Inspection on 17/10/05 for Knowle Court

This inspection was carried out on 17th October 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

Knowle Court 04/01/07

Knowle Court 26/01/06

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

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 Knowle Court 38 Knowl Road Golcar Huddersfield West Yorkshire HD7 4AN Lead Inspector John Gregory Unannounced Inspection 17th October 2005 08:30 X10015.doc Version 1.40 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 Knowle Court DS0000064291.V258624.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 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. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Knowle Court Address 38 Knowl Road Golcar Huddersfield West Yorkshire HD7 4AN 01484 658357 01484 658357 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) Knowle Court Limited Care Home 21 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (1), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1), Old age, not falling within any other category (19) Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/02/05 Brief Description of the Service: Knowle Court is a care home providing personal care and accommodation for up to 21 persons experiencing issues related to the aging process. The enterprise is owned by a private limited company, a representative of which is the home’s manager. The accommodation is a converted and adapted former Victorian Sunday School situated in the village of Golcar, a former weaving community, on the outskirts of Huddersfield. The accommodation is built over two floors that are joined by a staircase containing stair lifts. All the bedrooms are for single occupancy and there are two lounges and a designated dining room. The home is a short distance from local amenities. The front of the building has a small car park and garden. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of one day in October in 2005. The inspection took 6 hours and concentrated on those standards that the CSCI determine are central to the caring process. A sample of policies, procedures and records were examined that were relevant to the standards inspected. Four service users’ files were examined, three of which were examined in further detail. Four service users were interviewed in private. Four staffing files were examined and four staff interviewed in private. A brief tour of the accommodation was undertaken. The inspection was assisted by the owner/manager. The inspector would like to thank the owners, service users and staff of Knowle Court for their cooperation, time and hospitality during this inspection. What the service does well: What has improved since the last inspection? The service provider has changed registration to that of a limited company. Developments have continued to be made to include relatives in the care management process. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 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. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 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 the following standard(s): 3 Service users’ needs are assessed prior to their admission to the home and their needs are met upon admission to the home. EVIDENCE: Three of the four files examined contained evidence of a pre-admission assessment undertaken under the care management arrangements. Those service users admitted by this means could recollect the assessment process and the involvement of their carers or themselves; they were happy that their needs were being met. In the fourth case, there was no written pre-admission assessment although the service user could recollect the process and also felt their needs were currently being met. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 & 10 The service users are all subject to full care plans and their health needs are fully met. The medication policy, procedures and records protect service users and they are treated with dignity and respect. EVIDENCE: Four care plans were examined and contained details of service users’ needs and how these were to be met. The files contained evidence of medical assessment such as nutritional assessment and risk for developing pressure sores. There is a regular monthly reviewing system that ensures that the service users’ care remains relevant to their needs. One case, exceptionally, did not have written reviews with a monthly frequency. There was evidence of a system being developed to actively involve family carers in the care planning system. There was evidence on file confirmed by service users that there was the regular involvement with the primary health care team which ensured that their health care needs could be met. Many of the service users confirmed that they had been able to keep the same medical practice as when they were at home. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 10 The service provider has robust polices, procedures and records for the administration of medication which protect service users. The medication records of four service users were examined and found to be accurate. All the service users have single rooms, were well dressed in their own clothing and were treated with respect by the staff. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14 & 15 The service users can choose the sort of lifestyle they wish to lead. There is no restriction placed on visiting arrangements. The service users enjoy a good wholesome diet with choices available at all meals. EVIDENCE: Service users confirmed that they have a range of activities from which to choose whether they become involved. Some service users choose their own activities in their own rooms. Service users can have trips out to local places of interest. Some service users would like to go on individual shopping trips. All the service users confirmed that they can have unlimited access to visitors. There was evidence of the service users choosing to stay in their own rooms or go into the communal areas for interaction or meals. Rooms contained evidence of personalisation by the incumbent. The record of food served was seen and contained evidence of a balanced wholesome diet with a choice being available at all meals, although breakfast was not included in the records. Service users were unanimous in their appreciation of the meals and choices on offer. Service users stated that they were able to choose where they have their meals and some choose to have them in their own rooms. