Inspection on 26/01/06 for Knowle Court

This inspection was carried out on 26th January 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

Knowle Court 04/01/07

Knowle Court 17/10/05

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 Sally McSharry Unannounced Inspection 26th January 2006 09:40 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.V276932.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V276932.R01.S.doc Version 5.1 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 Mr Matthew J Lunn 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.V276932.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2005 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.V276932.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit carried out on the 26/01/06. One inspector carried out the inspection over a five-hour period. During the visit a check was made on the areas where a requirement and recommendations were made after the last inspection, which took place in October 2005. Some other standards were audited. The inspector spoke with some of the service users and staff, checked duty rotas, and audited some care records, medications, staff files, staff training records and some health and safety records. The inspector would like to thank the service users, staff and Mr Lunn for their assistance and hospitality on the day of the visit. What the service does well: What has improved since the last inspection? Since the last inspection steps have been taken to ensure all new service users to the home have a dated pre-admission assessment on file. The choices available at breakfast are now included on the menu. The home now has 50 of care staff with NVQ Level 2 or above. Repairs and improvements to the environment of the home identified in the last report have been addressed and some redecoration has taken place. Some Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 6 new furniture has been provided and Mr Lunn has plans to further improve the facilities provided. Good quality assurance systems have been introduced and all staff are responsive to comments made by service users and visitors. Clear systems are now in place in respect of service users finances. Full details and safety sheets are now available for all products used in the home. The work place risk assessment is now carried out annually. 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.V276932.R01.S.doc Version 5.1 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.V276932.R01.S.doc Version 5.1 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 and 6. No service user moves into the home without having had their needs assessed in a pre-admission assessment. EVIDENCE: Before any new service user is admitted to the home, the registered manager or a senior member of staff carries out a pre-admission assessment. This is done to ensure that the prospective service user’s needs can be met at Knowle Court. A copy of the hand written assessment is retained on file; a typed version is also produced. The home does not provide intermediate care at the moment. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 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 and 9. Individual service users have a plan, which sets out their needs and how they are to be met in the home. Service users needs are being met in the home. There are good systems in place for the management of medications. EVIDENCE: All service users have an individual service user plan. This identifies the individual service users needs and advises staff how these needs are to be met in the home. Risk assessments are in place and there is evidence that monthly reviews are carried out. There is evidence that service users and their representatives are included in the care planning process and are kept informed of any changes in the health and wellbeing of the service user. The registered manager was keen to further develop and improve care plans and discussions took place with the inspector about this. Service users confirmed and there was written evidence showing that the staff at the home ensure service users have access to health care professionals and specialist advice where needed. A sample of medications were audited and found to be correct. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 10 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): 15. Service users receive a varied and wholesome diet. EVIDENCE: Service users were clear when asked about the standard of meals provided; they said the meals were very good, both in terms of quality and quantity. As recommended at the last inspection in October 2005 the menu now includes the choices available at breakfast. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 11 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 and 18. Service users are confident that should they have any complaints they will be dealt with appropriately. Service users could be further protected from possible abuse. EVIDENCE: There is an appropriate complaints procedure and service users were confident that any concerns they might have would be dealt with quickly and correctly. Appropriate records are maintained regarding any concerns, which shows issues are fully investigated and action taken to resolve them. Since the last inspection work has been done to expand the adult protection policy. However some further work is needed. Work has been done to clarify the protection of vulnerable adults in relation to the employment of staff. The policy now needs to be developed to give guidance to the staff about abuse and the protection of vulnerable adults. The policy and procedure should give staff advice and information about abuse and the different forms of abuse. It should identify what the possible signs of abuse might be. It should also give advice to staff about how to report any suspicion of abuse in the home or directly to the local authority. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 12 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. Service users live in a well-maintained environment. Further steps should be taken to ensure the safety records are maintained and contain the correct detail. EVIDENCE: A brief tour of the building was carried out. All areas of the home that the inspector saw were clean and tidy. Service users are encouraged to personalise their rooms and this gives Knowle Court a homely feel. Some redecoration has taken place since the last visit and some new armchairs and dining room furniture have been provided. Since the last inspection the annual health and safety risk assessment for the home has been re assessed as recommended. Risk assessments in relation to uncovered radiators are to be expanded further by adding an individual risk assessment to each service users’ care plan. These will be reviewed with other risk assessments in care plan on a monthly basis. