Inspection on 15/02/06 for Hill Bank View (21)

This inspection was carried out on 15th February 2006.

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 2 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) 11/11/05

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 15th February 2006 3:00 Hill Bank View (21) DS0000007845.V277642.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 Hill Bank View (21) DS0000007845.V277642.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. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 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.V277642.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 3 residents with Learning Disabilities all of whom also have an additional Physical Disability 11th November 2005 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 disability 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 en suite 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 hard standing for parking to the front. There is level access to the home. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second to be undertaken between April 2005 and March 2006. It was done on 15th February 2006, at a time when all of the people living in the home would be present. It took 1.5 hours plus 1 hour’s preparation time. Discussions were held with the two people currently living in the home, with the Community Housing Manager and with the care staff on duty. A number of records and some areas of the home, including a bedroom and most shared areas, were seen. Any key standards not assessed during this inspection have been assessed at the last inspection and reported on in the subsequently published report. What the service does well: What has improved since the last inspection? What they could do better: The organization could improve its recruitment and selection procedure by ensuring that all mandatory safety checks are undertaken on all staff. The registered person could ensure that the home has a registered manager. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 6 The home could provide staff with more support to complete their NVQ awards. 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.V277642.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 Hill Bank View (21) DS0000007845.V277642.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): 2. Any prospective resident can be assured, prior to admission, that the home is able to meet his or her needs. EVIDENCE: The Community Housing Manager explained that the majority of admissions into any of the organization’s homes come through the transition of students from Henshaw’s college to Henshaw’s community houses. Staff, who already know the individuals well, move across with them so that they have continuity of service. On the occasion when a resident had moved in following a request from the individual’s care manager, the Community Housing Manager had, prior to admission, met with the individual and their family to discuss with them, and those involved in their care, the individual’s skills and needs. The individual then visited the home on several occasions including overnight stays prior to moving in on a permanent basis. Both existing residents of 21 Hill Bank View had been fully involved in the decision as to whether or not the placement should be made permanent. Hill Bank View (21) DS0000007845.V277642.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): None. EVIDENCE: Hill Bank View (21) DS0000007845.V277642.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): None. EVIDENCE: Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 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): 20. Residents’ personal and health care needs are fully met. EVIDENCE: 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 well maintained. All staff have undertaken certificated medication training from a qualified pharmacist. The home is to adopt a monitored dosage system starting from the next prescription. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 12 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. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: The home’s complaints procedure is accessible to residents and their relatives and is available in audiotape format. Residents are able to talk to staff if they have any concerns. No complaints have been made to the home or the CSCI since the last inspection. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 13 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. EVIDENCE: The home is well maintained and is pleasantly decorated and furnished throughout. A good standard of cleanliness is maintained throughout the home. 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 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. Since the last inspection the hot water boiler has been serviced. Other shared areas consist of a kitchen, a dining room and a lounge. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 14 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 and 34. The residents receive a good standard of care from a skilled and experienced staff team. EVIDENCE: Generally speaking, appropriate recruitment procedures are adopted by the organization. CRB checks have been undertaken on both staff but in the case of one of these, the check had not included a check against the POVA list. This could potentially compromise the safety and wellbeing of the residents. The Community Housing Manager said that she would address this shortfall forthwith. The number of staff employed in the home has been increased since the last inspection. Whilst the home is not staffed when there are no residents present, the current duty roster shows that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of the residents are met at all times. Both staff members have completed induction, foundation and LDAF training that includes adult protection and food hygiene training. One has enrolled to undertake a NVQ to level 3 and the second is due to enrol shortly. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 15 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 and 39. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The registered manager post has been vacant for some time. Whilst a permanent manager has been appointed, he is unable to take up his post until September 2006. The home recently had an acting manager in post although this post has now finished. From now until the appointed manager takes up his post the Commission for Social Care Inspection has agreed to the registered manager of a sister home in the same area managing both services. The organization has a comprehensive quality assurance procedure in operation. This includes regular audits of services and reviews of staff training by the organization. Residents are encouraged to freely express their views on the quality of service and said that they are very happy with this. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 16 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 3 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 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 1 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 1 X 3 X X X X Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No. 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 YA34 Regulation 18 Requirement A POVA check must be undertaken on the staff member for whom a CRB certificate has been obtained but a check against the POVA list has not been sought. Application to register the appointed permanent manager must be made. (Original timescale of 30.11.05 not met). Timescale for action 01/04/06 3. YA37 8 01/09/06 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 YA32 Good Practice Recommendations A minimum of 50 of care staff should be qualified to NVQ level 2 or above. Hill Bank View (21) DS0000007845.V277642.R01.S.doc Version 5.1 Page 18 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.V277642.R01.S.doc Version 5.1 Page 19 - 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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