Inspection on 06/04/09 for Harry Booth House

This inspection was carried out on 6th April 2009.

CQC found this care home to be providing an Adequate service.

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

Harry Booth House 15/04/08

Harry Booth House 16/04/07

Harry Booth House 03/01/06

Harry Booth House 19/07/05

Harry Booth House 20/01/05

Harry Booth House 10/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Harry Booth House 2 Atha Crescent Beeston Leeds LS11 7BD Lead Inspector Caroline Long Key Unannounced Inspection 6th April 2009 09:00 DS0000033228.V374925.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 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.V374925.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 people over the age of 65 years who require personal care. Four of the forty beds are used for respite care and the home’s registration allows for one person with a disability to be accommodated. Nursing care is not provided but the home is supported by local health care services. Accommodation is over two floors, in single rooms with en-suite facilities. There is a passenger lift giving access to the first floor. Information about the service is available in the form of a statement of purpose and service user guide. These documents are reviewed regularly to make sure that the information is up to date and on request can be provided in Braille and different languages. On the 6th April 2009 the fees ranged from a minimum of £14.70 per night to a maximum of £510.30 per week. Additional charges are made for chiropody, hairdressing and toiletries. More up to date information about fees can be obtained from the home along with copies of previous inspection reports. The home has a no smoking policy. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. This is what we used to write this report: · · · · We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire (AQAA). We sent surveys to people living in the home, to the staff and to health professionals. Three staff surveys were returned. One inspector visited the home unannounced. This visit lasted over six hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. We spent time talking with people who live in the home and their relatives. We looked at four people’s care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. · · · We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: People are given enough information about the home before they move in. Someone from the home visits them and they are offered the opportunity to visit Harry Booth House for a look around and to ask questions about how the Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 6 service is delivered. This enables them to make an informed decision as to whether the home is the right place for them to live. People told us they liked the home and made many very positive comments about living at Harry Booth House. Comments made were: I like the company. The staff are very good. Cannot fault the staff at all, they are very good, excellent. The good thing is the consistency of the staff. Staff are wonderful and friendly, lovely place. Harry Booth House is a clean and very comfortable place for people to live. The training staff have means they understand about what people need are and this helps to make sure people are treated safely and properly. A good choice of food and drinks are available. This ensures that people receive a varied and nutritious diet. One person spoken to said, ‘The food is very good’. Visitors are encouraged and made welcome. What has improved since the last inspection? What they could do better: The number of staff and organisation of staff both during the day and at night must be reviewed to make sure people are safe and their needs are met. To help minimise the risks to both the people who live in the home and staff where a risk is identified a risk assessment must be in place. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 7 To prevent peoples health care needs being overlooked the registered manager needs to prioritise the completion of the review of the care plans. There must be enough staff in the dining room to help people eat in a dignified way. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 8 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.V374925.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standard 3 only. People are provided with the information they need to make a decision about whether Harry Booth House is the right place for them to live EVIDENCE: In the Annual Quality Assessment Questionnaire the registered manager told us the statement of purpose and the service user guide is provided to people and is provided in multiple formats, such as Braille and pictorial. Also they are reviewed twice yearly or when any changes occur. We found all this information is displayed around Harry Booth House. Harry Booth House is a residential home, which provides personal care. It offers a permanent home for up to thirty-six older people and a place for four Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 10 people to stay temporarily when they are ill or cannot manage at home because their main carers are away. The registered manager explained that many people who stay temporarily often choose to return to the home to live permanently. For other people the registered manager told us following a full assessment of their needs by the social services care manager a referral is made to Leeds Social Services to go on a waiting list for Harry Booth House. This initial referral is very detailed and contains information about people and what kind of service they would like, it also includes information about ethnicity and religious observation. Once a place becomes available the registered manager will visit people and carry out the homes own needs assessment, this helps them to identify compatibility issues and makes sure the right staff are employed to meet the persons needs. People are then invited to visit the service. How the service is progressing is kept under review and usually after a six week settling in period a review is held to confirm people are happy with the arrangements and want to stay at Harry Booth House. We looked at peoples records who had recently moved into Harry Booth House and found some people had moved in after coming to stay at the home temporarily. For others there were social service easy care assessments that had been received before the person moved in and a brief assessment carried out by the home. However we did find the homes assessment lacked detail and some of the information from the easy care assessment had not formed