Inspection on 09/06/05 for Spring Mount 16

This inspection was carried out on 9th 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

Spring Mount 16 10/01/07

Spring Mount 16 22/03/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Spring Mount 16 16 Spring Mount Harrogate North Yorkshire HG1 2HX Lead Inspector David White Unannounced 9 June 2005 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 16 Spring Mount Address 16 Spring Mount, Harrogate, North Yorkshire, HG1 2HX 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) 0161 872 1234 N/A N/A Henshaws Society for Blind People Post vacant Care Home 6 Acting Manager-Jo Main Category(ies) of Learning Disability (6) registration, with number of places Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Six service users with a Learning Disability and additional sensory impairment. Date of last inspection N/A Brief Description of the Service: 16 Spring Mount was registered as a care home in January 2005. It is operated by Henshaws Society for Blind People and is registered to provide care for 6 younger adults aged 65 years and under that have learning disabilities with an additional sensory impairment. 16 Spring Mount is a large three story Victorian terrace house situated within half a mile of Harrogate town centre and there are local amenities nearby. The home has seven bedrooms, four of which are located on the first floor with the other three bedrooms on the second floor. There is a small paved garden to the front of the house and a paved patio area to the back. All bedrooms are designed for single occupancy. The bathroom and toilet facilities are on the first and second floor. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection by the Commission since the home was registered in January 2005. The inspection was unannounced and took place over 5 hours. A tour of the home was made with the manager and a number of records were inspected. Three service users, the manager of the home and three members of staff on duty were spoken with. The Individual Service Plans for the three service users spoken with were inspected. What the service does well: What has improved since the last inspection? What they could do better: The risk assessment could be reviewed for a service user who had displayed verbal and physical aggression in his previous living environment. Care plans could be reviewed at least six-monthly. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.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. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 4 and 5. Service users and prospective service users are fully aware of the care, services and facilities provided by the home and can feel confident that their needs will be understood by the staff and are met. EVIDENCE: All six service users moved into the home in January 2005 when 16 Spring Mount was registered as a care home. Service users confirmed that they were kept up to date with the progress of the home prior to moving in and had on occasions visited the home to look at the premises and had chosen décor for their bedrooms. Service users were aware of the statement of purpose and service user guide, which provide service users with detailed information about the home and this was available in large print, and audiotape formats. Prospective service users would be offered the chance to visit the home prior to any decision being made about moving into the home and a trial period would be offered for potential long-term placements. The views of existing service users were important in deciding whether prospective service users would be suitable to live at the home. The admission procedure was thorough and ensures that new service users would be properly assessed before moving into the home so that staff would be fully aware of their needs. The three Individual Service User Plans inspected all contained an initial assessment and care plan from the placing authority Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 9 clearly detailing the specific individual needs of the service users. All the service users at the home had previously lived in other Henshaws community homes and each service user file inspected contained some impressive documentation called “ moving on information” which summarised the individual needs and preferences of the service users and which had been drawn up by the staff from the other community homes to assist staff at the new home. Each service user had been provided with an updated licence agreement specifying the terms and conditions of living at the home. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, and 9 There is a clear and effective care planning system in place with service user consultation to provide staff with the information needed to care for service users. Care plan reviews need to take place more regularly and one risk assessment needed reviewing to safeguard service users from potential harm. EVIDENCE: There were comprehensive plans of care available for all the three service users spoken with. The plans covered a wide range of health, personal and social care needs and stated clearly how these were to be met. There was an emphasis on encouraging the independence of the service user and this was supported by a number of risk assessments in relation to aspects of daily living. The rehabilitation officer for the organisation had carried out a number of mobility assessments and was working with service users to learn new mobility routes whilst service users were getting used to their new surroundings. Staff were observed to enable service users to be independent as possible and also assist where necessary at their request. One service user commented “I feel I have more independence since I came to live here”. The care plans included information about preferred daily living routines and each service user had a set of objectives for goals they were hoping to achieve in the future. One service user had communication and understanding difficulties. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 11 The plan for this service user clearly set out measures that staff needed to take to promote the service user’s level of understanding and gave specific information about the most effective way to communicate effectively with him. One of the files inspected contained a risk assessment for a service user who had exhibited verbal and physical aggression in his previous living environment. The records showed that the last review of the risk assessment had taken place in June 2004 and therefore no review had been undertaken following the service user’s admission to the home. Those service users spoken with confirmed that they sat down with their key workers and discussed their objectives on a monthly basis. Reviews of the care plans had been undertaken on service users, however these tend to take place only annually. One review had not taken place since April 2004. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 14, 15, 16 and 17. Service users enjoy a fulfilling lifestyle both in and outside of the home. EVIDENCE: All three service users spoken with enjoy a wide range of activities in and outside of the home. Through the week service users attend the Henshaws Arts and Crafts Centre and service users spoke positively about this service. There were ample opportunities for involvement in leisure activities. One service user attended the Harrogate jazz club and was involved with a local social club. Another service user was about to compete in the European power lifting championships in Glasgow whilst one other service user attended the gym every week. One of the service users had a particular interest in music and had attended a number of different concerts in Sheffield and Harrogate with the support of staff. The home had a computer and some of the service users enjoyed playing computer games. Comments about the social aspects of living in the home were favourable. One service user said living at the home was “brilliant”, another said “I have had more opportunity to go out since I started living at the home” whilst another service user commented that it was “good being nearer the town centre”. Service users plan for day outings and Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 13 activities within their house meetings, which are held every month. One of the service users was the activity co-ordinator within the home. The service user files inspected contained information about service user’s likes and dislikes and their preferred daily routines. Visiting arrangements were flexible and service users can see family and friends whenever they want. Service users have access to a telephone in the house. Service users plan their own menus, and do their food shopping with the support of staff. All the service users cook using the microwave and two of the service users are receiving training from the rehabilitation officer to enable them to use the cooker. