Inspection on 06/08/05 for Highbarn Res.Centre. L.D. Section

This inspection was carried out on 6th August 2005.

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

Other inspections for this house

Highbarn Res.Centre. L.D. Section 20/12/06

Highbarn Res.Centre. L.D. Section 25/01/06

Highbarn Res.Centre. L.D. Section 24/01/05

Highbarn Res.Centre. L.D. Section 11/08/04

Highbarn Res.Centre. L.D. Section 29/03/04

Highbarn Res.Centre. L.D. Section 20/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Highbarn Resource Centre LD Section Highbarn Street Royton Oldham OL2 6DW Lead Inspector Michelle Haller Unannounced 25 July & 6 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Highbarn Resource Centre L.D. Section Address Highbarn Street Royton Oldham OL2 6DW 0161 633 3850 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) Oldham M B C Miss Janet Lomas CRH - Care Home only 6 Category(ies) of LD Learning Disability - 6 registration, with number of places Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to include up to 6 LD. 2 A manager, working a minimum of 30 hours per week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered, or has an application for registration pending with the Commission for Social Care. The ratio of care staff to service users must be determined according to the assessed needs of service users and staffing levels must be regularly reviewed to reflect service users changing needs. All staff must receive training first aid by 31st May 2004. The service must only accommodate service users requiring short term support. 3 4 5 Date of last inspection 24th January 2005 Brief Description of the Service: Highbarn Rescource centre provides respite care for up to 6 adults between 18 and 65 years old who have a learning disability. Service users access the the facility for between one day and two weeks. The faciltiy is on the ground level and easily accessible. The building itself is quite narrow and although the bedrooms are comforatlbe and there are sufficient communal bathing and toilet facilties the lounge and dining areas are minimal. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over two mornings one during the week and the other at the weekend when the facility was full. During the course of the inspection the case files of six service users, policies and procedures and other reports pertinent to the support of service users was examined. Two service users where interviewed and discrete observation of the interaction between service users and staff. Eight service user comment cards where returned and one letter from a service users representative was received. A tour of the building was completed. The manager was interviewed at length and discussion undertaken with staff. A pre inspection questionnaire about the home was also received. The vast majority of comments from service users, both in the comment cards and in face to face interviews where favourable. Most felt that on the whole activities where in keeping with expectations, and food was good. In general the service provides a high standard of individual care and strives to meets the needs of the majority of service users over the period of time they are in the home. What the service does well: What has improved since the last inspection? The staff have received training in first aid. The manager of the service is available in the home for a minimum of 30 hours each week. Policies and procedures are now more relevant to Highbarn. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.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. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 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 standard(s) 1,2 and 4 Service users are provided with sufficient information about the facilities and services provided by the unit. Services users are adequately assessed prior to using accessing Highbarn short term care. Service users are given the opportunity to sample the placement prior to admission. The home does not offer a contract or statement of terms and condition o service users. EVIDENCE: The Service User Guide and Statement of Purpose fully inform prospective service users and their representative with comprehensive information about the services and facilities available from Highbarn. Both documents are available in formats that make them easy to understand. Six service user files where examined and all contained completed needs led assessments that had been developed with the service user and their representative. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 9 Reports contained in the service users identified that prior to a formal admission service users had been given opportunities to spend time at the home, joining in with meals or activities. The service user who was interviewed confirmed this. Her comment was ‘I like coming here’. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 6,7,8,9 and 10 Care plans do not reflect the current and changing needs of service users. Service users are assisted in making choices about their lives. Service users are consulted about what goes on in the home. Service users are supported in leading ordinary unrestricted lives. Information about service users is appropriately treated. EVIDENCE: Examination of six service users files identified that care plans do not fully reflect the assessed health, psychological or social needs identified. These care plans, however are completed with the involvement of service users and their representatives. Reports also indicated that service users where able to make decisions about their diet, activities and physical care when at Highbarn. In addition the service users interviewed stated that that they could choose what to do from variety of activities. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 11 Eight service user comment cards where returned, and of these seven people felt that they were given enough say in what happened in the home. The care plans that were in place demonstrated that multidisciplinary risk assessments were undertaken to ensure that service users where able supported in leading ordinary lives and participating in activities according to their wish. Service users are supported in learning new skills such as swimming, or going out or using public transport independently. Discussions with the manager and staff confirmed that they were aware about respecting the privacy of information. The agency has developed a policy detailing the need for staff to treat any information they have about service users in confidence and with respect. It was observed that service user files are securely stored in a locked cupboard. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 11,12,13,14,15, 16 and 17 Opportunities are provided for service users to achieve personal development. All activities provided are age, peer and culturally appropriate. Service users are encouraged to develop and maintain personal and family relationships. Service users are part of the local community. Meals provided in the home are varied and plentiful. Meals are not served in comfortable surroundings. EVIDENCE: Highbarn is a respite care unit and service users spend between one night and two weeks at the facility. Service user files, discussion with service users and the manager identified that service users continued to attend their usual day services or college placement. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 13 Records confirmed that service users are encouraged to join the local library, go shopping at the local market and go the local pub during their stay. Observation confirmed that activities offered in the home are satisfactory and included watching films, playing music and going out bowling or going to the cinema. On the second day of inspection, service users where seen being taken out by their relatives and friends. Service user files indicated that the dietary preferences are recorded and respected. Reading through reports demonstrated that a variety of fresh meals where prepared and included pasta, meat, fish and vegetables. The fridge and larder where well stocked with fresh fruit and vegetable, cheese, cold meats, salads and snacks including fruit and cakes and biscuits. The manager stated that meal choices are very flexible and service users can all choose different meals by looking in the larder or fridge. Of the eight service user comment cards returned, seven users always liked the food and one person liked it sometimes. Soft drinks where also available. All service user comment cards confirmed that they liked the food provided. It was observed that service users who require support while eating are often disturbed because the dining area is narrow, therefore staff have to break from offering support every time a service user wanted to pass to go their bedroom or use the bathroom. