Inspection on 24/08/05 for Old Park Road Respite Unit

This inspection was carried out on 24th August 2005.

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 13 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 14/02/06

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 51 Old Park Road Greengates Bradford BD10 9BG Lead Inspector Carol Haj-Najafi Announced 24 August 2005 th 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. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Old Park Road Address 51 Old Park Road Greengates Bradford BD10 9BG 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) 01274 481161 Bradford District NHS Care Trust Miss Janet Bosomworth Care Home Only 6 Category(ies) of Physical disability (6) Sensory impairment (6) registration, with number Dementia (6) Learning disability (6) of places Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3rd February 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 are 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 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this announced inspection between 9.30am and 3.15pm. The purpose of the inspection was to ensure the home was operating and being managed to a satisfactory standard. The inspector spoke to the manager and one staff member, and a service user and three carers who visited the home for the inspection. The inspector also looked around the home, and inspected records, which included, admission assessments, daily records, incident reports, staff training and recruitment records. A pre-inspection questionnaire was sent into the Commission before the inspection. Service users staying at the home had left for day care when the inspector arrived. Therefore it was not possible to speak to service users staying at the home or observe interaction. Hence, a number of key standards were not inspected at this inspection. What the service does well: What has improved since the last inspection? What they could do better: Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 6 The home must put more effort into planning admissions for new service users. Much of the information was out of date or had not been written down. When planning visits, service users must be given time to get to know other service users and staff. Service users who started using the service within the last six months do not have care plans and risk assessments and have not been given contracts. The manager must ensure these are in place to ensure service user’s needs are met. Bradford District care Trust has been very poor in responding to some requirements that have been set at previous inspections. This includes providing medication storage, improving the environment, and changing the complaints procedure. These three requirements were identified over a year ago and have still not been met. Although recruitment and training of staff is generally quite good, two staff that recently started work at the home did not have proper CRB (police) checks, and staff did not have up to date food hygiene and first aid training. Staff records were brought to the home for the inspection but they are usually kept elsewhere because there are not proper storage facilities. Some personal information about service users was written in a book used by all staff, this information must only be recorded in individual files to ensure confidentiality is respected. Requirements and recommendations identified at this inspection can be found at the end of this report. 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 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.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 Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.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) 2, 3, 4 & 5 The home tries to offer a flexible service to accommodate the wishes and needs of service users and carers. The home has been actively seeking more information about service users. The home’s admission process must be more thorough to ensure the home can meet the service user’s needs. Service users must be more involved in the process. The manager should agree a timescale for completing care plans and risk assessments. EVIDENCE: When planning respite stays the home takes into consideration service user compatibility and the amount of respite care a service user or carer may require. Evidence of changing stays and offering extra nights was seen. The manager and staff spoke about offering a flexible service. Service users are initially referred through an allocation meeting. If managers and social workers think the service is suitable, a referral is made to the home. The manager will then contact the service user, carer and social worker. All service users have an allocated worker from the community learning disabilities team. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 9 The manager said carers are invited to look around the home before a decision is made as to whether the home is suitable, although most times service users are not present. These visits are not recorded even though valuable information is often obtained. The manager said carers are given a service user guide. The inspector looked at files for four service users who started receiving respite care at Old Park Road within the last six months. One care management assessment was dated December 2004, two other assessments were out of date, one was dated 1998. Initial assessments that should be completed by the home were in the files but had not been completed. None of the service users had a care plan or risk assessments completed by the home. A care need’s sheet had been completed for one service user but this was basic, for example; the service user uses some hand signs to communicate but the care record did not state which signs the service user uses. Another service user had difficulty in settling into a previous placement and a placement at Old Park Road but no information was recorded about their needs. Service users are given opportunities to make several introductory visits to the home and the home is very flexible about the number of visits required, these include teatime and over night stays. Staff keep detailed records of how the visits went. One service user had obviously not had a chance to visit the home with a carer or representative before starting introductory visits. The daily report stated ‘looked a little unsettled and bewildered with the surroundings, which is to be expected’. Service users wishes and feelings must be taken into consideration when introductory visits are planned. The manager and staff have visited service users and their carers to issue contracts. This has been a positive process and given staff an opportunity to find out more about the needs of service users. The service users who have started using the service in the past six months have not been issued with contracts. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 10 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) None These standards were not looked at during this inspection, although the standard relating to risks was checked to establish that the requirement from the last inspection had been met. EVIDENCE: Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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 standard(s) 17 The quality of meals has improved; they are varied and nutritious. EVIDENCE: The last inspection identified that catering arrangements must be reviewed, a new system has since been introduced. Staff are responsible for planning the menus, this includes providing cultural and special dietary requirements. The manager checks the menus for variety and nutrition and then orders the necessary provisions. Menus showed that varied and nutritious meals had been provided. The manager and staff said there has been a definite improvement in the quality and nutritional content of meals. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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) 19 & 20 Appropriate health care is provided during respite stays. Medication systems are satisfactory but the home does not have suitable storage facilities. EVIDENCE: Old Park Road does not take overall responsibility for health care needs but they will support service users and long term carers if required. Daily records showed that health care professionals had been consulted when appropriate. The last two inspections identified that medication storage was not suitable. A new cabinet has been purchased but this has not been fixed to the wall, therefore medication is still stored in the home’s filing cabinet. Medication administration records and medication was checked. