Inspection on 28/11/05 for Park Road 9

This inspection was carried out on 28th November 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

Park Road 9 24/04/07

Park Road 9 07/06/05

Park Road 9 02/02/05

Park Road 9 07/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Park Road 9 9 Park Road Harrogate North Yorkshire HG2 9BH Lead Inspector Terry Downey Unannounced Inspection 28th November 2005 07:00 Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 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 Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Road 9 Address 9 Park Road Harrogate North Yorkshire HG2 9BH 01423 521014 01423 521014 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) Foresight Residential Ltd Erryl Patricia Rayner Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 12 adults with a learning disability, some of whom may have an additional physical disability and/or sensory impairment. 7th June 2005 Date of last inspection Brief Description of the Service: 9 Park Road is registered to provide residential personal and social care to 12 people with learning disabilities and associated sensory impairment. The home is situated a short distance from Harrogate town centre and with good access to the towns services and amenities. The registered provider is Foresight Residential with the responsible individual being Mr P Coldwell. The registered manager is Mrs E Rayner. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 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 28th November. The inspection was timed for 7am to meet the night care staff and also to witness the home’s morning routine. The manager was not available until later but it was possible to speak to three staff members and eight residents. The inspection also involved a check on the premises, observation of care practices, a check on the requirements and recommendations from the previous inspection, and a check on some of the records. The inspection took 4 hours which includes preparation time. The morning routine was relaxed but efficient. Some residents required support others managed independently. The interaction between staff and residents was respectful and friendly and residents came down in their own time and made their choice for breakfast. They said they were happy to speak to the inspector at the table and there was a pleasant informal atmosphere. It was clear that they regarded 9 Park Rd as their home, that they felt in control of their lives, and enjoyed being there. The home was clean, well decorated and furnished. The inspection showed that the home was well organised and that the staff were aware of their duties, and the residents were well cared for and had full well structured lives. What the service does well: It provides a comfortable well furnished home with good staff and makes it a pleasant place to live. The home is clearly run for the residents who were encouraged to make choices about their daily lives both in the home and for activities outside the home. This gave them some control of their lives. Residents said that all the staff were very helpful and they were able to talk about any problems with them which made them feel safe. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected at this visit. EVIDENCE: N/A Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. 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: Care plans need to provide more detail and the manager said this was being done to achieve consistency with the staff care of the residents. The residents are involved in all aspects of running the home and it was clear that they valued and enjoyed this. Residents hold regular meetings to discuss issues related to the home and they found these helpful and a good way of being involved in the running of the home. The minutes of these meetings showed good involvement from the residents and a wide range of topics discussed. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,13,14,15,16,17. Residents enjoy a healthy diet and have a wide range of activities both inside and out of the home. EVIDENCE: Breakfast was very informal and residents came down when they were ready and had a good range of food to choose from. They said they were happy to speak to the inspector at the breakfast table. Each resident has an individual programme aimed at developing their skills and staff are available to support them. 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 e.g. theatre, cinema, cafes, pubs, church. Residents spoke very naturally of their involvement in the local community and clearly enjoyed Harrogate. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 There is a safe policy for the administration of medication. EVIDENCE: The home uses a monitored dosage system. All staff have had training in the administration of medication and the staff on duty were aware of the procedure. None of the residents self medicate. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Residents are protected from abuse, neglect, and self harm. EVIDENCE: The vulnerable adults procedure is available in the home and training of staff has been recorded. The manager does reinforce the procedure with staff at supervision sessions and it is a fixed agenda item for the staff meetings. There were no concerns about residents not being protected. All the residents go out regularly and meet with many people who could be advocates for them if they were not being cared for properly. The home has a detailed complaints procedure, in suitable formats for the residents. The residents said they would speak to staff if they had any concerns and felt happy that they would deal with it. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. The home is clean, and well decorated and furnished and provides a comfortable place to live. EVIDENCE: 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. 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. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36. The staff are well trained and well organised which ensures that residents feel supported and staff are aware of their duties. EVIDENCE: The staff rota is organised around the needs of 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. Some staff are still working 14 and 15 hour shifts which is not considered good practice. The inspector has pointed out his concerns and these have been discussed over several inspections but staff consider it is appropriate for the residents in this home. One specific concern arising from this inspection is that it is having an effect on the attendance at staff meetings. Staff meetings were poorly attended and the records indicated that not many staff had signed to say they read the minutes. The manager is working to address this. Five staff are involved in NVQ training. Other training for staff is on going and relates to the specific needs of the residents which makes staff more confident in their role. Bank staff are now included in fire training, POVA training, and health and safety training. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. The home benefits from being well organised and managed. EVIDENCE: All residents have been at the home for many years and they were satisfied that it was run as they wanted. The new manager was popular and well organised. All staff including bank staff have health and safety training and were aware of the issues. All records relating to health and safety were well maintained to ensure the safety of the staff and residents. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 16 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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 X 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Road 9 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000061604.V266264.R01.S.doc Version 5.0 Page 17 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. Standard Regulation 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. 2 3 Refer to Standard YA6 YA33 YA36 Good Practice Recommendations Care plans Should be more detail to achieve the consistency of care for each resident 14 / 15 hour shifts are not considered to be good practice. Action should be taken to ensure staff participation at staff meetings. Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Park Road 9 DS0000061604.V266264.R01.S.doc Version 5.0 Page 19 - 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. 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