Inspection on 13/12/05 for Knaresborough Road (151)

This inspection was carried out on 13th December 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Knaresborough Road (151) 03/01/07

Knaresborough Road (151) 06/05/05

Knaresborough Road (151) 16/12/04

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 Knaresborough Road (151) 151 Knaresborough Road Harrogate North Yorkshire HG2 7NW Lead Inspector Terry Downey Unannounced Inspection 13th December 2005 09:30 Knaresborough Road (151) DS0000061613.V272547.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 Knaresborough Road (151) DS0000061613.V272547.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. Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Knaresborough Road (151) Address 151 Knaresborough Road Harrogate North Yorkshire HG2 7NW 01423 546326 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) Homes Together Ltd Mrs Susan Linfoot Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to have an associated sensory impairment. Date of last inspection 6th May 2005 Brief Description of the Service: 151 Knaresborough Road is registered to provide residential social and personal care for 8 adults who have learning disabilities and an associated sensory impairment. The home is a large well maintained property situated between Harrogate and Knaresborough and has good access to services and amenities. The registered provider is Homes Together Ltd. The responsible individual is Mr S Jones. The registered manager is Mrs S Linfoot. Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on 13th December 2005 as part of the inspection process. The manager, Mrs Linfoot, was available to assist with the inspection and it was also possible to speak to three members of staff and see all of the residents. The residents all communicate in a very specialised way but the staff were able to interpret their responses for the inspector. Many of the findings however are based on observation. It was possible during the inspection to witness some of the care practices and the interactions between the residents and the staff. The inspection also involved a tour of the premises, a check on the requirements and recommendations from the previous inspection, and a check on some of the records kept by the home. The home has a cheerful atmosphere and is clearly run for the benefit of the residents. The inspection showed that the home is well organised and managed, the staff are well trained and aware of their duties, and the residents are well cared for. The inspection took 4.5 hours which includes preparation time. What the service does well: What has improved since the last inspection? Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 6 The recruitment procedure has been tightened to ensure staff are not employed prior to the relevant checks being made. Some repairs / improvements have been made to the environment. Staff training has progressed ensuring that staff are constantly improving their skills to meet the changing needs of the residents. 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. Knaresborough Road (151) DS0000061613.V272547.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 Knaresborough Road (151) DS0000061613.V272547.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): 2,4,5. Residents know that if they choose to live in the home that they will be well cared for. EVIDENCE: Although no new residents have been admitted for over a year procedures are in place and previous admissions showed that assessments involving residents’ family / carers and other professionals are carried out prior to admission to ensure that the staff can meet their needs. All residents have an individual contract to safeguard their stay in the home. Knaresborough Road (151) DS0000061613.V272547.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): 6,7,9. The residents’ health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have some control over their lives in the home. EVIDENCE: All residents have a detailed care plan which identifies their personal and social needs. The plan is developed from the detailed information the staff have gained from their experience of working with them. The residents benefit from having an established and settled staff team. The staff have regular meetings to discuss the changing needs of the residents and review the care plans. This ensures that staff are kept up to date and a consistent approach is achieved. The residents’ files contained all the relevant information required by the care staff and were very well organised, making them easy to read and to use. The staff were observed providing sensitive and respectful care to the residents. Knaresborough Road (151) DS0000061613.V272547.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): 12,13,15,16,17. The residents eat well and enjoy a wide range of activities both inside and out of the home and are part of the local community. EVIDENCE: Each resident had an individual programme aimed at developing their skills and staff are available to support them. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. All residents use the local facilities in Knaresborough and Harrogate eg swimming pool, cafes, shops and supermarket. Food is an important part of the residents’ lives and the cook and the staff know what they enjoy and ensure their favourites are included in the weekly menus. The cook said that she always uses fresh produce as much as possible and this was witnessed during the inspection. She also said she considered the food budget adequate and the cooking facilities were suitable to provide the meals required. Lunch was served during the inspection and the residents Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 11 were really enjoying their meal as well as it being an enjoyable social time together. Knaresborough Road (151) DS0000061613.V272547.