Inspection on 20/09/06 for Kings Road (61)

This inspection was carried out on 20th September 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

Kings Road (61) 29/08/07

Kings Road (61) 15/03/06

Kings Road (61) 19/04/05

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 Kings Road (61) 61 Kings Road Harrogate North Yorkshire HG1 5HJ Lead Inspector Mrs Irene Ward Key Unannounced Inspection 20th September 2006 1:30 Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 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.V312681.R01.S.doc Version 5.2 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.V312681.R01.S.doc Version 5.2 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.V312681.R01.S.doc Version 5.2 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. Date of last inspection 15th March 2006 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. The weekly fees on 20th September 2006 range from £663 to £669 and do not include costs for hairdressers, beautician, toiletries, leisure activities and leisure transport. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received on the 10the August 2006. Service users/relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit carried out on the 26 July 2006. This visit was carried out by one Regulation Inspector and started at 16.00 hrs and finished at 19.30 hrs with 2 hours preparation time. Following visits were carried out on the 3 August 2006, which was to look at staff files that are held centrally at the offices of Henshaws Community Housing. On the 4 August 2006 a further visit to the home to look at staff supervision records and discuss the outcome to the site visit with the registered manager. The home returned the requested information before this site visit, and surveys were sent out to relatives and other professionals who had contact with the home. Comment cards were received from two health and social care professionals. The site visit comprised of a full inspection of the premises, which included some service users private accommodation. The care records of two service users were looked, which included service users assessments, care plans and medication records. Staff rotas and health and safety documentation were inspected. Time was spent observing activity in the home and interaction between service users and staff, talking and listening to service users. Time was also spent talking to members of staff on duty. The registered manager was on duty and was available throughout the afternoon. There were no requirements outstanding from previous inspections. No requirements or recommendations were made following this inspection. The last unannounced inspection was carried out on the 15th March 2006. What the service does well: The way in which information is gathered and kept about service users means staff can provide support in a way that service users need and prefer. It also means staff have in depth knowledge and understanding about each individual service user and so encourage service users to develop skills and experiences safely. Staff are clearly committed to providing good standards of care for service users so that service users were well looked after. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 6 Care planning centred around the personal wishes and preferences of service users’ on how they wished to live their lives. Service users’ had access to a range of activities to enable them to pursue their social and leisure interests. Comments received via surveys from social care professionals were positive such as “ we are very impressed with this organisation and the quality of care. Our client is engaging in stimulating activities, living a very full life and is very happy. He is treated with sensitivity and his needs are all met”. 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. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 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.V312681.R01.S.doc Version 5.2 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 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Service users needs are properly assessed prior to admission. EVIDENCE: There have been no new admissions for sometime. However the home does have one vacancy. However in discussions held with the manager the process that a prospective service user would has not changed. All service users are admitted following a local authority care management assessment and the home’s pre admission assessment. The assessment includes all aspects of the service users lives and how they want support to be provided for them. Completion of the document includes meeting and gathering information from the service user, family and other professionals and is particularly useful for those service users who have complex needs. Prospective service users’ would be offered the chance to visit the home either for tea or a weekend stay prior to any decision being made about moving into the home. Two service users care records were inspected and these all contained an initial assessment and care plan, which clearly detailed the specific individual needs of the service users’. Each service user had an individual statement of terms and conditions or licence agreement, which had been agreed between the home and the service user. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 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 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The care provided to service users’ was good and encouraged service users’ to make their own decisions about how they lived their lives. EVIDENCE: Service users’ looked well cared for and some made comments about the care they received. One service user said, “I like being here, I would not want to move”, and another commented that the staff were “nice and helpful”. Whilst staff were supporting service users during the afternoon it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. The care plans of two service users’ were looked at. These detailed how needs had been assessed and what actions were needed to meet the identified needs. Individual risk assessments, which were clear and well detailed, had been Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 10 carried out to promote independence and safety and these were agreed with the service users. The care plans contained detailed information about service users, which helped staff to know about the service users’ preferences about how they wished to live their life. Through discussion with staff and the contents of the care plans it was clear that service users are able to make clear choices. Service users plans are written with service users, reviewed regularly and audited monthly by the homes manager. