Inspection on 19/04/05 for Otley Road 14

This inspection was carried out on 19th April 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

Otley Road 14 11/04/07

Otley Road 14 20/12/05

Otley Road 14 28/10/04

Otley Road 14 10/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 14 Otley Road 14 Otley Road Harrogate North Yorkshire HG2 0DN Lead Inspector Terry Downey Unannounced 19 April 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 14 Otley Road Address 14 Otley Road, Harrogate, North Yorkshire, HG2 0DN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01423 500700 01423 500700 Foresight Residential Ltd Ms Gladys Carol Sowerby CRH 13 Category(ies) of Learning disability (13) registration, with number of places 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28.10.04 Brief Description of the Service: 14 Otley Road is registered to provide residential personal and social care for 13 younger adults under the age of 65 years who have learning disabilities and associated sensory impairment. The home is situated in a residential area approximately 1 mile from Harrogate town centre and provides good access to the town’s services and amenities. The property is a large converted manor house with a large accessible garden. The upper floors are accessible to service users by vertical passenger lift if required. The registered provider is Foresight Residential Ltd and the responsible person is Mr S Coldwell. The registerd manager is Ms Carol Sowerby. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the inspection process on 19th April 2005. The manager Ms Carol Sowerby and her deputy Mrs Erica Kubu were available to assist with the inspection. It was possible during the inspection to speak to five members of staff and 10 of the residents.. It was also possible to spend the lunchtime with the staff and residents and also witness some of the activities in the home. The inspection also involved a tour of the premises and a check on the records kept by the home. At present there are 11 residents and two vacancies in the home. What the service does well: What has improved since the last inspection? What they could do better: No specific areas of improvement were highlighted during this inspection. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 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 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5. All residents individual aspirations and needs are assessed. EVIDENCE: No new residents have been admitted recently but the evidence from previous admissions and the individual assessments that currently take place indicates that prospective residents will be fully assessed. All residents have an individual contract and reasonable steps have been taken to ensure that it is explained to them. This makes sure that they are aware of the terms and conditions of their stay in the home and that their needs can be met by the staff in the home. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 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) 6,7,9,10. The residents health and personal care needs are met and they are encouraged and supported to make choices about their daily lives. This helps them to have control over their lives in the home. EVIDENCE: Comprehensive assessments and care plans identify their personal and social care needs which are updated regularly between the resident and the key worker. Risk assessments are included in the care plans so that both staff and residents are aware of the support required. The staff have monthly care plan meetings at which residents changing needs are discussed. This ensures that staff are kept up to date and that a consistent approach can be achieved. Staff unable to attend these meetings must read the minutes and sign to record that they have done so at the earliest convenience. There were many examples of residents making decisions in the home and about their lives and these included, choice of daily activity programmes, leisure activities, and menu planning. The residents were pleased to discuss these and they were aware that some required support and others could be more independent in different activities. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 10 The information in the home is kept securely. Residents were aware that records were confidential and could only be shown to others with their permission. This gave them confidence in the manager and staff team that any problems they share with them will be treated with respect. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 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) 12,13,14,15,16,17. Residents eat well and enjoy a wide range of activities both inside and out of the home and are part of the local community. EVIDENCE: Each resident had an individual programme with short and long term goals aimed at developing their skills. The staff are constantly looking for new activities which will interest the residents and provide further stimulation and development. All residents use the local facilities in Harrogate eg theatre, pubs, and clubs. They meet with residents from other homes, and also have friends who visit and take them out and spoke enthusiastically about these trips. Many residents go home regularly to their families. Lunch was served during the inspection and a variety of well prepared dishes were available for residents to choose. The home has a cook who regularly talks to the residents and prepares their favourite meals. Residents said that they really enjoyed the meals and this was witnessed during the inspection. Some residents also help in the kitchen as part of their programmed activities. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19. The residents physical and emotional health needs are met. EVIDENCE: The care plans were comprehensive documents agreed with the residents and in conversation both residents and staff found them very useful for providing the appropriate levels of care. . Key workers meet regularly with their resident to make any changes and to set short term goals. These are then presented to the staff at care plan meetings to make everyone aware of the changes and achieve a consistent approach. Both staff and residents spoken to felt that the system worked very well and was a good way of meeting their needs. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23. Residents are protected from abuse neglect and self harm. EVIDENCE: The home has a detailed complaints procedure, in suitable formats, but residents have not used it but felt safe knowing that it was there. They also said they could talk to the manager and staff and knew that they would take them seriously. The vulnerable adults procedure is available in the home and training of staff has been recorded. Staff were aware of the procedure and as with the complaints procedure above would take all reports seriously and deal with it properly. Residents said they felt safe in the knowledge that everyone knew about it. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,27,29,30. The home is clean, and well decorated and furnished and provides a comfortable place to live. EVIDENCE: 14 Otley Road is decorated with the age and needs of service users in mind. Lighting and colour contrasting have been given high priority to help residents use the home with greater independence and safety. The home meets the RNIB guidelines for mobility with different areas marked with contrasting tactile surfaces and colours again to help independence and safety. Residents are encouraged to choose their own decorations and furniture in their rooms and to provide their own personal items which makes it their own private space. The communal rooms are well furnished and decorated and residents said they were happy to bring people into the home. The home was clean and hygienic and free from offensive odours. There is an infection control policy to alert staff and ensure good hygiene practices. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 15 The home has a planned maintenance programme to ensure that it is kept safe and comfortable. Residents said it was a very nice place to live. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 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) 31,32,33,34,35,36. The staff are well trained and well supported by the manager and this ensures that residents feel supported and staff are aware of their duties. A robust recruitment procedure offers protection for the residents in the home. EVIDENCE: The home has a settled staff team. They work at times suitable for the residents who all felt supported by them. Staff also felt that there were enough staff on each duty to meet the needs of the residents. A key worker system operates in the home. Residents felt that this was helpful to have someone to work closely with. Staff also felt that it helped the residents especially with communicating their care needs. One also said that it helps with little things like making sure they got the deodorant they liked rather than all having the same. Four staff files were checked and records showed that the recruitment procedure was robust and offered protection to the residents. All staff were doing NVQ level 2 and all statutory training was up to date. This provides protection for the residents 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 17 The home is about to do the Investors in People Award and the work for this means that staff will be kept up to date with best practice and recent legislation which benefits the residents in the way their care is given. All staff receive supervision at least 6 times per year and this ensures that they are aware of the ethos of the home feel supported by the management. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 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) 37,38, 39,42. There is clear leadership and guidance from the manager which ensures consistent quality care for the residents. This means that the health, safety and welfare of the residents is promoted at all times. EVIDENCE: The manager believes that the residents should be involved in the running of the home so keeps them informed and asks for their opinions. The residents said this gives them trust in the manager and staff. The residents do not have formal meetings as it is considered too stressful for some. They all eat together and this provides a relaxed informal atmosphere where all residents can contribute. This was witnessed during the inspection and the amount of information shared and the level of interaction between staff and residents showed how much control the residents have over their lives. With the homes own quality assurance and the RNIB Accredited Scheme there are sufficient consultation processes and residents were happy that their views were listened to regarding the development of the home. 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x 3 3 Standard No 11 12 13 14 Otley Road x 3 3 Standard No 31 32 33 34 35 Score 3 3 3 3 3 Version 1.20 Page 20 J53 J04 S61602 Otley Road 14 V221120 190405.doc 14 15 16 17 3 3 3 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard none Good Practice Recommendations 14 Otley Road J53 J04 S61602 Otley Road 14 V221120 190405.doc Version 1.20 Page 22 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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