Inspection on 19/12/05 for North House

This inspection was carried out on 19th December 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

North House 06/09/06

North House 19/07/05

North House 04/10/04

North House 03/08/04

North House 19/02/04

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

CARE HOME ADULTS 18-65 North House 126 - 128 Northampton Road Market Harborough Leicestershire LE16 9LR Lead Inspector Fiona Stephenson Unannounced Inspection 19th December 2005 11:30 North House DS0000001719.V274023.R01.S.doc Version 5.1 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 North House DS0000001719.V274023.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 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. North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service North House Address 126 - 128 Northampton Road Market Harborough Leicestershire LE16 9LR 01858 432751 01858 466916 WilliamVert@aol.com 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) Mrs Willamina Vert Linda-Marie McCoy Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 19th July 2005 Brief Description of the Service: North House is a 12-bedded residential home for people with mental health needs. The home has been open for 18 years and is situated within 10 minutes walking distance of the centre of Market Harborough. The home has ten single bedrooms and one double. One of the single bedrooms has ensuite facilities. There are two lounges (one smoking and one non-smoking), two dining rooms, and two kitchens (one of which is for service user training purposes). At the rear of the home is a conservatory, which looks out over the homes gardens. North House DS0000001719.V274023.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 inspection that took place on the 19th December 2005 and was undertaken by one inspector. The inspection started at 11:30 and finished at 2:00pm. This was the second statutory inspection undertaken at the home for the year 2005-2006 and the inspector focused on the care standards that were not checked during the previous inspection. To do this the inspector ‘case tracked’ three residents living in the home; this means their care records were checked, their living accommodation was checked, they were spoken with, as were staff supporting their care. What the service does well: What has improved since the last inspection? Recruitment practices have been tightened to ensure that before commencement of employment, management have received two written references and Criminal Records Bureau checks. North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 6 Radiators on the ground floor and in one of the resident’s bedrooms have had covers put on them to make a safer environment for the resident identified. Fire doors are no longer wedged open. During the last inspection the boiler had just been replaced and the water temperature had not been calibrated. This was adjusted soon after the inspection, however the home always ensures that bathing water is not over 43c. 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. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 North House DS0000001719.V274023.R01.S.doc Version 5.1 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 Prospective residents needs are assessed prior to entering the home. EVIDENCE: The majority of residents have lived at North House for a long time. The inspector checked the file of the last person to have moved into the home, and found that there was a need assessment carried out prior to entering the home that clearly documented the resident’s needs and aspirations. North House DS0000001719.V274023.R01.S.doc Version 5.1 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): 6,7,8,9 The individual needs and choices for residents at North House are well supported. EVIDENCE: The inspector checked the care notes of resident’s case tracked and found that they clearly recorded the changing needs and circumstances of residents. Regular residents meetings are held to discuss life at the home and any issues that arise. Residents can call a meeting to discuss any issue, and for example called a meeting to get an agreement about how much time sport could be watched on the communal T.V., on a Saturday. The meetings are recorded, however the record is in the same book as staff meeting records. This is not good practice as the staff records are not confidential, and the residents have less access to the records as they are held in the office. North House DS0000001719.V274023.R01.S.doc Version 5.1 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): 11,12,13,14,15,16,17 Residents have good opportunities for personal development. EVIDENCE: The inspector spoke with residents and found a range of lifestyles within the home. Two residents go to the local college for Yoga sessions, and enjoy the Monday art sessions given by a local college tutor in the home. The home is well situated for walking into the town and for use of the town’s facilities. Residents’, who wish to, make good use of these by going to the local college, using the cinema, and enjoying trips to the shops. Residents informed the inspector that they could have visitors at any time, and enjoy times when family visit them. Staff also arrange numerous trips out for residents at low cost, and these include trips to the countryside and to stately homes. Staff have also, when asked, supported residents in gaining voluntary jobs. The home has two lounges – one has been designated a non-smoking lounge, and the other is a smoking lounge. Residents are happy with this arrangement. An air purifier is in use in the smokers lounge to minimise the smoke in the atmosphere. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 the following standard(s): 18,19,20 Residents receive personal care in the way they prefer and require. EVIDENCE: The inspector checked medication records and found them to be in good order. The manager and staff at the home clearly demonstrate that they work with residents as individuals and ensure they have maximum privacy, dignity, control and independence over their lives. Residents can go out when they want, have visitors when they want, they can get up and go to bed when desired, and wear the clothes they wish to wear. Staff will support residents with personal hygiene when necessary and will also prompt residents to think of getting new clothes if their existing clothes are getting worn and tatty. Staff also provide good support to residents in taking them on shopping trips to ensure they get the items they want to have. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 the following standard(s): 23 Residents are protected from abuse, neglect and self-harm EVIDENCE: The manager has a good understanding of the procedures for the Protection of Vulnerable Adults, and ensures that staff are aware of these through in-house as well as external training. The staff member spoken with informed the inspector that she was going to have training on issues relating to abuse in January 2006. The statement of purpose also informs residents that alcohol is not to be consumed in the home. Some residents have had alcohol problems in the past and this rule is designed to limit risk of harm and neglect. Residents may consume alcohol outside the home, although this is monitored by staff to ensure it does not have a negative impact on their physical or psychological health. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 the following standard(s): 24,25,26,27,28,30 Residents live in a homely, comfortable and safe environment. EVIDENCE: The inspector checked the communal areas of the home as well as bedrooms on the ground floor and first floor. All areas were in a good state of cleanliness and hygiene, with residents encouraged to contribute to the domestic chores in the home. Residents spoken with were happy with this situation, and enjoyed being able to maintain these skills. The laundry room has washing machines which residents are encouraged to use themselves, and there is a separate kitchen to support residents in preparing their own food. As well as the two lounges that both have televisions, there is a conservatory area where if residents wish for quiet time, or to listen to the radio they can use for this purpose. The bedrooms are of a good size, and many have comfortable chairs or sofas and have turned them into a ‘bed-sitting room’. Bedrooms are decorated to suite the needs and lifestyles of residents living in them. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 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): 35 Residents individual and joint needs are met by appropriately trained staff. EVIDENCE: The manager has been awarded the National Vocational Qualification (NVQ) level 4 in care, and Registered Managers Award. Over half the staff have an NVQ level 2 in care, and new staff are encouraged to undertake the qualification. The manager ensures that staff receive training in first aid, health and safety, food hygiene, and any other training that is identified as required through supervision sessions and annual appraisal. The new member of staff spoken with at the inspection confirmed that during her probation period she had received all appropriate induction training. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 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): 38,39,42 Resident’s benefit from a well run home with a manager who promotes the health, safety and welfare of residents. EVIDENCE: Care records were in good order, and the inspector noted that the manager was pro-active in dealing with issues relating to liaison with other professionals. Residents had very positive words to say about the manager and staff ‘the staff are great, and Linda is very good’. The manager is well supported by the owners of the home, who regularly visit, and send reports to the CSCI confirming their visits and actions taken. North House DS0000001719.V274023.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 4 29 x 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x X 4 3 X X 3 x North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 17 None 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. 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 YA41 Good Practice Recommendations Consider separating the staff meeting records, from the resident meeting records to ensure that confidential information discussed in staff meetings remains confidential, and to afford better access to residents of their meeting records. North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 North House DS0000001719.V274023.R01.S.doc Version 5.1 Page 19 - 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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