Inspection on 01/06/05 for Moor View

This inspection was carried out on 1st 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

Moor View 03/04/07

Moor View 06/12/05

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 MOOR VIEW 20 Georges Street Nursery Lane Ovenden Halifax HX3 5TA Lead Inspector CHERYL STOVIN UNANNOUNCED 1 JUNE 2005 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. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Moor View Address 20 George Street Nursery Lane Ovenden Halifax HX3 5TA 01422 368716 01422 368738 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) Richmond Fellowship Mr Peter Lidster CRH - Care Home 14 Category(ies) of Care Home with Nursing, Mental Disorder registration, with number of places MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection N/A Brief Description of the Service: Moor View is owned and managed by The Richmond Fellowship and is registered to provide accommodation and nursing care for up to 14 adults with severe and enduring mental health needs. There is always a qualified Registered Mental Nurse on duty supported by a team of well trained Assistant Project Workers. The establishment, a purpose built property, is situated in the Ovenden district of Halifax with easy access to local facilities and on a bus route to the town centre. The accommodation comprises of 14 single bedrooms all equipped with full en-suite facilities, and spacious and comfortable communal areas. The Calderdale Primary Care Trust makes referrals to the establishment and is also responsible for funding the placements. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 1st June 2005. The visit lasted five hours and during this time the views of service users and staff were sought as to the standard of care and facilities provided at Moor View. In addition, records were examined and a tour of the building was undertaken. This was the first inspection of Moor View since the establishment was registered by the Commission for Social Care Inspection in March 2005. The establishment was previously registered with the Healthcare Commission as an Independent Hospital. What the service does well: What has improved since the last inspection? What they could do better: The organisation team uses various mechanisms, e.g. staff supervision, individual care reviews and a robust quality assurance system, to review the services that are provided to ensure that the standard of services are of a consistently high quality. Any opportunity to improve is identified through these processes. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 6 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. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 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 MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 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) 1,2,4 All prospective residents have their needs fully assessed prior to admission and all prospective service users routinely visit the home several times prior to making a decision to become resident. EVIDENCE: The establishment has produced a statement of purpose and service user guide detailing the services and facilities provided within the home. A detailed and holistic assessment is carried out in respect of each service user and is reviewed on a regular basis. Prospective service users visit the home prior to admission, the duration and number of visits is taken at the individuals own pace, Referrals to the establishment are made by the Calderdale Primary Care Trust, also responsible for funding the placements. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 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 Service users are fully involved in all aspects of daily life within the home and are encouraged and enabled to be as independent as possible. EVIDENCE: Each service user has an individual support plan which is detailed and holistic and details all activities of daily living, in addition to physical and psychological health care needs. The support plan is reviewed regularly and signed by the service user. Service users are supported under the Care Programme Approach. Any specific cultural or religious needs are identified, and details of how these needs are to be met are recorded. Detailed risk assessments are in place, which are also reviewed on a regular basis. Service users are regularly consulted regarding the services and facilities provided within the establishment. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 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, Service users enjoy an active and varied lifestyle and participate in a wide range of community activities whilst residing at the home. EVIDENCE: Service users are encouraged and enabled to develop social and independent living skills and to learn and experience practical life skills. Service users are encouraged and enabled to fulfil their cultural and spiritual needs. Service users access a wide range of community social and recreational facilities and are encouraged and enabled develop and maintain new interests. Several service users have recently held an art exhibition at the Piece Hall in Halifax, an event that was visited by the Mayor of Calderdale and reported in the local press. Holidays are arranged for the service users, the destination and duration subject to individual preference, some service users are shortly to take a break in the Yorkshire Dales. An attractive and well equipped relaxation room is provided for the service users to enjoy alternative therapies including aromatherapy and reflexology. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 11 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) 18,19,20 Service users personal and health care support is given in accordance with their wishes. EVIDENCE: Service users’ personal support needs are assessed and form part of their plan of care. All personal care is given in private. Service users physical and psychological health care needs are assessed and detailed in their individual support specification. All service users are under the care of an identified Psychiatrist who visits the home on a fortnightly basis for consultation. Stocks of medication held within the establishment are securely and appropriately stored. The medication is supplied in individual cassettes delivered via a local pharmacy. The medication is administered, by the qualified nursing staff, in line with NMC guidelines. One service user is responsible for administering their own medication with an appropriate monitoring system in place. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 12 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) None of these standards were inspected on this occasion. EVIDENCE: MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 13 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) 24,25,26,28,30 The accommodation provided within the home is well maintained and furnished and fitted to a good standard and appropriate for the service users. EVIDENCE: The establishment is situated in the Ovenden district of Halifax close to local facilities and on a bus route to the town centre. The property, which is purpose built, provides accommodation in 14 single bedrooms all equipped with en-suite shower or bathing facilities. Communal areas are spacious and comfortable and furnished and fitted to a good standard. A smoking area is provided in a well ventilated conservatory. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 14 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) 31,32,33,35,36 The home is appropriately staff by a well trained and motivated staff team. EVIDENCE: The staff team comprises of 8 RMN’s (Registered Mental Nurse) and 15 APW’s (Assistant Project Workers), 2 chefs, 1 administrator and sufficient domestic and ancillary staff. It is a condition of employment that all APW’s undertake NVQ III Promoting Independence training. At the time of the inspection 9 had completed their award. Staffing levels are sufficient for the service users social and emotional needs to be met. Relationships between staff and residents were observed to be relaxed and friendly with appropriate use of informality and humour. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 15 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) 37, 38 The home is well run and managed effectively by a strong management team. EVIDENCE: The Registered Manager of the home, Mr Peter Lidster is qualified and experienced to manage the establishment. He is a RMN who has also completed his NVQ IV Registered Managers Award. He dictates a clear sense of leadership and is committed to ensuring an open and positive atmosphere is prevalent within the home. MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 16 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 3 3 N/A 3 N/A Standard No 22 23 ENVIRONMENT Score N/A N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 N/A 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 N/A N/A N/A N/A Standard No 31 32 33 34 35 36 Score 3 3 3 N/A 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 MOOR VIEW Score 3 3 3 N/A Standard No 37 38 39 40 41 42 43 Score 3 3 N/A N/A N/A N/A N/A J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 17 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 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 Good Practice Recommendations MOOR VIEW J52J01_s63402_Moor View_v230050_010605.doc Version 1.40 Page 18 Commission for Social Care Inspection 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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