Inspection on 21/12/06 for Savings House

This inspection was carried out on 21st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Savings House 22/03/06

Savings House 05/12/05

Savings House 15/11/04

Savings House 22/06/04

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Savings House Old North Road Brotherton Knottingley West Yorkshire WF11 9EP Lead Inspector David White Key Unannounced Inspection 09:00 21st December 2006 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 Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Savings House Address Old North Road Brotherton Knottingley West Yorkshire WF11 9EP 01977674982 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) Mr Rundle Colin Dean Mrs Elizabeth Helen Dean Mr Rundle Colin Dean Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd March 2006 Brief Description of the Service: Savings House is a care home registered to provide personal care and accommodation for up to three older people of either gender. The home consists of a large two-storey detached house situated on the main road into the village of Brotherton and is within walking distance of local facilities and amenities including shops, cafes and pubs. Only one resident is currently accommodated and the registered providers do not intend to admit anyone else in the future. A second older person attends the home for day care three days per week. The bedroom occupied is on the ground floor and does not have en suite facilities. There is a shared bathroom on the first floor that can be accessed via a staircase that has a stair lift fitted. The home has a large, well maintained garden and an area of hard standing for parking to the rear. Mrs Dean is the principal carer and her husband and a part time care worker assist her. Mr and Mrs Dean live on the premises. The current weekly fees were £375 per week at the time of the site visit on 21 December 2006. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on 21 December 2006. This visit was carried out by one Regulation Inspector and took 2 hours with 1 hour preparation time. The home was able to return the requested information before this site visit. The report includes information from the Regulation Inspector’s inspection record, which details the history of the home and relevant information about what has been happening in the home since the previous inspection visit. The site visit included an inspection of the premises. The resident talked about her experiences and the care she receives at the home and time was spent observing her interactions with others. The visit involved looking at some information including health and safety documentation. Mrs Dean was available throughout the inspection and the findings were discussed at the end of the inspection. What the service does well: What has improved since the last inspection? The good quality of the care and services provided by the home has been maintained. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 6 The home has a new stair lift and this has helped to provide the resident with more modern and up to date equipment to assist with her mobility and to enable access to all parts of the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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 Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available about the care and services on offer at the home so enabling prospective residents to make an informed choice about moving there, although the registered providers do not intend to admit any more residents into the home. EVIDENCE: The registered providers of the home have a statement of purpose that provides information about the care and services on offer at the home. There is only one resident living at the home. She has been at the home for nearly seven years and feels confident that she would be able to discuss any changes to her needs with the registered providers of the home. The home does not provide any intermediate care. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident’s personal and health care needs are fully met. EVIDENCE: The resident has a GP and good access to other health care services. A chiropodist visits the home and both the resident and the registered providers of the home are satisfied with the support they receive from the local health care services. The resident has experienced recent physical health problems and the management of the home made arrangements for the resident to see a GP immediately so that her health needs could be met. It is clearly evident that the resident receives support in a manner that is dignified. The registered providers communicate well with the resident and are respectful towards her. The resident said that she needs assistance from a care worker to help with her bathing needs. She made comments that this support is always given in a way which helps to maintain her privacy and dignity. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 10 The resident is prescribed medication and prefers the registered providers to look after this although she does use an inhaler herself. The medication is stored securely. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident enjoys a lifestyle to suit her preferences and has very good access to the local community facilities. EVIDENCE: The resident said that she enjoys living at the home and feels “part of the family”. She welcomes the social opportunities that are available to her and goes on a number of outings with the registered providers and a lot more are planned. The resident is involved with various local community groups such as the luncheon club and the Darby and Joan club. She enjoys weekends away with the Salvation Army and regularly attends the local chapel for services. The resident said that earlier in the year she had enjoyed a weekend break in Scarborough. The resident is able to maintain relationships with family and friends who can visit the home whenever they wish to do so. The resident said that all visitors are made “very welcome” and this was seen at the time of the site visit when members of the Salvation Army were visiting the resident. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 12 There is a variety of menu choice available and the resident made comments that the food is “very nice”. Most of the food on offer is home cooked and the resident is encouraged to have a drink whenever she wants to. The resident also goes out for a number of meals with the proprietors of the home and their family. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns expressed by the resident are appropriately dealt with to safeguard her interests. EVIDENCE: A simple complaints procedure is available and the resident said she would feel confident that any matters of concerns would be dealt with immediately and properly. The registered providers are clear about what actions to take if abuse is alleged or has taken place. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident lives in an environment that is homely clean, comfortable and safe. EVIDENCE: The home is clean and decorated and furnished to a good standard. The resident has a bedroom on the ground floor and this is decorated to suit her personal tastes. The resident can lock her bedroom and has her own key. The toilet is on the first floor but the resident can easily access this using a stair lift, which she can operate by herself. Within the bathroom there is a shower facility and a manual bath hoist to assist the resident with her bathing needs. The resident has access to all parts of the home and is happy with her living environment. The registered providers live on the premises and so are accessible at all times. The resident has a call system in her bedroom to enable Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 15 her to access support during the night if needed, however the resident said that she has never had to use this. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident is well looked after by a well-equipped staff team who are committed to meeting all her needs. EVIDENCE: The registered providers give most of the care and support to the resident although a part-time care worker is used to support the resident with her bathing and some other needs. The part-time care worker is employed by the local authority social services department and works at the home for only three hours per week. Therefore it is not appropriate that the registered providers should fund any training at the present time. The resident feels that the care she receives is “very good” and “could not be any better”. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed very well in the best interests of the resident and proper health and safety arrangements help to make sure she is safeguarded from harm. EVIDENCE: The registered providers have a lot of experience in providing care services. They have no intention to admit anyone else to the home and plan to retire when the current resident no longer lives at the home. The resident made comments that the registered providers are “kind, supportive and very helpful” and is appreciative of their efforts in providing her with such a “good quality of life”. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 18 Each week the resident’s personal allowances are paid into the registered provider’s bank account. She then receives her full personal allowance for the week. The registered providers hold none of the resident’s monies and the resident said that she is satisfied with the financial arrangements in the home and can have access to her monies at any time. The registered providers are always encouraging the resident to give their views about the care and services on offer and any areas of improvement are acted upon. The home has proper arrangements in place to make sure that health and safety practices promote a safe environment for the resident and visitors to the home. The home has a new stair lift to promote the resident’s health and safety and Mrs Dean is arranging for the periodic service of the manual bath hoist. Most of the hot water in the home is regulated within safe limits to prevent risks from scalding. The water temperatures from the bath are not regulated, however Mr and Mrs Dean have put arrangements in place to make sure that the hot water temperatures from the bath are tested and are safe before the resident gets into the bath. Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Savings House DS0000007691.V320022.R01.S.doc Version 5.2 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 Savings House DS0000007691.V320022.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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