service users spoken to said they enjoyed the Christmas festivities and a number spent the day with family. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 12 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): 16. A robust adult protection and complaints policy and procedure ensures that service users are listened to and are protected from abuse. EVIDENCE: The only requirement made at the last inspection was for all the complaints investigation to be kept at the home. This has been actioned by the manager. One complaint had been made since the last inspection and this is being investigated. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 13 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): 19, 20, 21, 22, 23, 24, 25 and 26. The premises are very well maintained and are safe. Good levels of specialist equipment ensure that independence is maintained and service users needs are met. EVIDENCE: The premises were maintained to a good standard of hygiene and cleanliness. The standards of decoration in the service user bedrooms does vary, however there are plans to refurbish a number of rooms in the New Year. All the bedrooms are single rooms with en-suite facilities. The home is split into 4 separate units with each having a separate lounge area. The unit on the first floor has a separate small kitchen and dining area. The remaining service users use the main dinning room. Adequate toilets and bathrooms are available and a good variety of lifting aids are provided. All the bathrooms and toilets are linked to the emergency call system
Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 14 A small number of minor repairs were noted during the inspection these include tiles missing from 2 of the bathrooms and a number of light bulbs need replacing. The manager was aware of the work required. A shaft lift links the ground and first floors, however it had broken on the day of the inspection. The manager had made arrangements to have the lift repaired Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 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 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): 27. The staff numbers are adequate and good levels of training are provided. EVIDENCE: The home continues to make good progress in achieving the required 50 NVQ level 2 qualified care staff. Eleven care staff have now completed and 2 are on fast track training. Two of the care officers are due to start NVQ level 3. The staff numbers were adequate. Two vacancies for a member of care and domestic staff have been filled and are awaiting CRB checks. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 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 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, 35 and 36. The home is very well managed and service user are encouraged to contribute to the day to day running of the home. EVIDENCE: The home is very well managed by the manager and senior care team. The manager is currently undertaking NVQ level 4. A programme of individual staff supervision is in place. The manager and the senior staff team undertake the individual supervision sessions. The service users and relatives are involved in the decision making process. They are consulted on their own care requirements and the day to day running of the home. Regular service user meetings are held and minutes are kept of the meetings.
Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 17 Personal allowances are held on behalf of service users. Detailed records are kept of income, expenditure and balance held. A spot check of 2 of the monies held were checked and were in order. Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 18 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X X Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 19 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. 1. 2. Standard OP19 OP22 Regulation Reg 23 Reg 23 Requirement The tiles missing in the en-suites in bedrooms 1 and 22 must be replaced. The shaft lift must be repaired. Timescale for action 01/03/06 03/01/06 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 Harry Booth House DS0000033228.V271736.R01.S.doc Version 5.0 Page 20 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 DS0000033228.V271736.R01.S.doc Version 5.0 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
