CARE HOMES FOR OLDER PEOPLE
Savile House 25 Savile Road Halifax West Yorkshire HX1 2BA Lead Inspector
Lynda Jones Unannounced Inspection 29th December 2005 11:25 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 Savile House DS0000049290.V265893.R01.S.doc Version 5.1 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. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Savile House Address 25 Savile Road Halifax West Yorkshire HX1 2BA 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) 01422 359649 Chestnut Care Ltd Mrs Ruth Syme Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. To provide accommodation and care for one named service user under 65 years. 19th August 2005 Date of last inspection 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. A new conservatory has just been built at the front of the house. 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. 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 DS0000049290.V265893.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk The last inspection of the home was unannounced and took place on 19 August 2005. There have been no further visits until this unannounced inspection. This was an unannounced inspection carried out by one inspector over a 4hour period. The main purpose of the inspection was to make sure that the home continues to provide a good standard of care for the people who live there. The methods used at this inspection included looking at care records, medication records, viewing the changes to the home & talking to service users and the manager. What the service does well:
Savile House is well managed and is resourced by an able staff team. Service users are assessed thoroughly before they move in to make sure their needs can be met at the home. The care plans are detailed; they give a lot of useful information about people’s backgrounds and about how individuals prefer to spend their time. The records contain sufficient detail to enable staff to provide consistent care to people on a day-to-day basis. The home is good at ensuring that healthcare needs are met. This is demonstrated in the records. Care plans are reviewed regularly and relatives are invited to review meetings. Service users are consulted about the way the home is run. The records show that meetings took place recently about activities, plans for Christmas and about the menus. Service users and their relatives are encouraged to voice their opinions on the service provided. Appropriate policies and procedures are in place and records at the home are well maintained. Health and safety issues are given high priority. Detailed risk assessments are carried out and are well documented. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 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. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Savile House DS0000049290.V265893.R01.S.doc Version 5.1 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 the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 7,8,9,10. The needs of service users are thoroughly assessed and well documented. Staff have a good understanding of service users’ support needs. The records demonstrate that the home has a good approach to promoting service users’ health care. EVIDENCE: A sample of care plans was examined. Each plan contained valuable information about the sort of lives people had led, about their families and work they had done over the years. The staff try to involve service users and their families in the preparation of this information. There are some very good records about personal preferences and the daily routines that service users like to follow. For example, detailed information is recorded about when people like to get up and go to bed and what sort of help individuals need with dressing, bathing and other aspects of personal care. The records show what people like to eat and where they prefer to have their meals. Details are recorded about any mobility difficulties people may have
Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 10 and there are clear plans showing how staff are to provide safe assistance. The plans cover individual preferences for morning and afternoon drinks, night time checks, hobbies and interests, finances and medication. The information is recorded sensitively and is in sufficient detail to enable staff to provide care and support with consistency. Health care records are good; the staff are pro-active in making sure that service users health care needs are attended to. Detailed records show the outcome of all medical appointments. There is evidence that the plans are reviewed and updated regularly. Records show that service users, their families and other health care providers are involved in the formulation and review of plans. Medication records are well-maintained and appropriate policies and procedures are in place covering all aspects of medication administration. All senior staff that administer medication have received training on the safe handling of medication. The supplying pharmacist audits stock and records every three months. The manager routinely checks medication supplies and records and ensures that reviews of medication are regularly carried out. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15. Service users are encouraged to exercise control and choice over their lives and are asked for their views on various aspects of the service provided. There is plenty of variety on the menu and service users enjoy the meals. EVIDENCE: The records demonstrate that service users are asked for their views on the way the home is run. Service user meetings take place regularly; the last one was on 2/12/05. The minutes of the meetings are brief, chatty and reflect what was discussed. They show that everyone was consulted about the preparations for Christmas and for their views on entertainment, food and drinks. Over the Christmas period, ten service users went out to the pantomime in Halifax, accompanied by staff. A Christmas quiz took place and various entertainers called at the home to perform. The Christmas party was a success according to service users and staff, with over sixty people attending. People have been consulted about the sorts of activities they would like to be involved in during the course of each week. The last time people were consulted was 10/12/05. Activities include sing a longs, video nights, armchair exercises, skittles and staff reading the Sunday newspapers for people. Some activities also take place in the evening because some service users said this suits them better. Records are kept of all activities that take place. The notice
Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 12 board in the entrance area gives details of when the hairdresser and the mobile library calls at the home. Consultation has also taken place about the content of the menus. There is a two weekly menu cycle, which changes regularly throughout the year so that seasonal produce can be included. Service users said the food was good and they enjoyed their meals. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 13 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 the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 19,25,26. The home is well maintained, clean and comfortable. There is a rolling programme for improving the décor around the home over the coming year. EVIDENCE: Most of these standards were assessed at the last inspection and details are in the last inspection report. There have recently been a few positive changes to the home. A new conservatory has been built at the front of the house. The area has been pleasantly decorated and very comfortably furnished. At the time of the inspection, some problems were being experienced with the heating in this area. Additional heating had been put in place during a cold spell of weather and the manager was checking temperatures and monitoring the effectiveness of the central heating in this area. The owner of the home is keeping a check on this to see whether an additional radiator needs to be added. This is the designated smoking area for the few people who smoke.
Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 15 The dining room has been moved to what used to be a lounge. The room has been decorated, is now much brighter and is a pleasant well-appointed dining area. A second lounge has recently been redecorated and new curtains have been fitted, improving the look of the room. An additional ground floor toilet has been created to avoid any queuing before meal times. Service users say they are very impressed with all the improvements. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,37,38. The home is well managed and is resourced by an able staff team. The administrative systems that are in place throughout the home are good and the health, safety and welfare of services users is given high priority. EVIDENCE: The manager of the home was registered by CSCI in November 2005. She has many years experience of working with older people and has previous management experience. She has almost completed NVQ level 4 and will complete the Registered Managers Award in 2006. The manager is highly regarded for the good standards she sets at Savile House. She is determined, energetic and thorough in her approach to her work and has the respect of her colleagues. From recent inspections there is evidence that the home is well managed. Tasks are planned in advance; detailed records show the proposed schedules for training, service development and maintenance of the home. All of the staff
Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 18 team, management and the owner of the home work well together and aim to provide a service that best serves the interests of people living at the home. Records show that health and safety matters are given high priority within the home. Risk assessments are regularly undertaken and identified risks minimised. The home has a good record of compliance with any requirements that may be made by external agencies, such as Environmental Health, Fire Authority and the Commission for Social Care Inspection. Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 19 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 X X X X X X 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 X 17 X 18 X 3 X X X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X X X 3 3 Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Savile House DS0000049290.V265893.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Wooddale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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