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 The health needs of service users are met well with good access available to specialist services when required. EVIDENCE: Staff aim to promote the independence of the service users. Service users said that any personal support was provided in a dignified manner. One service user commented that he “got help whenever he needed it” another described the care as “very good”. Service users preferences as to how they were supported were recorded within their individual care plan. Each service user had a GP and access to chiropody, dental and optical services when required. Referrals to specialist services were made as appropriate. One service user was receiving ongoing support from psychology services and another service user was due to start an assertiveness training course. Direct observation showed that service users were supportive towards each other and this was confirmed by one of the service users who said “we all get on well together”. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Clear complaints and adult protection policies and procedures were in place and were well understood by the staff to safeguard service users from abuse. EVIDENCE: The home had a complaints procedure that was openly on display in the home and was available in written and audiotape formats. The complaints procedure was summarised within the service user guide. Service users were clear about who they would speak to if they had any concerns. No complaints had been made about the home. Adult protection policies and procedures were available along with the Whistle Blowing policy. Staff spoken with showed a good understanding of what would constitute abuse and were clear about the actions to be taken if abuse was suspected. All staff are undertaking updated training on adult protection matters. A recently appointed member of staff confirmed that abuse awareness had formed part of her induction training. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25 and 30 The standard of the environment was very good and provided service users with a spacious, homely and pleasant place in which to live. EVIDENCE: The home is a three storey Victorian terraced house with seven bedrooms. All bedrooms were designed for single occupancy and were on the first and second floors. There were three bathrooms and toilets; two with shower facilities and a separate staff shower area. There was a lounge, a dining room, a kitchen and a sleeping room for staff. There was a small paved area with a bench to the front of the house and a patio area at the back that enables service users to sit outside if they wish. The physical layout of the home was spacious although one service user commented that they would like the kitchen to be larger. All service users felt that the physical layout of the home offered them a lot more space than they were previously used to and felt that this was “one of the best things about living here”. The home has been decorated throughout to meet the needs and preferences of the service users. Bedrooms have been decorated to individual tastes and the furniture and fittings throughout the home are modern and stylish. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 17 The home was very clean and hygienic throughout. There were separate laundry facilities, which store a washing machine and tumble dryer. During a look around the environment a random check of hot water temperatures was made. The hot water temperature from the bathroom on the first floor slightly exceeded safe levels and this matter was addressed by the manager at the time of inspection. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 36 Staffing morale was high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. EVIDENCE: Staffing levels were good and the ratios of care staff to service users was determined by the needs of the service users. Occasionally supply workers are used by the home and they are provided with written guidance about the preferred daily routines of the service users. On a weekend staffing numbers were increased to enable service users to socialise outside of the home. One service user said “the staffing levels at the home mean I am able to have more opportunity to go out on my own with staff support”. A staff member commented that the staffing levels had given them more time to get to know the service users better and felt that the staffing levels had meant that service users could pursue their hobbies and interests on an individual basis. Staff spoken with demonstrated a very good knowledge and understanding of service users’ needs. Regular staff meetings were held and recorded. There was a wide range of training on offer and this was linked to the needs of the service users. Staff receive supervision on a two-monthly basis and this was recorded and a copy given to the supervisee. Direct observation showed that there was a good atmosphere in the home amongst service users and the staff and staff spoken with were enthusiastic and committed towards providing good standards of care for service users. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 and 42 The home was very well managed. Systems were in place to consult with service users and visitors and their views and opinions were acted upon. Proper arrangements were in place to promote a safe and secure environment for service users. EVIDENCE: The manager had applied to become the registered manager of the home. She had experience of being the registered manager in another care home within her previous job role and had just completed NVQ level 4 in management and care. Service users and staff spoken with were complimentary about her abilities. They described the manager as “approachable” and “easy to access”. All the staff commented that the home was “very well organised” and direct observation confirmed that information was easily accessible and clearly identifiable. One staff member said “we have a brilliant manager” and both service users and staff found the manager easy to talk to. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 20 The organisation had robust quality assurance systems and unannounced monthly visits were made to the home by one of the scheme managers. The views of service users and visitors were actively sought through various means and service users felt they had been involved in decision-making about the home. House meetings were held monthly and these were recorded. Proper regard was given to the promotion and maintenance of a safe environment for service users, visitors and staff. A number of satisfactory reports and certificates were seen relating to the premises. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Spring Mount 16 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 22 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 9 Regulation 13 Requirement A risk assessment review needs to be carried out for a service user who had previously exhibited verbal and physical aggression in his previous living environment. Timescale for action 30/06/05 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 6 Good Practice Recommendations Care plans are reviewed at least six-monthly. Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Spring Mount 16 J53_J04_S63122_Spring Mount_V229661_090605_Stage 4.doc Version 1.30 Page 24 - 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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