Inspection on 22/01/06 for Howbeck Close 2

This inspection was carried out on 22nd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Howbeck Close 2 21/06/07

Howbeck Close 2 09/05/05

Howbeck Close 2 18/01/05

Howbeck Close 2 03/08/04

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 Howbeck Close 2 1 - 2 Howbeck Close, Off Howbeck Drive Edlington Doncaster DN12 1RE Lead Inspector Ms Rosemary Reid Unannounced Inspection 10:10 22 January 2006 nd Howbeck Close 2 DS0000007991.V257441.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 Howbeck Close 2 DS0000007991.V257441.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. Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Howbeck Close 2 Address 1 - 2 Howbeck Close, Off Howbeck Drive Edlington Doncaster DN12 1RE 01709 865755 01709 862714 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) South Yorkshire Housing Association Ms Angela Warren Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (14) of places Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: 1/2 Howbeck Close provides care for up to fourteen adult service users with learning disabilities. Eight service users can be accommodated at No 1 Howbeck Close and a further six at No 2. Both propertied are purpose built bungalows with the space, facilities and equipment to accommodate people with associated physical disabilities including wheelchair users. The home has an adapted minibus enabling access to the wider community. The accommodation is located in Edlington about four miles form Doncaster. Edlington has local facilities such as shops, library, health centres and a weekly market close by. The majority of service users attend a range of day care provision that includes social education during the working week. Annual holidays, regular outings and social events take place. The service is provided by a partnership between South Yorkshire Housing Association and Doncaster Healthcare Trust, referred to SYHA and DHT in the report. SYHA own and operate the service with DHT providing the staff. All service users have a Licence agreement with SYHA. This partnership provides and operates three other such schemes in the Doncaster area. Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 22nd January 2006 from 10:10am – 1:30pm both bungalows were visited. Notices were placed in the entrance to the home to inform residents, staff and visitors to the home that an unannounced inspection was taking place. One visitor was spoken with and a comment card and prepaid envelope was given for other members of the family to make their comments. This visitor said, “staff can’t do any more for all the residents” and “the family are highly satisfied with their care”. A comment card was received from this family that stated their praise for the staff and the care given to their relative. Four residents files were case tracked along with medication, staffing rota and Adult Protection issues. No complaints had been received by the Commission from residents, social workers or relatives. At the previous inspection most of the standards were assessed. The majority of residents at Howbeck Close have severe learning and physical disabilities and their verbal communication is limited. A tour of the buildings was taken and found to be clean, tidy and without offensive odours. Residents were doing a variety or activities for example, listening to music in the “snoozelem” room, watching the large television screen with videos, playing games such as rolling a large ball, playing with lego bricks. What the service does well: What has improved since the last inspection? The new kitchen has been completed. Repairs to the cracks in the walls have been repaired and water temperatures are recorded for the prevention of scalds to residents. Action has been taken on the requirements from the previous inspection. Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 6 There is an induction programme and ongoing training for the staff group to ensure that staff members are trained to give an effective delivery of service to all their residents. 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. Howbeck Close 2 DS0000007991.V257441.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 Howbeck Close 2 DS0000007991.V257441.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): These standards were not assessed. EVIDENCE: Howbeck Close 2 DS0000007991.V257441.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 The home has a clear care plan system to ensure that residents changing needs and direction for staff are included within the care plan to support residents in their day-to-day life at Howbeck Close. EVIDENCE: The residents at Howbeck Close are highly dependent some of which have complex needs. Each service user has a file, which addressed service users changing needs and directed staff to care for those residents. Daily working notes were up to date to evidence the care that was provided. The review dates were diaried for the year on the annual planner. Four care files were examined and there were risk assessments in place. Accidents are recorded and body maps are used. All care plans had an individual photograph of the each of the residents. All of which are examples of maintaining safety and protecting residents. Howbeck Close 2 DS0000007991.V257441.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 - 15 The home provides a range of activities both in and out of the home for the stimulation and enjoyment, which benefits residents. Residents have options at meal times and menus are formulated to include the known likes of the service users that include health-eating options to ensure that residents have good nutrition. EVIDENCE: There are wooden items, which have been fixed to the wall to provide interest for all residents. Each resident has a timetable and are able to choose what they want to do when they are at home. Activities are recorded. The majority of residents go to social education centres several times a week. The home has purchased a video camera and large television screens and show video of for example, outings, Christmas party and the residents enjoy watching themselves on the television. When the inspector visited no 2 bungalow the residents were having kareoke session before lunch. Mealtimes are flexible but a pattern of breakfast, lunch and tea is adhered to. The staff at the home works to a healthy eating menu for the wellbeing of the residents. Howbeck Close 2 DS0000007991.V257441.