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16 & 18 The service provider has a complaints system in which service users have confidence. The service users are protected from abuse but development of internal procedures would enhance this protection. EVIDENCE: The service provider has a complaints process and procedures which the staff understand and in which service users have confidence. There had been no complaints recorded since the last inspection. The service provider has a complete copy of the local joint agency procedures for the prevention of abuse to vulnerable adults and a whistle blowing procedure. The staff have a basic understanding of the processes and issues involved in adult protection. The service provider developing a designated procedure for use by staff in this area would enhance this protection. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 & 26 The service users live in basically well-maintained, pleasant and hygienic conditions to which some attention is needed to improve safety for service users. EVIDENCE: On a tour of the building, it was furnished and decorated in a domestic style and was clean and tidy throughout. The service provider should enhance service user safety by fitting temperature control valves to all hot water points to which service users have access. The risk assessments for the unguarded radiators in the corridors should be revisited to ensure that they are safe. The toilet seat in the toilet adjacent to the dining room needs to be made safe and the flushing mechanism repaired. The laundry was equipped with a washer with a sluicing facility. The floor and walls of the laundry were of an impervious nature. The accommodation was clean and tidy throughout. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 The home is staffed to a level sufficient to meet the basic needs of service users. Service users would be fully protected by more attention being given to the recruitment process. EVIDENCE: The rota was examined and is based on three care assistants being on duty in a morning, two in an afternoon, with two waking night staff. In addition to the registered manager, there is a home’s manager on duty five days per week. The provider does not employ ancillary staff. This staffing level meets the basic needs of service users who report the staff to be always busy. The recruitment process was examined through the staff files. The process is basically sound but greater support and protection would be offered to service users if all staff being required to complete an application form and required to make a declaration as to their physical and emotional health. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 15 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 & 38 Further development of the home’s quality assurance system would ensure that the home is run in the best interests of service users. The home’s accounting system basically protects service users and would be enhanced by more attention to record keeping. The home would be a safer place to live and work if attention was given to all the necessary records. EVIDENCE: Policies, procedures and records were examined which indicated that the service provider takes action in most of the component parts of a quality assurance system. This includes the completion of service user survey forms and their correlation and the production of an annual business plan which includes quality issues. There is currently no coherent system of quality Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 16 auditing which, if adopted, would help ensure that the home was run in the best interests of service users. The day-to-day expenditure records of three service users were examined and the amounts of money available were reconciled with the records. Service users’ financial interests would be better safeguarded if receipts were to be obtained for all purchases made on behalf of service users. The home’s fire safety records were in order and involved risk assessments, fire drills and alarm tests. There was a policy and procedure for COSSH but a lack of data sheets for specific products, which would assist the protection of staff and service users. Health and safety records were seen, these would be enhanced by the work place risk assessment being brought up to date on at least an annual basis. Staff and service users felt safe living and working in the home. Knowle Court DS0000064291.V258624.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 2 X X 2 Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? no 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 OP29 Regulation 19 Schedule 2 Requirement The service provider must obtain the following information in respect of persons working in the care home; An application form A statement by the person as to their physical and emotional health Timescale for action 01/12/05 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 Refer to Standard OP29 Good Practice Recommendations The service provider must obtain 01/12/05 the following information in respect of persons working in the care home; An application form A statement by the person as to their physical and emotional health A Written preadmission assessment should be undertaken on all new admissions to the home. DS0000064291.V258624.R01.S.doc Version 5.0 Page 19 19 Schedule 2 2 OP3 Knowle Court 3 4 5 6 7 8 9 10 11 OP15 OP18 OP19 OP19 OP19 OP33 OP35 OP38 OP38 Breakfast should be included on the menu and record if food served The service provider should develop a designated procedure for the prevention of abuse to vulnerable adults. The broken toilet seat should be repaired. Temperature control valves should be fitted to all Hot water points to which service users have access. The central heating radiators in the corridors should be reassessed for safety. The service provider should develop a system for routine quality control within the home. Receipts should be obtained for all purchases made on behalf of service users. Safety data sheets should be obtained for all hazardous substances used in the home. The service provider should undertake an annual work place risk assessment. Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Brighouse Area Office 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 Knowle Court DS0000064291.V258624.R01.S.doc Version 5.0 Page 21 - 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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