Inspection on 01/12/06 for Hawkstone House

This inspection was carried out on 1st December 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hawkstone House 09/07/07

Hawkstone House 27/07/06

Hawkstone House 14/03/06

Hawkstone House 22/11/05

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 09/07/2008.

CARE HOME ADULTS 18-65 Hawkstone House Shann Lane Keighley West Yorkshire BD20 6NA Lead Inspector Cheryl Stovin Key Unannounced Inspection 1 and 6th December 2006 10:00 st Hawkstone House DS0000064324.V321033.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 Hawkstone House DS0000064324.V321033.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. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawkstone House Address Shann Lane Keighley West Yorkshire BD20 6NA 01535 609122 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) Isand Ltd Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2006 Brief Description of the Service: Hawkstone House is large detached house standing in its own grounds. Its proximity to Keighley town centre gives easy access to shopping, transport links and leisure facilities. The home now provides accommodation for 10 adult service users with learning disabilities who require significant support in daily living and may present with challenging behaviour. All the bedrooms are singles with 5 being en-suite. A large dining and separate lounge area are provided in the main building. A further dining area, lounge and small kitchen are available in the new extension. Service users would be in the age range 18 to 65 and of mixed gender. Service users weekly charge is subject to the level of care required. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a Key Inspection. This included an unannounced visit to Hawkstone House on 1st December2006 by one inspector over a period of 7 hours, a follow up visit was made on 6th December. During these visit discussions were held with service users, relatives and staff, records were examined and all areas of the home were seen. In addition to this visit comment cards were sent out to the service users to give people an opportunity to share their views of the service with CSCI. At the time of writing this report no replies had been received. This was the second key inspection of Hawkstone House, the previous key inspection was undertaken on 27th and 28th July 2006. No additional visits have been made to the home. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk What the service does well: The home has a relaxed and homely atmosphere with service users and staff working together as a team. Service users are encouraged to assist with a wide range of tasks and daily living activities. This includes cooking, cleaning their rooms, and shopping. The service users live active and varied lives and participate in a wide range of community social and recreational activities. Service users are encouraged to contribute to the decision making process and their views influence the way the home is run. Service users all contribute to drawing up their detailed care plans which ensures that their needs are met in accordance with their wishes. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 6 The staff team are motivated and relationships between staff and service users are relaxed and friendly. There are sufficient staff on duty at any time to enable impromptu activities and outings to take place. The home is well maintained throughout and is furnished and decorated to a good standard. All bedrooms are single and the majority are highly personalised reflecting their occupant’s interests and hobbies. 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. Hawkstone House DS0000064324.V321033.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 Hawkstone House DS0000064324.V321033.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, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive information about the home in a format that meets their communication needs. Service users are assessed before moving in to make sure the home can meet their needs. All service users have a statement of terms and conditions. EVIDENCE: The home has produced a statement of purpose and service user guide which details the services and facilities provided by the home. This document is now available in a audio format to meet the communication needs of the service users. The audio tape is at present produced in the English language, however, work is on-going to make it available in Punjabi. All service users have an individual statement of terms and conditions, a copy of which is held on file and in their rooms. The weekly charge is subject to an individual assessment of need. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 9 All service users are assessed prior to admission and an interim care plan produced. Service users are encouraged to visit the home several times before moving in to give them an opportunity to meet the staff and fellow residents, and to sample the daily routine in the home. Hawkstone House DS0000064324.V321033.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are thoroughly assessed and the home has a good approach to promoting the service users health care. Service users’ make decisions about their lives and are fully involved in the day to day running of the home. EVIDENCE: The case records of five service users were looked at and were found to contain very detailed and holistic assessments. A ‘know me, understand me and support me’ document is completed in conjunction with the service user. Completion of this document, which is kept by the service user, forms the basis for the individuals care plan. At previous inspections it was felt that care Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 11 plans needed to improve to make them more ‘user friendly’ Considerable effort has been made by the acting manager and senior staff to improve the standard of care planning in the home. One of the care plans seen was for a service user with specific cultural needs, the needs were identified and the care plan gave clear information as to how these needs are to be met. Detailed risk assessments are in place which are reviewed on a regular basis. Service users are encouraged to participate in the day to day running of the home and join in all activities of daily living. Staff and service users appeared to be working together as a team, and regular service user meetings influence the way the home is run. Hawkstone House DS0000064324.V321033.