part of peoples care plans. However the combined social services assessments are detailed enough to enable the registered manager to decide whether the home had the equipment and skills necessary to look after the person properly. Two people who lived in the home confirmed their needs were met and described the home as excellent. One relative told us about how their relative had come to stay in the home and had been provided with enough information and had stayed for six weeks before a decision had been made by everyone that it was the best place for them to live. The staff records showed and staff confirmed they had the necessary training to enable them to look after people properly. When a home is registered with us we ask them to provide us with a category for people who move in, such as older people or people with disability or with dementia and the number they will admit in each category. Harry Booth House is registered to provide care to older people only. When people move into a home the assessment looks at their primary needs for moving into the home, such as do they have dementia or do they require personal care because they are unable to manage. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 11 When we talked to relatives at Harry Booth House we found two believed their relatives had moved in because they had dementia. We discussed this with the registered manager and the principal unit manager who both explained this was not the primary reason they were admitted. However the management should always be confident their assessment shows fully what the persons primary needs for admission are, as the home should only admit people in the correct registration category and admitting people outside of the homes registration can affect the care other people in the home receive. The home does not provide intermediate care. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 7, 8, 9 and 10. People’s health and personal care needs are met and generally people are receiving good outcomes but because care records do not always reflect this there is always the risk of needs being overlooked. EVIDENCE: People made very positive comments about the home and relatives asked to speak to us so they could let us know how much they liked and appreciated the home, everyone told us people do receive the care and support they need. Positive comments made were: Very happy here. Think it is nicest, one of the best. It is lovely and clean. People are all well looked after. I like the company. The staff are very good. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 13 People living in the home said staff respected their privacy and dignity. They were able to give examples as to how staff did this. Staff were observed providing support in a kind and helpful manner and people were clean and dressed in co-ordinating clothes. Three relatives confirmed this was always the case. Four peoples care records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. At the previous inspection we asked for people to have a care plan that gives staff clear instructions on how to meet all aspects of the person’s needs. The care plan must be kept under review and wherever possible people must be involved and included in the review process. We found the home had developed a new care plan record and ways to make sure they involved people and had reviewed the way they record information in half of the care plans. For the others they had introduced a monthly paper review, which would ensure staff looked at peoples needs. The ones, which had been reviewed did have more detailed information about peoples preferences and how they would wanted their care to be provided, especially their personal care. However the care records did not contain some risk assessments and essential information about peoples health care needs such as nutrition, behaviour, and mobility and some of these issues had been identified at the previous inspection Examples of these were: • • • • Mobility assessments were not always recorded. Risk assessments were generic and did not reflect peoples needs. Where a persons assessment identified a mental illness this was not part of the care plan. Where a person had lost weight since coming into the home there was nothing to show how or whether this had been identified and acted upon. We discussed this with the registered manager and the principal unit manager who agreed they needed to identify and look at peoples specific needs so they could consistently provide them with the health care they need and help reduce any possible risks. However peoples needs are generally met and the staff are fully aware of peoples care needs and personal preferences and are proactive about identifying any changes and consulting with health professionals. Also when questioned staff were able to confirm they were assessing any risks to people and regularly making sure that the person was safe. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 14 The home has a named worker system, this is where a person is allocated a specific worker who can get to know their needs better and carry out personal tasks. Two relatives told us how good their relatives key workers were. People told us their health care needs are generally promoted. The records showed people were accessing health care professionals, such as General Practitioners, Chiropodists, and District Nurses. The relatives also said people receive the medical support they need. Although one person did say they had requested a change of General Practitioner but this had not happened. There is a medication procedure to guide staff practice and training is provided on safe storage, administration and disposal of medicines. A monitored dosage system is used and the registered manager explained there were systems in place to monitor the medication and to check the correct amounts were given. However we did see that medication was administered whilst people had both their lunch and tea. The staff need to be aware some medication should not be taken with food and also the taste of medication may not be pleasant for people when they are eating. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 12, 13, 14 and 15. People living at the home are able to make choices about their lifestyle and have recreational activities that meet their needs, however the number of staff sometimes compromises this. EVIDENCE: We were told the administrator arranges for the care staff or entertainers to carry out a plan of activities for people living at Harry Booth House. When we visited people were watching a film in the afternoon and chocolate bingo was planned for the evening. Other activities on the notice boards were films, hairdresser, and ball games. Other events and trips were Easter chocolate, the Twilight girls, St Chads tea party, Nintendo WII tournament, ice cream, pub lunch, shopping to Owlcottes, and visits to Roundhay park and the Armouries. Families and friends are invited to some of these events. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 16 A relative told us how their relative was offered a church service regularly and taken out to the shops. Also the registered manager in the annual assessment questionnaire tells us that the local priest, the Salvation Army and Evangelistic congregation visit on a regular basis. However we found a mixed response from people about whether there were enough activities, one person explained there were a lot advertised but often they did not happen because of lack of staff. Two relatives also said there could be more activities. Also on the day we able to see that the staff did not have the time to talk to people unless there was a task to be carried out. Staff also confirmed that it could be difficult to carry out the activities sometimes due to numbers. People told us the staff supports them to live the life they choose, this was also confirmed by the relatives. They told us they could sit in communal lounges or spend time in their rooms and can rise and retire as they wish. One person enjoyed listening to loud music on their CD. Residents meetings take place regularly a copy of the minutes shows that lifestyle issues are discussed and agreed upon by the people living at Harry Booth House The atmosphere at the home was very calm and relaxed. Visitors told us how they were made very welcome by the staff and were kept well informed. One explained how they were always made to feel welcome and offered a cup of tea. The gardens have been changed and two people told us they are looking forward to using the new seating areas during the summer. People told us the meals were very good and we were able to see the sausage or lamb casserole was presented in an appealing way. Tables were set with tablecloths, cutlery, salt and pepper pots and vegetables were served in tureens. Also where a person needed a soft diet the vegetables and meat were purified separately. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 16 and 17 only. People are able to express their concerns and are safeguarded from harm. EVIDENCE: People living at Harry Booth House told us they feel able to make their views known if they have any concerns or complaints. The procedure is displayed around the home and there is a suggestions box in reception. There are regular meetings where people can make their views known. The registered manager explained any minor concerns are investigated and resolved within the home. The principle unit manager following Leeds Social Services Complaints procedure investigates more serious concerns. There has been one complaint since the last inspection, and we could see this had been investigated and resolved by the principle unit manager. The annual quality assessment questionnaire tells us people are encouraged to use the local advocacy service if they have any concerns. Discussion with the registered manager showed she was aware of the actions to take to safeguard adults and had recently reported an incident to the Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 18 safeguarding adults team. Staff confirmed they have received training in adult protection and safeguarding issues either during induction or as part of their national vocational qualifications and three staff spoken with are aware of whom to alert if an incident occurred. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 19 and 26. The home is decorated and furnished to a good standard and provides a comfortable, safe and very pleasant place for people to live. EVIDENCE: People told us the home has had many improvements over the last year to make it a more comfortable place for people to live. People said their rooms were clean, and comfortable, they liked them and they have been decorated and furnished to their personal interests and tastes. All the bedrooms are en-suite. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 20 We found some refurbishment has taken place, for instance some of the bathrooms have been updated, new beds and duvet covers and bedroom furniture and carpets have been purchased. Also various parts of the home have been redecorated. The garden area has been improved and there is now a pleasant seating area for people to use. All the relatives commented on how the building had improved over 2008. The annual assessment questionnaire tells us all repairs are reported immediately, lighting and heating is maintained and replaced as required. Also that monthly health and safety testing is carried out. The laundry service has been reviewed and changed and people told us that they have a good laundry service that takes away their clothes and returns them all clean and ironed each day. At the previous inspection we said domestic staff must wear protective clothing when cleaning toilets, spillages and coming into contact with bodily waste. We found the domestic staff were wearing gloves and aprons and the principle unit manager explained all had attended infection control training and she had recently held a meeting to reinforce hygiene control issues. We found the home was clean and comfortable and both people who live at Harry Booth House and their relatives told us this was always the case. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 27, 28, 29 and 30. Staff are competent and trained to carry out their role however peoples needs are not always met due to inadequate numbers of staff. EVIDENCE: At the previous inspection we asked the home to make sure there was enough staff on duty at all times in all parts of the home. We found there is a established staff team who told us they worked well together and were willing to put in extra effort to make sure peoples needs were met. Mostly people made very positive comments about them telling us they were kind, helpful and caring. Two relatives praised their relatives key workers. However we found a mixed response to whether there was enough staff to meet everyones needs. The home has up to forty residents, the annual quality assessment questionnaire tells us thirty-four need help with washing and bathing, twenty-six need help with dressing and undressing and twenty have dementia. Two staff told us there is enough staff and they work well together, two others told us they struggle to meet peoples social needs and Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 