Inspection on 27/10/06 for Hill Bank View (21)

This inspection was carried out on 27th October 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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) 15/02/06

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 Irene Ward Key Unannounced Inspection 27th October 2006 13:00 Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 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.V318129.R01.S.doc Version 5.2 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.V318129.R01.S.doc Version 5.2 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.V318129.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 3 residents with Learning Disabilities all of whom also have an additional Physical Disability Date of last inspection 15th February 2006 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. The weekly fees on 27 October 2006 range from £429.50 to £658.35 and do not include costs for hairdressing, chiropody, toiletries and transport to leisure activities. This information was supplied to the Commission For Social Care Inspection during the site visit. Service users/relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit carried out on the 27 October 2006. This visit was carried out by one Regulation Inspector and started at 13.00 hrs and finished at 15.00 hrs with 2 hours preparation time. Following the inspection a visit was also carried out to Henshaws Community Housing main office, which was to look at staff files. The home had not returned the pre-inspection questionnaire prior to the inspection which requests information before a site visit. Some information was obtained on the day so that surveys could be sent out to all relevant parties. Surveys have been sent out to relatives and other professionals who had contact with the home. Three have been returned at the time of this report being written. The site visit comprised of a full inspection of the premises, which included some service users private accommodation. The care records of the three service users living at the home were looked at, which included service users assessments, care plans and medication records. Staff rotas and health and safety documentation were inspected. Time was spent observing activity in the home and interaction between service users and staff, talking and listening to service users. Time was also spent talking to members of staff on duty. The manager was on duty and was available throughout the afternoon. There was one requirement outstanding from the previous inspection. The last unannounced inspection was carried out on the 15th February 2006. What the service does well: The way in which information is gathered and kept about service users means staff can provide support in a way that service users need and prefer. It also means staff have in depth knowledge and understanding about each individual service user and so encourage service users to develop skills and experiences safely. Staff are clearly committed to providing good standards of care for service users so that service users were well looked after. Care planning centred around the personal wishes and preferences of service users’ on how they wished to live their lives. Service users’ had access to a range of activities to enable them to pursue their educational needs and social and leisure interests. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 6 One comment received from a relative via the comment cards said, “My son and I are very happy with all staff and care at 21 Hill Bank View”. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 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.V318129.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are properly assessed prior to admission. EVIDENCE: Service users living at the home have all lived there for sometime, therefore there have been no new admissions. However in discussions held with the manager the process that a prospective service user would has not changed. All service users are admitted following a local authority care management assessment and the home’s pre admission assessment. The assessment includes all aspects of the service users lives and how they want support to be provided for them. Completion of the document includes meeting and gathering information from the service user, family and other professionals and is particularly useful for those service users who have complex needs. Prospective service users’ would be offered the chance to visit the home either for tea or a weekend stay prior to any decision being made about moving into the home. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 9 Two service users’ care records were inspected and these all contained an initial assessment and care plan which clearly detailed the specific individual needs of the service users’. Each service user had an individual statement of terms and conditions or licence agreement, which had been agreed between the home and the service user. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care provided to service users’ was good and encouraged service users’ to make their own decisions about how they lived their lives. EVIDENCE: Service users’ looked well cared for and some made comments about the care they received. One service user said, that he liked the independence it has given him and that it was “a nice house to live in and it is close to the facilities in Starbeck”, and another commented that they had lived at the home for thirteen years and they also “liked being independent”. Whilst staff were supporting service users during the afternoon it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. The care plans of two service users’ were looked at. These detailed how needs had been assessed and what actions were needed to meet the identified needs. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 11 Individual risk assessments, which were clear and well detailed, had been carried out to promote independence and safety and these were agreed with the service users. The care plans contained detailed information about service users, which helped staff to know about the service users’ preferences about how they wished to live their life. Through discussion with staff and the contents of the care plans it was clear that service users are able to make clear choices. The manager regularly audits service users care plans. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ enjoy a range of activities to meet their social and recreational needs. EVIDENCE: Service users have the opportunity to attend specialist day centres or work placements and have days at home to participate in personal shopping, laundry and household tasks. Service users’ have opportunities to pursue other interests outside of the home. One service user said they enjoyed going to the local pub. They also enjoy “just chilling out” at the weekend listening to music in their room. Another service said that they attend Harrogate College, which they enjoy and where they are learning French, Card making and Development and relaxation. Service users also said they liked to go out for meals to places like the Pizza Hut and enjoy shopping at the weekend. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 13 Service users’ planned their own menus in advance and shopping was purchased on a weekly basis. Service users’ were supported by the staff to prepare and cook their own meals where this was part of the care plan Staff working in the home have or are completing the food hygiene training. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a service user receives is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Service users health needs were recorded in service user plans with additional step-by-step instruction as to how they wished to be supported. Where ever possible and if specified personal care is provided by a member of staff of the same sex. All three-service users have a different GP. The chiropodist calls every six weeks to the home, dental and optical services are accessed as required. Daily record entries reflected the care that was being provided. One of the residents takes their own medication when not at home. Other than this staff assist residents to take their medication. The home has a Monitored Dosage System in place. There is a policy in place for the storage and administration of medication. The Medication Administration Records were Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 15 up to date and well maintained. Medication was securely stored in a locked cabinet. Staff have received or are receiving training regarding medication, as this training is ongoing and regularly updated. One survey received from a care manager said, “With change of manager in the past, there was some lack of awareness regarding some health issues”. The home now has a permanent manager who came into post in September 2006 and in discussions that were held at the site visit, the manager is looking towards improving some of the communication systems that are currently in place. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to an effective complaints procedure and are protected from harm. EVIDENCE: Service users are provided with a complaints procedure, which is produced in different formats such as Braille, large print or tape. The complaints procedure is also summarised within the service user guide. In discussions with service users in at the time of the site visit, both knew who they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. There is a comprehensive policy and procedure with regard to adult protection. Staff receive training in adult protection issues during induction and further training organised by the organisation, which was confirmed by staff in the discussions held with them. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, comfortable and safe home, apart from the carpets in the communal areas that were badly stained. EVIDENCE: The home provides good accommodation for service users. This includes a lounge and a through dinning room and kitchen and a ground floor bedroom that 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. The home was clean and comfortable in all areas apart from the carpets in the main hallway, lounge and dinning room some of which were badly stained. These will either have to be cleaned or replaced. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 18 The home is decorated and furnished to a good standard. The décor and furnishings reflect a “young persons” type of household and one of the bedrooms seen was individually decorated and personalised to their own taste. The home has sufficient bathrooms and toilets that were clean and well maintained. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from harm by a robust recruitment policy and an investment in training ensures that staff are equipped with the knowledge and skills to provide good quality care. EVIDENCE: 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. At night there is one member of staff doing sleep-in duties. The organisation operates an on-call service in case there is an emergency. All the homes managers are on a rota and take it in turn. The on-call service operates from 8.00 am to 8.00am on the following day. The staff files of two members of the staff team were looked. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 20 Comprehensive training continues to be in place for all staff and varies from Health and Safety, Emergency First Aid, Lone working, Protection of Vulnerable Adults, Equality, Diversity and Rights, LADAF (Learning Disability Awards Framework). Two members of staff have commenced the NVQ Level 2. Staff confirmed in discussions held with them that they received regular supervision from the temporary manager and regular staff meetings are held. The newly appointed manager has only been in post a short while. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The registered manager post had been vacant for some time and until the appointed manager took up his post the Commission for Social Care Inspection had agreed to the registered manager of a sister home in the same area managing both services. A permanent manager has now been appointed and has been in post since September 2006. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 22 Comprehensive Quality Assurance systems are in place and the home is audited regularly by the organisation. The schemes manager carries out regular monthly visits to the home and a report is completed and a copy sent to the Commission for Social Care Inspection. There are a range of Health and safety policies and procedures in place. The home has made proper provision to ensure that there are safe working practices by providing staff training in first aid, fire, food hygiene, infection control and safe moving and handling techniques. Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 23 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 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 3 3 3 X 1 X 3 X X 3 X Hill Bank View (21) DS0000007845.V318129.R01.S.doc Version 5.2 Page 24 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 YA37 Regulation 8 Requirement Application to register the appointed permanent manager must be made. (Original timescale of 30.11.05 and 01.09.06 not met). The hallway, lounge and dinning room carpets must be cleaned or replaced. Timescale for action 01/12/06 2. YA30 23(2)(d) 27/12/06 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.V318129.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V318129.R01.S.doc Version 5.2 Page 26 - 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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