Inspection on 11/11/05 for Hill Bank View (21)

This inspection was carried out on 11th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hill Bank View (21) 18/07/08

Hill Bank View (21) 27/10/06

Hill Bank View (21) 15/02/06

Hill Bank View (21) 19/10/04

Hill Bank View (21) 29/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Hill Bank View (21) 21 Hill Bank View Bogs Lane Harrogate North Yorkshire HG1 4DR Lead Inspector Mrs Maggie Coxon Unannounced Inspection 11th November 2005 12:00 Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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 Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hill Bank View (21) Address 21 Hill Bank View Bogs Lane Harrogate North Yorkshire HG1 4DR 01423 881911 01423 541889 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 *** Post Vacant *** Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 3 residents with Learning Disabilities all of whom also have an additional Physical Disability 19th October 2004 Date of last inspection Brief Description of the Service: 21 Hill Bank View is a care home registered by Henshaws Society for Blind People to provide accommodation and personal care to up to three adults with a learning dissability and visual impairment who may also have a physical disability. The home consists of a modern detached property located approximately 4 miles from Harrogate town centre. There are good local amenities within walking distance in Starbeck including shops and cafes. All three bedrooms are for single accommodation, one of which, on the ground floor, has ensuite facilities. The other two bedrooms, which are on the first floor, are both close to a shared bathroom. The internal design of the house meets the needs of the three people living there. The home has a well maintained garden to front and back and there is an area of hardstanding for parking to the front. There is level access to the home. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 11th November 2005, at a time when all of the people living in the home would be present. It took 2.5 hours plus 1 hour’s preparation time. Discussions were held with the three people currently living in the home and with care staff on duty. A number of records and most areas of the home, including bedrooms and shared areas, were seen. What the service does well: What has improved since the last inspection? Risk assessments are being reviewed and updated. The recording of financial transactions has improved. Staffs have had food hygiene training. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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 Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): None. EVIDENCE: Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 6,7,8,9 and 10. People living in the home make as many decisions about their personal lives and about the day-to-day running of the home as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Each resident has an individual life plan that clearly describes his or her strengths and needs and informs how these needs are to be met. These are amended and updated by staff as required. Each of the residents leads an interesting and active life with the support from staff where needed. They explained that they are very involved in the running of the home and have independent lifestyles and can take calculated risks subject to the outcome of a risk assessment undertaken by the staff team. These risk assessments are in the process of being updated. Staff spoken to were very aware about the sharing with others of information concerning residents including occasions when this might be necessary. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 11,12,13,14,15,16 and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. They enjoy a wide choice of home cooked, good quality food. EVIDENCE: Residents lead very independent, interesting and active lives with support from staff if required. Each has a weekly programme of activities and education in local community based settings. One of them is in part time voluntary employment at the local Henshaw’s Craft Centre. Residents develop and maintain relationships with families and friends. They visit their families and family members and friends who visit them at 21 Hill Bank View are made welcome and are able to meet with them in private. Residents are fully involved in preparing their own individual meals with support. They said that they are very happy with this arrangement as they have optimum choice about what and when they eat. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 18,19 and 20. Residents’ personal and health care needs are fully met although the current medication procedure could be strengthened. EVIDENCE: Each resident is registered with a local GP through whom they access specialist health services as and when needed. Staff support residents to receive the best health care possible through discussing health matters with them and through giving any assistance requested. Residents look after their personal care needs quite independently and said that they are able to ensure that their rights to privacy and dignity are not compromised. Staff were seen to communicate very well with residents. One of the residents takes their own medication when not at home. Other than this staff assist residents to take their medication, which is securely stored. Medication administration records are generally well maintained although whilst stock levels are being regularly checked, the receipt of incoming stock is not recorded and neither is the commencement date for each new supply. This means that it is not possible to carry out a full audit of medication. The staff member on duty was newly appointed and had not undertaken medication training. He explained however that he does not administer medication unsupervised. The relief staff member, who works in a Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 12 sister home run by Henshaws, said that she has had certificated medication training from a qualified pharmacist. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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 and 23. