Inspection on 30/08/05 for Harry Priestley House Residential Home

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Harry Priestley House... 30/05/07

Harry Priestley House... 14/02/06

Harry Priestley House... 16/03/05

Harry Priestley House... 27/07/04

Harry Priestley House... 06/08/02

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John Street Nursing Home

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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 30 August 2005 12:00. 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 Masonic Care Limited 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) Elizabeth Ellis Care home only 12 Category(ies) of Learning disability (12) registration, with number of places Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16-Mar-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 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over 5 hours where a partial tour of the building was undertaken. The inspector examined three residents care plans and supporting documentation. Four staff and eight residents was spoken to during the visit. Staff were 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: The home is well managed ensuring the safety and protection of residents. There is a stable staff group and a number have worked at the home for a good length of time. They spoke positively about their positions at the home. Staff have the necessary skills and have achieved awards in care. Staff are commended for achieving the required 50 NVQ qualified staff. Residents care plans are comprehensively written to ensure staff can deliver appropriate care to those who live at the home. A number of residents commented that the staff were very good, always willing to help and give support where needed. Six service user comment cards have been received following this inspection and they indicated the residents like living at the home and feel well cared for. One relative comment card received also stated that the staff at the home always provides sufficient information and that they are consulted about their relatives care. The facilities at the home are suitable to meet the needs of service users, including transport to enable leisure pursuits to be followed including trips out to visit places of interest. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 standard(s) 2 Residents are not admitted into the home without a full needs assessment taking place by the registered manager, to ensure their needs can be met. Procedures ensure that visits take place prior to any arranged stays at the home. EVIDENCE: Discussion with registered manager demonstrates that prospective residents are given the opportunity to visit the home on a number of occasions prior to making any decision about their stay. Prospective residents and their family are provided with an information pack, prior to making decisions about the home. It includes what residents can expect from the service, and about the staff and facilities provided at the home to assist in meeting care needs. Most residents have lived at the home for a number of years; three residents files examined demonstrated that assessments have taken place to ensure staff are able to meet complex care needs. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 standard(s) 6, 7, 8, 9 The home clearly promotes philosophies to enable residents to meet their full potential, with clear care plan instructions and comprehensive risk assessments to maximise their safety and protection. EVIDENCE: Three care plans were examined they contained sufficient information to enable staff to deliver the required care to residents. Care plans described information relating to health, personal hygiene, activities, relationships, behaviour and communication. One resident said she/he was able to lead a full and interesting life talking about trips to the local library and markets. Care plans are reviewed regularly by the keyworker and annual reviews take place to include family members and representatives from the placing authority. Residents are encouraged and supported to make decisions about all aspects of their life within the home; examples included social events and resident holidays and outings. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 10 Residents are encouraged to help with routines around the house, residents were observed laying the tables for tea and staff support residents to keep their bedrooms tidy. Risk management strategies had been identified and recorded in the individual plan. Action was taken to minimise identified risks. The plans evidenced that individual activities and choices were respected and supported within a risk management framework. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 standard(s) 12, 13, 14, 15, Where appropriate residents are encouraged and supported to develop independent living skills. Social and leisure activities are provided at the home for residents to maintain and develop interpersonal 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. EVIDENCE: Daily records examined demonstrated that residents are encouraged and supported to participate in leisure and educational activities. Residents were able to talk about college courses that they had attended, showing certificates of achievements. One resident has been able to develop computer skills and her/his bedroom is fitted with equipment to continue with developing those skills. Staff are currently supporting residents to choose and access new college courses when it resumes in September. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 12 One resident has successfully gained employment and another told how staff had helped to give the confidence to travel independently using local transport. Residents are encouraged and supported to maintain links with family members and spend time visiting either with support from staff or independently. Residents have recently had a holiday to Skegness and the manager described plans for the future with regard to vacations away from the home. One resident described a recent birthday she/he had celebrated where her/his family and friends had visited a local pub. A vehicle is available to ensure residents have access to transport for outings and trips to social groups. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 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 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 were referred to by their first name and this was with the approval of the residents. Staff have the necessary knowledge and skills to ensure appropriate intervention with regard to personal tasks are undertaken. There is a small staff group who operate a keyworker system, one resident said their keyworker was very good and she helped with tasks that she/he had difficulty with. The registered manager is able to make the necessary arrangements for dealing with health care issues, including doctors and hospital appointments. An audit of medication stocks and records was examined and were found to be correct. Staff who have responsibility for administering medication to residents have received accredited medication training provided by a local college, to ensure they have the necessary skills and knowledge to undertake this task. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 14 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 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. One resident said she/he would “tell her worker if she/he was upset about something”. 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. The registered manager ensures that all the necessary checks are carried out on new staff for the protection of vulnerable adults. The registered manager is aware of the POVA guidance and this was discussed with the Inspector. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 15 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 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 with colourful 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. One resident said that her/his bedroom had been recently decorated and she was able to choose the colour, her/his keyworker had also helped to choose new curtains Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35, 36 Staff have the necessary skills and knowledge to meet the needs of residents. There is an effective staff team with regular meetings and supervision ensures staff are kept informed about the services provided. Recruitment policies are followed ensuring the safety and protection of residents. 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. Staff have worked at the home for a good length of time and have good relationships with the residents. Residents said that the staff were very supportive and assisted them with tasks they found difficult. Staff said that they enjoyed working at the home and felt supported by their colleagues and the registered manager. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 17 Regular house meetings take place and residents are encouraged to attend these meeting. The inspector was able to examine the minuets from recent meetings held at the home. The registered manager was able to provide clear evidence that staff are recruited using the homes policies and procedures. Two staff file 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. A selection of supervision files was examined, and these were comprehensively completed, demonstrating training and development is a high priority. The home has recently 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 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 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. 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 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. Maintenance and service records examined were up to date and current to the services provided. Accident records were 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. Fire safety procedures are in place and service records were examined and were current. Harry Priestley House Residential Home 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harry Priestley House Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 20 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 21 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk 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 20053108 Harry Priestley X00023 UN Stage 4 S8011 V195207 J55.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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