Inspection on 27/06/07 for Harvelin Park

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Harvelin Park 15/02/06

Similar services:

Larch Avenue

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 Harvelin Park 2 Harvelin Park Lee Bottom Road Todmorden Lancashire OL14 6HX Lead Inspector Steve Marsh Key Unannounced Inspection 27th June 2007 10:30 Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 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.V333560.R01.S.doc Version 5.2 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.V333560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harvelin Park Address 2 Harvelin Park Lee Bottom Road Todmorden Lancashire OL14 6HX 01706 839888 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 Mrs Mavis Florence Turner Care Home 6 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Harvelin Park offers personal as well as social care and support for younger adults with a learning disability. The home is an attractive bungalow set in a peaceful area of the Calder Valley. A permanent home is offered to six 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 individuals to take part in recreational activities of their choice. The home is currently being completely refurbished and a new extension has been built which is causing some disruption to the day-to-day running of the service. However, the manager and staff are trying hard to minimise the disruption to people and maintain a safe environment while the work is in progress. 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 of the property. Charges for the service currently range from £344.27 to £645.95 per week. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between the hours of 10:30 am and 5:00 pm. The purpose of this inspection was to make sure the home was being run for the benefit of the people who live there and in accordance with statutory requirements and regulations. The methods I used included looking at records, watching staff at work, talking to people that live at the home, talking with staff and looking around the property. I also had the opportunity to have a discussion with the mother of one person living at the home who visits on a regular basis and who also helps out in a voluntary capacity. In addition, the Registered Manager had completed a pre-inspection questionnaire and the information provided has also been used as evidence in the body of the report. What the service does well: The home is well managed and the manager provides good leadership to the staff team and makes sure people’s rights are protected. The staff team have a caring attitude and have a good understanding of the needs of the people in their care. The manager and staff create a warm and friendly atmosphere, treat everyone as individuals and, wherever possible, provide care and support in line with their wishes. The admission procedure is thorough and the manager will not admit a person unless she feels they are compatible with people already living there and staff can provide the level of care/support they require. People are supported in making decisions about their daily lives and are encouraged to participate in activities outside the home so they feel a valued member of society. The home has established good working relationships with other healthcare professionals which makes sure that the people’s healthcare needs are met. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 6 Wherever possible, people are encouraged to maintain strong links with family and friends so they do not become isolated. People that were able said that they enjoyed living at the home and that the staff were kind and caring. 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. The summary of this inspection report can be made available in other formats on request. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 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.V333560.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives are provided with sufficient information to enable them to make an informed decision about the home. The admission procedure is thorough and relatives can be sure that people will not be admitted unless staff are able to meet their needs. EVIDENCE: The manager confirmed that there have been no changes to the home’s Statement of Purpose and Service User Guide since the last inspection visit. The manager confirmed that the home had not admitted a new person for several years. However, following the refurbishment of the property, there will be a permanent long stay vacancy. It is important to the manager that when a new person is admitted he/she is compatible with the people already living at the home and will benefit from living in a family environment. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 9 The assessment and admission procedure will therefore be thorough and include the person making several visits to the home and having at least one overnight stay before admission. The manager confirmed that people offered a place at the home are always supported throughout the admission process and care is taken to make sure they settle in to their new environment. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records provide accurate and up to date information, which means that people receive the level of support and care they require to meet their health, personal and social care needs. EVIDENCE: Care plans are in place for all people and cover all aspects of their health and social care. The manager confirmed that care plans are reviewed on a regular basis and accurately reflect the current level of care and/or support required by the individual. There is evidence to show that people living at the home and/or their relatives are involved in the care planning process, which is good practice. The care plans reviewed were person centred and gave clear guidance to the staff on how needs were to be met, while still encouraging people to be as independent as possible within the limitations of their disability. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 11 The plans also include the action taken to minimise any identified risks, which may limit the person’s freedom of choice or affect their quality of life. Through discussions with staff, and observations during the day of the visit, it is apparent that people living at the home are encouraged to take control of their life and makes as many decisions and choices as possible. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are encouraged and supported to participate in a range of activities which helps to improve their quality of life. The home responds to individual needs and choices and encourages people to exercise control over their daily lives. EVIDENCE: The daily routines of the home are based around the needs of the people living there and the staff team have a flexible approach to work practices. Rotas are organised in such a way that additional staff are on duty at times when people need support in accessing social and leisure activities in the community. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 13 The manager confirmed that no person living at the home has the capacity to seek paid employment although two people attend a local college. One person took great pleasure in showing me her college workbook. Through discussion with staff, it is apparent that they make sure that people living at the home lead a full and active life and are always looking at ways of providing them with new experiences and opportunities. The manager confirmed that a recent holiday had been a success and had given people the opportunity to develop their social skills, mix with people who do not have a disability and generally have fun. People are encouraged to maintain strong links with family and friends, so they don’t feel isolated and are able to receive visitors in the privacy of their own rooms. During the course of the day, I had the opportunity to have a discussion with a relative who was visiting but who also helps out at the home as a voluntary worker. The lady confirmed that the people living at the home have a very good quality of life and every effort is made to provide them with a wide range of educational, social and leisure activities. Throughout the day of the visit, staff were observed to interact well with the people in their care and, in return, people were relaxed and clearly felt comfortable in their presence. The home does not employ a cook therefore it is the responsibility of the care staff to provide people with a varied and balanced diet and promote healthy eating. The care plans identify the individuals’ preferred choices of meals and any special dietary requirements, which makes sure that people’s wishes are taken into consideration when menus are planned. The manager confirmed that mealtimes are unhurried and people needing support or prompting to eat their meals are helped in a discreet and sensitive manner. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Records and reports about the people’s welfare show that their healthcare needs are met, and personal care is provided in a discreet and sensitive manner. EVIDENCE: During conversations with staff it was evident that they had a good understanding of the individual needs of the people in their care and respected their right to privacy and dignity. Staff said that the daily routines at the home were flexible and people are encouraged to be as independent as possible and make informed decisions and choices about their daily lives. The care plans looked at identified how people prefer to have their personal care provide and included information about what time they wished to get up and dressed and whether they preferred a bath or shower. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 15 All people living at the home are registered with a general practitioner and have access to the full range of NHS services. The manager confirmed that people are supported by staff in accessing healthcare services, and they accompany them on visits to see their general practitioner or when attending outpatient appointments. The input of other healthcare workers is recorded and shows that staff are seeking professional help if they have any concerns. The home continues to use a monitored dosage system of administering medication (blister pack), which is securely stored on the premises. On reviewing the medication system no concerns were raised which indicates that people are receiving their medication as prescribed. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough complaint and adult protection policies and procedures make sure that individuals are listened to and protected from any form of abuse. EVIDENCE: There is a clear complaints procedure in place and a relative spoken to said that she would have no problems about approaching the manager if she had any concerns about the standard of care being provided. No complaints have been received since the last inspection visit. Adult protection policies and procedures are in place and staff are aware of what to do if they felt any practices were not in the best interest of people using the service. The manager and staff have received adult protection training as part of their National Vocational Qualification (NVQ) Award. However, it is recommended that the manager and staff also attend a recognised training course to update their skills and knowledge base in this area of work. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The refurbishment is being completed to a high standard and, once finished, will provide people with a pleasant and comfortable home in which to live. EVIDENCE: The home is currently being completely refurbished and a new extension has been built, which is causing some disruption to the day-to-day running of the service. However, the manager and staff are trying hard to minimise the disruption to people and maintain a safe environment while the work is in progress. Staff are also trying hard to maintain standards of hygiene and cleanliness throughout the home during this very difficult period. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 18 The manager was advised to contact the Commission for Social Care Registration Unit to discuss registering the new extension to the property, which includes a bedroom and communal areas. Externally, work is ongoing at the rear of the property to provide a spacious patio area with raised flowerbeds and seating for people to enjoy during the summer months. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People that use the service are protected by a thorough staff recruitment and selection procedures. There is a commitment to staff training and to ensuring that people receive the standard of care they require. EVIDENCE: Staff recruitment and selection procedures are thorough and include a formal interview, the taking up of two written references and a Criminal Record Bureau check before a new member of staff starts work. The home has a small but well established staff team that are committed to ensuring the people living at the home receive the best possible quality of care and support. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 20 Staff training continues to be encouraged at the home and all staff have achieved a National Vocational Qualification (NVQ) at level two or above, which is commendable. Staff spoken with said that the level and quality of training provided is good and confirmed that the home is committed to having a trained and competent workforce. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run and the manager provides good leadership to the staff team and makes sure that the rights of people living at the home are protected and their needs are met in line with their care plan. EVIDENCE: Mrs Mavis Turner the Registered Provider/Manager of the home has many years’ experience in the caring profession and has achieved a National Vocational Qualification (NVQ) at level four in management and care. Staff said that the manager had an open and approachable management style and listened to their views and opinion on how they felt the service could be improved. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 22 Quality assurance monitoring systems are in place and, in August 2006, a survey questionnaire was sent out to relatives and healthcare professionals to make sure the home was meeting stated aims and objectives. No negative comments were received. The relatives spoken with also confirmed that the manager and staff listen to the views and opinions of the people living at the home, which made them feel valued. Policies and procedures are in place to ensure the health and safety of people living at the home, visitors and staff, and are reviewed on a regular basis to ensure they comply with present legislation. Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 23 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 3 2 3 3 X 4 3 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 4 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 3 X X 3 X Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 24 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. 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 YA23 Good Practice Recommendations Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Harvelin Park DS0000064191.V333560.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!