Inspection on 02/06/05 for Leeds Road 66

This inspection was carried out on 2nd June 2005.

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

Leeds Road 66 17/04/07

Leeds Road 66 01/03/06

Leeds Road 66 07/12/04

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 Leeds Road (66) 66 Leeds Road Harrogate North Yorkshire HG2 8BG Lead Inspector Terry Downey Unannounced 2 June 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Leeds Road (66) Address 66 Leeds Road, Harrogate, North Yorkshire, HG2 8BG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01423 815555 01423 815555 Foresight Residential Ltd Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2004 Brief Description of the Service: 66 Leeds Road is registered to provide residential personal, and social care for 10 adults with learning disabilities and associated sensory impairment.The property is a detached house set in its own grounds and situated just outside Harrogate town centre providing good access to the town’s services and amenities.The home is owned and run by Foresight Residential Ltd. The responsible individual is Mr P Coldwell. Mrs Sandra Forster is the acting manager and will be applying for registration with the Commission. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 2nd June 2005. At the time of the inspection the manager was not on duty but her deputy Mrs Deborah Hough assisted with the inspection. During the course of the inspection it was possible to speak to six residents and four members of staff. The inspection also involved a check on the requirements and recommendations from the previous inspection, a tour of the premises and a check on the records kept by the home. The inspection took 8 hours which included preparation and travelling time. All the residents and many of the staff have been at the home for many years so know each other well and have established routines. There was however the feeling that a fresh approach is still adopted to encourage and challenge the residents to help them to develop their skills. The home was clean, well decorated and furnished, and there was a pleasant atmosphere. Some residents were in the home doing life skills training others were going to day services and 3 residents had gone home for a short break. The residents were pleased to talk about their home and said they felt in control of their lives and that the staff were encouraging and helpful and that 66 Leeds Rd ‘ was a great place to live’. The inspection showed that the home was well organised and that the staff were aware of their duties, and the residents were well cared for and had full well structured lives. What the service does well: It provides a comfortable well furnished home with good staff and makes it a pleasant place to live.. The home is clearly run for the residents who were encouraged to make choices about their daily lives both in the home and for activities outside the home. This made them feel in control of their lives. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 6 Residents said that all the staff were very helpful and they were able to talk about any problems with them which made them feel safe. 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. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,5. Residents know that if they choose to live in the home that they will be well cared for. EVIDENCE: All the residents have lived at 66 Leeds Rd for several years but assessments involving residents’ family / carers and other professionals were carried out prior to admission to ensure that the staff could meet their needs. All residents have an individual contract and reasonable steps have been taken to ensure that it is explained to them. This makes sure that they are aware of the terms and conditions of their stay in the home and that their needs can be met by the staff in the home Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9. 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 control over their lives in the home EVIDENCE: Comprehensive assessments and care plans identify their personal and social care needs and these were updated regularly. Risk assessments are included in the care plans so that both staff and residents are aware of the support required. The residents are involved in all aspects of running the home and it was clear that they valued and enjoyed this. Residents hold regular meetings to discuss issues related to the home and they found these helpful and a good way of being involved in the running of the home. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 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. 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 Harrogate eg theatre, pubs, and clubs. They meet with residents from other homes and enjoy bringing friends back to their home. Many residents go home regularly to their families. The home has cook who knows the residents well and prepares the food they enjoy. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 11 Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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 standard(s) 18,19. The residents physical and emotional health needs are met. EVIDENCE: Residents have their personal support needs identified in their care plans and include instruction about how support is provided safely and according to the individual preference The home has very good communication with other professionals and agencies which ensures that the healthcare needs of residents are met when required. The home uses the Boots MDS system. All medication records were well maintained and the storage and administration meets with the requirements and is checked by the pharmacist. None of the service users at present administer their own medication. All staff are doing the accredited training in the administration of medication with York College which will ensure that they are up to date with current good practice. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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 standard(s) 22,23 Residents are protected from abuse neglect and self harm. EVIDENCE: The home has a detailed complaints procedure, in suitable formats, but residents have not used it but felt safe knowing that it was there. They also said they could talk to the manager and staff and knew that they would take them seriously. The vulnerable adults procedure is available in the home and training of staff has been recorded. Staff were aware of the procedure and as with the complaints procedure above would take all reports seriously and deal with it properly. Residents said they felt safe in the knowledge that everyone knew about it. All the residents go out regularly and meet with many people who could be advocates for them if they were not being cared for properly. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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 standard(s) 24,25,27,28,30. The home is clean, and well decorated and furnished and provides a comfortable place to live. EVIDENCE: Residents are encouraged to choose their own decorations and furniture in their rooms and to provide their own personal items which makes it their own private space. The communal rooms are well furnished and decorated and residents said they were happy to bring people into the home. The home was clean and hygienic and free from offensive odours. There is an infection control policy to alert staff and ensure good hygiene practices. The home has a planned maintenance programme to ensure that it is kept safe and comfortable. Residents said it was a ‘great’ place to live. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35,36. The staff are well trained and well organised which ensures that they are aware of their duties and residents feel supported. EVIDENCE: The staff rota is organised around the needs of the residents who all felt supported by them. Staff also felt that there were enough staff on each duty to meet the needs of the residents. A key worker system operates in the home. Residents felt that this was helpful to have someone to work closely with. Staff also felt that it helped the residents especially with communicating their personal care needs. All staff receive supervision at least 6 times per year and this ensures that they are aware of the ethos of the home feel supported by the management Staff training is on going and relates to the specific needs of the residents which makes staff more confident in their role but the NVQ 2 training does not meet the 50 target for trained staff. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,41,42. The health and safety and welfare of the residents is consistently promoted by the manager and senior staff which makes 66, Leeds Rd a safe place to live. EVIDENCE: Many residents have been at the home for many years and they were satisfied that it was run as they wanted. The home has applied for the RNIB Accreditation Scheme and all staff have had the training and are just awaiting the approval. This includes a quality assurance system aimed at seeking the views of residents and other stakeholders. All full time staff have health and safety training and were aware of the issues. All records relating to health and safety were well maintained and up to date. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Leeds Road (66) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 3 x J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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 32 Good Practice Recommendations At least 50 of the staff should be trrained to NVQ level 2 in care. Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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 Leeds Road (66) J53_J04_S61592_Leeds Rd (66)_V228417_020605_Stage 4.doc Version 1.30 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. 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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