Inspection on 06/05/09 for Ovenden House

This inspection was carried out on 6th May 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ovenden House 07/05/08

Ovenden House 15/11/07

Ovenden House 04/12/06

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

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Snydale Care Home

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ovenden House Ovenden Road Ovenden Halifax West Yorkshire HX3 5QG     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lynda Jones     Date: 0 6 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Ovenden House Ovenden Road Ovenden Halifax West Yorkshire HX3 5QG 01422362487 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : ovenden@pcslimited.net Pennine Care Services Ltd care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Ovenden House is owned by Pennine Care Services Limited and is registered to provide accommodation and care for up to twenty-three older people. It is a stone built detached period property situated in a residential area in the Ovenden district of Halifax, with easy access to the town centre by public transport. Accommodation is provided in thirteen single and 5 shared rooms. Externally, there are garden areas for people to enjoy in the warmer weather with parking facilities for staff and visitors. The current weekly charge at the home is 365.00 pounds plus a 20.00 pound top up for a single room and 347.50 pounds plus a 20.00 pound top up for a double room. People pay for their own personal toiletries, hairdressing and chiropody. A copy of the last inspection report and information about the facilities is available at Care Homes for Older People Page 4 of 29 Brief description of the care home the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means that people who use the service experience adequate quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Ovenden House. The visit to the home was carried out over 6 hours, on one day. The last key inspection took place in May 2008. The methods used to gather information included conversations with the people living at the home, their relatives and the staff, as well as looking at care plans and examining other records. We also sent surveys to a sample of people who live and work at the home and to health care providers who visit the home. We received 2 responses from health care Care Homes for Older People Page 6 of 29 providers. We have included some of their comments and comments from visitors in this report. We received the homes self assessment questionnaire before the inspection visit. This gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they move in, this tells the home about the type of support and care people need. Information about the home is available for people to take away and read, giving information about the service provided. Evidence: The home has a Service User Guide and a Statement of Purpose, which give information about the home, the facilities and the service provided. It is available on reuest from the home. People are welcome to visit to see if their support needs and accomodation needs can be met before making any decision about moving in. Care Homes for Older People Page 11 of 29 Evidence: In addition, everyone is assessed before any decision is made about moving in, this is to make sure that each persons needs can be met at the home. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans do not always accurately reflect the care that people require and the daily records do not reflect the care that is delivered on a day to day basis. This means there is no guarantee that there is any consistency in the support people receive. Evidence: We looked at a sample of care plans because we wanted to see what individual needs had been identified and what action staff are expected to take to meet these needs. Some of the records we looked at contained good information about peoples life experiences, about their hobbies and interests, the sort of work they had been involved in and about their families. This is useful because it helps staff to support people to pursue their interests and to follow the sort of day to day routine that suits them. We could see from the records that people living at the home have contact with a range of health care providers such as GPs, district nurses, opticians and chiropodist Care Homes for Older People Page 13 of 29 Evidence: etc. The records also show that staff seek advice when needed, to help them to support people. When we visited the home in May 2008 we said there had been an improvement in the quality of the care plans but the daily records needed to be better, so that they reflected the care that is delivered. On this occasion we found no improvement in the daily records and we did not feel that the improvements noted in the care plans had been sustained. In general, the plans that we looked at lacked detail and did not reflect the support that the staff actually provide on a day to day basis. From talking to staff they know about individual needs and they know about the care and support people require but this information is not always in the care plans. For example, one assessment told staff the person concerned managed their own personal hygiene, needed staff to administer medication, walked using a frame, used a chair lift and needed weighing regularly. The plan for this individual was for staff to prompt /assist when needed - but there was no guidance about what this individual may need to be prompted about. The plan was also to encourage this person to wear glasses but there was no information about whether this was because this person was forgetful or did not like to wear glasses. Also, to encourage participation in activities but no details were provided about this