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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 Complaints and concerns are recorded and investigated but the procedure needs changing to make sure complainants know they can also contact the CSCI Systems are in place to make sure service users are protected from abuse. EVIDENCE: The home has not received any formal complaints within the last twelve months. Informal complaints and concerns are recorded. Complaints procedures are displayed in the home, one has symbols to help service users understand how to make a complaint. Bradford District Care Trust has a complaints procedure but details of the Commission for Social Care Inspection has not been included. This has previously been brought to the attention of Bradford District Care Trust. Adult protection policies and procedures are available. Staff have attended adult protection training, which has been facilitated by the local adult protection unit. The registered manager had a good knowledge of how to appropriately deal with allegations of abuse. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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, 26, 27, 28, 29 & 30 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 two previous inspections. EVIDENCE: The inspector visited all areas of the home. It was very clean and tidy. The home does not generally cater for people with physical disabilities or mobility problems. Therefore moving and handling equipment is not provided. 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 last two 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 not been met. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 15 This inspection again highlighted areas of work. 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 climb the stairs, therefore cannot have a bath during their stay. The manager said that plans to install a shower on the ground floor are being considered. An industrial washing machine, with a sluicing facility and two dryers are provided. Procedures are in place for control of infection. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 16 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) 34 & 35 Training programmes are varied and staff have a lot of opportunities to attend although food hygiene and first aid training need up dating. The home has not carried out a thorough recruitment process, which could result in unsuitable persons working at the home. Storage facilities should be provided to enable staff records to be stored at the home. EVIDENCE: Staff have attended training courses which cover health and safety areas and good care practice; these include, valuing people, person centred planning, skills for life, breakaway technique, moving and handling, continence care and fire safety; two care staff have completed NVQ level 2 and three are in the process of completing, one staff has also completed their level 3. Staff have not completed first aid training or basic food hygiene for some considerable time. These training courses must be up dated. Records for staff were available on the day of the inspection but are generally not held at the home because suitable storage facilities are not available. A requirement at the last inspection identified that these records should be kept in the home. The manager discussed the recruitment process, which is co-ordinated by the organisation’s personnel department. She talked about the interview process, Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 17 equal opportunities and employment checks. She confirmed that staff usually have a Criminal Records check but this was not the case for two staff recently recruited because they had been working elsewhere for the Trust. The manager was informed that Criminal record checks are not transferable. Other recruitment documentation was available for the two new staff. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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 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) 41 & 42 Records are detailed and provide good information about events that have taken place. Personal information should not be recorded in a communal book. The health and safety of service users and staff are protected but evidence that the first floor window locks are suitable must be formally assessed. EVIDENCE: Daily records are detailed, and these provide an overall picture of what a service user does during their respite stay. Records contained a lot of examples when staff spend time with service users. Staff have attended report writing training. Accident and incident reports are also completed in detail but no system is in place to enable the manager to monitor accidents within the home. Staff use a diary/communication book to pass on information. This contained some personal information about service users, which does not comply with data protection. Information about service users should be recorded in their individual record. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 19 First floor windows have locks fitted but they do not have restrictors fitted. The registered provider must ensure these fittings are suitable. The pre inspection questionnaire confirmed that policies and procedures are available and regular maintenance and health and safety checks are completed at the home. Fire and emergency lighting records and safe working practice assessments were looked at. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 2 2 2 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 2 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Old Park Road Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 2 2 x 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 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. 2. Standard YA2 YA3 Regulation 14 15 Requirement The registered manager must ensure service users needs are assessed before admission. The registered manager must ensure, once admitted to the home, service users have an individual plan. The registered manager must ensure introductions to the home take into consideration service users wishes and feelings. The registered manager must ensure service users are issued with a contract when they are admitted to the home. The registered person must ensure medication is stored appropriately. (Timescale of 30th September 2004 & 31st March 2005 not met) 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 not met) The registered provider must produce a programme of maintenance and redecoration for the unit; works identified in 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Timescale for action 31st October 2005 31st October 2005 31st October 2005 31st October 2005 31st October 2005 31st October 2005 3. YA4 12 4. YA5 5 5. YA19 13 6. YA22 22 7. YA24 23 31st October 2005 Page 22 Old Park Road Version 1.40 8. YA27 12 9. YA34 19 10. YA34 17 11. 12. YA35 YA41 18 17 13. YA42 13 the report, timescales and modernisation should be included. (Timescale of 31st November 2004 & 30th April 2005 not met) The registered provider must formally assess the needs of those service users who cannot have a bath or shower during their respite stay. The registered provider must ensure criminal record checks are completed for all employees starting work at Old Park Road The registered provider must ensure suitable storage facilities are provided to enable staff records to be kept at the home. The registered provider must ensure staff have completed food hygiene and first aid training. The registered manager must ensure information relating to service users is recorded in individual files and not in a communal book. The registered provider must formally assess the suitability of the window locks above ground floor level. 31st October 2005 30th September 2005 31st October 2005 30th November 2005 31st October 2005 31st October 2005 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. 2. Refer to Standard YA3 YA41 Good Practice Recommendations The registered manager should produce a policy that clearly sets out the full admission process. The registered manager should introduce a system for auditing accidents and incidents. Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Old Park Road 20050824 Old Park Road AN Stage 4 S46751 V191725 J52.doc Version 1.40 Page 24 - 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. 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