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 good. This judgement has been made using available evidence including a visit to this service. Daily routines within the home are flexible to enable the service users to follow their preferred lifestyle. A wide range of social and recreational activities are enjoyed by the service users, who make use of a wide range of local community facilities. Service users are encouraged and enabled to maintain contact with family and friends. A varied and nutritious diet is taken by the service users. EVIDENCE: The atmosphere within the home was noted to be relaxed and homely The service users live active and varied lives. On the day of the visit some service users were out at an art class, others were baking and others playing Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 13 board games. One service user enjoys looking after the home’s rabbit and guinea pig. Service users make use of a wide range of community social and recreational activities and regularly visit theatres, cinemas and pubs. One service user is a member of a dominoes team at a local pub. Service users said that they enjoyed living at Hawkstone House, one service user said “we have fun here”, another said “the staff are great” and another “the best time of my life”. Regular service user meetings are held which genuinely influence the way the home is run. A service user types up the minutes and all residents get a copy. On the afternoon of the visit a party was being held for two members of staff leaving the home to transfer to another home within the company. One service user made a speech he had prepared and presented flowers to the departing staff, this is good evidence of the service users and staff working together as a team. Service users are encouraged to maintain contact with family and friends, details of family birthdays and other special occasions are recorded and service users are helped to mark these. Visitors were seen to be warmly welcomed into the home, and they confirmed that this was always the case. Service users said that they enjoy their meals, the menu’s are planned weekly by the service users and staff. There is always a choice available. The service users assist in the preparation of meals and in the washing up and clearing up afterwards. Hawkstone House DS0000064324.V321033.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. Service users personal and health care support needs are met and support is given in accordance with their wishes. Medication practices within the home are generally safe, however, care should be taken to ensure that stocks of medication to be taken as required are recorded accurately. EVIDENCE: Service users personal and physical and emotional health care support needs are assessed and form part of their plan of care. All personal care is given in private and in accordance with the service users preferences. Service users physical and psychological health care needs are assessed and detailed in their personal support plan. A recognised health care monitoring document the ‘OK Health Check’ is completed for each service user and a health action plan completed. Service users cultural needs are assessed and plans drawn up, in conjunction with the service user, to ensure that these needs are met. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 15 Medication policies and procedures have recently been revised and medication practices in the home are generally safe. A local pharmacy supplies the medication in individual blister packs. The stocks of medication are securely and appropriately stored. Staff responsible for administering medication have received training. Medication administration records were accurately completed and reconciled with stocks held. Stocks of PRN (when required) medication were also checked, and although it was recorded when the medication had been given, no running total was recorded. This made it difficult for an accurate stock check to be carried out. This was identified during the first visit. On the second visit an audit of PRN medication had taken place and a running total was entered on to the medication administration record, which made it possible to undertake a stock check. Hawkstone House DS0000064324.V321033.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are acted upon. Service users’ are protected from abuse and neglect. EVIDENCE: The home holds a complaints procedure which is made available to all service users. The procedure to follow is included in the audio and written versions of the service user guide. A complaints log is kept which showed that one complaint had been received since the last inspection. Details of the complaint made and the outcome were recorded. Staff have received adult protection training and are aware of the procedure to follow if they suspect or witness abuse happening. An allegation of abuse in the home has recently been investigated, and the allegation has been handled appropriately, with all the relevant professionals involved. Hawkstone House DS0000064324.V321033.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, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, clean and well maintained environment. Service users bedrooms and communal areas meet their needs. EVIDENCE: The home is situated in a residential area of Keighley within easy reach of the town centre. A full tour of the building was undertaken which showed that the home is well maintained throughout. All service users have single bedrooms which were seen to be well furnished and equipped, with the majority being highly personalised reflecting their occupants’ interests and hobbies. All bedroom doors are fitted with locks and a lockable facility is provided for service users to keep their belongings safe. Communal areas are spacious and comfortable and furnished in a contemporary style to suit the needs of the service users. The home was noted to be clean and hygienic throughout. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 18 Well maintained gardens and patio areas are provided, which can be used for those service users wishing to smoke. There are two kitchens in the home, one in the annex and one in the main part of the building. Both kitchens are well equipped and maintained to a good standard of hygiene. Service users are encouraged to use the kitchens, with staff supervision if required, to encourage their independence skills. The laundry facilities are well equipped and comply with regulations. Service users are encouraged, wherever possible, to undertake their own laundry tasks. Hawkstone House DS0000064324.V321033.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): 31, 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed in sufficient numbers to meet the needs of the service users. Service users are protected by the home’s robust recruitment practices. EVIDENCE: From records examined and following observation and discussion during the inspection sufficient staff are deployed to meet the needs of the service users. There is one team leader and six support workers on duty, plus the manager, during day time hours and two waking night staff. The staff team work flexibly to meet the social and recreational needs of the service users. The staff appeared to work together as a team and relationships with service users were observed to be relaxed and friendly, with appropriate use of informality and humour. One service user described the staff as “very good” and another “the staff are great”. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 20 The staff rota is in the process of being produced with photographs of staff on it to enable service users with reading difficulties to identify which members of staff are on duty. There is a commitment to staff training in the home with all staff required to undertake training to LDAF (Learning Disability Award Framework) specification. There is an induction training programme in place, and mandatory training for staff includes, restraint and control, fire awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication (for senior staff). One member of staff completing his first week of work at the home said that he felt he had received sufficient training and supervision during the week. He said he was looking forward to the second week of his induction programme. There is a programme of NVQ training in the home. Only one member of staff, however, have completed the award. A further four are working towards the award. The acting manager was reminded of the requirement that 50 of care staff must be qualified to NVQ II or equivalent. The staff recruitment files of three recently appointed support workers were seen. All of the files contained CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) disclosures. Two written references, an application form and proof of identity were also in place. Service users are actively involved in the recruitment process. Hawkstone House DS0000064324.V321033.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, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well run and managed service. Service users health and welfare are protected by the homes health and safety practices. EVIDENCE: Since the last inspection the previous assistant manager has been appointed as manager of the home. The acting manager is experienced and qualified and has completed NVQ IV in care and the NVQ IV Registered Managers Award. An application must be made to the CSCI to be registered as manager of the home. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 22 The acting manager has implemented many new systems and working practices since being appointed, which have enhanced the standard of care given to the service users. Record keeping systems have especially been strengthened. An open and positive atmosphere is prevalent in the home with service users and staff being encouraged to contribute to the decision making process. All service users have their own bank accounts and new financial procedures have been implemented. Each service user has an individual bank sheet which details each withdrawal. Service user cash cards are securely stored and are signed for by the member of staff supporting the service user to draw cash. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. A formal quality monitoring system is now in place and service users, relatives and health and social care professionals were recently consulted as to their views on the service provided. The results of the survey have been published and the results were very positive. Some service users have had several previous placements and the survey confirmed that Hawkstone House is able to meet their needs. Hawkstone House DS0000064324.V321033.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 x 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 2 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 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 3 3 x 3 3 x Hawkstone House DS0000064324.V321033.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. 1 Standard YA37 Regulation 9 Requirement The manager must submit a completed application form to register as manager of the service. 50 of the care staff must be qualified to NVQ II or equivalent. Timescale for action 31/01/07 2 YA32 18 31/12/07 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 YA20 Good Practice Recommendations A record must be kept of the totals of as required medication held. Hawkstone House DS0000064324.V321033.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Hawkstone House DS0000064324.V321033.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!