Inspection on 24/08/05 for Jenkin House

This inspection was carried out on 24th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Jenkin House 17/01/07

Jenkin House 15/02/06

Jenkin House 11/02/05

Jenkin House 18/08/04

Jenkin House 29/01/04

Similar services:

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Larchfield Manor

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Jenkin House Jenkin Road Horbury Wakefield WF4 6DT Lead Inspector Susan Vardaxi Unannounced 24 August 2005 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 Older People. 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. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jenkin House Address Jenkin Road Horbury Wakefield WF4 6DT 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) Mr Anthony Harry Robinson 01924 275143 01924 275143 Mrs Glenys Rhodes CRH 25 Category(ies) of Older People 25 registration, with number Dementia - Older People 25 of places Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 11 February 2005 Brief Description of the Service: Jenkin House is situated in Horbury near Wakefield. It is a listed building that has been refurbished internally to provide accommodation for people over the age of 65 years, including some who have dementia type illnesses. The home stands in its own grounds overlooking the countryside, which provide a pleasant environment for the service users to sit and relax or to walk in. There are two large lounges, one being designated as a smoking area and also two very pleasant and spacious dining areas. The service users rooms are available on three floors in the home and a shaft lift is installed. The home has the required number of baths and toilet facilities and handrails and ramps have been fitted to assist with accessing all parts of the home. Service users’ medical care is provided by the local Health Centres. Specialist care needs are referred through the local GPs. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 24th August 2005 over seven hours. The inspection process included discussions with the manager, talks with staff, service users and a visitor, a walk round the building and checking some records. The inspector would like to thank the service users, visitor, manager and staff for their cooperation and hospitality throughout this inspection. What the service does well: What has improved since the last inspection? Some carpet replacements and redecoration has been completed since the last inspection. Staff recruitment procedures have improved; CRB checks are now completed before staff start work at the home. Weighing scales that service users are able to sit on had been provided immediately after being recommended at the last inspection. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 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. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 Pre admission arrangements are satisfactory. EVIDENCE: Records seen showed that a pre admission assessment had been completed. A copy of the home’s terms and conditions and letter confirming that the home can meet the service user’s needs were seen. The home does not provide intermediate care. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Care plans and daily records do not ensure that service users’ needs are fully met. Service users’ health could be at risk if medical attention is not provided when injuries are sustained from falls or other accidents. EVIDENCE: A new service user’s care plan seen had been developed from the pre admission assessment, another seen did not include continence control and pressure area care; a referral had been made to the continence adviser. Records seen showed that GPs and other health professionals visit regularly. However a service user had fallen and was not seen by a GP or sent to hospital when injuries had been sustained following two separate falls. The daily records did not give clear evidence that the care needs had been met on a daily basis. The records showed that weight checks are now being completed on admission and regularly, the manager said that new weighing scales had been provided immediately after the last inspection. Nutritional assessments had not been completed. The medication records were not seen, however the manager said that nine staff have completed a ten-week medication-training course. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 10 Staff were observed throughout the inspection and no incidences were seen that would have compromised service users’ privacy and dignity and the interaction between service users and staff was good. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The provision of activities is commendable and service users appear to be satisfied with the meals provided. EVIDENCE: Service users were asked for their views on the care provided, comments made were positive and included “ love it here, its smashing ” The manager said that staff take some service users into Horbuy town. Two service users spoken with confirmed this. Some service users said they had been to a local fish restaurant and an ice cream parlour, the manager said three relatives also went. Records of in house activities were seen; Motivation sessions, which the manager said, are well attended and include games quizzes and reminiscences. Art and Craft classes are provided; samples of the service users’ work were seen and included magazine holders, greetings cards and hand painted terracotta pots. The manager said someone visits three times a week to play the banjo, representatives from the local churches visit regularly and the Salvation Army visit when requested. The manager has introduced a “post book” which records service users’ post delivered to the home and service users sign the book to confirm receipt of their mail. A daily visitor said “staff treat service users well”, he is satisfied with the care of his relative, made to feel welcome and can visit at any time. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 12 The service users were not joined for the meal served on this visit, however menus seen were adequate, the manager said the menus are rotated daily. Service users spoken with made positive comments about the meals provided. