Inspection on 09/05/05 for Howbeck Close 2

This inspection was carried out on 9th May 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 found no outstanding requirements from the previous inspection report, but made 1 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 22/01/06

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 1 - 2 Howbeck Close Off Howbeck Drive Edlington, Doncaster DN12 1RE Lead Inspector Rosemary Reid Unannounced 09 May 2005 10:00. 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 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 Stationary 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 CS0000007991.V186878.R01.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Howbeck Close Address 1 - 2 Howbeck Close Off Howbeck Drive Edlington Doncaster DN12 1RE 01709 865755 01709 862714 None South Yorkshire Housing Association Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Angela Warren Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Learning disability over 65 years of age (14) HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 January 2005 Brief Description of the Service: 1/2 Howbeck Close provides care for up to fourteen adult service users with learning disabilites. 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 equipement to accommodate people with associated physical dissabilites 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, regualr outings and social events take place. The service is provided by a partenrship between Soth Yorkshire Housing Association and Doncaster Helathcare 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 CS0000007991.V186878.R01.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the first day of the inspection on the 9th May the manager and deputy manager were not on duty and the nurse in charge could not give the inspector much of the information that was requested. A further visit was made on the 10th and the inspector attended a staff meeting on the 15th May 2005. The inspection focused on the requirements from the previous inspection, three residents files were case tracked along with medication, staffing rota, complaints, Adult Protection and Health & Safety issues for the safety and well being of the residents at Howbeck Close. 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 the inspector made three visits to observe the care of residents and speak with staff. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 standard(s) 2, 4, 5 The home provides prospective service users and/or their relatives with information they need to make an informed choice. Assessment are undertaken to ensure that the home can meet residents needs. Contracts are given to each resident to preserve the rights of occupancy. EVIDENCE: The home does not have a supply of Service User Guides the manager prints off a Service User Guide for all new residents to give to them and their relatives. This is part of the information pack given to each resident/relative about the home. Each resident has on file a copy of a contract or Licence Agreement with SYHA. There has not been a new admission since August 2004. Records show that introductory visits are offered and potential residents are invited to visit the home several times before becoming permanent resident. Each of the three service users files examined had on going assessments ensuring that developing needs are met at all times. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 standard(s) 6, 7, 8, 9, 10 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 CS0000007991.V186878.R01.doc Version 1.20 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 standard(s) 12, 13, 15, 17 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: The manager has developed a system for the residents to choose some of the activities they wish to take part in. Each resident has a timetable and are able to choose what they want to do when they are at home. The date had not been changed on the choice and schedule board. It would appear that although the system is in place to improve communication staff do not use it to its full potential. Activities are recorded. For example four residents are going to the theatre, some residents had been on holiday for a few days. The majority of residents go to social education centres several times a week. 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 CS0000007991.V186878.R01.doc Version 1.20 Page 10 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 standard(s) 18, 19, 20 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. 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. Weights of residents are recorded and action taken for weight gain or loss. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 11 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 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: One resident complains about the Education Centres on a regular basis and the Advocacy Service was involved with this issue, which has now been resolved. Residents/house meetings take place where residents can make their views known and make complaints through the complaints process. The home has a complaints policy and all complaints are recorded. 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. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 12 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 standard(s) 26, 27, 28, 20,29, 30 The two bungalows are purpose built and they are suitable for its stated purpose and residents stay in a comfortable, homely, safe environment. The home has sufficient number of toilets and bathrooms for residents’ needs. SYHA are improving the bungalows for the benefit of residents and staff however the work has not been completed at the time of writing the report. EVIDENCE: There are sufficient toilets and bathrooms for the needs of the residents of both bungalows. There are comfortable communal areas with a variety of seating for the residents at Howbeck Close. There is a large crack in a corner bedroom, which it was stated, would be filled in and then monitored however the work has not started. There are cracks in N. 1 bungalow in the bedroom and in the lounge in Bungalow no 2, which will also need attention. A report has gone to SYHA for a ceiling hoist tracking system, which would assist in the care of residents. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 13 Each service user has a bedroom, which is furnished and decorated in a style that reflects the residents’ personality or interests. Bedrooms were seen to have residents’ personal belongings for example pictures, keepsakes, photographs, posters, audio equipment and televisions/VCRs, videotapes, CDs, models and soft toys that bring pleasure and entertainment to residents. The kitchen in the first bungalow was in the process of being replaced and up graded. There have been problems in the fitting and tiling of the kitchen. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 36 The home has appropriate staffing levels that support residents in their day-today needs. 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. Staff supervision sessions take place and are on target to have six sessions per year thereby maintaining a monitoring of staff development. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,41,42,43 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. Records show that Health & Safety procedures were undertaken and certificates were up to date. The home is in the process of changing policies and procedures. The home has a handover check list which staff, sign however, many staff had signed that they had checked water temperature when there were no thermometers on the premises and there were no records of the actual temperature. This is essential HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 16 to ensure residents are protected from scalding. Although, the kitchen has a new 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. There are staff that have undertaken First Aid course. The Commission receive and annual business report from SYHA that confirms the viability of the home. HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 2 3 HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 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 YA 24 Regulation Reg 23 Requirement One bedroom (in No1) and in a lounge in No 2) area appears to have subsidence cracks that requires repair. The person who is left in charge of the home for their personal development must have a good understanding of what is expected of a person who is in charge of the home through induction and supervision. As a matter of Health & Safety thermometers for the testing of water temperatures must obtained and records kept of the test results. As a matter of Health & Safety hot food must be probed and the temperatures recorded. Timescale for action 1st August 2005 1st August 2005 2. YA35 Reg 18 19 3. YA 42 Reg 13(3)(4) Immediate 4. YA 42 Reg 16(2) (g) (h)(i), Sch 4(13) Immediate 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 Good Practice Recommendations HOWBECK CLOSE CS0000007991.V186878.R01.doc Version 1.20 Page 19 Commission for Social Care Inspection 1st Floor, Barclay Court Heavens Walk 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 CS0000007991.V186878.R01.doc Version 1.20 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. 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