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 13 Following recommendations made in the last report, thermostatic valves have been fitted to hot water outlets in service user areas. Mr Lunn reported that the temperature of hot water outlets is being monitored, however no written record is maintained. It is recommended that the temperature of all hot water outlets be checked weekly. A written record of the check should be maintained and include the date, the location of the outlet, the temperature recorded, a record of any fault and the action taken and the signature of the person carrying out the test. The toilet seat identified as broken at the last inspection has been repaired. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 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, 28, 29 and 30. Appropriate numbers of staff are provided to meet the needs of the current service users’. Staff are being trained and supported to meet the needs of the service users. Staff records need some further work to ensure they fully meet the current standard. EVIDENCE: Service users stated that there are sufficient members of staff on duty to meet their needs. Duty rotas confirmed this. There are three members of staff on duty during the morning; Mr Lunn and the duty manager are often supernumerary. During the evening there are two carers on duty. Due to a recent increase in work load a third carer works from 4:30pm to 6pm. There are two wakeful members of staff on duty during the night. There are 50 of care staff in the home with NVQ level 2 or above. A further two members of staff are undertaking NVQ training. Work has been done since the last inspection to improve the recruitment process. The recruitment files of the most recently employed member of staff were satisfactory. However the inspector recommended that all staff at the home complete a health declaration and all staff employed since April 2002 complete an application form to meet the current standard of records required. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 15 There is evidence of induction and foundation training. Two staff who work in the kitchen are currently working toward the intermediate food hygiene certificate; four staff have completed first aid training and all the staff have completed an infection control course. Other areas covered in training include healthy eating, food hygiene, movement and handling, and abuse. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 16 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): 31, 33, 35, 36 and 38. An experienced and qualified manager runs the home. Quality assurance measures are in place and help ensure the home is run in the best interests of the service users. Service user’s finances are safeguarded. Staff are appropriately supervised. The health, safety and welfare of service users and staff are protected. EVIDENCE: The registered manager is experienced and qualified. Both he and his duty manager have completed the registered manager’s award and are waiting for their course work to be verified. Since the last inspection the Mr Lunn has looked at the quality assurance measures in the home. Good systems are now in place include annual quality assurance questionnaires, which are circulated to service users, relatives and visiting health care professionals. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 17 The home has commenced a self-audit system used by the Commission for Social Care Inspection. Knowle Court also holds the Investors in People award. Recently they have commenced the Change Works Program, which looks at recognising staff and aims to improve staff retention. Staff meetings are held and relative and residents meetings take place. Individual reviews also take place with service users and their relatives on a 6 monthly basis. The home has a system for contacting relatives who are unable to visit regularly to provide updates and information about service users progress. The results of questionnaires are summarised and an action plan developed. This information is then made available to service users and relatives with in the home and in the service users guide. Service user’s financial records were audited and are now clear with receipts available for all purchases made on behalf of service users. There is written evidence that staff are receiving regular supervision. Since the last inspection full COSHH details have been provided for all the products used in the home. Work place risk assessments are now carried out annually. Discussion took place at the inspection about a letter from the Fire Safety officer regarding the fire alarm system in the home. Mr Lunn advised this had been referred back to the electrical contractors who fitted the alarm system to provide the necessary confirmation and documentation to the Fire Safety officer. Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 18 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 Page 19 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. 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. 1. Refer to Standard OP18 Good Practice Recommendations The protection of vulnerable adults policy and procedure should give staff advice and information about the different forms of abuse and what the possible signs of abuse might be. It should also give advice to staff about how to report any suspicion of abuse in the home or directly to the local authority. It is recommended that the temperature of all hot water outlets be checked weekly. A written record of the check should be maintained and include the date, the location of the outlet, the temperature recorded, a record of any fault and the action taken and the signature of the person carrying out the test. It is recommended that all staff at the home complete a health declaration and all staff employed since April 2002 complete an application form; to meet the current standard of records required. 2. OP19 3. OP29 Knowle Court DS0000064291.V276932.R01.S.doc Version 5.1 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. 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