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): 18,19,20. Individual resident’s physical and emotional needs are met. EVIDENCE: Residents have their personal support needs identified in detailed care plans and include clear instruction about how support is provided safely and according to the service users preference which ensures that they receive the care in the way they prefer and where possible by the carer they prefer. Staff induction and on going training includes care practice that ensures and promotes privacy and dignity and respect. The home uses the Boots monitored dosage system and has a clear policy for the storage and administration of medication. All staff have had training from Boots and the Community Pharmacist on the Safe Administration of Medication and are starting an accredited course with an external trainer. None of the service users self medicate. All records were well maintained and demonstrated the professional approach taken by the staff and ensures the safe use of medication by the residents. Knaresborough Road (151) DS0000061613.V272547.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): 22,23. Residents are protected from abuse, neglect, and self harm. EVIDENCE: The home has a detailed complaints procedure, in suitable formats for the residents. In reality the staff have to observe the demeanour of the residents and investigate any changes. The vulnerable adults procedure is available in the home and training of staff has been recorded. Staff were aware of the types of abuse and the whistle blowing procedure. Because of the vulnerability of the residents it was recommended that the policy be reinforced at staff meetings to help staff to understand the vulnerable adults procedure. There were no concerns about the residents being protected from abuse. The home has a robust recruitment procedure which ensures that suitable people are employed in the home. Knaresborough Road (151) DS0000061613.V272547.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): 24,30. The home is clean and well provided with specialist equipment to meet the residents needs. Some of the decorations were not up to the required standard. EVIDENCE: The home has suffered from some tree root subsidence and repair work is in the hands of insurers but has been programmed. The decorations especially on the first floor were faded which detracted from the overall smartness of the home. Good cleaning and hygiene programmes were in place to prevent the risk of any infection and the home was clean and free of any offensive odours. The staff considered that there was sufficient specialist equipment in the home to meet the needs of the residents. Knaresborough Road (151) DS0000061613.V272547.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): 32,34,35. The staff are well trained and well supported by the manager and senior staff which ensures that the residents are supported and the staff are aware of their duties. EVIDENCE: The home has a settled staff team and a core of experienced mainly senior staff who have been at the home for many years, know the residents very well, and provide the stability they need. It was clear that the staff enjoyed their work and work well as a team. The staff are well supervised and supported which ensures they have the skills required to do their work. The home has a comprehensive recruitment procedure which ensures that unsuitable people are not employed. Knaresborough Road (151) DS0000061613.V272547.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): 37,39,42. The health and safety and welfare of the residents is consistently promoted by the registered manager and senior staff who provide a very settled staff unit and offer clear leadership and guidance to the support staff. EVIDENCE: The health and safety records were well maintained and up to date and this helps to safeguard the safety of staff and residents in the home. The quality assurance system is being developed to measure and assess that the home is meeting the aims and objectives of its Statement of Purpose. An annual report will be sent to the Commission. Knaresborough Road (151) DS0000061613.V272547.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 3 3 Standard No 22 23 Score 3 2 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 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Knaresborough Road (151) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 1 X X 3 X DS0000061613.V272547.R01.S.doc Version 5.0 Page 18 yes 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 YA39 Regulation 24 Requirement The registered person must ensure that a quality assurance system is developed for reviewing, and improving the quality of care provided by the care home. (The timescale of 06/09/05 was not met) Timescale for action 31/03/05 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 2 Refer to Standard YA23 YA24 Good Practice Recommendations It was recommended that the ‘Vulnerable Adults Procedure be reinforced to staff at regular intervals to ensure that they are aware of the procedure. The decorations on the first floor of the home are in need of a refurbishment. Knaresborough Road (151) DS0000061613.V272547.R01.S.doc Version 5.0 Page 19 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 Knaresborough Road (151) DS0000061613.V272547.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. 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