22 generally do not have time to sit and talk to people. Two relatives told us there are not enough staff sometimes or the staff were very busy. We found the home is very big it has a number of lounges and seating areas and bedrooms are on two floors. We saw one person who had dementia was left alone in a lounge for most of the morning and did not see any staff. We also saw the reviewing of the care plans and risk assessments had not been completed and there was a lack of staff to help people in the dining room. We also found there had been twenty-one falls in January ten had been at night and four had been when there were only four staff working. We looked at the rotas and talked to the staff and found there generally only four care staff during the day and two on a night. Given the needs of the people living at the home and the layout of the building these staffing levels are not sufficient to care for people safely. This is especially concerning at night when there are twenty people with dementia, some of who may walk around the home. This information shows us during the day the number and organisation of staff must be reviewed to make sure peoples needs are met. Also on a night two care staff are not enough to care for people safely. It is the providers responsibility to ensure at all times suitably qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for the health and welfare of people living there. There is an induction programme in place that ensures new staff members are given the right information to be able to do their jobs well. Three staff told us they receive the training they need to provide people with the care they need examples they gave us were dementia, moving and handling, food hygiene, dementia. The annual quality assessment questionnaire states over half of the staff have their National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. Staff told us they received regular supervision and appraisals from their manager. The registered manager told us that no one new had started in the home since the last inspection; therefore we were unable to look at the records of staff that had started work in the home since the last inspection. However the registered manager told us she is involved in the recruitment procedure and would always make sure that the necessary checks are made. She explained there is a CRB in place for everyone and these are reviewed every three years. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 23 The previous report also evidenced proper pre-employment checks had taken place. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 24 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 31,33, 35 and 39. Although the home is generally managed in peoples best interests however there are improvements which must be made to be sure people have consistently good outcomes EVIDENCE: The registered manager is an experienced manager and has worked at the home for seven years and runs the home to meet the needs of the people who live there. There have been many positive comments about the management of the home from people living at Harry Booth House, relatives and staff most felt the management were responsive to the peoples needs. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 25 However we were disappointed to find the slow progress the home was making in resolving some of the important issues found at the last inspection. The AQAA contains, clear, relevant information which is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA is accurately and fully completed. The registered manager asks for peoples opinions annually and meetings are held regularly where people can make their views known, so the home can be run the way people living in it want it. The response to the questionnaires are collated, any suggestions recorded and any actions needed acted upon. The registered manager told us for people who want home to look after their money for them, all transactions are recorded, and receipts are kept and the money is held in a locked cabinet. The principal unit manager checks the system regularly. Staff spoken to confirm they receive regular supervision and most feel fully supported by the management. However one person did tell us they did not get support from the management and information was not passed on. The annual quality assessment questionnaire states the maintenance and service records are in order. The fire safety procedures were in place and these showed equipment was maintained and staff have received the appropriate training. Accidents are recorded and reviewed by the registered manager to identify and resolve any potential risks. Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 26 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 2 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 X X 3 Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 27 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 Standard OP8 Regulation 13 Requirement Where a risk is identified a risk assessment must be in place. This is to help minimise the risks to both the people who live in the home and staff. Staffing levels and how staff are deployed during th eday must be reviewed and action taken to make sure that people’s needs are fully met. Staffing levels must be increased on a night. This is to make sure that the safety of people living at the home are safe and receive the care they need. Timescale for action 01/05/09 2. OP27 18 01/05/09 3 OP27 18 01/05/09 Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 28 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 OP3 Good Practice Recommendations Information such as where the assessment took place, who was involved in the process and who provided the information should be recorded. This will make sure that the home’s pre-assessment has taken into account the views of all concerned and that it can meet people’s needs. To prevent peoples health care needs being overlooked the registered manager needs to prioritise the completion of the review of the care plans. A review of everyones daily life and activities should be carried out to make sure any activities are tailored to reflect peoples individual needs. You need to review the staff to be confident there is enough staff in the dining room to help people eat in a dignified manner. 2 3 3 OP7 OP12 OP15 Harry Booth House DS0000033228.V374925.R01.S.doc Version 5.2 Page 29 Care Quality Commission Yorkshire and Humberside Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.northeastern@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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