Inspection on 14/02/06 for Old Park Road Respite Unit

This inspection was carried out on 14th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Old Park Road Respite Unit 11/02/09

Old Park Road Respite Unit 02/03/07

Old Park Road Respite Unit 24/08/05

Old Park Road Respite Unit 03/02/05

Old Park Road Respite Unit 05/08/04

Similar services:

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Larch Avenue

Alderson Road 12

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

CARE HOME ADULTS 18-65 Old Park Road Respite Unit 51 Old Park Road Greengates Bradford BD10 9BG Lead Inspector Carol Haj-Najafi Unannounced Inspection 14th February 2006 03:30p Old Park Road Respite Unit DS0000046751.V273949.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 Old Park Road Respite Unit DS0000046751.V273949.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. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Old Park Road Respite Unit Address 51 Old Park Road Greengates Bradford BD10 9BG 01274 481161 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) Bradford District NHS Care Trust Miss Janet Bosomworth Care Home 6 Category(ies) of Dementia (6), Learning disability (6), Physical registration, with number disability (6), Sensory impairment (6) of places Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: Old Park Road is a Bradford District Care Trust home situated in the Greengates area of Bradford. The home is registered to provide respite care for up to 6 adults with learning disabilities. The home has a lounge, dining room and kitchen, all of which are domestic in style. Enclosed gardens are to the front and rear of the property. The home is accessed via several steps, bathing facilities and the majority of accommodation is provided on the first floor, therefore the home is not suitable for people with mobility problems. Six individual bedrooms are provided, one on the ground floor; three bedrooms are below 10sq.m Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection between 1.50pm and 6.45pm. The purpose of the inspection was to make sure the home was operating and being managed to a satisfactory standard. I spoke to four service users, three staff and the registered manager. The inspector observed interaction between service users and staff. Records were inspected including care plans, assessments, meeting minutes and incident records. Feedback was given to the registered manager at the end of the inspection. What the service does well: What has improved since the last inspection? The admission process has improved. A new procedure has been written to make sure that all the proper pre admission work is carried out. A recent admission was much better planned and the service user had more opportunities to visit the home. A new system for monitoring incidents has been introduced. The manager can now closely monitor any trends and patterns, therefore it is easier to make an assessment and identify where there are risks. New medication storage has provided much safer storage for medication. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 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. Old Park Road Respite Unit DS0000046751.V273949.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 Old Park Road Respite Unit DS0000046751.V273949.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, 3 & 4 The home’s admission process has improved. EVIDENCE: The last inspection identified that the general admission process needed to improve. Since the inspection the manager has written an admission procedure. A keyworker is now allocated before admission and they are involved in co-ordinating the admission. Only one service user has started using the respite service since the last inspection. This admission information was looked at. The manager and staff had met the service user and carer, carried out an assessment and gathered a lot of information about the service user’s needs. The service user visited the home three times before starting respite. Staff had discussed suitability at a staff meeting and agreed that they had settled in well. Records confirming all of the above were available. One service user is staying at the respite unit on a temporary basis. This must be closely monitored to make sure the service user’s short term needs can be met. Although it is not appropriate for a respite service to provide long-term care it is acknowledged that on occasions it is necessary to provide emergency short-term care. A long-term plan should be formalised. Old Park Road Respite Unit DS0000046751.V273949.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 & 9 Service user plans and risk assessments are good. Staff and management have effective systems in place to make sure everyone is involved in the care planning process. Service users have opportunities to be involved in decision-making processes but this is limited because generally service users do not live at the home. EVIDENCE: Three service user plans and risk assessments were looked at. Two of the plans were very good and contained a lot of very specific information about how each service user’s needs should be met. One plan didn’t contain as much information but the manager confirmed that some plans had yet to be finalised. Risk profiles and management strategies were also very detailed. Staff talked about reviewing plans and risk assessments. The manager is looking at introducing a more formal reviewing process. Staff said they discuss service user plans with each other and draft plans are passed on to staff to ensure they agree with the contents. Staff meeting minutes confirmed that service user plans are discussed on a regular basis. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 10 Decision making processes for services uses staying at Old Park Road are limited because they are only staying for respite care for short periods of time, therefore they can not be offered the same choices as people who live somewhere long term. Regular service user meetings are held. Discussions usually revolve around what service users want to do during their stay. Some good ideas have been put forward and these have then been acted upon. Staff gave examples of how individual choice is promoted, these included choice of meals and activities. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 11 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): 12, 13, 14, 15 & 16 The service enables service users to continue with their usual routines while they are receiving respite care. Communication with carers is good. EVIDENCE: The inspector spoke to four service users and they all said they enjoyed coming to stay at the home. One service user said he liked helping staff prepare meals, others said they enjoyed doing jigsaws and watching television. Two service users talked about using public buses and walking to local amenities. All service users continue to attend their usual day service during the week. Therefore they only tend to have time for activities on an evening and a weekend. Staff spoke about different indoor and outdoor activities. The manager and staff regularly liaise with service users’ families. Carers have been actively involved in devising care plans and risk assessments. Carers meetings are arranged approximately every three months and staff and management attend. The meetings provide opportunities to talk about the Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 12 respite service and other relevant topics. Meetings have included a talk about financial benefits and discussions with a senior manager from Bradford District Care Trust. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 13 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): Generally routines are flexible and service user plans identify personal support needs. EVIDENCE: Service user plans identify support needs for personal care and routines. Meal times and times for getting up on a weekend are flexible. During the week service users attend day services, hence weekdays are more organised. The home does not have waking night staff, therefore service users go to their rooms at 10.00pm. Service users bring from home any clothing and other items they need. The last inspection identified that medication storage was not appropriate. A new medication cupboard has been fitted. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 14 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): 22 Complaints and concerns are recorded and investigated but the procedure needs changing to make sure complainants know they can also contact the CSCI EVIDENCE: Three previous inspections have identified that Bradford District Care Trust’s complaints procedure must include details of the Commission for Social Care Inspection. The registered manager had written confirmation that this will be updated in June 2006. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 15 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 & 29 Old Park Road is comfortable and homely. But Bradford District Care Trust has failed to take appropriate action to address issues with maintenance and modernisation, which have been raised at three previous inspections. EVIDENCE: The house is domestic in size and character. The dining room and lounge are pleasant, comfortable rooms. The back garden is a lovely area, with seating and different pot plants. As a respite unit, personalisation of bedrooms is limited. Curtains and bedding are co-ordinated. The home was very clean and tidy. The last three inspections have found various areas of work that need to be carried out to improve the environment and a requirement has been made that the organisation must produce a programme for maintenance and decoration. This requirement has still not been met. The manager had written confirmation that some very basic decoration work was commencing at the end of February but the work would not address some of the environmental issues in the home. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 16 Areas of work that have previously been highlighted have still not been addressed. Wallpaper on the staircase was loose. Some kitchen cupboards are very old, and the sink unit cupboard cannot be used because the shelving is rotten. One bath is very badly stained and the bath panel is damaged. Three bedrooms are below 10sq.m. One bedroom does not have any facilities for service users to hang their clothes. Bedroom doors do not have locks fitted. Three bedrooms have sinks fitted, three bedrooms do not have any washing facilities. Five rooms are on the first floor, one room is on the ground floor. Service users that have their bedroom on the ground floor do not have access to washing facilities in their room. They can access a sink and toilet on the ground floor, or bathing facilities on the first floor. Two service users are unable to access bathing/showering facilities during their stay. A moving and handling assessor confirmed that the current bathing facilities are not suitable for one service user, therefore the service user has to visit another BDCT home to have a bath. A walk in shower would resolve the problem. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 17 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): 32, 34 & 35 Communication is good and the regular staff meetings are effective. The staff team are skilled and work well together. Some training needs have not been addressed. EVIDENCE: The last inspection identified that staff had attended a good range of training courses but they needed to do first aid training and basic food hygiene. Staff have still not had an opportunity to attend these courses. Records for staff are not held in the home. The manager is reorganising systems to provide some additional storage space. A requirement at the last inspection identified that these records should be kept in the home. Staff confirmed that regular meetings provided opportunities to discuss new ideas and ensure care is consistent. The manager has arranged for speakers to come and talk to the staff about specific topics. Recent talks have included, speech therapy and communication, and autism. Staff demonstrated good knowledge of service users and gave examples of how the home successfully meets different types of needs. There was good organisation of the shift, and staff were clear of their specific responsibilities. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 18 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): 37, 39, 41 & 42 The registered manager is qualified and competent to run the home. General recording and health and safety systems are good. EVIDENCE: The manager has been in post since 2002 and has completed the registered manager’s award and NVQ care level 4. She has regularly updated her knowledge through training and development meetings within the last year. Incident records are completed in detail and they refer to risk assessments, care plans and identify action points. A new monitoring system has been introduced which enables the manager to track incident frequency and patterns. The manager has requested for a health and safety advisor to assess the suitability of window locks above the ground floor. She is still waiting for this to be carried out. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 19 Daily records are very informative. Staff have recorded sufficient information to get an overall picture of what each service user has been doing. Service users have opportunities to air their views but this is generally done on an informal basis. The manager thought a survey that focuses on specific areas of the home could work well at Old Park Road. Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 20 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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 X ENVIRONMENT Standard No Score 24 2 25 2 26 2 27 2 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 2 X 3 2 X Old Park Road Respite Unit DS0000046751.V273949.R01.S.doc Version 5.1 Page 21 Yes 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 YA2 Regulation 14 Requirement The registered person must regularly review the needs of any service users staying at the home other than for respite care. The registered provider must ensure details of the Commission for Social Care Inspection is included in the complaints procedure. (Timescale of 31st October 2004, 31st March 2005 & 31st October 2005 not met) The registered provider must produce a programme of maintenance and redecoration for the unit; works identified in the report, timescales and modernisation should be included. (Timescale of 31st November 2004 & 30th April 2005 & 31st October 2005 not met) The registered provider must provide suitable bathing/showering facilities. The registered provider must ensure suitable storage facilities are provided to enable staff records to be kept at the home. (Timescale of 31st October 2005 not met) DS0000046751.V273949.R01.S.doc Timescale for action 28/02/06 2. YA22 22 30/06/06 3. YA24 23 31/03/06 4. 5. YA27 YA34 12 17 31/03/06 31/03/06 Old Park Road Respite Unit Version 5.1 Page 22 6. YA35 18 7. YA42 13 The registered provider must 30/06/06 ensure staff have completed food hygiene and first aid training. (Timescale of 30th November 2005 not met) The registered provider must 31/03/06 formally assess the suitability of the window locks above ground floor level. 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 YA39 Good Practice Recommendations The registered manager should develop a quality assurance system that is based on seeking the views of residents. 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