CARE HOME ADULTS 18-65
Henshaw`s College Bogs Lane Harrogate North Yorkshire HG1 4ED Lead Inspector
Rob Padwick Unannounced Inspection 14th March 2006 3:30 Henshaw`s College DS0000007884.V284962.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 Henshaw`s College DS0000007884.V284962.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. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Henshaw`s College Address Bogs Lane Harrogate North Yorkshire HG1 4ED 01423 886451 01423 885095 cliff.savage@hsbp.co.uk 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) Henshaws Society for Blind People Mr Clifford Savage Care Home 65 Category(ies) of Learning disability (65) registration, with number of places Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Registered for 65 service users all of whom have a Sensory Impairment and may also have a Physical Disability. from 16 years to 25 years Date of last inspection 10th November 2005 Brief Description of the Service: Henshaw’s College is operated by Henshaw’s Society for Blind People and provides further education, personal care and accommodation. It is registered with the Commission for Social Care Inspection to provide personal and social care for sixty-five younger adults (college students) who have learning disabilities with an additional visual impairment and who may have a physical disability. Some students may be aged 16 and 17 years old. The College is situated on the outskirts of Harrogate close to local facilities in Starbeck and Knaresborough. The campus includes a central teaching block with refectory, sports facilities, and several purpose-built residential units. There are ongoing plans to replace all the residential units with modern facilities over the course of the next 3 to 5 years. All bedrooms are for single accommodation and each house has shared areas including a lounge, dining room and kitchen although some meals are prepared and eaten in college. The campus has various grassed areas and several themed gardens all of which are well maintained. There is also ample hard standing for parking in an area close to the main entrance to the college. There is level and ramped access to buildings and some doors are automatic. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 4 hours including preparation time. All the key standards that the Commission for Social Care Inspection requires to be inspected in a given year were covered in the previous inspection (November 2005). This inspection therefore focussed on the progress made in implementing the requirements and recommendations stemming from that visit. During this inspection, service records and files were checked and a tour of the student accommodation and College was undertaken. Other time was spent talking with the registered manager, students and staff and observing the interactions within the communal areas of student houses. All of the students spoken to were very positive about their experiences gained at the College, which one of them said “Couldn’t be better”. What the service does well: What has improved since the last inspection?
Appropriate action has been taken to implement the requirements from the previous inspection and progress has been made to instigate the recommendations made at that time, although more work on this was still needed. The CSCI has been informed of incidents reportable under regulation 37 of the Care Homes Regulations 2001 and the registered manager has monitored the temperature of the bedrooms in Tarn House and developed an action plan to install individual central heating boilers in the various student houses. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Henshaw`s College DS0000007884.V284962.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 Henshaw`s College DS0000007884.V284962.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): 1 EVIDENCE: The registered manager confirmed that a detailed statement of purpose and service user guide is available to give prospective students information about the services provided by the College. However, as a result of the ongoing modernisation of the campus, some information relating to the most recently built accommodation needed to be included in this. The registered manager stated that he was aware of this and that both documents would be amended accordingly. Henshaw`s College DS0000007884.V284962.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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 10th November 2005 inspection report. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 10th November 2005 inspection report. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 10th November 2005 inspection report. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 10th November 2005 inspection report. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 EVIDENCE: Four of the student houses were inspected and all of these were well maintained, comfortable, clean and decorated to a good standard. Bedrooms were appropriately furnished with items of the student’s domestic belongings and items of specialist equipment as necessary. The registered manager had been monitoring the temperature of the bedrooms in Tarn House since the last inspection, as students had said that these were cold. Various measures have been taken to address this issue and an action plan developed to install individual central heating boilers in the various houses affected. Students were complimentary of the College accommodation and were keen to point out recent additions to their environment. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 14 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 EVIDENCE: A programme of staff training was delivered by provider, in order to ensure that the students were competently supported. Evidence of induction and foundation training was seen, together other courses relevant to the needs of the students. Students confirmed that they were treated with respect and staff were observed interacting with them appropriately. The service has good links with York College and the registered manager advised that that continued progress had been made in implementing a plan to ensure that 50 of the staff team achieve the required level of NVQ training, but that more of this was still needed. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 42 EVIDENCE: The registered manager has a qualification in both nursing and social work and evidence was seen that he was in the process of completing his Registered Managers Award. Discussion with him indicated that he expects to have completed this by Easter 2006. At the time of the previous CSCI inspection in November 2005, the organisation’s health and safety manager was undertaking a full health and safety audit of the service. The registered manager indicated that this had resulted in risk assessments and policies and procedures being re evaluated and updated where necessary. No health and safety concerns were raised during this inspection. Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 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 X X X 2 X X X X 3 X Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 17 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1YA1 Good Practice Recommendations The Registered Person should update and amend the statement of purpose following any changes to the accommodation. Any amendments to this document should be forwarded to the CSCI. The Registered Person should implement the action plan to install individual central heating boilers in the various student houses affected by poor heating. The Registered Person should ensure that a minimum of 50 of care staff are qualified to NVQ level 2 or above. (Consideration should alo be given to the fact that 80 of staff working with young people aged 16 and 17 should be qualified to NVQ level 3 in caring for children). The registered manager should complete the registered managers award. 2 3 YA24YA24 YA32YA32 4 YA37YA37 Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. Extracts may not be used or reproduced without the express permission of CSCI Henshaw`s College DS0000007884.V284962.R01.S.doc Version 5.1 Page 19 - 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!