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ enjoy a range of activities to meet their social and recreational needs. EVIDENCE: Service users have the opportunity to attend specialist day centres or work placements and have days at home to participate in personal shopping, laundry and household tasks. Service users’ have opportunities to pursue other interests outside of the home. A number of them enjoy an occasional visit to the pub, or the disco at Henshaws College. Some service users said they enjoy “just chilling out” at the weekend and enjoyed the takeaway meals usually Indian or Chinese. Another service user enjoyed going horse riding most Saturdays. One service user had just got back from a holiday abroad. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 12 Service users’ planned their own menus in advance and shopping was purchased on a weekly basis. Extra foods were bought so that service users’ had options if they wanted to change their food choices. Service users’ were supported by the staff to prepare and cook their own meals where this was part of the care plan. One service user said that they were all now trying to cook healthier food. Staff have completed the food hygiene training. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ received good support and had access to specialist services when required to ensure that their needs were met. EVIDENCE: Staff aimed to promote the independence of the service users’ and to provide support in a sensitive manner. Service users’ preferences as to how they wished to be supported were recorded within individual care plans. Each service user had a GP and access to chiropody, dental and optical services and referrals were made to specialist services as appropriate. Daily record entries reflected the care that was being provided. The home has the Dossett box system in place, which is dispensed by Lloyd’s chemist. There is a policy in place for the storage and administration of medication. The Medication Administration Records were up to date and well maintained. Medication was securely stored in a locked cabinet. Staff have received training regarding medication and obtained Competence in Administration of Drugs certificates that are held on individual staff files. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to an effective complaints procedure and are protected from harm. EVIDENCE: Service users are provided with a complaints procedure, which is produced in different formats such as Braille, large print or tape. The complaints procedure is also summarised within the service user guide and service users knew who they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. Staff receive training in adult protection issues during induction and further training organised by the organisation. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 15 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, 25, 26, 27, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users live in a clean, comfortable and safe home. EVIDENCE: The home provides spacious accommodation for service users. This includes a lounge and a large kitchen and separate dinning room on the ground floor. The home is clean and comfortable. It is decorated and furnished to a very good standard. The décor and furnishings reflect a “young persons” type of household and two of the bedrooms seen were individually decorated. The home has sufficient bathrooms and toilets that were clean and well maintained. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Sufficient staffing levels, proper recruitment procedures and good staff training meant that service users’ needs were met and their interests were safeguarded. EVIDENCE: Staffing levels were sufficient for meeting the needs of the service users’. The duty roster showed that there were two members of staff on duty throughout the day when service users are at home and at peak times such as evenings and weekends staffing would be increased, as staff rotas are based around what service users are doing. This makes sure that service users social activities are not compromised. At night there is one member of staff doing sleep-in duties. The organisation operates an on-call service in case there is an emergency. All the homes managers are on a rota and take it in turn. The on-call service operates from 8.00 am to 8.00am on the following day. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 17 The staff files of two members of the staff team were looked at including those of one recently appointed member of staff. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. Comprehensive training is in place for all staff and varies from Health and Safety, Emergency First Aid, Lone working, Protection of Vulnerable Adults, Equality, Diversity and Rights, LADAF (Learning Disability Awards Framework. One member of staff has obtained their NVQ level 2 whilst two members of staff have commenced the NVQ Level 2 and one has obtained NVQ Level 3. The registered manager holds NVQ Level 4 and the assessor’s award. The manager is to attend a Management Development Course, which covers areas such as interviewing, supervision and assertiveness. Staff confirmed in discussions held with them that they received regular supervision and regular staff meetings are held. Records of supervision were seen at the site visit to the home. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 18 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, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The management of this home ensures service users best interests are promoted and reflected in the service provided. Service users health, safety and welfare are protected. EVIDENCE: Information provided from the pre-inspection questionnaire and the examination of selected health and safety documents show that regular checks to hot water delivery, electricity and gas and fire safety equipment are regularly undertaken. The home has a good and effective management team in place. The ethos of the home is open and positive. Service users and health and social care professionals all commented highly about the home. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 19 Staff confirmed that staff supervision and annual appraisals is carried out. Records were held on the two staff files seen. Quality Assurance systems are in place and the home is audited regularly by the organisation. The schemes manager carries out regular monthly visits to the home and a report is completed and a copy sent to the Commission for Social Care Inspection. Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 20 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 3 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 3 25 3 26 3 27 3 28 X 29 X 30 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Kings Road (61) DS0000007889.V312681.R01.S.doc Version 5.2 Page 21 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.V312681.R01.S.doc Version 5.2 Page 22 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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