Inspection on 13/12/05 for Hookstone Chase (66)

This inspection was carried out on 13th December 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 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

Hookstone Chase (66) 14/06/07

Hookstone Chase (66) 01/02/06

Hookstone Chase (66) 08/03/05

Hookstone Chase (66) 24/05/04

Hookstone Chase (66) 17/02/04

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 Hookstone Chase (66) 66 Hookstone Chase Harrogate North Yorkshire HG2 7HS Lead Inspector Chris Taylor Unannounced Inspection 09:00 13 December 2005 th Hookstone Chase (66) DS0000007887.V265497.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 Hookstone Chase (66) DS0000007887.V265497.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. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hookstone Chase (66) Address 66 Hookstone Chase Harrogate North Yorkshire HG2 7HS 01423 541888 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 Mrs Susan Jane Bodoano Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 service users with Learning Disabilities all of whom also have an additional Sensory Impairment. 8th March 2005 Date of last inspection Brief Description of the Service: 66 Hookstone Chase is registered to provide accommodation and personal care for 5 service users under the age of 65 years who have a learning disability and an additional sensory impairment. The home is a detached dormer bungalow situated on a main road close to a retail park and other local facilities. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. There were three service users at home and four members of staff on duty. Staff and service users were busy preparing to go out for the morning. Time was spent talking to service users. Records about service users were looked at as well as how staff are trained. Medication storage and a tour of the premises were made. The inspection took 3 hours including preparation time. What the service does well: 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. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 6 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 Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 7 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. The process for admitting new service users includes carrying out an assessment of need. EVIDENCE: It has been some time since a new service user has been admitted to Hookstone Chase. Henshaw’s procedures include pre admission assessment and trial visits. Most new admissions come via Henshaw’s Residential Further Education College which is situated in Harrogate. Compatibility is given high importance and current service users’ views are taken into consideration. A sample of case records were inspected and these all contained a local authority assessment and the homes own assessment. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 8 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 and 9. Proper arrangements are made to ensure service users’ needs are met. EVIDENCE: Two service users talked about the planning for their care. They said that they had a care plan and they had the opportunity to talk about their needs with the manager and their key worker. Service users said that they had regular meetings together to talk about the running of the home. Whilst staff were helping service users with breakfast and getting ready for the day ahead it was clear that staff knew individuals’ needs and they were able to reassure and assist service users in a kind and supportive manner Service user plans contained information about every aspect of the service users life and included areas for developing new skills. There was clear instruction to staff about how care should be delivered and service users had signed in agreement. Also present were risk assessments that supported service users to live as independently as possible with safeguards in place, these were reviewed regularly. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 9 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 and 17. Service users are supported with their chosen lifestyle. EVIDENCE: Service users talked about the day service they attend and how they spend their leisure time. All service users said that they were consulted about what they did through the day and how they spent their leisure time. They described a variety of day services some of which have a work ethos. Service users talked about being involved in the running of the home. They talked about going to the local pub, church and using local amenities, they said that they knew people who worked at local shops and they were always very friendly. Service user plans contained sections relating to service users leisure and daytime occupation preferences. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 Page 10 Respecting service users is included in staff induction, training and supervision. Service users participate in menu planning where possible and they are involved in shopping and preparing meals. A healthy diet is promoted and individual needs with regard to the food preparation are met. Mealtimes are flexible but form a social gathering in the house. Hookstone Chase (66) DS0000007887.V265497.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. Service users’ personal and healthcare support is provided appropriately and sensitively. EVIDENCE: Service users health needs were detailed in service user plans. Service users choose which GP they are registered with and specialist health care is accessible from the local learning disability team. Staff said that personal support is provided according to service users wishes. Sometimes service users choice is restricted because of safety and evidence of this was seen in service user plans. The policy and procedures for the storage and administration provides good instruction to staff. Medication is stored safely and the home is considering using a monitored dosage system. All staff receive accredited training. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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 and 23. Service users are safeguarded from abuse. There is a complaints procedure to follow to make sure complaints are acted upon. EVIDENCE: There have been no formal complaints made since the last inspection. The complaints procedure is produced pictorially, on tape and in Braille for those who need it. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. Staff receive training in adult protection issues during induction and foundation training and as part of NVQ level 2 and 3. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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 and 30. Service users live in a home that is clean and comfortable. EVIDENCE: A tour of the premises was made. There is a large kitchen /dinner which tends to be the hub of the home, a large lounge. Service users’ bedrooms are all located on the ground floor. There are two bathrooms which are adapted for people with physical disabilities. Outside are accessible gardens. All service users bedrooms are bright and cheerful and personalised according to individual taste. There are good infection control polices and procedures and these are supplemented with guidance from the local infection control nurse. The home has a contract for the disposal of clinical waste and there was a good supple of gloves, aprons and wipes situated around the home. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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): 32,35 and 36. Service users receive care and support from a well-trained staff team. EVIDENCE: henshaws provide a robust induction programme that is recorded and verified. It provides general and specific aspects of providing a service for people with learning disabilities. It is competence based and progression through the probationary period is dependant on satisfactory completion. Staff progress from induction to complete LDAF training and NVQ level 2 and 3. There was evidence that both Henshaws and the home’s manager is committed and promotes the value of having a well-trained staff team. Henshaws provide an annual programme of training which covers statutory health and safety and more specific topics such as loss and bereavement, challenging behaviours and recognising and dealing with abuse. Additionally training can be arranged externally, which is specific to the home or the needs of a person living there. Staff meetings are held every week and staff confirmed they received one to one supervision every 6 to 8 weeks. Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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): EVIDENCE: Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 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 X 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hookstone Chase (66) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000007887.V265497.R01.S.doc Version 5.0 Page 17 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 Hookstone Chase (66) DS0000007887.V265497.R01.S.doc Version 5.0 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. 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