CARE HOMES FOR OLDER PEOPLE
High Lee Barn Sowerby Lane Luddendenfoot Halifax HX2 6LB Lead Inspector
Cheryl Stovin Unannounced 8 August 2005 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 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 J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service High Lee Barn Address Sowerby Lane Luddenfoot Halifax HX2 6L 01422 882437 01422 882437 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Patricia Beumont Mrs Patricia Beaumont Care Home 12 Category(ies) of Older People registration, with number of places High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 7/3/05 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 service users. The establishment 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 the service users to participate in, if they choose to do so, and service users are encouraged to maintain links with the local community. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on 8th August 2005. Three service users and one member of staff were consulted as to their views on the standard of services and facilities provided within the establishment. The residents spoken to all expressed great satisfaction with the facilities and care they receive at High Lee Barn. What the service does well: What has improved since the last inspection?
The establishment continues to deliver a high quality service to the residents of High Lee Barn, with a well trained and highly motivated workforce. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 standard(s) 1,2,6 Service users are provided with a written contract stating the terms and conditions provided within the home. EVIDENCE: The establishment holds a statement of purpose and service user guide which contains all of the information as required in Schedule I of the Care Homes Regulations. The document, however, was not particularly easy to read and rather muddled and would benefit from being re-organised. Each service user has a contract of residence which details the rights and responsibilities of each party and what is and is not included in the weekly charge of £450. Intermediate care is not provided within the establishment. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 standard(s) 7,8 Service users needs are assessed and the home has a good approach to promoting the service users health care. EVIDENCE: Each service user has an individual plan of care generated from the comprehensive assessment process. The care plan is reviewed on a weekly basis and ensures that the service users physical and emotional needs are met. Daily recordings are detailed and clearly link to the needs identified in the care plan. All personal and health care tasks are performed in private with privacy and dignity promoted at all times. Service users health care needs are addressed at the initial assessment and for part of their plan of care. All residents have a medical assessment by their G.P every six months, with optical, chiropody and dental treatment being accessed as required. Tissue viability is assessed by the district nursing team and no service user is currently at risk of developing pressure sores. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 standard(s) 12,13 The lifestyles of the service users match their expectations and preferences. Service users are encouraged to maintain contact with family and friends, and they are made to feel welcome. EVIDENCE: Service users preferences regarding their daily living activities are assessed and flexible support given to enable them to follow their preferred routines. Residents were observed to be exercising choice in where and with whom to spend their time. A range of activities are available for the service users to participate in if they choose to do so. The high staffing levels and relaxed routine of the establishment enables spontaneous outings to take place which enables the service users to maintain contact with the local community. Several of the service users regularly visit a local church and join in the social activities provided there. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 standard(s) 16,18 The home has robust systems to ensure that service users are safeguarded from abuse and that complaints are dealt with promptly. EVIDENCE: The home holds a complaints procedure which is freely available to the service users. All staff have received training in adult protection issues. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 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 standard(s) 19,20,23,24,25,26 Service users live in a safe, clean and well maintained environment. EVIDENCE: The establishment is situated in a rural hilltop location with panoramic views over the surrounding countryside. The property, a stone built converted barn, is well maintained both internally and externally, with a routine programme of refurbishment and redecoration. Safe, accessible and well maintained garden areas were being enjoyed by some service users at the time of the inspection. Service users private accommodation consists of ten single bedrooms and one shared room. All bedrooms have the benefit of en-suite facilities and are furnished and fitted to a good standard. Spacious and comfortable communal facilities are provided for the use of the service users. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 The home is adequately staffed by a competent and motivated workforce. EVIDENCE: From records examined and following observations and discussions at the time of the inspection sufficient staff are deployed to meet the needs of the service users. Staff rota’s examined indicated that although the names of the staff working are written down the actual hours worked are not, in addition, the rota was not dated. The establishment is mainly staffed by members of the family and deployed flexibly to meet the social and emotional needs of the service users. There is a commitment to NVQ training within the home. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 The home is well run and managed by an experienced and qualified management team. EVIDENCE: The current Registered Manager of the establishment, Mrs Pat Beaumont is qualified and experienced to run the home. She has completed her NVQ IV Registered Managers Award, and demonstrates a clear sense of leadership. Mrs Beaumont has indicated that she wishes Mr Simeon Beaumont to be registered as manager of the establishment and will submit an application to the CSCI for registration. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 N/A N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 N/A 10 N/A 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 N/A 15 N/A
COMPLAINTS AND PROTECTION 3 3 N/A N/A 3 3 3 3 STAFFING Standard No Score 27 2 28 N/A 29 N/A 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 N/A 3 3 3 N/A N/A N/A N/A N/A N/A High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 16 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. 1. 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. 2. Refer to Standard 1 27 Good Practice Recommendations The statement of purpose and service user guide to be reorganised to be more ‘user friendly’. This remains outstanding from the last inspection. Staff rota’s to be dated and to include the actual hours of the shift worked by each member of staff. This remains outstanding from the last inspection. High Lee Barn J52J01_s1011_High Lee Barn_v243346_080805.doc Version 1.40 Page 17 Commission for Social Care Inspection 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
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