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: The complaints procedure is accessible to residents and their relatives. This document is available in audiotape format. Residents said that they are happy with the procedure and are happy to talk to the manager and staff if they have any concerns. No complaints have been made to the home or the CSCI since the last inspection. The home has copies of the NYCC Multi-Agency procedures for the protection of vulnerable adults and the “No Secrets” document. Additionally Henshaws has its own policies and procedures for the protection of vulnerable adults. The home also has a policy for the management of challenging behaviour. The newly appointed support worker said that he has been given adult protection training as part of his induction/foundation training programme and showed that he has a clear understanding of the adult protection procedures. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 24,25,27,28 and 30. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live although the hot water system in the bathroom needs improving. EVIDENCE: The home is well maintained and is pleasantly decorated and furnished throughout. All three bedrooms are for single accommodation and are of a suitable size. They are all pleasantly and individually decorated and are furnished to suit the taste and needs of the individual. The ground floor bedroom has en suite WC and wash hand facilities and there is a shared bathroom on the first floor. The residents said that whilst the water supply to the shower is hot enough, that to the bath is not and they are not able to have a comfortably hot bath. This is understood to be due to a problem with the water pressure and was raised as an issue following the last inspection. It has not as yet however been satisfactorily addressed. Other shared areas consist of a kitchen, a dining room and a lounge. Appropriate aids, adaptations and equipment are fitted throughout the home and a good standard of cleanliness is maintained throughout. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 32,33,34 and 35. The residents receive a good standard of care from skilled staff although the staffing complement of the home is currently badly under resourced. EVIDENCE: The current staffing compliment in the home consists solely of a full time manager who is not yet registered with the CSCI and a newly appointed part time support worker who is directly supervised by a second support worker at all times because a CRB check has not yet been received in respect of him. Normally no staff should start work until all appropriate checks, including a CRB check, have been undertaken. In extreme circumstances such as this one however it is acceptable for the home to start someone providing they employ other stringent recruitment procedures including undertaking a POVA 1st check on the individual and by providing continual supervision by a named person for the new employee. A variety of support workers from sister Henshaws homes are providing this double cover as well as working uncovered shifts. All vacant posts are currently being recruited to. One of the residents said that they have been involved in recruiting staff for sister homes in the area. The contracted support worker said that he has completed induction, foundation and LDAF training that included adult protection and food hygiene training. He said that he hopes to soon enrol to undertake a NVQ to level 3. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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): 37,41 and 42. The residents benefit from a well managed home in which their needs and wishes are put first although there is no registered manager in post. EVIDENCE: The registered manager post has been vacant for some time. The home currently has a temporary acting manager who is applying to be registered with the CSCI. A permanent manager will be taking up the post later in the year. The support worker said that the acting manager is very approachable and supportive. Residents’ personal monies, held on their behalf, are securely stored; all expenditures are recorded with receipts maintained. Residents said that they are happy with the arrangements and have full access to their money. Good health and safety systems and working practices are in operation and risk assessments are carried out to promote health and safety. COSHH materials are stored safely in the home and fridge and freezer temperatures are regularly checked. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 1 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 2 1 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hill Bank View (21) Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 1 X X X 3 3 X DS0000007845.V261004.R01.S.doc Version 5.0 Page 18 Yes. 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 YA27 Regulation 13 Requirement The problem with the hot water supply to the bath must be resolved. (Original timescale of “as from time of inspection” not met). A satisfactory CRB certificate must be obtained in respect of the support worker employed. If through absolute necessity further staff are needed to commence work prior to a satisfactory CRB certificate having first been attained, appropriate written references must be obtained, a POVA first check must be undertaken and the individual be directly supervised at all times by a named person. Application to register the manager must be made. (Original timescale of 30.11.05 not met). Timescale for action 19/12/05 2 YA34 19 09/12/05 3 YA37 8 19/12/05 Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 19 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 3 Refer to Standard YA20 YA32 YA33 Good Practice Recommendations Incoming stocks of medication should be fully recorded along with the date that a new batch is started. A minimum of 50 of care staff should be qualified to NVQ level 2 or above. The staff team should be recruited to sufficiently to avoid the need for current staff to work an excessive number of hours. Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Hill Bank View (21) DS0000007845.V261004.R01.S.doc Version 5.0 Page 21 - 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. 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