Inspection on 16/01/06 for Jack Howarth House

This inspection was carried out on 16th 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 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

Jack Howarth House 15/10/08

Jack Howarth House 28/09/06

Jack Howarth House 28/10/05

Jack Howarth House 27/01/05

Jack Howarth House 12/10/04

Jack Howarth House 23/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jack Howarth House Hill Top Road Oxford Oxfordshire OX4 1PH Lead Inspector Catherine Kane Unannounced Inspection 16th January 2006 02:00 Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jack Howarth House Address Hill Top Road Oxford Oxfordshire OX4 1PH 01865 251271 01865 204155 jolene.sims@scope.org.uk 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) SCOPE Care Home 9 Category(ies) of Physical disability (9) registration, with number of places Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 9 28th October 2005 Date of last inspection Brief Description of the Service: Jack Howarth House is situated at the top of a steep hill in a residential area of Oxford. The home is registered for nine people with a physical impairment. The ground floor, which is fully accessible for people who use a wheelchair, has a spacious lounge, dining room and kitchen with views over a golf course. Residents have their own bedroom. The home is run and managed by SCOPE, a national organisation with experience in providing services for people with a physical impairment. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place during the day of Monday 16th January 2006. The manager and staff did not know the inspector was planning to visit. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took almost two hours. The inspector spoke with two residents, the manager and four staff who were on duty at the time. She also read notes kept in the home. The inspector would like to thank each resident for making her feel very welcome and thank the manager and staff on duty for their assistance during the inspection. 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. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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 Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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): Standard 2 was assessed at the inspection held on 28 October 2005. EVIDENCE: Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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): Standards 6, 7 and 9 were assessed at the inspection held on 28 October 2005. EVIDENCE: Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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): Standards 12,13,15, 16 and 17 were assessed at the inspection held on 28 October 2005. EVIDENCE: Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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 the following standard(s): Standards 18, 19 and 20 were assessed at the inspection held on 28 October 2005. EVIDENCE: Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 The complaints procedure is easy to follow. The policies and procedures that protect vulnerable people are robust. EVIDENCE: The manager related to the inspector how she responded when issues were raised. This was in line with the home’s complaints procedure. This home operates in accordance with the Oxfordshire Multi-Agency Code of Practice to protect vulnerable adults from abuse. Staff have confirmed a good understanding of their ‘duty of care’ to protect vulnerable people and some staff have attended specific local training. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 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 the following standard(s): 24 The overall standard of the accommodation is adequate and is kept well maintained. However, the current layout limits residents’ private space. EVIDENCE: The home is fully accessible to residents, with the exception of an upstairs administration office. The building continues to have a number of shortcomings including bedrooms that are too small considering that most of the current residents use wheelchairs and have bulky pieces of equipment and personal belongings to fit in. Jack Howarth House was built in the 1970s when the expected standards for care home premises were different. The layout of the home is now very dated and despite the hard work done by staff is not a particularly homely environment. In 2004 the inspector understood that SCOPE was considering how the provision of accommodation could be improved. The current manager was not aware of any plans to make any such improvements. The inspector recommends that SCOPE considers and plans how the current accommodation could be improved to create a more pleasing environment for residents to live in. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 13 Routine maintenance and repair were seen to take place with major roof repair taking place at the time of the inspection and the dishwasher and tumble dryer have been promptly replaced when needed. Some residents have a freeview digital TV service in their bedrooms. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35 The arrangements for the induction of staff and training are generally good with staff demonstrating a clear understanding of their roles. The systems for recruitment, selection and performance management of staff who work in this home are generally good. EVIDENCE: There is a well-established core staff team providing consistent care support to residents. Staff have a good understanding of residents’ support needs and communication methods. The relationships between staff and residents are good. The manager provided details of the range of training opportunities to enable staff to do their job. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 This home is generally well run and professionally managed. EVIDENCE: An application to register with CSCI has been received from the manager who currently manages services on a day-to-day basis. The inspector receives copies of the proprietors’ representative’s monthly visit reports. SCOPE, who run this service, has financial and accounting systems subject to internal and external audits. Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 2 X 3 X X X X Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 17 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. 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. 1 Refer to Standard YA24 Good Practice Recommendations The inspector recommends that Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Jack Howarth House DS0000013095.V278461.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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