Inspection on 27/09/07 for High Lee Barn

This inspection was carried out on 27th September 2007.

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

High Lee Barn 24/06/09

High Lee Barn 07/11/06

High Lee Barn 08/12/05

High Lee Barn 08/08/05

High Lee Barn 07/03/05

High Lee Barn 17/01/05

High Lee Barn 05/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 High Lee Barn Sowerby Lane Luddendenfoot Halifax West Yorkshire HX2 6LB Lead Inspector Cheryl Stovin Key Unannounced Inspection 27th September 2007 11:00 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 High Lee Barn DS0000001011.V352192.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 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. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Lee Barn Address Sowerby Lane Luddendenfoot Halifax West Yorkshire HX2 6LB 01422 882437 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) www.highleecarehome.com Mrs Patricia Beaumont Mrs Patricia Beaumont Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2006 Brief Description of the Service: High Lee Barn is a privately owned and family run residential care home registered to provide accommodation and care for up to twelve older people. The establishment is situated in a rural hill top location with panoramic views across the surrounding countryside. The property, a converted barn, is well maintained throughout and furnished and fitted to a high standard. The accommodation is arranged on two floors and provides ten single bedrooms and one shared room, all with the benefit of en-suite facilities. Well maintained garden areas are provided for the use of the people living there. The home places a high priority on staff training which is clearly reflected in the standard of care afforded to the service users. A range of activities are provided for people to participate in, if they choose to do so, and people are encouraged to maintain links with the local community. The current weekly charges at High Lee Barn range from £347 to £475 depending on the room occupied. Additional charges are made for hairdressing, personal toiletries and personal newspapers and periodicals. High Lee Barn DS0000001011.V352192.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 of High Lee Barn. This included an unannounced visit I made to the home on 27 September 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit, a partial tour of the building was undertaken, records were examined and I spoke to management, staff and the people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Six relatives, three people living at the home and one GP returned their surveys. Survey cards were also left at the home for the staff to complete, however, none had been received at the time of writing this report. (It is acknowledged that there has been a postal strike which could have led to the delay in receiving any of the staff surveys). The information received from the surveys received is included in this report. Some comments received included: “It is a very good home”. “They are always making the place better and more comfortable”. “I am very satisfied with the care my mother receives”. “I have never had any cause for concern, the home is first class”. The last inspection of High Lee Barn was on 7 November 2006, no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) was sent to the home, however, it was not received. An electronic version was subsequently sent which was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The atmosphere in the home is warm and welcoming and people living there said that this is always the case. The home is relatively small and family run, and situated in a rural environment, which gives it a unique atmosphere and ambience. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 6 The home is well maintained and people live in a safe and hygienic environment. People are encouraged to bring their own possessions with them to personalise their own rooms. The home is furnished and fitted to a high standard, a programme of ongoing redecoration and refurbishment makes sure that the standards always remain high. The home has a website which includes details of the facilities provided and also photographs of the interior and of the rural location of the home. The staff team are well trained and people using the service are protected by the safe recruitment practices in the home. The people living at the home said they were well treated and that the staff are kind and attend to their needs promptly. There is a range of activities for people living at the home to take part in if they wish to do so. People can also choose to spend time in their own rooms following their own interests and pursuits. People said that the meals served at the home were of a good standard and that they enjoyed their meals. What has improved since the last inspection? What they could do better: Care plans are in place for each person living at the home. The care plans do not give enough detail as to what actions are to be taken to meet each assessed need. The care plans must include details of what actions need to be taken and how the care is to be given. This will make sure that all staff deliver the care in a consistent manner. The acting manager has not yet been registered by the Commission for Social Care Inspection and must submit an application as soon as possible. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 7 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. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 8 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 High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6 People who use the 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’s needs are assessed before moving into the home to make sure the home is suitable for them. EVIDENCE: All people have a comprehensive assessment of their needs before being offered a place at the home. This makes sure that the home can meet their needs. People are also encouraged to visit the home before making a decision to move in. One relative said in their comment card: “I looked at at least six homes before choosing one and High Lee is way better than any other I have seen”. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 10 All people have a contract which details the terms and conditions at the home and the rights and responsibilities of everybody. Intermediate care is not provided in the home. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the 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’s health and personal care needs are met, and personal support is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: All people have an individual plan of care. The care plans contain basic information about people’s assessed needs but not much detail as to how the care is actually to be delivered. Very little information is recorded about people’s backgrounds or their previous interests. This means that staff cannot encourage people to maintain their previous social interests or networks. There is no suggestion that people’s needs are not being met but how the care is actually to be provided needs to recorded in more detail, so that all staff provide consistent care in a manner which meets with people’s preferences. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 12 People living at the home who returned a comment card said that they always receive the care and support they need, one person also said “they can’t do enough for you”. Relatives/visitors also said that the home gives the support or care to their relative that they expect. One relative felt that the home could do more to prevent their relative taking their hearing aid out. A GP who returned a comment card felt that individuals’ health care needs are always met by the home, and that individuals’ privacy and dignity is always respected. The following comment was also made: “they provide a very high level of care”. Risk assessments are completed which show what staff need to do to make sure that risks are minimised and help ensure that the people using the service are kept safe. Medication practices within the home are generally safe. The medication is securely and appropriately stored. The medication is supplied in individual cassettes from a local pharmacy. