Inspection on 01/02/06 for Hawthorn Street

This inspection was carried out on 1st February 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hawthorn Street 19/10/06

Hawthorn Street 14/11/05

Hawthorn Street 30/03/05

Hawthorn Street 12/01/05

Hawthorn Street 29/03/04

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 Hawthorn Street 2-4 Hawthorn Street Amisfield Road Hipperholme Halifax West Yorkshire HX3 8NZ Lead Inspector Lynda Jones Unannounced Inspection 1st February 2006 13:00 Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hawthorn Street Address 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) 2-4 Hawthorn Street Amisfield Road Hipperholme Halifax West Yorkshire HX3 8NZ 01422 203541 St Anne`s Community Services Mr Gerard Wainwright Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Hawthorn Street is a care home that is registered to provide care and support for seven adults with physical and learning disabilities. The home is owned and managed by St Anne’s Shelter and Housing Action. The home is in the Hipperholme area of Halifax. Local shops, a church, pub and other local amenities are within walking distance. The home can be easily accessed by public transport. Accommodation is provided in two semi detached houses. There is internal access to both houses at ground and first floor level. Large living and dining areas are provided in each house. All of the bedrooms are single; toilet and bathing facilities are located close to the bedrooms. The houses are surrounded by well-maintained, enclosed gardens. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk The last inspection of the home was unannounced and took place on 14 November 2005. There have been no further visits until this inspection. This was an unannounced inspection carried out by one inspector over a 3.15hour period. The main purpose of the inspection was to make sure that the home continues to provide a good standard of care for the people who live there. The methods used at this inspection included looking at care records & talking to service users, staff on duty and the manager. The findings of the inspection are positive. This is a well run home providing good quality care to the service users. As many of the standards were assessed at the last inspection this report should be considered in conjunction with the last inspection report. What the service does well: The home is well run; the opinions of staff are valued and encouraged by the manager. Service users receive good care and support from the staff team. The records show that people are assessed before they move into the home to make sure their needs can be met. The care plans are very good; they are well written and contain valuable information about service users life experiences. The plans are detailed and clearly show how each persons needs are to be met. There is evidence to show that these are regularly reviewed. The records relating to the healthcare needs of service users are good. Service users are encouraged to be as independent as possible and to make decisions and choices about their lives. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 6 The staff treat people with respect. There was evidence of warm, good-humoured relationships between service users and staff. A varied diet is offered. 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. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Care plans and risk assessments are good. The staff are good at supporting people to make choices about their lives. EVIDENCE: All the personal files have a photo of each person who lives at the home at the front. The photos capture the essence of each individual; they show people doing some of the things they enjoy. Each plan contains a very well written pen picture, which gives excellent details about the sort of life experiences service users have had. They include information about where people have lived, and about their families. There is information about what people like to eat, what they like to do with their time, individual hobbies and interests, and about the sort of things that people need help with. There are guidelines for staff about how they are to support people, these are also clear and well written. Care plans contain a list of personal objectives that each person wants to achieve. Every time any progress is made towards meeting these objectives, the details are recorded so that progress can be monitored. There has been an improvement in the way this is recorded. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 10 It is evident from the records and from talking to staff, that all service users are encouraged to be as independent as possible. People help around the house as much as they are able to. Service users are supported to take reasonable risks and detailed risk assessments are in place describing the actions that must to be taken to minimize identified risks. There is evidence showing that the risk assessments are reviewed regularly. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 12 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): 19 The systems in place for monitoring the health care needs of service users are good. EVIDENCE: There was evidence in service user records to show that healthcare needs are regularly assessed and addressed. A detailed “OK health check” had been completed in respect of each person. Health action plans were in place showing for example, when people had attended appointments with the dentist, optician, chiropodist etc and when the next check up was due. The action plans also gave details of any concerns about health related issues and how these were being monitored. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 13 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): Not assessed on this inspection. See last report. EVIDENCE: Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. The home is well managed; the interests of service users are important to all staff and are safeguarded. Health and safety in the home is regularly audited and monitored by management. EVIDENCE: The home is well maintained. Staff said that repairs are usually dealt with promptly by the St Anne’s maintenance team. The home was clean and tidy. Staff reported that in addition to day to day cleaning routines, they had recently put time aside to carry out some thorough cleaning of carpets and paintwork. Staff on duty said there were plans to redecorate the lounge and some of the bedrooms in the coming months. The shared areas are comfortably furnished. A new TV and new curtains were in evidence in one of the lounges. A full tour of the building did not take place. One bedroom was viewed with the consent of the occupant. The room had recently been fitted out with a new Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 15 bed, chest of drawers and wardrobe, which he said he was pleased with. He indicated that he was comfortable and liked the room. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 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 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): Not assessed on this inspection. See last report. EVIDENCE: Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The manager of the home is suitably qualified and competent. Service users benefit from a well run home. EVIDENCE: The manager is a qualified nurse with several years experience of working with people with learning disabilities. He has worked in various homes managed by St Anne’s in the Calderdale area over the past twelve years, providing care and support for people with learning disabilities, complex health care needs and challenging behaviours. He moved to this post in September 2004 from a senior post in another St Anne’s home. He was registered by CSCI as the manager of Hawthorn Street in May 2005. The home is well managed. The interests of service users are at the forefront of decision-making. Staff interactions with service users were noted to be positive and respectful. It was apparent that the staff had a good Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 18 understanding of each persons needs. They talked positively and enthusiastically about the work they do. Not all of the people who live at the home are able to articulate their views. Because of their knowledge and understanding of individuals the staff are able to communicate effectively with everyone. Service user records contain useful information about understanding communication and interpreting body language. From observation of interactions and speaking to staff it is apparent that service users are consulted and their views and choices are taken on board. A health and safety procedure is available and regular health and safety checks take place around the house. Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X 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 X 33 X 34 X 35 X 36 X 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 X 13 X 14 X 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X 3 X X 3 X Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations Hawthorn Street DS0000001053.V265878.R01.S.doc Version 5.1 Page 21 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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