Inspection on 20/03/06 for Spring Mount 8

This inspection was carried out on 20th March 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

Spring Mount 8 14/01/09

Spring Mount 8 17/01/07

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 8 8 Spring Mount Harrogate North Yorkshire HG1 2HX Lead Inspector Irene Ward Unannounced Inspection 20th March 2006 10:00 Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 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 Spring Mount 8 DS0000065577.V285697.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 Adults 18-65. 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. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Spring Mount 8 Address 8 Spring Mount Harrogate North Yorkshire HG1 2HX 01423 503580 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) Henshaws Society for Blind People Miss Julie Edwards Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 6 residents with Learning Disabilities all of whom also have a Sensory Impairment Date of last inspection Not Applicable Brief Description of the Service: 8, Spring Mount is operated by Henshaws Society for Blind People and is registered to provide personal care for 6 younger adults aged 65 years and under who have learning disabilities with an additional visual impairment. The house is well situated just off the Ripon Road and within walking distance of Harrogate town centre. It is a large three storey terraced house with a small garden to the front and rear paved area for parking one to two cars. All bedrooms are designed for single occupancy. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to the homes first inspection since registration. It was unannounced and was carried out on the 20th March 2006, which started at 10.00am and finished at 13.00hrs. Three service users were in at the time. The registered manager was on duty at the time of inspection. A tour of the home was carried out which included all of the service users private accommodation. A selection of records was looked at and time was spent observing activity in the home, talking to all service users and staff on duty. The focus of the inspection was a number of key standards. There were also discussions with the registered manager. What the service does well: What has improved since the last inspection? This is the homes first inspection against the National Minimum Standards for Care Homes for Adults (18-65). Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 6 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. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 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 the following standard(s): 1,2,4 and 5 Prospective service users can be confident before moving into the home that their needs can be met. EVIDENCE: No new resident has been admitted to the home since the home was first registered last year. Appropriate admission procedures continue to be in place however, which when followed would ensure that a prospective resident’s needs would be fully assessed before them being admitted and that a programmed introduction to the home would be arranged. No changes have been made to the Statement of Purpose or the Service User Guide. Both these documents are available on audiotape, Braille and large print. Terms and Conditions or Licence Agreements are held on service users files and have been agreed and signed by service users. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6,7 and 9 Service users are supported in making decisions about their personal lives. EVIDENCE: There are comprehensive plans of care available for all six-service users, which have been regularly reviewed. The plans contained details of the service users daily living skills, personal care needs, interests and dietary needs. Care plans were detailed sufficiently in how staff meets service users care needs. Risk assessments have been completed on different activities and the assessments are held on each service users file. It was evident throughout the time spent in the home that service users are supported in making decisions including risk taking as part of supporting their independence. Information regarding both service users and staff are held in the office/sleeping in room in a locked filing cabinet. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12,13,15,16 and 17 Service users social links and opportunities are promoted. EVIDENCE: A range of activities is available and accessed by service users from evening classes at Harrogate College to going to the cinema, pub, pop concerts and so on. Service users said that they had been out on a day trip to Blackpool the previous day and had thoroughly enjoyed it. Holidays for service users have also been arranged for later in the year. Service users also keep in contact with their families by telephone and they also go and stay regularly with them for weekends and holidays. Service users confirmed that they are involved in choosing the menus and are offered a choice of food at each meal. Service users are encouraged and supported to plan their meals usually a week in advance they then shop for food and then prepare and cook a meal. This is part of the support service users receive from staff in living skills. Service users were in the process of preparing their lunch at the time of the inspection. Through observation it was Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 11 clear that with some support from staff, service users enjoyed cooking their own meals. Service users confirmed that they hold regular house meetings to discuss any issues that may have arisen. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18,19 and 20 Service users health and personal care needs are well met. EVIDENCE: Care plans inspected indicated that the service users had contributed to them and in agreement with how their personal support needs were to be met. Service users confirmed that arrangements were satisfactory and that a flexible routine enabled them to choose when to go to bed and get up in the morning. Arrangements are in place for service users to access health and social care professionals. The Harrogate District Hospital is accessed for any emergencies via the A & E department. Outpatient appointments are also made. The home has recently introduced a monitored dosage system for medication. There are currently no service users who self-medicate. Apart from one service who has an inhaler. All medication inspected was appropriately and safely stored and maintained. Medication records were accurately maintained. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 and 23 Service users complaints are listened to. EVIDENCE: The organisations complaints policy and procedures are in place. The complaints procedure is available on audiotape, Braille and large print. Service users confirmed that if they had any concerns or worries that they would see staff on duty or the registered manager. There have be no complaints received by either the home or the Commission For Social Care Inspection. The organisations policy and procedure for adult protection is in place. The local authorities adult protection procedure was also available for inspection. The registered manager was clear as to what course of action should be taken in the event of a service user disclosing that they have been abused. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24,25,26,27,28 and 30 The environment of the home is maintained to a high standard and provides service users with a clean and homely place in which to live. EVIDENCE: All of the service users bedrooms were inspected. All bedrooms had been furnished to a good standard. Service users have personalised their own bedrooms. All communal areas of the home were warm, well lit, ventilated and clean and had been furnished to a high standard. The home has sufficient bathrooms and toilets that were clean and well maintained. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Service users are protected by the home’s vigorous recruitment procedures. EVIDENCE: There were three staff on duty including the registered manager on the day. There is always a minimum of two staff on duty each evening. One staff sleeps in each night and support systems are in place for contacting other staff in cases of emergency if required. Rigorous recruitment procedures are followed and all required checks are carried out. Three staff files were inspected. Staff records showed that the registered manager undertakes thorough checks before staff commence working at the home. CRB checks have been carried out and staff had been checked against the POVA first list. All staff complete application forms. Two written references are obtained. Copies of training certificates are also held on each individual staff file. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 16 All staff receives regular supervision as required and supervision notes are held for each staff member. Various training is available for staff such as first aid, moving and handling, visual impairment and so on. All staff hold NVQ Level 2 and some are working towards obtaining NVQ Level 3. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Service users’ health safety and welfare are promoted and protected. EVIDENCE: Throughout the morning and from discussions held with service users and staff and through observation, 8 Spring Mount is managed well with a committed staff team. Service users confirmed that they are involved with all aspects of their care through the regular review meetings held with key workers to review their care plans and from regular house meetings. The organisations health and safety policies and procedures are in place. A number of health and safety records were inspected all of which were up to date and accurately maintained. Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? N/A 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 Spring Mount 8 DS0000065577.V285697.R01.S.doc Version 5.1 Page 20 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. 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