Inspection on 21/11/05 for Silver Birches

This inspection was carried out on 21st 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

Silver Birches 30/07/07

Silver Birches 01/09/06

Silver Birches 07/06/05

Silver Birches 10/01/05

Silver Birches 10/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Silver Birches 70 Erringden Road Mytholmroyd Halifax West Yorkshire HX7 5AR Lead Inspector Lynda Jones Unannounced Inspection 21st November 2005 9.45 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 Silver Birches DS0000001012.V265903.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 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. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Silver Birches Address 70 Erringden Road Mytholmroyd Halifax West Yorkshire HX7 5AR 01422 882804 01422 881616 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) Mrs Marcia Hurst Mr Peter Hurst Mrs Marcia Hurst Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Silver Birches is registered to provide personal care for ten older people. The house is in a quiet residential area of Mytholmroyd, off the main road but within easy reach of the main bus route and railway station. Shops and other local amenities are a short walk away. In the Statement of Purpose, which gives information about the home and is available on request from Silver Birches, it says that the home caters for people with low to medium dependency levels. Accommodation is provided in single bedrooms, four have en suite facilities. The bedrooms on the first floor can be accessed by a stair lift. On the ground floor there is a comfortably furnished lounge and adjoining conservatory, which overlooks the garden, the dining room is adjacent. The house is decorated and furnished to a high standard throughout. There is ramped access to the house and the well-stocked garden. The proprietors live on the premises and with other members of their extended family they are very much involved in the day to day running of the business. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted over three hours. Discussion took place with the staff on duty and with service users. The staff rota and staff records were examined. What the service does well: 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. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 6 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 Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 7 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): 1,2,3,4,5. All prospective service users have their needs fully assessed prior to admission and visits to the home are arranged for them and their families. EVIDENCE: Many of the people who live at Silver Birches are from Mytholmroyd and the surrounding area. Some people have known each other for many years and chose to move into the home because they knew people who were already living there. The home does not advertise it relies on its good local reputation and personal recommendations. In the literature provided by the home about the service on offer, it states that the home aims to provide a service to people who have low to medium dependency levels. Prospective service users and their families are always invited to visit the home to meet people living there and to view the accommodation, before making a decision about moving in. People are welcome to stay for a meal and to visit as often as they wish; service users confirmed that this was the case. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 8 The staff recognise and are sensitive to the fact that moving into the home is a big decision for individuals to make. The manager assesses everyone before they move into the home to ensure that their needs can be met. Assessments are well documented and these form the basis of the plan of care. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 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): 10. Service users feel valued. Care and support is delivered with discretion and privacy and dignity is respected. EVIDENCE: The staff address people as each service user prefers, people are asked about this on their first contact with the home. From observation and from talking to service users it is evident that everyone is treated respectfully. Service users say that all the staff are very kind, helpful and always pleasant. Staff were said to be very patient, people did not feel that they were hurried in any way. Staff members said that all personal care is delivered discreetly, in private. Service users confirmed this. See previous reports for comments on other standards. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 10 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): 14,15. Service users are encouraged to exercise control and choice over their lives. Menus offer plenty of choice, meals are of good quality. EVIDENCE: Although all of these standards were assessed at the last inspection, service users mentioned some points again on this visit. Service users say that one of the reasons they like Silver Birches is because each person’s chosen daily routine is respected by the staff. People like to get up at times that suit them and have breakfast when they are ready. Some people like to spend parts of the day reading, watching TV or listening to the radio in their own rooms. The staff understand this and support people accordingly. Service users do not have to fit into a routine that suits the needs of staff. The main meal of the day is in the evening, lunch is a light meal and this arrangement appears to suit everyone. Service users view mealtimes as a social occasion, the majority of people eat together in the dining room. According to service users the staff possess excellent culinary skills and produce meals of good quality. The menu was reported to be varied and the meals made from good quality ingredients. One service user said that if Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 11 someone had a particular wish for a certain dish or a desire for a particular food, the owner of the home would arrange for this to be made available. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 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 the following standard(s): See last inspection report. EVIDENCE: Since the last inspection, all staff have taken part in adult protection training provided by the Adult Protection Coordinator for Calderdale. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 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 the following standard(s): See last inspection report. EVIDENCE: Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 14 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): 27,28,29,30. The home is appropriately staffed to meet the needs of the service users. EVIDENCE: Some members of the staff team are related to the owners. The home is currently fully staffed. Examination of the rota showed that all parts of the day and night are adequately staffed to meet the needs of service users. The owners live on the premises and they are available most days, even if they are not on duty. They confirmed that they are available at the home every evening and throughout the night. They cover waking night duties. All but two of the staff have now completed NVQ level 2. The last two staff are near to completion. The owner/manager is currently undertaking NVQ level 4. Recent staff training has included health and safety, food hygiene and the safe handling of medicines. Two staff have recently completed first aid training and all staff are about to embark on a course about nutrition and healthy eating. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 15 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): 31,33,35,38. The home is well managed. Appropriate systems are in place to safeguard the health and safety of service users. EVIDENCE: The manager/owner lives on the premises and is available most days. She is approachable and welcomes comment on the service provided. Service users have said in the past & on this occasion that they would not hesitate in talking to her if they had any concerns. From speaking to staff it is apparent that they have the interests of service users uppermost in their everyday practice. The home does not hold personal money on behalf of individuals. Service users are usually supported by families and friends in these matters. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 16 The home has a comprehensive set of policies and procedures, which are regularly reviewed, and they have support from a specialist health and safety company, which provides advice and annual inspection of related records. Fire alarms and emergency lighting are tested regularly and a full record of the servicing of fire safety equipment was available. Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X 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 Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 18 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 Silver Birches DS0000001012.V265903.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Brighouse Area Office 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. 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