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Inspection on 15/03/06 for Kings Road (61)

Also see our care home review for Kings Road (61) for more information

This inspection was carried out on 15th March 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It delivers an individual service to each of the four service users who all have specialised needs. The duty rota for the home is worked around the needs of the service users. The staff approach is to maintain and develop the independence of the service users. Service users enjoy a wide range of leisure and social activities based on their individual needs and wishes. The organisation provides staff with good in-service training.

What has improved since the last inspection?

The kitchen ceiling has been repaired and the ceiling decorated. The registered manager has obtained her Registered Managers Award. New members of staff have been appointed and less supply staff are now used.

What the care home could do better:

Staff meetings could be held on a more regular basis.

CARE HOME ADULTS 18-65 Kings Road (61) 61 Kings Road Harrogate North Yorkshire HG1 5HJ Lead Inspector Brian Hallgate Unannounced Inspection 15th March 2006 2:30 Kings Road (61) DS0000007889.V284201.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 Kings Road (61) DS0000007889.V284201.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. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Kings Road (61) Address 61 Kings Road Harrogate North Yorkshire HG1 5HJ 01423 541888 01423 541889 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) Henshaws Society for Blind People Mrs Margaret Lee Pattison Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 service users with a Learning Disability all of whom also have an additional Sensory Impairment. 19th April 2005 Date of last inspection Brief Description of the Service: 61 Kings Road is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged 65 years and under that have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre and there are local amenities nearby. It is a large three storey Victorian terrace with a small garden to the front. All bedrooms are designed for single occupancy. The bedrooms and bathroom facilities are on the first floor. There is another toilet on the first floor. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours, including preparation time, and commenced at 2.30pm. A visit was made to the offices of the organisation to inspect staff files. A visit was made to the home and a number of records were inspected. All four service users and the registered manager of the home were spoken to. The majority of the key standards were inspected at the previous unannounced inspection held on the 19th April 2005. The requirements and the recommendations from that report had been acted upon. All service users were very happy with their home, their own accommodation, the staff and the meals provided. What the service does well: What has improved since the last inspection? The kitchen ceiling has been repaired and the ceiling decorated. The registered manager has obtained her Registered Managers Award. New members of staff have been appointed and less supply staff are now used. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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 Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): None EVIDENCE: Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): None EVIDENCE: Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): 17 The meals in the home are good offering both choice and variety. Service users are involved in the development of the menu. EVIDENCE: Menus are completed on a weekly basis by staff after discussion with service users to ascertain what they wish to be included on the menu. Alternatives to the menu are always available. All four service users stated that the meals were good. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): 20 The medication at this home is well managed promoting good health. EVIDENCE: There is a policy and procedure for the administration of medication. No service user self medicates. The home has a monitored dosage system with the medication being put in the system on a weekly basis by the pharmacist for all four service users. The medication and the records checks were in good order and up to date. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): 23 The home has a satisfactory abuse policy. EVIDENCE: The organisation has a policy and procedure on abuse. The registered manager was fully aware of what action to take in the event of a suspected abuse situation occurring. Staff have received training in abuse awareness and the implications of the protection of vulnerable adults. Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 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): 24 The standard of the environment within this home is good providing service users with an attractive and homely place in which to live. EVIDENCE: The only outstanding issue from the previous inspection was a repair to the kitchen ceiling. This has been completed and the ceiling decorated. The home is pleasant and homely. Kings Road (61) DS0000007889.V284201.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): 32,34 and 35 The service users receive a good service from the well trained staff. EVIDENCE: The staff team consists of a registered manager and four support workers. All four service users stated that the staff were good and assisted them where necessary. There are usually two staff on duty when service users are at home, but the rota is organised around the needs of the service users. One member of the staff team has an NVQ Level 2 in care and two further members of staff are working towards this award at the present time. Staff have also received training in manual handling, POVA, risk assessment, diversity, equality and rights, stress management, mobility training, first aid and food hygiene. The organisation has a policy on the recruitment of staff. Three staff files were selected at random to examine. All the files had the necessary checks completed before new members of staff were employed. Kings Road (61) DS0000007889.V284201.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): 42 There was evidence that proper attention is given to health and safety promoting a safe and secure environment in which service users can live. EVIDENCE: The only outstanding issue from the previous inspection was a risk assessment in respect of the damage to the kitchen ceiling. The ceiling had been repaired and decorated. The registered manager is very experience having worked in the care sector for 21 years, 11 of which had been in management positions. She has completed her NVQ Level 4 in care and management since the last inspection. Kings Road (61) DS0000007889.V284201.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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X 3 X Kings Road (61) DS0000007889.V284201.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. Refer to Standard Good Practice Recommendations Kings Road (61) DS0000007889.V284201.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. 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