Inspection on 19/04/05 for Kings Road (61)

This inspection was carried out on 19th April 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

Kings Road (61) 29/08/07

Kings Road (61) 20/09/06

Kings Road (61) 15/03/06

Kings Road (61) 26/10/04

Kings Road (61) 10/06/04

Kings Road (61) 18/09/03

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 61 Kings Road 61 Kings Road Harrogate North Yorkshire HG1 5HJ Lead Inspector David White Unannounced 19 April 2005 09:30 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. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 61 Kings Road Address 61 Kings Road, Harrogate, North Yorkshire, HG1 5HJ 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) 01423 541888 01423 541889 N/A Henshaws Society For Blind People Mrs Margaret Lee Pattison CRH 5 Category(ies) of Learning disability (5) registration, with number of places 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 5 service users with a Learning Disability all or some of whom also have an additional sensory impairment. Date of last inspection 26/10/04 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. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. Part of the inspection took place at the home. Two of the service users were spoken with at Henshaws Arts and Crafts Centre. The focus was on a number of key standards together with those subject to requirements or recommendations at the previous inspection. The inspector looked around some of the building and a number of records were inspected. Discussions were held with three of the service users and the manager of the home. What the service does well: What has improved since the last inspection? What they could do better: Leaks in ceilings could be repaired as soon as they occur. Decorations and lighting could be improved between the ground floor staircase and the corridor leading to the kitchen. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 6 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. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 1,2 and 5. Users and prospective users of the service are fully aware of the care, services and facilities provided by the home, and can feel confident that their needs and aspirations will be understood by the home’s staff and are met. EVIDENCE: The home has detailed information together with a thorough pre-admission assessment procedure. The recently updated Statement of Purpose and Service User Guide provide comprehensive relevant information about the home. Both documents were clear, concise and detailed in their content and are available for service users and their families or representatives. The admission procedure is thorough and ensures that new service users are properly assessed and that staff are fully aware of their needs. The three service user files looked at all contained an initial assessment and care plan from the placing authority that provided clear and detailed information about individual service users’ needs. Service users visit the home for trial periods before deciding whether they would choose to live there. Each service user has a licence agreement that specifies the terms and conditions of their stay at the home and includes the responsibilities of the service user and the organisation. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 6, 7 and 9. Service users have completed individual care plans, and are fully consulted and given choice about how their needs are met. EVIDENCE: There are comprehensive plans of care available for all three service users spoken with. The plans identify health, personal and social care needs and state clearly how these are to be met. The service users and their families and/or representatives attend their care plan reviews. The plans include information about the service user’s preferred daily living routines and their interests and hobbies. A number of risk assessments are in place for a number of activities carried out by service users and the risk assessments are available within the individual service user files. Two of the service users commented that the staff at the home work hard to “encourage my independence”, and this was supported by the information within the risk assessments. Observation showed that staff enable service users to be independent but are also available to assist them at their request. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 12, 13, 14, 15, and 16. Service users enjoy a fulfilling lifestyle both in and outside of the home and links with the local community promote social and educational opportunities. EVIDENCE: All three service users enjoy a range of activities that are provided within and outside of the home. The service users all attend Henshaws Arts and Crafts Centre for four days a week and spoke positively about this service, one service user said “there is a lot to do here and I enjoy meeting my friends”. The service users were observed to be enjoying themselves at the Centre at the time of inspection. Two of the service users spoke with enthusiasm about their nights out at the local pub and about their visits to the local gym. One of the service users enjoys tandem cycling and horse riding. Visiting arrangements are flexible and family and friends can visit the home at any reasonable time as stated within the information available about the home. All those service users spoken with feel that they are offered privacy whenever they choose. Those service user files looked at included information about service users’ preferred daily routines and interests. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 18 and 19. The personal and healthcare needs of the service users are met in the home with evidence of good liaison between the home and other agencies to enable service users to have access to all specialist healthcare services. EVIDENCE: Individual plans of care describe in detail how all aspects of health, personal and social care are to be met. The plans include information about how service users prefer to be guided and supported and a number of individual risk assessments are in place to promote independence. One service user has specific healthcare needs and sees a District Nurse on a weekly basis. Visits by this professional are recorded so that staff are aware of actions taken by the nurse. All service users are registered with a GP and access to other NHS healthcare services is arranged by the staff as required. Two of the service users commented that they need assistance with their personal healthcare. They both said that assistance is “always provided in a sensitive manner”. One service user commented “ I love using my foot spa to relax me”. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 22 The views of service users are valued and acted upon. EVIDENCE: There is a complaints policy and procedure that is openly accessible in the home and is available in Braille and audiotape format. A summary of the complaints procedure is also available within the service user guide, given to service users and their relatives. Service users spoken with said that they were aware of how to raise any concerns. No complaints have been made about the home. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 standard(s) 24 and 30. The general standard of the environment of the home is clean and homely. There is serious concern that following a visit from the Environmental Health officer one of the requirements made from the inspection remains outstanding which places service users at risk of harm and does not provide a safe environment in which to live. EVIDENCE: The home is a three storey Victorian terraced house with six bedrooms. All bedrooms are designed for single occupancy and are on the first floor located close to the bathroom and toilets. There is one vacancy at the present time. The home is adequately decorated and furnished to the individual tastes of the service users. A requirement was made at the previous inspection in respect of noisy banging doors. This has been addressed and those service users spoken feel that they are no longer kept awake at night through noisy doors. The quality of the lighting offered in the area between the bottom of the staircase on the ground floor and the corridor giving access to the kitchen should be improved. An Environmental Health officer had undertaken an inspection of the premises on 09/03/05 and observed that there was a leak from the kitchen ceiling 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 14 causing dampness and rotting to the empty cupboards directly underneath the area of the leak. The Environmental Health officer issued a requirement at the time of the inspection in relation to this matter but this has still not been addressed and requires attention.. 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 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 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, 38, 39 and 42. The home is well managed with one exception. A requirement made at a recent inspection by the Environmental Health officer has not been complied with and does not safeguard the health, safety and welfare of the service users. EVIDENCE: The registered manager is experienced at running the home. She is currently undertaking the National Vocational Qualification in care and management to level 4. Those service users spoken to feel that the manager is “approachable and will listen to their views and take action if needed ”. There are systems for consulting with service users and involving them in decision making in relation to all aspects of the home and there was evidence that the views of service users and visitors are acted upon. The registered providers have within the last six months undertaken a survey of the views of service users about the organisation’s re-configuration process. The manager 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 17 has completed an annual development plan for the coming year outlining the aims and objectives for the home. The organisation is currently reviewing and updating their policies and procedures to reflect good practice and changes in legislation. House meetings enabling service users to voice their views are held monthly in the home and are recorded. Arrangements are in place for the protection of service users. The fire alarm test is done weekly, fire drills are carried out every six weeks, fire service equipment is regularly checked, and gas safety and electrical wiring certificates are in good order. The hot water temperature check of the bathroom was satisfactory. The manager reported that there have been some problems with the water pressures although the temperatures have never exceeded the levels that would place service users at risk from scalding. She is currently addressing this matter. The Environmental Health officer recently carried out an inspection of the home and one of the requirements made during this visit in relation to a leak from the ceiling in the kitchen has not been acted upon and jeopardises the health, safety and welfare of the service users. 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 61 Kings Road Score 3 Standard No 22 Score 3 Version 1.20 Page 18 J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc 2 3 4 5 3 x x 3 23 ENVIRONMENT x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x 1 x 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 19 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 24 Regulation 23 Requirement The registered person must comply with requirements made by the Environmental Health authority by ensuring that the leak to the kitchen ceiling is repaired to safeguard the health, safety and welfare of service users. Until the leak in the ceiling is repaired the registered person must carry out a risk assessment to ensure that the kitchen is free from hazards to service users safety. Timescale for action 31/05/05 2. 42 13 As from 19/04/05 and thereafter. 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 24 Good Practice Recommendations It is recommended that the quality of the decor and lighting should be improved in the area between the bottom of the staircase on the ground floor and the corridor leading to the kitchen. The registered manager should complete NVQ level 4 in care and management. J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 20 2. 37 61 Kings Road 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. Extracts may not be used or reproduced without the express permission of CSCI 61 Kings Road J53_J04_S7889_61 Kings Road_V221128_190405_Stage 4.doc Version 1.20 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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