persons interests. The plan instructed staff to monitor health and contact GP if needed. This is something that would be expected for everyone living in a care home, it is not an individual plan of care. We looked at the weight records for this person because the plan indicated that they needed to be weighed regularly. There were four recorded weighings, each one read 11 stone 14lbs, the recordings cannot be accurate. There was nothing about the specific care needs of this person which means there is no guarantee that care is being delivered with any consistency. If for any reason the regular staff were not available and agency staff needed to be used, on the basis of the information recorded it would be impossible for agency staff to look at the plan and provide the support this person requires. The daily records are repetitive and they do not reflect the care that the staff provide Care Homes for Older People Page 14 of 29 Evidence: on a day to day basis. We looked at records that said fine today, no problems, seemed fine, pleasant mood been fine today, no problems. These comments, repeated day after day do not provide any evidence of the care and support this person is receiving and they say nothing about this individuals day to day life. When we arrived at the home the front door was opened by a member of staff. Just inside the doorway there is a toilet that was in use. The person using the toilet had been assisted there by a member of staff who then went off to get a colleague, leaving the toilet door open and the user exposed. We immediately raised this with staff and later with the manager; we were told that staff are usually vigilant about making sure the door is closed. The entrance area is not the best position for a toilet but if there is no alternative at the present time it is imperative that the staff are mindful of peoples privacy and dignity at all times. There has been an improvement in the storage and administration of medicationand the requirements and recommendations we made in our last report have all been met. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make some choices about their lifestyle. The food is good, people enjoy their meals and say there is plenty of choice on the menu. Evidence: During discussions with some of the people sitting in the lounge, we asked them to tell us about their daily lives. They said they get up when they want to and usually go to bed at a time of their own choosing. They said meals are served at set times, as are mid morning and mid afternoon drinks. This routine seemed to suit people. In the information that we received before we visited the home, the manager said we encourage service users to participate in social activities within the home. Service users vary on what social activity they wish to do, this is taken into account. We saw some games and activity materials in one of the sitting areas but none of this was used during the vist. Some people were having their nails manicured in the afternoon and they appeared to be enjoying the time they were spending with staff and with each other. Trips out are arranged throughout the year and relatives are welcome to Care Homes for Older People Page 16 of 29 Evidence: join in. During the morning eighteen people were sitting in the conservatory, twelve people were asleep for quite some time, until mid morning drinks were served. Throughout the morning two televisions were on in the conservatory, each showing the same TV station but with no one watching. One person said theres no entertainment here, nothing ever happens. They have the TV on all day and night. A visitor said if you come here in the afternoon, they have childrens TV on , no one watches it. Staff need to be mindful of this and ask people if they actually want the TV on. We raised this with the manager. During the afternoon, the TV was switched off and a CD was put on instead. People told us they liked the meals provided, they said there was plenty of variety on the menu and people confirmed that they were offered a choice each day and asked to make a selection from the menu. In the information we received before the inspection the manger said we provide a well balanced diet with choices. The menus are discussed with service users and they are encouraged to comment on meals. Menus can be adapted to suit religeous, cultural and health choices. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have received training about making sure that people in their care are protected and safe from harm. Evidence: The complaints procedure is on display in the entrance area and people are given information about it when they first move in. Since we last visited in May 2008 we have not received any complaints and none have been sent directly to the home. People told us they would tell their familes and staff if they were unhappy about any aspect of the service. A visiting relative that we talked to said the manager is approachable and as she is usuualy available at the home, he said he would talk to her about any concerns. He qualified this by saying that he had not had any since his relative moved in. Staff have received training about their responsibility to make sure that people in their care are safe and free from harm. It is important that this training is regularly updated. The home has a whistleblowing procedure and staff are encouraged to report any practice that causes them concern. The home keeps us informed of any issues that affect people living there by sending us notifications about these matters. Care Homes for Older People Page 18 of 29 Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The shared areas of the home are comfortable and the fittings and decor are adequate. Most people have comfortable personalised bedrooms. Evidence: The home is clean and the shared areas are comfortable. The manager said there is a daily cleaning schedule which is strictly adhered to. They also have their own handyperson which has helped them to keep on top of repairs and redecoration. Some work has been carried out on the guttering and exterior of the home recently to deal with some damp and to improve the external appearance. The manager said there is now an improvement schedule for the home showing plans for refurbishment and redecoration. We found the plan for April 2009 but were unable to find the plan for the rest of the year. In the information sent to us before the inspection, the manager said there are plans to improve the garden, to make a barbecue area and to improve access to the car parking area. Care Homes for Older People Page 20 of 29 Evidence: Bedrooms are all different shapes and sizes. Most rooms are carpeted, some have non slip floor covereing. People are encouraged to bring some of their personal possessions with them when they move in, some people have done this and this has improved the appearance of their rooms making them look more homely. Some rooms still look quite bare. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures are good; all new staff are checked before they take up post to make sure they are suitable to work with older people. Evidence: Recruitment procedures at the home are good. We looked at a sample of staff records to see what checks are being carried out on prospective staff before they start work in the home. References are always taken up, gaps in employment history are explored with the applicant and checks are carried out with the Criminal Records Bureau to make sure that staff are suitable to care for the people that live there. On the morning we visited there were only two care staff on duty. The manager was at one of the other homes in the group and arrived back mid morning. Staff said there have been occasions when there have only been two care staff on duty although this is not the norm and we always manage. The manager said she is usually at the home each weekday and she is available to provide direct care if staffing drops to two care staff. She said that this particular morning was unusual, she attended a meeting and knew she would be back to support the other staff. The manager needs to keep staffing levels under review to ensure that sufficient staff are on duty at all time to meet the needs of people living there. Care Homes for Older People Page 22 of 29 Evidence: The manager gave an account of training that staff have taken part in over the last three months. Courses included first aid, moving and handling, health and safety and fire safety training. According to the information we received before the inspection, more than half of the staff team have completed their NVQ training at either level 2 or level 3. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are being consulted about the service and asked if it can be improved in any way. Evidence: The manager has the required experience and qualifications to run the home, since the last inspection she has been registered with us. This means that there is now someone legally responsible for the direct management of the home. People have told us she is approachable and they feel that she listens to their concerns. There is also a general manager who is responsible for the group of homes owned by the company, he visits the home every week to provide support to the manager and staff. The company has nominated the general manager to provide monthly reports on the way the home is being run and the quality of the service provided, these reports provide the company with feedback by way of a written report. Care Homes for Older People Page 24 of 29 Evidence: There has been an improvement the planning and development strategy for the home. There is now a development plan for the home, which, if adhered to, will improve the quality of the service. All staff receive regular supervision, the manager said she meets all staff individually every two months to discuss their performance, any concerns they may have, and to talk about their training needs. Monthly staff meetings are also taking place. Periodically throughout the year, questionnaires are given out to people living at the home who can complete them and to their relatives. This is to ask them for their views about the service. The manager holds some money for people for safekeeping purposes. This is usually money deposited by relatives for hairdressing, trips out etc. The records were satisfactory. According to the information sent to us before the inspection, the equipment that is used in the home is regularly serviced. We were provided with details about maintenance and servicing. We were also provided with details about the homes policies and procedures, this information tells us that these are reviewed and updated on a regular basis. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 The care plan must include 24/07/2009 details of the action which needs to be taken by staff to ensure that peoples health, personal and social care needs will be met. To ensure that people receive the care and support that they require 2 10 12 Personal care including bathing, washing, using the toilet must be delivered sensitively and with discretion. To ensure that peoples right to privacy and dignity is respected. 26/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Daily records need to be improved so that they accurately reflect the care and support provided by staff. Page 27 of 29 Care Homes for Older People 2 26 Staffing levels need to be kept under review to ensure that there are always sufficient staff on duty to meet peoples needs. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!