CARE HOME ADULTS 18-65
Harvelin Park 2 Harvelin Park Lee Bottom Road Todmorden Lancashire OL14 6HX Lead Inspector
Liz Cuddington Unannounced Inspection 15th February 2006 15:15 Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 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 Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Harvelin Park Address 2 Harvelin Park Lee Bottom Road Todmorden Lancashire OL14 6HX 01706 817809 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) Mrs Mavis Florence Turner Care Home 6 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Harvelin Park offers personal as well as social care and support for younger adults with a learning disability. The house is an attractive bungalow set in a peaceful area of the Calder Valley. A permanent home is offered to five young men and women. The people who live at Harvelin Park are able to attend employment and/or day services and support is available for service users to take part in recreational activities of their choice. Each service user has a single bedroom and the communal areas of the house are well furnished and comfortable. The gardens are attractive and safe and have recently been improved. There is plenty of level space for garden furniture and a ramp gives easy access from the back door. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. This was the second inspection and it was unannounced. There have been no further visits to the home until this inspection. One inspector carried out the inspection, which took place over two days, and spent around three hours at the home. The purpose of this inspection was to assess the home against a predetermined selection of the National Minimum Standards for Adults aged 18-65 years. The methods used included conversations with three residents, three staff, the owner, examination of records, a partial tour of the house and a look at the garden. This was a short inspection to assess the remaining four key standards, which must be inspected during the year. The other key standards were assessed at the last inspection in August 2005. One good practice recommendation has been made following this inspection. Once again this was a good inspection, reflecting the commitment to offering a high quality support and care service to the ladies and gentlemen who live at Harvelin Park. I would like to thank everyone who lives and works at Harvelin Park for taking the time to talk to me and for their welcome and hospitality during the inspection. What the service does well: What has improved since the last inspection?
Service users are now attending college, taking courses in subjects which interest them, such as art and cookery. Some people also have part-time work. Improved work and recreational opportunities are helping the service users to lead more fulfilled and interesting lives. Everything they do is a result of their own decisions and preferences. Two people now help out at a stables and swimming is another activity which some people are enjoying.
Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 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. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 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 Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 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): Standard 2 was assessed in August 2005. None of the other standards were assessed at this inspection. EVIDENCE: Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 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): 7 Standards 6 & 9 were assessed in August 2005. None of the other standards were assessed at this inspection. Service users are supported by trained and skilled staff to make individual choices about their lives, including work, education and leisure activities. EVIDENCE: The manager and staff have recently taken a ‘Person Centred Planning’ training course which, they tell me, has helped them support service users to make their own choices and to lead more fulfilled lives. Service users are attending college courses in subjects including art, computing and cookery. Part-time work has been found for one of the people who lives at Harvelin Park. He told me how pleased he was about his new job. One service user has an advocate who is involved in his life, as well as advocating for him when needed. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 10 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): Standards 12, 13, 14, 15, 16 & 17 were assessed in August 2005. None of the other standards were assessed at this inspection. EVIDENCE: Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 11 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): Standards 18, 19 & 20 were assessed in August 2005. None of the other standards were assessed at this inspection. EVIDENCE: Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 12 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 Standard 23 was assessed in August 2005. The home’s complaints policies and procedures are comprehensive and understood by staff. EVIDENCE: I looked at the home’s complaints procedure and discussed with a member of staff how a complaint from a service user, or one of their relatives or friends, would be handled. The procedure is clear and the member of staff understood how it worked. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 13 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): Standards 24, 25, 26 & 30 were assessed in August 2005. None of the other standards were assessed at this inspection. EVIDENCE: Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 14 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): 35 Standards 32, 33 & 34 were assessed in August 2005. None of the other standards were assessed at this inspection. The staff are well trained and have opportunities to take new and refresher training courses. EVIDENCE: All the staff who work at Harvelin Park have their own training file. Each member of staff has now completed a suitable National Vocational Qualification (NVQ) course. Training in medicines administration, moving and handling, health and safety, first aid at work and protection of vulnerable adults has been taken by all staff. They have also completed training in managing violence and aggression. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 15 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): 39 Standards 37 & 42 were assessed in August 2005. None of the other standards were assessed at this inspection. The quality assurance system needs further development to gain the views of other stakeholders. EVIDENCE: The home’s owner/manager has a development plan for the home and told me about her plans for the future. Service users and their relatives are consulted about what they would like to see the home offer to the people who live there. The owner is currently designing a new questionnaire for relatives and other people who regularly visit the home. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 16 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 X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Harvelin Park Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000064191.V261968.R01.S.doc Version 5.0 Page 17 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 YA39 Good Practice Recommendations The quality assurance system should be extended to include other stakeholders. Harvelin Park DS0000064191.V261968.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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