Inspection on 14/02/06 for Harry Priestley House Residential Home

This inspection was carried out on 14th February 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.

Other inspections for this house

Harry Priestley House... 30/05/07

Harry Priestley House... 30/08/05

Harry Priestley House... 16/03/05

Harry Priestley House... 27/07/04

Harry Priestley House... 06/08/02

Similar services:

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Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Harry Priestley House Residential Home 30 Fieldside Thorne Doncaster DN8 4BD Lead Inspector Valerie Hoyle Unannounced Inspection 14th February 2006 11:30 Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 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 Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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 Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Harry Priestley House Residential Home Address 30 Fieldside Thorne Doncaster DN8 4BD 01405 814777 01405 814454 aellis@rmbi.org.uk 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) Masonic Care Limited Mrs Elizabeth Ann Ellis Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Harry Priestly House is a converted property in Thorne near Doncaster. Accommodation is provided on two floors. The house is in a residential street close to shops and community facilities. The home is registered for younger adults who have a learning disability. The home is registered for 12 service users. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection of this inspection year. (2005/06) This unannounced inspection was conducted over 5 hours where a partial tour of the building was undertaken. The inspector examined two residents care plans and supporting documentation. Three staff and six residents were spoken to during the visit. Staff was observed interacting with residents in a positive supportive manner, enabling them to participate in daily living skills. The registered manager assisted with the process while examining records, policies and procedures. What the service does well: What has improved since the last inspection? The staff at the home works hard to maintain and improve the quality of care provided to those who choose to live at the home, and meet all standards assessed at this inspection. The home exceeds the required standard in areas of enabling residents to make choices about their lives and gaining the views of residents Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 6 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 Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed at this inspection. EVIDENCE: There have been no new admissions of residents in Harry Priestley House since the previous inspection. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 The home continues to promote philosophies to enable residents (service users) to meet their full potential, with clear care plan instructions and comprehensive risk assessments to maximise their safety and protection. EVIDENCE: Two care plans examined reflected the individual needs of each resident. Specific information on the actions and responses required by staff to ensure identified needs were met were included. Each resident had a detailed skills programme, which outlined daily and weekly plans to develop service users communication, confidence and skills. They included information on many areas, such as: road safety, money awareness, shopping skills, eating skills, preparing snacks and meals, transport, and household tasks. The introduction of training days for residents was discussed with the registered manager she anticipates the days are to specifically focus on daily living skills. Care plans are reviewed regularly by the keyworker and annual reviews take place to include family members and representatives from the placing authority, and training centres. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 10 Comprehensive risk assessments were in place. The plans described where residents needed more support from staff to stay safe. Doncaster Advocacy Services are sometimes used to assist and support residents who may find it difficult to make decisions about their own lives. Evidence was seen to support their involvement in care plan records and quality assurance systems. Residents were happy to show the inspector their bedrooms where they had been involved in making decisions about colour schemes and choice of bedding and curtains. All rooms had evidence that residents were able to individualise their bedroom with posters of their favourite pop stars and pictures of family members. Regular house meetings are held to discuss issues relating to the running of the home and to agree activities. Minutes examined showed service users had been consulted about activities planned for holidays and outings, including swimming and bowling. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15, 16, 17 Social and leisure activities are provided at the home for residents, to maintain and develop independent living skills, supported by an informed staff group. Residents are helped to maintain links with family members, with weekend and evening visits, as agreed in their care plans. Dietary needs of residents are well catered for with a varied selection of food available that meets resident’s tastes and choices. EVIDENCE: Daily records examined demonstrated that residents are encouraged and supported to participate in leisure and educational activities. Residents were able to describe some of the activities that they were involved in while at training centres, while others said they enjoyed going to the library situated next to the home. Residents are encouraged to make choices about where they spend their holidays, and residents showed the inspector photographs of last years Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 12 summer holiday to Skegness. This year three separate holidays have been arranged to Cornwall and Norfolk staying in holiday cottages. The registered manager said that the three groups have been organised to ensure residents who like the livelier holiday go together while those who prefer a more relaxed holiday go together. Residents are encouraged and supported to maintain links with family members and spend time visiting either with support from staff or independently. Several residents spent time with their family over the Christmas period, and some also have additional holidays with their family. The home provides a well-balanced healthy diet, and the inspector was able to examine menus and observe lunch served at the home. The registered manager said residents who attend training centres usually have a cooked meal at lunchtime, and the home provides a variety of choices for both tea and supper. Staff was observed offering a number of choices for tea as residents returned from training centres. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Staff provides sensitive personal support to ensure privacy dignity and independence is maintained for all residents. Medication policies and procedures are well managed and staff have the necessary skills to administer the medication to residents, ensuring the safety and protection of residents. EVIDENCE: Residents are supported by staff, to meet their personal care needs, as recorded in their care plans. Residents said they enjoyed shopping for clothing and visiting the hairdresser supported by staff. Staff were observed interacting in a positive manner and referred to them by using their first names. Staff meets health care needs of residents and records examined showed that detailed records ensure continuity and consistency of treatment. The registered manager said she is in regular contact with the residents GP who is supportive, by regularly reviewing the health and welfare of residents. An audit of medication stocks and records was examined and were found to be correct. Staff have received accredited medication training provided by a local college, to ensure they have the necessary skills and knowledge to undertake Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 14 this task. Two new staff will attend the required training to administer medication when places are available. One resident is able to fully selfmedicate and another resident partially self-medicates with some support from staff. A risk assessment and contracts have been completed ensuring their safety and protection. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Residents are provided information to enable them to raise concerns about the home and their care. Adult Abuse Policies and procedures and training of staff on abuse ensures the protection of residents from abuse EVIDENCE: The home has a complaints procedure that is available to residents and visitors. The procedure is also referred to in the residents information pack, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. The registered manager has a copy of the Local Authorities Adult Protection procedures. They also have an Abuse Policy, which has been prepared by the registered providers and is incorporated into the homes policy and procedure manual. The registered manager reiterates the procedures at staff meetings and supervision and staff training files also confirms types of abuse and how to respond to any incidents. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 The home provides a well-maintained safe environment suitable for residents. The home provides a clean and hygienic environment to maintain the health and safety of residents. EVIDENCE: A partial tour of the building found it clean and free from odours. The home provides comfortable communal areas with two lounges, a kitchen and dining area. There is also a training kitchenette on the first floor where individuals are able to develop living skills. The grounds were tidy, and accessible to the residents, the rear gardens have been landscaped to include a patio area and borders. The home is close to all local amenities, and residents are able to walk to Thorne town centre. Individual bedrooms are personalised to resident’s own interests and hobbies and are furnished appropriately including music centres and televisions. Residents said they had chosen the colour scheme and soft furnishings and were happy to show their bedrooms to the inspector. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 Staff have the skills and knowledge to fulfil their roles within the home, and a stable staff group ensures continuity of care by staff that knows the service users. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: Staff are organised to ensure there are sufficient to meet the needs of residents who spend their time at the home during the day. Staffing is increased to ensure keyworkers can spend time working with individual residents, and to enable residents to attend leisure activities. Staff have the necessary skills and have achieved awards in care. Staff are commended for achieving the required 50 NVQ qualified staff. The organisation provides an incentive for staff to complete NVQ qualification, and the staff appear to be well motivated and happy in their positions. Staff have worked at the home for a good length of time and have good relationships with the residents. The registered manager was able to provide clear evidence that staff are recruited using the homes policies and procedures. Two staff files was examined and found they contained the required employment checks of two references and satisfactory CRB check, ensuring the safety and protection of residents. The registered manager said that residents are also involved in the recruitment of new staff, to ensure their views are included in the process. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 18 The home have been awarded a recognised kite mark for ‘Investors in People’, which demonstrates their commitment for developing the work force. Staff are commended for their efforts. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The home is well managed to ensure the safety and protection of the residents. Staff and residents follow health and safety procedures and records provide evidence of servicing of essential equipment. The registered provider is able to demonstrate that she actively seeks the views of residents. EVIDENCE: The registered manager has considerable experience and knowledge of the residents who have lived at Harry Priestley for a considerable length of time. The manager is working towards achieving the registered managers award and she is hoping to complete the training in the next two months. She has a clear job description and has control of the day-to-day running of the home. She has taken part in training that the staff have undertaken this year and has competed the NVQ assessors course. Quality assurance systems have been developed using a survey to gain the views of residents. Residents meetings are also used to ensure they play an active part in making decisions about how the home is run. Examination of Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 20 completed surveys and a yearly development plan was examined and demonstrates the organisation continues to provide a quality service for those who live and work at the home. Maintenance and service records examined were up to date and current to the services provided. Accident records are fully completed for both residents and staff and the manager carries out her own investigation. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 4 X X 3 X Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement Timescale for 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 YA37 Good Practice Recommendations The registered manager must achieve NVQ level 4 in 2005. Harry Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Priestley House Residential Home DS0000008011.V281547.R01.S.doc Version 5.1 Page 24 - 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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