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 - 21 Residents’ physical and emotional health care needs were met by the involvement of doctors, hospital, physiotherapists and occupational along with the community nurses. Medications were administered as prescribed and the staff at the home work to their medication policies, which promotes the wellbeing of residents. The ethos of the home promotes dignity, respect and independence for residents. Where there is a need staff use advocacy services for a resident and relatives are informed of advocacy services, which promote and advance residents’ rights EVIDENCE: The DHT ethos, induction for staff, the Statement of Purpose, the Service User Guide, along with the policies refers to dignity, respect and independence. Through observations staff were seen to treat residents with respect and dignity and two relatives confirmed this. The home’s diary and care records show that there was involvement of the Primary Care Team and appointments kept at hospital/clinics. Medication records were examined which were satisfactory. Howbeck Close 2 DS0000007991.V257441.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 - 23 The SYHA and DHT have policies and procedures to protect residents from abuse. The home has a clear complaints system, which residents and relatives have used to record their grievances and/or concerns EVIDENCE: The home has a complaints policy and all complaints are recorded. No complaints were made from the previous inspection. Records show that when a complaint is made action is taken by the manager to resolve their grievances. Records show that all new staff goes through the induction programme, which includes Adult Protection issues. In the past there have been involvement of Advocacy Services and the manager would contact the agency if needed for the residents. Records show that there are Residents/house meetings where residents can make their views known and make complaints through the complaints process. Howbeck Close 2 DS0000007991.V257441.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): These standards were not assessed. EVIDENCE: Howbeck Close 2 DS0000007991.V257441.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): 35 The home has appropriate staffing levels that support residents in their day-today needs. Records show that staff have attended induction and training courses, which develops their skill and knowledge base to meet residents’ needs. EVIDENCE: Staffing levels are as follows number one bungalow there is one qualified nurse and three support staff, number 2 an “A” grade nurse and two support staff. The home has robust recruitment policies and procedures. There are job descriptions for all levels of staff. Criminal Record Bureau and POVA checks are undertaken on all staff. The DHT has an induction for all new staff and LDAF (Learning Disabilities Wards Framework) training. There is a training strategy organised by the Doncaster Health Care Trust. Records show that staff had attended training courses and the home meets 50 trained members of care staff with NVQ Level 2. Howbeck Close 2 DS0000007991.V257441.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): 37, 39, 42 There are policies and procedure, which promotes the health, safety and welfare of residents. Staff are not undertaking all necessary health and safety checks, which potentially leaves residents at risk. EVIDENCE: The home has a fire assessment and fire prevention training had been undertaken. Fire prevention training is arranged for the year. There are bolts on fire doors, which are not used when the residents are in the building and risk assessments have been undertaken. At the previous inspection records showed that Health & Safety procedures were undertaken and certificates were up to date. The home has a handover checklist which staff sign. Each kitchen has a food probe, hot meals were not being probed and the temperatures were not being recorded although many of the staff had undertaken food hygiene courses. Most of the staff group probe hot food and record what was cooked at meal times. However there were some were blanks in the records. There are staff that have undertaken First Aid course. Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 16 The Commission receive and annual business report from SYHA that confirms the viability of the home. Monitoring visits are undertaken by SYHA and record if the visit is sent to the CSCI. Howbeck Close 2 DS0000007991.V257441.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 2 X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X x 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 X X X 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Howbeck Close 2 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 3 DS0000007991.V257441.R01.S.doc Version 5.0 Page 18 No 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 YA6 Regulation 15 Sch 3(1 b) 15 (2) Requirement The registered person must ensure that all care plans and reviews must have up to date information. Action was taken by the manager As a matter of Health & Safety hot food must be probed and the temperatures recorded along with a record of the meals taken. Action was taken by the manager. Timescale for action 30/04/06 2 YA42 16(2)g-i Sch4(13) 22/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Howbeck Close 2 DS0000007991.V257441.R01.S.doc Version 5.0 Page 20 - 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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