Inspection on 04/12/06 for Ovenden House

This inspection was carried out on 4th December 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ovenden House 06/05/09

Ovenden House 07/05/08

Ovenden House 15/11/07

Ovenden House 22/05/06

Ovenden House 09/11/05

Ovenden House 26/07/05

Ovenden House 06/09/04

Ovenden House 18/05/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Ovenden House Ovenden Road Ovenden Halifax West Yorkshire HX3 5QG Lead Inspector Cheryl Stovin Key Unannounced Inspection 4th December 2006 10:00 X10015.doc Version 1.40 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 Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 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 Older People. 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. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ovenden House Address Ovenden Road Ovenden Halifax West Yorkshire HX3 5QG 01422 362487 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) Pennine Care Services Ltd *** Post Vacant *** Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2006 Brief Description of the Service: Ovenden House is owned by Pennine Care Services Limited and is registered to provide accommodation and care for up to twenty-three older people. The establishment, a stone built detached period property, is situated in a residential area in the Ovenden district of Halifax with easy access to the town centre by public transport. Accommodation within the establishment is provided in thirteen single and 5 shared rooms. Externally there are garden areas for the service users to enjoy in the warmer weather with parking facilities for staff and visitors. The current weekly charge at the home is £339.13 for a shared room and £354.63 for a single room. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a Key Inspection. This included an unannounced visit to Ovenden House on 4th December2006 by one inspector over a period of 7 hours. During this visit discussions were held with service users, relatives and staff, records were examined and all areas of the home were seen. In addition to this visit comment cards were sent out to health and social care professionals in contact with the home, to give people an opportunity to share their views of the service with CSCI. One reply was received. A pre inspection questionnaire was sent to the home prior to the key inspection on 22nd and 23rdhas not been returned by the home. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The responses given by the service users seen during this visit were that they were unaware of a service user guide or of the terms and conditions of living at the home. Only one service user would know who to talk to if they were unhappy about anything in the home. This, however, is not necessarily representative of the service users as a whole, as the majority of service users were on a day out during the visit. This was the second key inspection of Ovenden House, the previous key inspection was undertaken on 22nd and 23rd May 2006. In addition random inspection visits took place on 8th May 2006 and 20th July 2006. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 6 body of this report. More detailed information about these changes is available on our website – www.csci.org.uk What the service does well: What has improved since the last inspection? Since the last inspection a new manager of the home has been appointed, and has been in post for four months. During this time new procedures and working practices have been implemented which has resulted in service users being able to exercise more choice over their lives. New care plans have been put in place which clearly show how the individuals needs are to be met. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 7 The home is now fully staffed and an activities co-ordinator has been employed giving staff more time to meet the needs of the service users in a relaxed and flexible manner. The how is now much cleaner and clutter free protecting the health and safety and wellbeing of the service users. The Registered Person has produced plans to improve the physical environment of the home, and work will commence as soon as all the required permissions are granted. One health and social care professional who returned a comment card stated that there had been an improvement in the changes made within the home. 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. The summary of this inspection report can be made available in other formats on request. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Quality in this outcome area is adequate. . This judgement has been made using available evidence including a visit to this service. An up to date Statement of Purpose and Service User Guide is not available, therefore, service users do not have written information about the services and facilities provided by the home. Service users needs are fully assessed prior to moving in to the home to ensure that their needs can be met . EVIDENCE: The home has produced a Statement of Purpose and Service User Guide, however, the document is out of date and requires revising to reflect the current situation within the home. A copy of which must be given to each of Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 10 the service users. As part of this inspection service users were specifically asked if they were aware of the service user guide and none of them were able to confirm that they had received written information about the home. It should be noted, however, that the majority of the service users, including those recently admitted, were out for the day. All local authority funded service users have a copy of the Social Services placement agreement on file, however, not all residents have an individual contract on file. All service users must have a statement of terms and conditions stating the rights and responsibilities of each party. None of the service users were aware of having ever seen a contract, nor were they aware of the charges made by the home. Detailed pre-admission assessments are now routinely carried out to determine that the home can meet the individual needs of the service users. None of the service users spoken to could recall anybody visiting them before moving in to the home, however, the practice of pre-admission assessment has only recently been undertaken by the home manager. Intermediate care is not provided in the home. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs are fully assessed and recorded in their plan of care, which means they will receive consistent care. Service users are protected by the medication practices within the home. EVIDENCE: New care planning documentation has recently been implemented and all service users now have a detailed care plan which identifies their personal and health care needs. The care plans contained risk assessments for moving and handling, falls, tissue viability (risk of pressure damage to the skin) and nutrition. The care plans are reviewed on a monthly basis. A daily record is kept for each resident which clearly shows how they have spent their time. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 12 A comment card was received from a health and social care professional in contact with the home which included the following information: “Recent review – I was very happy with the changes I noted while visiting. Staff appeared much happier and talkative and not rushing as previous, also the new care plan format I thought was very good. A great improvement, easy to follow and detailed”. Staff were seen to be treating the service users with dignity and respect at all times. The establishment uses a Nomad system supplied by a Bradford pharmacy for the administration of medication. The medication is securely and appropriately stored and stocks held reconciled with records kept. All senior staff responsible for administering medication have received appropriate training. Further medication training is planned for all staff including the catering staff to make them aware of any possible side effects of food and any medication prescribed. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines within the home are flexible giving service users choice and control over their lives. Visitors are made welcome when they visit the home. Service users enjoy a varied and nutritious diet. EVIDENCE: The daily routine in the home is now much more flexible with meaningful activities provided for the service users to participate in if they choose to do so. On the day of the inspection ten service users were going out for the day, for lunch and afternoon tea. An activities co-ordinator has recently been employed and some form of activity takes place each day. In addition to the group activities, for example, quizzes and sing a longs, individual activities are Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 14 undertaken. A record is kept of both the group and individual activities undertaken which have recently included knitting, reading, manicures or just chatting. One service user commented that the atmosphere in the home is now much more lively and friendly. Staff also confirmed that the quality of life for the service users had improved with the introduction of a regular activities programme. Photographs are on display in the home recording various social activities and fund raising events that have been held over the last few weeks. Visitors were seen to be warmly welcomed into the home and stated that this was always the case. Relatives and visitors are invited to the social events that now take place in the home, which makes them more involved with the running of the home. The menu’s have recently been changed to give the service users more choice. The main meal of the day is served at lunchtime and on the day of the inspection the lunch was: cauliflower cheese, potatoes and peas, followed by jelly and ice cream. Service users said they enjoyed their meals and have plenty of choice. Hot and cold beverages are freely available throughout the day. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes policies and procedures. EVIDENCE: The home’s complaints procedure is prominently displayed in the entrance hall giving all the correct contact details. A record is kept of any complaints received. A recent allegation made had been handled appropriately and a thorough investigation undertaken. All the appropriate professionals had been involved and detailed records kept. The allegation was found to be unsubstantiated. As part of this inspection service users were specifically asked if they would know who to speak to if they were unhappy about anything in the home, and wished to make a complaint. Only one service user was able to say that they were aware of the procedure to follow, however, as previously stated, the majority of the service users were out for the day and, therefore, could not be consulted. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 16 All staff have recently received training in the Protection of Vulnerable Adults, and are aware of the procedure to follow if they suspect abuse of any service user. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a clean and generally safe environment. Service users bedrooms suit their needs. EVIDENCE: The home, a large stone built detached property, is maintained to an acceptable standard. The majority of the bedrooms have been redecorated and the home was seen to be clean and hygienic throughout. The Registered Person has submitted plans and proposals to bring the home up to the current National Minimum Standards for Care Homes for Older People, and work will Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 18 start as soon as the required permission has been granted. In the meantime, only essential maintenance and cosmetic works will be carried out. There has been a great improvement in the general environment of the home. It is now less cluttered and much more tidy, and provides a safe environment to protect the service users health and welfare. There are still some radiators which are not fitted with guards to prevent service users burning themselves, this work must be prioritised. The vehicular access to the home remains poor with heavy metal gates, which are kept locked, at the entrance to the car park. Easier access will be available once the environmental work on the home is completed. The service users expressed satisfaction with the facilities provided within their own rooms and are able to personalise them with their own possessions. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is adequately staffed by a competent, well trained and motivated workforce. Service users are protected by the home’s recruitment procedure. EVIDENCE: Staffing levels are sufficient to meet the needs of the service users. Rotas seen indicated that there are three care staff, one of which is a senior, on duty during the hours of 8.30am until 9.30pm, plus the manager, and two waking night staff. In addition to the care staff, domestic and catering staff are also employed. The staff team were observed to be meeting the service users’ needs in a sensitive manner with appropriate use of informality and humour. Service Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 20 users’ expressed satisfaction with the staff team as a whole, and made the following comments: “she can’t do enough for you”, and “she’s a real carer”. The company has a standard induction training programme based on Skills for Care Standards, all new staff undertake this training at the headquarters in Bradford. There is a commitment to NVQ training within the home and over 50 of staff hold the award. Staff recruitment files were seen and there was evidence that all staff are subject to Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures prior to an offer of employment being made. Two written references are required and the completion of an application form as part of the recruitment procedure. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well run and managed. Service users’ health, safety and wellbeing is protected by the homes policies and procedures. EVIDENCE: Since the last inspection a new manager of the home has been appointed. She is experienced and competent to run the home. Many new procedures and working practices have been introduced since she took up her post. These new practices have greatly improved the daily routines within the home and the Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 22 daily lives of the service users. This was confirmed by service users and staff during the visit. The acting manager is currently undertaking the NVQ IV Registered Managers Award. An application must be made to the Commission for Social Care Inspection to be registered as manager of the home. There is now a commitment to health and safety and safe working practices within the home, with all staff receiving health and safety training. Certificates indicating compliance with gas and electricity regulations were available for inspection No formal quality monitoring system is in place and service users and other stakeholders must be consulted as to their views on the services and facilities provided.. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 1 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 x x 2 2 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 x x 3 Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The Registered Person must provide a Statement of Purpose and Service User Guide which is up to date and accurate. The Registered Person must provide written information which states the terms and conditions in respect of accommodation, including the amount and method of payment. Timescale for action 31/01/07 2. OP2 5 31/01/07 3. OP31 7 The acting manager must submit an application to the CSCI to be registered as manager of the home. 31/01/07 4. OP25 23 Guards must be fitted to radiators. 31/01/07 5. OP33 24 An effective quality assurance and quality monitoring system based on seeking the views of the service users must be in DS0000059091.V322855.R01.S.doc 28/02/07 Ovenden House Version 5.2 Page 25 place. 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 OP24 Good Practice Recommendations A lockable facility should be provided in each service users bedroom. Ovenden House DS0000059091.V322855.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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