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the 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 choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: There is a relaxed and homely atmosphere in the home. People living there and their visitors said that this was always the case. People can choose where to spend their time, either in their own rooms or with others in the communal areas. A range of activities are available for the people to join in with if they choose to do so. The high staffing levels and relaxed routine means that spontaneous outings take place which helps people to maintain contact with the local community. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 14 During the visit, staff were spending time with people playing dominoes and board games, and generally chatting. One relative felt that there could be more activities provided to be keep people busy. Another felt that their relative would appreciate more visits by the parish priest. People told us, however, that they were happy with the activities provided. Visitors were seen to be warmly welcomed into the home and said this was always the case. Relatives also said that they are always kept up to date with important issues affecting their friend or relative. One relative made the following comment: “High Lee makes my aunt feel as though she lives in a home and not an institution. I looked at various homes before deciding on High Lee. This particular home is first class”. Mealtimes were seen to be a relaxed and social occasion. People said that they enjoyed their meals and there was plenty of choice. The main meal of the day is served at lunchtime, and on the day of the visit, was beef steaks, potatoes, carrots and broccoli, following by tapioca pudding. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the 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 are protected by the policies, procedures and practices in the home. EVIDENCE: All people who completed a survey knew who to speak to if they were unhappy about anything in the home. One person living at the home said that they had “nothing to grumble at” and “they are kind and caring”. The home has an adult protection policy and staff have received adult protection training. They are aware of the procedure they need to follow if they felt there were any practices in the home that they felt were not in the best interests of the people living there. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26 People who use the 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 live in a safe, clean and comfortable home that is well maintained. EVIDENCE: The home is in a rural hilltop location with panoramic views over the surrounding countryside. It is well maintained, both internally and externally, with a routine programme of refurbishment and redecoration. The home is planning to register a further three bedrooms which were seen to be extremely spacious and furnished and fitted to a high standard. Safe, accessible and well maintained garden areas are provided for people to sit in the warmer weather. There are plans to build a conservatory which will High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 17 enable to people living at the home to enjoy the far reaching views in all weathers. All bedrooms have en-suite facilities and are furnished and fitted to a good standard. Bedrooms are highly personalised reflecting the individual’s interests and tastes. People said that they were satisfied with their rooms and said they had everything they need in them. There are spacious and comfortable lounge and dining areas with sufficient space for social activities to take place. All parts of the home were seen to be clean and hygienic. Visiting relatives confirmed that this was always the case. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the 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’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty at all times to meet the needs of the people living at the home. There are always two members of staff, plus the management team, on duty during the daytime. During the night there is one member of staff awake and a member of staff ‘on call’. Relationships between staff and the people living at home were relaxed and friendly with appropriate use of informality and humour. People said the staff were kind to them and attend to their needs promptly. People who returned comment cards all said that the staff had the necessary skills and experience to look after people properly and that the staff listen and act on what they say. Some additional comments made included: “It is a very good home with very good staff. I would hate my mother to have to move for any reason”. “I couldn’t wish for anywhere better”. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 19 “Mrs X is looked after with kindness and care”. “My mother and other residents are very well fed. They have very clean, homely and spacious rooms. Very considerate patient staff who understand the importance of both a routine and extra stimuli for the residents”. There is a programme of National Vocational Training (NVQ) in care in the home and all the staff currently working at the home have completed their award. This makes sure that people living at the home receive care and support from appropriately trained staff. The staff work together as a team and staff said that they enjoyed working at the home. Relatively low rates of staff sickness and turnover support this. The home is currently recruiting new members of staff in preparation for the increase in the number of people living at the home. The recruitment files showed that all the required checks including references and Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) disclosures had been carried out. This makes sure that only suitable staff are employed in the home. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 37 and 38 People who use the 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 live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The acting manager of the home is qualified and competent to run the home. He holds the NVQ level 4 Registered Managers’ Award. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 21 He is committed to ensuring an open and positive atmosphere is prevalent within the home. People living at the home, and the staff, said that the manager is approachable and available and listens to what they stay. The manager has not yet been registered by the Commission for Social Care Inspection. He has been in post for over two years. An application was submitted in 2006 but the documentation was returned due to an error. No further application has been made. To make sure that the home complies with the Care Home Regulations, an application must be made for registration as soon as possible. There are clear policies and procedures for handling finances which means that people’s personal finances are held safely. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place which ensure the health and safety of the people living at the home is protected. High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 22 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 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 3 3 x 3 x 3 3 High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP31 Regulation 9 Requirement Timescale for action 31/10/07 2 OP7 15 The acting manager must submit an application to the CSCI to be registered as manager of the establishment. To make sure that all people 31/10/07 using the service receive care in a consistent way, care plans must include details of how the care and support is actually to be delivered. 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 High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 24 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 High Lee Barn DS0000001011.V352192.R01.S.doc Version 5.2 Page 25 - 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. 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