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 18,19 and 20 Personal support is provided in the way service users prefer. The physical and emotional needs of service users are met. The home’s medication policy and procedure offers appropriate protection to service users. EVIDENCE: Through examination of reports about service users it is possible to conclude that service users are supported according to their preference. This was also observed on the mornings of the inspection. Examination of charts to record diet intake, the incidence of epileptic seizures, antecedents to behaviours and other specialist observations indicated that appropriate support is offered. Examination of reports and observations of the interactions between staff and service users confirmed that, staff meet the assessed physical and emotional support needs in a manner agreed by the individual service user. It was observed that medication coming into the home and administered to service users, is recorded and is kept in the original packaging dispensed by a pharmacist. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 22 and 23 Services users views are listened to and acted on. Policies, procedures and the ethos of the service protect service users from abuse, neglect and self-harm. EVIDENCE: Service users who where interviewed stated that they felt their views where listened to. The complaints records where examined and these reports indicated that the procedure was used by service users and relatives, the recorded outcomes confirmed that service users where listened to and changes made accordingly. The reports in the files for service users with complex needs indicated that steps are taken to reduce any risk to vulnerable service users. Discussion with staff confirmed that they had undertaken comprehensive training in issues related to adult protection. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24,25,26,28,29 and 30 The current arrangement of communal rooms at Highbarn does not provide a homely, comfortable or safe environment. The bedrooms at Highbarn suit the needs of service users. The number and position bathrooms and toilets meet the needs of the majority of service users. Specialist equipment is in place. There were unpleasant odours in one part of the home. EVIDENCE: During the inspection a tour of the home was undertaken and observation made of how service users moved around the building accessing the facilities. Examination of reports and observations of the interactions between staff and service users confirmed that, staff meet the assessed physical and emotional support needs in a manner agreed by the individual service user. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 17 The bedrooms were clean and comfortable and observation made of service users personalising them for the time they received support at Highbarn. The service user interviewed stated that she liked her bedroom. Toilets and shower rooms are conveniently situated near the bedrooms. There is one en-suite bedroom. Specialist equipment including as rise and fall beds, hoists and shower beds are available for use in the home. The home does not provided a dedicated dining room. Service users eat in the corner of the corridor. It is not possible for all service users to sit at the table. In addition when two or more wheelchair users are in the home this area becomes blocked and those who are independently mobile are at risk of falls and scrapes when trying to return to their bedrooms or access other parts of the home. The communal sitting area cannot accommodate all service users. There is a room set up for games and music but again this is very small, and wheelchair users are limited. In the course of the inspection it was noted that the carpets in the bedroom corridor where stained and smelled musty. The manager stated that she arrange for this area to be cleaned. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31;35 and 36 Staff roles and responsibilities are clear. Staff are trained to meet the needs of service users. Staff receive appropriate supervision. EVIDENCE: The service has recently reviewed staff roles and these changes have been reflected in their job descriptions. The service users interviewed where aware of the staff structure, identifying whom they would approach if they had ideas or concerns. The pre-inspection report stipulates that all staff are trained to administer medication, all staff have completed updated moving and handling courses in addition to first aid. The manager confirmed that staff training met the Learning Disability Award Framework (LDAF). Staff files demonstrated that supervision had commenced for support staff. The manager has undertaken management training that includes how to provide staff supervision. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 19 Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40, 41 and 42 The views of service users are sought in order to inform day to day running of the service. The home has policies that afford protection to the service users. The homes record keeping policies and procedures safeguard service users. The health and safety of service users is not fully safeguarded. EVIDENCE: The service user who was interviewed stated that her views where sought in respect of running the home. In addition each service user completes an exit interview questionnaire that includes questions about possible changes and improvements. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 21 The pre-inspection report indicates that the service operates a comprehensive list of policies and procedures aimed at protecting the service user. In addition safety checks of equipment, services and fire safety have taken place and relevant steps taken to comply with any requests for improvement. The admissions policy does not fully safeguard service users in that there are no restrictions on the number of service users requiring wheelchairs. This omission meant that on the second morning of inspection there where three service users using wheelchairs and another due in the afternoon. It was noted in the morning that the number of wheelchairs caused service users who were independently mobile to became trapped, and their mobility reduced. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x 3 3 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score 3 x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highbarn Resource Centre LD Section Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 2 x F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 23 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. Standard 6 Regulation 15 Requirement The registered person must prepare a written plan as to how the service users needs in recpect of their health and welfare will be met. The registered person must ensure there is adequate sitting, recreational and dining space provided seperately from the service users private accomadation. The registered person must ensure all parts of the home are kept hygenically clean. Timescale for action 01/11/05 2. 17&24 23 (g) 01/08/06 3. 30 23 (d) 01/11/05 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 43 Good Practice Recommendations The registered person should ensure that the individual mobility needs of the service users access to Highbarn are considered when offering a placement to each service user. Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 OQD 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 Highbarn Resource Centre LD Section F54 F04 s35576 Highbarn LD un v236235 250705 Stage 4.doc Version 1.40 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. 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!