Inspection on 07/06/05 for Silver Birches

This inspection was carried out on 7th June 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 21/11/05

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 HX7 5AR Lead Inspector Lynda Jones Unannounced 7 June 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. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Silver Birches Address 70 Erringden Road Mytholmroyd Halifax HX7 5AR 01422 882804 01422 881616 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) Mr Peter Hurst and Mrs Marcia Hurst Mrs Marcia Hurst CRH 10 Category(ies) of 10 x Old age registration, with number of places Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/1/05 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 J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 4.15 hours. Seven residents, one relative and three members of staff were spoken to. Residents records and duty rota’s were inspected and a tour of the building took place. What the service does well: What has improved since the last inspection? What they could do better: Although there have been no concerns about the care of people at Silver Birches, it would be good practice for staff to attend some updated adult protection training. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 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. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 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 Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 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) Not inspected EVIDENCE: Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 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 standard(s) 7,8,9. The care plans clearly show the action that staff at the home must take to meet the needs of residents. EVIDENCE: There was evidence that service users had been assessed appropriately before moving to Silver Birches to ensure that their needs could be met at the home. The care plans show how the health, personal and social care needs of individuals are to be met. The daily records provide evidence of the care that is delivered. Details are recorded about residents’ preferred daily routines and about their likes and dislikes, interests and hobbies. Each month the records are summarised and the plans are reviewed. Relatives accompany most people when they attend medical appointments; where this is not possible the staff confirmed that they would escort individuals. There are detailed records on each personal file showing the outcomes of all medical appointments. One person chooses to look after her own medication; the arrangements for this are satisfactory. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 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 standard(s) 12,13,14,15 Residents are encouraged to maintain their independence and they make choices about how they want to spend their time. EVIDENCE: Residents said they liked to choose their own daily routines, some people said they prefer to spend time in their own rooms watching TV, reading or doing crosswords. Other people said they liked to spend time in the lounge where there was more opportunity to chat. Residents said that the staff respected these choices. Everyone said that visitors were always made welcome when they called at the home. The majority of residents said they occasionally go out with their relatives. There was unanimous agreement that the meals were very good. Everyone said there was plenty of variety on the menu and made favourable comments on the quality of the produce and the good home cooking. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 11 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) 16,18. The complaints procedure is well publicised and residents are confident that complaints would be taken seriously and acted upon. EVIDENCE: The home has a complaints procedure in place; details are included in the Statement of Purpose, which provides information about the home. This is available from Silver Birches on request. Residents said they would not hesitate to mention any concerns they had to the owner and they felt that they would be listened to. Of the people spoken to, no one had needed to make a complaint. There have not been any adult protection issues at Silver Birches. Nevertheless, it would be good practice for staff to attend training in this area to ensure that they are up to date with current procedures. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 12 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) 19,20,21,22,23,24,25,26. The standard of the environment at Silver Birches is good, providing residents with a well-maintained, attractive and homely place to live. EVIDENCE: All parts of the house are comfortably furnished and pleasantly decorated. Residents spoken to said they were very pleased with the standard of accommodation. All of the bedrooms are decorated differently and each one has colour coordinated accessories. There is evidence that individuals have organised their rooms to suit their own needs and everyone has lots of their own personal possessions around them. The bathrooms are well decorated and inviting, and there are lots pictures, ornaments and well tended plants throughout the house. All parts of the house were clean and odour free, residents said that this is always the case. At the back of the house there is a well-stocked garden, which everyone said they liked very much. Some residents were sitting out in the garden enjoying the good weather on the day of the inspection. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 13 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) Not inspected EVIDENCE: Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 14 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) Not inspected EVIDENCE: Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 15 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 2 x x x x x x x x Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 16 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. 1. 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. Refer to Standard 18 Good Practice Recommendations Arrangements should be made to enssure that all staff are up to date with adult protection procedures. Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 17 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 Silver Birches J52J01_s1012_siver birches_v231687_070605.doc Version 1.30 Page 18 - 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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