Inspection on 28/10/05 for Jack Howarth House

This inspection was carried out on 28th October 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

Jack Howarth House 15/10/08

Jack Howarth House 28/09/06

Jack Howarth House 16/01/06

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 28th October 2005 11:30 Jack Howarth House DS0000013095.V261918.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 Jack Howarth House DS0000013095.V261918.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. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 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.V261918.R01.S.doc Version 5.0 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 27th January 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 couse. Each resident has 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.V261918.R01.S.doc Version 5.0 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 Friday 28 October 2005. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took almost four hours and the inspector spent this time with eight of the residents who currently live at Jack Howarth House, the three staff on duty and a student nurse. The inspector also spoke with the home’s administrator. The inspector also read notes kept in the home, saw how staff helped residents to look after their medication and was present during the midday meal. Some residents and several of their families returned Comment Cards to the inspector. Two residents indicated that they were not happy living at Jack Howarth House and the home does not provide suitable activities. While residents’ relatives indicated that they were generally satisfied with the care provided at this home, some relatives highlighted that there is a shortage of staff. Comment Cards from social and health care professionals that regularly visit the home also indicated that they were generally satisfied with the care provided at this home. The inspector would like to thank each resident for making her feel very welcome and thank the staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? Residents now have an opportunity to air their views at residents meetings. The activity worker is making some progress to make sure that residents can take part in activities in the community. One resident enjoys going to the “well woman” course at college for pampering. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 6 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.V261918.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 Jack Howarth House DS0000013095.V261918.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): 2 The home has a clear admissions procedure. EVIDENCE: It is important to make sure that the home is the right place, the wishes of all the people who already live in the home are carefully considered and the staff team have the right skills before offering a place to any new resident. There have been no new admissions to this home since the last inspection. Jack Howarth House DS0000013095.V261918.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, 7 and 9 Care plans included risk assessments and had all the essential information staff need to be able to care for residents. EVIDENCE: The inspector viewed at random the files for three residents; each had the essential information that staff need to be able to care for people when they stay at the home. The outcomes of recent reviews that had taken place for some residents, including goal setting, were seen. Jack Howarth House DS0000013095.V261918.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): 12, 13, 15, 16 and 17 Residents have limited opportunities to take part in activities of their choice within their local community. Residents are free to move around the home. Meals served are freshly prepared and the menu is varied. Residents said they are very happy with the meals provided. EVIDENCE: The inspector saw how the staff on duty had built a strong bond with each resident as they shared jokes together. During the inspection the inspector spent some time getting to know residents who told her about the things that are important to them and what things they like to do. One resident was able to let the inspector know that they like to go to the shops and to play football. Another resident said they liked going to a “well woman” course at college. From talking with residents, staff and feedback from the comment cards received from residents and their relatives, the inspector understood that it was very important for each person to be able Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 11 to get out and about. Notes kept in the home, including the minutes of a residents meeting, indicated that some staff time was allocated to taking residents out. While this is a big improvement, it was not always as much as some residents would like and does not happen for each resident every day. A freshly cooked meal was served at midday on the day of the inspection. All residents indicated to the inspector that the food served is very nice. Staff told the inspector that a new varied menu had been put together with help from the dietician. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 12 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 Staff help residents to get to see their local GP, dentist and other community healthcare services when it is needed. Systems for the recording of residents’ medication could be improved. EVIDENCE: Information needed by staff to be able to provide personal and health care support was included in care plans. Two confident staff members explained the system for the safe storage, administration and recording of residents’ medication. The inspector recommends that any handwritten entries to the Medication Administration Record (MAR) sheets be signed by another member of staff assessed as competent in accordance with good practice. The inspector also strongly recommends that correction fluid is not used on MAR sheets. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 13 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): None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 14 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): 30 The home is kept clean and tidy. EVIDENCE: At the time of this inspection the home was clean, tidy and free from odours. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 15 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): 34 The systems for vetting and recruitment of staff are good. EVIDENCE: The inspector viewed the records of two recently recruited members of staff. Neat, well maintained files contained all the essential records required. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 16 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): 42 The systems in place for maintaining a safe environment are generally good. EVIDENCE: Well maintained health, safety and welfare records were kept in the home and were made available for inspection. Jack Howarth House DS0000013095.V261918.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 3 X X X Standard No 22 23 Score X X 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 X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jack Howarth House Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000013095.V261918.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. 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 YA20 Good Practice Recommendations The inspector recommends that any handwritten entries to the Medication Administration Record (MAR) sheets are signed by another member of staff assessed as competent in accordance with good practice. The inspector also strongly recommends that correction fluid is not used on MAR sheets. Jack Howarth House DS0000013095.V261918.R01.S.doc Version 5.0 Page 19 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.V261918.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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