Inspection on 07/02/06 for Heaton Grange

This inspection was carried out on 7th February 2006.

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

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

Other inspections for this house

Heaton Grange 25/01/10

Heaton Grange 23/08/07

Heaton Grange 18/07/06

Heaton Grange 16/08/05

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Heaton Grange 425(a) Toller Lane Heaton Bradford West Yorkshire BD9 4NN Lead Inspector Michael Smithson Unannounced Inspection 7th February 2006 10:15 X10015.doc Version 1.40 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 Heaton Grange DS0000064467.V280439.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 Older People. 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. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heaton Grange Address 425(a) Toller Lane Heaton Bradford West Yorkshire BD9 4NN 01274 494439 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) Mr Deepak Patel Mrs Susan Miller Care Home 20 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (15), of places Physical disability over 65 years of age (3) Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Heaton Grange is a single storey detached residence situated in the Heaton area of Bradford. There are car parking facilities to the front and the home is adjacent to local public transport. The local shop is within walking distance with the home being situated approximately 3 miles from Bradford city centre. There is a patio and garden area with seating for the service users. The living accommodation consists of an open plan lounge and dining area with a conservatory to the front of the home. Bedrooms are both single and double occupancy with bathrooms and toilets all based on one level. Disabled access is via a ramp to the front door. All accommodation is on the ground floor. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the morning and early afternoon of the 7th February 2006. This was the second and final inspection for this year. The first inspection took place in August 2005 and was announced. Copies of reports for this and previous inspections are available either from the home or on the CSCI website. The focus of the inspection was to check progress made with regard to the requirements and recommendations made at the last inspection. A spot check of the records and discussions with the staff and service users. Heaton Grange is a small friendly home which provides personal care for service users. The home has recently had a change of ownership and a number of changes to the environment are planned. What the service does well: What has improved since the last inspection? A statement of purpose and service user guide has been produced. Although the service users guide is not separate and is included in the statement of purpose. The provider is looking at producing a more user friendly brochure. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 6 A supervision programme has been introduced and all staff now receives individual supervision and appraisal. A system of Regulation 37 notification is now in place and copies of the Regulation 26 visits by the provider are sent to the CSCI. Electrical safety checks are now completed. 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. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Information regarding the home is provided. This allows service users and relatives the opportunity to determine that needs can be met. Not all service users had been assessed prior to admission. EVIDENCE: A statement of purpose and service user guide has been produced. The service user guide is included in the statement of purpose. The provider is looking at producing a new brochure. The records for the last 2 admissions were checked. One had a detailed preadmission assessment completed during a domiciliary visit. The second had no pre-assessment information completed either by the placing social worker or the manager. However the manager did visit the service user at his previous placement and visited Heaton Grange for a trial stay. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 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 and 8. The health and social care needs of service users are met. The records are basic but informative. EVIDENCE: The care records for 2 service users were checked during the inspection. Care plans were available for both. The care plans are basic but did contain relevant information regarding service users needs. The care plans are reviewed monthly. The service users and family are consulted regarding the content of the care plans and are asked to sign the completed information. The staff are involved in the care plans and are able to include their observations of any progress or deterioration. The health care needs of service users are included in the care plans and a record of visits from the GP or district nurses are recorded. The home as established good links with the visiting health care professionals. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14. The expectations of service users are met. The home provides a friendly environment for service users. EVIDENCE: A basic range of activities are offered, these usually include listening to music and walks in the garden and local area. Games sessions are organised on the odd occasion. The staff felt they had time to chat with service users in and amongst their daily routines. However there did tend to be more time for activities during the afternoon shift. The manager is keen to keep members of family informed about the care provided. The family are encouraged to help in the production of the care plans. Service users are offered a degree of choice depending on their capacity to make safe decisions. One service user has brought her dog into the home. All the service users appear to have grown very fond of the dog and they enjoy seeing him around the home. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17. The complaints procedure provides protection for service users and relatives. The staff awareness of adult protection issues is being developed as more attend the training sessions. EVIDENCE: The complaints procedure is included in the new statement of purpose and service guide. No complaints have been made since the last inspection. Adult protection training continues to be organised for the staff team. Approximately 50 of the staff team have completed the local authority adult protection training. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The enviroment meets the needs of the service users. However areas are starting to show signs of needing further up grading and investment. EVIDENCE: A full inspection of the building was not undertaken during this inspection, however 2 bedrooms were seen. Bedroom 1 has been redecorated and is awaiting a new carpet fitting. Bedroom 9 is due for redecoration. New floor coverings have been fitted in the 2 bathrooms. The chairs in the communal area are shabby and need to be recovered or replaced. A fire safety officer has recently visited the home. A number of requirements and recommendations have highlighted in the report produced following the visit. Timescales for completion of the work must be agreed. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 13 Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. The staffing was adequate, however the records of the training provided must be improved. There are gaps in the training provided which needs to be addressed. EVIDENCE: The staffing has remained stable with very few changes since the last inspection. This helps to provide good continuity of care. There are currently 2 part time vacancies for weekend care staff. The hours are being covered by a member of the existing staff who has requested extra hours. The home has made very good progress in meeting the NVQ level 2 training targets. Eight staff has completed NVQ level 2, two of the night staff are due to commence in the near future. Two of the senior staff are also due to start NVQ level 3. The training records for all staff must be brought up to date. A number of staff has no evidence of the training undertaken. Particular attention must be made to staff not undertaking NVQ training. A number of theses staff had no evidence of the training completed. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 34, 36 and 38. The home is well run and staff can contribute to the decision making process. EVIDENCE: The manager had commenced NVQ level 4 and the Registered Managers award, however she has had problems with the training provider. She has now hoping to complete the training courses with a new training provider. A staff supervision programme has commenced and a number of staff has received individual supervision. The format includes the training needs of staff and assessment of their work practice. The home has not yet achieved the required numbers of 6 supervision sessions a year. Personal allowance is held on behalf of 1 service user. The amount held was checked and was in order. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 16 A number of requirements and recommendations are outstanding following a recent visit from the fire safety officer. A member of staff is due to undertake the fire training course at West Yorkshire Fire Service Headquarters. If successful this will allow him to undertake fire safety training for the staff team. The lack of fire safety training was highlighted at the last inspection. Electrical safety checks have been organised since the last inspection, however the water temperature checks are still outstanding. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X 3 X 2 X 2 Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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. 2. Standard OP20 OP30 Regulation Reg 23 Reg 18 Requirement The chairs in the communal areas must be recovered or replace. The training records for the staff team must be brought up to date and any training required undertaken. Particular attention must be made to staff that has not undertaken NVQ training. The manager must complete NVQ level 4. The requirements and recommendations highlighted in the recent fire safety report must be completed. Fire safety training for staff must be provided twice a year and a record of attendance kept. Water temperature tests must be undertaken. Timescale for action 01/06/06 01/03/06 3. 4. OP31 OP38 Reg 9(2) Reg 23(4) 31/12/05 31/06/06 5. 6. OP38 OP38 Reg 23(4)(d) Reg 13(4) 01/04/06 01/03/06 Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 19 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 OP30 Good Practice Recommendations The staff not undertaking NVQ must be kept up to date with, manual handling, fire safety, first aid and health and safety training. Heaton Grange DS0000064467.V280439.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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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