Inspection on 28/03/06 for Highgate Park (4)

This inspection was carried out on 28th March 2006.

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

Highgate Park (4) 24/05/05

Highgate Park (4) 16/11/04

Highgate Park (4) 15/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Highgate Park (4) 4 Highgate Park Harrogate North Yorkshire HG1 4PA Lead Inspector Terry Downey Unannounced Inspection 28th March 2006 08:30 Highgate Park (4) DS0000007895.V285696.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 Highgate Park (4) DS0000007895.V285696.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. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Highgate Park (4) Address 4 Highgate Park Harrogate North Yorkshire HG1 4PA 01423 504506 01423 504506 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) None United Response Susanna Woodcock Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 4 Service Users with Learning Disabilities who may also have a Physical Disability 24th May 2005 Date of last inspection Brief Description of the Service: Highgate Park is registered to provide residential, social and personal care for four younger adults under the age of 65 years who have learning disabilities and physical disabilities. The property is a purpose built bungalow, fully wheelchair accessible, with paved gardens on all sides. The home is situated about 1 mile from Harrogate town centre and offers good access to the towns services and amenities. The home is part of the United Response organisation. The registered manager is Ms S Woodcock. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 28th March 2006. The manager was not available so Ms Emily Bayley, senior carer, assisted with the inspection and was well organised and helpful. It was also possible to speak to 2 other members of staff, all four residents and observe their interactions. This was the second inspection and all key standards had been met at the previous visit, so this inspection concentrated on discussions with the residents about their lives in the home. The home was clean, well decorated and furnished, and there was a pleasant atmosphere. The residents were having breakfast prior to going out to their day services but it was possible to spend an hour and a half with them and they were very willing to talk about their home. All the residents said they felt in control of their lives and that the staff were encouraging and helpful and that it ‘ was a great place to live’. The inspection showed that the home was well organised and that the staff were aware of their duties, and the residents were well cared for and had full well structured lives. What the service does well: What has improved since the last inspection? The lounge the residents had requested for a quiet place to meet friends and relatives is almost complete. The home continues to provide high levels of care. Highgate Park (4) DS0000007895.V285696.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. Highgate Park (4) DS0000007895.V285696.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 Highgate Park (4) DS0000007895.V285696.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): Not assessed at this visit. EVIDENCE: Highgate Park (4) DS0000007895.V285696.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): 7,8,9. The residents are involved in aspects of their care and decisions about their lives. EVIDENCE: The residents spoke of their involvement in the running of the home and the decisions they make and some of these were witnessed during the inspection. The residents are clearly supported, encouraged and empowered. Highgate Park (4) DS0000007895.V285696.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): 12,13,15,16,17. Residents eat well and enjoy a wide range of activities both inside and out of the home and are part of the local community. EVIDENCE: Each resident had an individual programme aimed at developing their skills and staff are available to support them. This was witnessed during the inspection and residents spoke with pleasure about their day activities. There have been several changes to day services affecting the residents but the staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. It was clear that the staff network very well to ensure suitable options are available. All residents use the local facilities in Harrogate e.g. theatre, cinema, cafes, church. They all attend church and have made many supportive friends through this. They also meet with friends from other local homes. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 11 Food is an important part of the residents lives and they help to choose the menus weekly and each resident will take part in helping with the shopping. They also like to eat out and are well known locally. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 12 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): Not assessed at this visit EVIDENCE: Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 13 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): 22,23. Residents are protected from abuse, neglect, and self harm. EVIDENCE: The home has a detailed complaints procedure, in suitable formats for the residents. The residents said they would speak to staff if they had any concerns and felt happy that they would deal with it. The residents felt that there were sufficient people they could talk to if they had any concerns about their care. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 14 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): 24,30 The home is clean and well provided with specialist equipment to meet the residents’ needs. EVIDENCE: 4 Highgate Park provides a comfortable well furnished home for the residents to live. The residents said they like their home. The home has recently added another lounge to the home so that residents can meet friends / relatives in private. The room has been built following the request from the residents and is almost complete. The residents were very pleased with it. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 15 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): 32,33,35. The staff are well trained and well organised which ensures that residents feel supported and staff are aware of their duties. EVIDENCE: The staff considered that they were a good team and worked well together to support the residents. Their duties and responsibilities are well documented on the handover plan, the duty rota, and the staff responsibility sheet. The staff rota is organised around the needs of the residents who all felt supported by them. Staff also felt that there were enough staff on each duty to meet the needs of the residents. The residents spoke highly of the staff and the care they provided. Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 16 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): Not assessed at this visit. EVIDENCE: Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X X Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Highgate Park (4) DS0000007895.V285696.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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