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Training and recruitment procedures ensure that service users are protected from abuse. EVIDENCE: The complaints book was seen; no complaints had been made over the last 12 months. Service users spoken with raised no complaints. Four staff spoken with said they had enjoyed the adult protection training session they had attended recently and how much they had learnt about the various forms abuse can take. The manager said that a new laundry assistant was being recruited and a CRB check and references had been requested. The manager said that she had tried to refer dismissed member of staff to the POVA list. However, she said she had been advised not to proceed due to the date of an incident being prior to July 2004. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24,26, The home provides a clean, well-decorated and homely environment for service users to live in, however service users could be at risk if remedial work to comply with the fire regulations is not carried out. EVIDENCE: A walk round some areas of the home took place, it was seen that the home is decorated, cleaned and maintained to a good standard. Some new carpets had been fitted in hallways and bedrooms and the manager said that more carpets would be replaced within the following two weeks. There had been a break-in at the home prior to the inspection which had been dealt with appropriately and further security arrangements made. The manager said that the owners had provided an extra male carer on duty at night immediately after the break in to support the staff until the new security arrangements were made. Service users bedrooms seen were clean and tidy, emergency call extensions were in place where needed. The laundry and sluice rooms seen were clean and tidy. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 15 The bath and grouting in an en suite bathroom seen was stained and cracked. Two bedroom doors identified to the manager did not fit securely into the doorjambs. The fire officer had visited the home in March 2005 and two recommendations were made. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 The staffing levels and provision of training are adequate to meet service users needs. EVIDENCE: The staff rosters seen showed that three carers and the manager had been on duty daily, 4 carers are rostered to assist with the evening meal and three carers are on duty until 8pm and two at night. There is a cook on duty seven days a week. Two cooks work from 7am to 9am to assist with preparing and serving breakfast. Two domestics are employed and provide cover on some days from 7am to 6pm. The manager said that since the deputy manager has left the home senior carers have been introduced and this is working well. The manager said that extra carers are brought in when service users need escorting to hospital. The manager said that three care staff have NVQ level 2 qualifications, two have NVQ level 3 one has nearly completed and one is registered to start in September 2005. Some staff said they have had Dementia care and medication training, records seen showed that mandatory training has been provided. A domestic assistant has NVQ level 2 in housekeeping and another is due to complete. The manager said a laundry assistant is being recruited, a CRB check has been requested and references sent for. A CRB check outstanding at the last inspection was seen and was satisfactory. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,36,38 The arrangements for supporting service users and staff are satisfactory. Generally health and safety arrangements are satisfactory, however service users could be at risk if remedial work to comply with the fire regulations is not carried out. EVIDENCE: Records of staff meetings were seen; meetings had been held regularly and had been well attended. Records of service users’ meetings showed that they are encouraged to be involved in the running of the home and their choices and preferences had been recorded. The Commission has received copies of the registered person’s unannounced visit reports. The manager said that the registered person visits the home regularly and is very supportive. The staff files seen showed staff supervision sessions are held regularly. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 18 The manager said that a new electrical contractor had been appointed and new arrangements made for checking fire systems, emergency lighting, and emergency call system. Records of the fire training were seen and showed that training is provided twice a year. The staff files seen, information provided on the pre inspection questionnaire and staff files shows that mandatory training is provided and updated regularly. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 2 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x 3 x 1 Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 20 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 OP7 Regulation 15(1) 17 (1)(a) Requirement Care plans must show how the service users needs in respect of their health and welfare are to be met and inlcude continence control and pressure area care. Service users must be seen by a Doctor or sent to hospital when they have sustained injuries from falling. Nutritional assessments must be completed for all service users. The registered person must ensure that two bedroom doors fit fully into the door jamb when closed. The registered person must notify the Commission and the Fire Service in writing when the remedial work recommended in the fire officers report has been completed. Timescale for action 29th August 2005 & Ongoing 29th August 2005& Ongoing 2. OP8 13(1)(b) 17(1)(a) 3. OP19 OP38 OP19 OP38 23(4) 29th August 2005 & Ongoing Within the timescale stated by the fire service. 4. 23(4) 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 J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 21 Jenkin House 1. 2. OP7 OP23 The service users daily records should clearly describe what action has been taken on a shift by shift basis to meet the assessed needs of the care plan. The bath in an ensuite bathroom located on the first floor should be replaced. Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 22 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Jenkin House J51J01_s6192_Jenkin House_v230280_240805.doc Version 1.30 Page 23 - 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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