Inspection on 19/08/05 for Savile House

This inspection was carried out on 19th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Savile House 03/05/07

Savile House 29/12/05

Savile House 20/10/04

Savile House 18/06/04

Savile House 01/03/04

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Larchfield Manor

Hawkhills

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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 Savile House 25 Savile Road Halifax West Yorkshire HX1 2BA Lead Inspector Lynda Jones Unannounced 19 August 2005 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 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. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Savile House Address 25 Savile Road Halifax West Yorkshire HX1 2BA 01422 359649 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) Chestnut Care Ltd Care home - personal care only 24 Category(ies) of 24 x Older people - over 65 years registration, with number of places Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The conditons of registration are on display on the certificate in the home. Date of last inspection 20/10/04 Brief Description of the Service: Savile House is a care home providing personal care and accommodation for twenty-four older people located in the Savile Park area of Halifax. The homes registration has been varied to accommodate one person under the age of sixty-five years.The home is not far from the centre of Halifax and is easy to reach using public transport.There is a small garden at the front of the house with outdoor seating available.People living in the home have a choice of sitting areas on the ground floor – either smoking or non-smoking. Meals are served in the main dining room although some people choose to have their meals in their rooms or in the lounge.There are no en-suite rooms in the home but all of the rooms, five double and fourteen single, have wash hand basins. Toilets and bathrooms are within easy access of all bedrooms. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4.45 hours. Discussion took place with six residents and four members of the staff team, including the manager. Some of the recently decorated bedrooms were viewed although a full tour of the building did not take place. What the service does well: What has improved since the last inspection? What they could do better: The registered owner recognises the need to improve facilities in the home and work is already underway on the construction of a conservatory. Residents say they would like more toilets on the ground floor and plans are in hand to carry out this work. The lounge areas are in need of redecoration and refurbishment, this has work has already been timetabled. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 6 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. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. The home provides some helpful information about the services provided. Detailed assessments take place before admission to make sure that individual needs can be met. EVIDENCE: Records examined related to one person recently admitted to the home and another person who was shortly due to move in. In both cases detailed assessments had been carried out to make sure that the home could meet the needs of each person. Moving and handling plans were in place, appropriate risk assessments had commenced and the care planning process was well underway. The records demonstrated that time had been taken at a very early stage of the planning process, to understand about peoples preferred daily routines, about their likes and dislikes and about their lives in general. The manager confirmed that all prospective residents and their relatives are provided with detailed information about Savile House. A service user guide gives information about the service the home provides and the manager will visit people to answer questions about the home. Where possible people are invited to visit to view the accommodation and to meet people before making a Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 9 decision about moving in. If individuals are unable to visit, their relatives are welcome to call at the home. Everyone is provided with a contract and details of their terms and conditions of residence. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed on this inspection. EVIDENCE: Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed on this inspection. EVIDENCE: Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Staff have a good knowledge and understanding of adult protection issues and appropriate procedures are in place to protect residents. EVIDENCE: There is evidence to show that all new staff take part in training on adult protection issues as part of their induction training. From discussion with the manager and from examination of the annual training plan it is clear that this area is given high priority in order that all staff are familiar with adult protection procedures and feel confident about challenging poor practice. Refresher training takes place periodically and training sessions have been arranged for staff to meet with the Adult Protection Coordinator for the Calderdale area. Residents spoken to said they would feel confident about approaching the manager if there were any matters that concerned them. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23,24,25,26 All bedrooms are pleasantly decorated and furnished to suit the needs of each resident. Some of the shared areas could be improved by redecoration. EVIDENCE: The home meets the National Minimum Requirements in terms of the facilities that are available. On this inspection some, but not all of the bedrooms were viewed. Bedrooms are decorated differently and there is evidence that people have lots of their own possessions around them. People said they were happy with their rooms and confirmed that the house was always kept clean and tidy. There is evidence that routine maintenance takes place. The records show that there is a month by month plan for general maintenance and decoration through to the end of the year. The home owner and management team are aware that some areas of the home now require significant upgrading. Both lounge areas on the ground floor Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 14 are in need of redecoration and refurbishment. The manager said that new curtains were on order and redecoration of these areas had already been timetabled. Some of the stair carpet is worn and care must be taken to ensure that this is not a trip hazard for residents and staff. At the time of the inspection the banister rail needed to be re-fixed to the wall although this work was in hand. Work had already started on the construction of a conservatory at the front of the home. When the building work is complete there are plans to relocate the smoking area and the dining areas and to carry out the redecoration that has already been identified. The report from the last inspection noted that although technically, there are sufficient numbers of toilets and bathing facilities in the home for 24 residents. A number of residents reported that there were not enough toilets (there are two) at ground floor level, often resulting in people queuing near to the toilets where space is restricted. The home owner acknowledges this problem and has said that plans are underway to address the issue as soon as the conservatory is completed. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. Recruitment procedures are robust. All new staff are thoroughly checked to ensure that they are suitable to work with older people. There is a positive approach to training in the home and all staff have access to a range of training opportunities. EVIDENCE: Two staff files were examined. The documents held demonstrated that robust recruitment procedures are in place, no new staff take up post until suitable references have been received and appropriate checks have been carried out. Staff training receives high priority in the home and training records are good. The induction package for new staff is thorough and all staff agree to undertake NVQ training when they take up post. Some members of the team have completed NVQ level III and a level II, training for others is ongoing. In general, training needs are identified through staff supervision and appraisal sessions. These are then drawn up into an annual training schedule, which gives details of all the courses available. Staff said the amount of training that they had undertaken recently had been tiring, especially as some of the course work had been completed in their own time, however there were no complaints and staff spoken to viewed the training as a means of improving the service at the home. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,36,37,38. The home is well managed. The views of residents and staff are taken on board and the home is run in the best interests of residents. EVIDENCE: The new manager has been in post since February 2005, she has made an application to be registered by CSCI. She has a number of years experience of working with older people at a senior level. Residents said they felt confident about approaching the manager if they had any worries, they said they felt they were listened to and that their views were taken on board. There is evidence that people are being asked for their views about the home. Questionnaires have been designed for residents, relatives and health care workers who visit the home. This is a recent development and results were not available. Residents have been asked what sort of activities they would like to take part in and about the sort of dishes they would like to see added to the menu. A newsletter for the home has recently established. Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 2 1 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x 3 x x 3 3 3 Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 21 Regulation 23(2)(j) Requirement Arrangements must be made to improve the ground floor toilet facilities Timescale for action 31/12/05 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 Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Savile House J52J01_s49290_savile house_v244958_190805.doc Version 1.40 Page 20 - 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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