Inspection on 24/02/06 for St Anne`s (Huddersfield)

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

St Anne`s (Huddersfield) 10/12/08

St Anne`s (Huddersfield) 22/01/07

St Anne`s (Huddersfield) 20/09/05

St Anne`s (Huddersfield) 04/01/05

St Anne`s (Huddersfield) 07/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 St Anne`s (Huddersfield) 3 Heaton Road Huddersfield West Yorkshire HD1 4HX Lead Inspector Karen Summers Unannounced Inspection 24th February 2006 10:00 St Anne`s (Huddersfield) DS0000026353.V284664.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 St Anne`s (Huddersfield) DS0000026353.V284664.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. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Anne`s (Huddersfield) Address 3 Heaton Road Huddersfield West Yorkshire HD1 4HX 01484-435571 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) St Anne`s Community Services Mrs Margaret Bedford Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for one named service user at 3 Heaton Road - category PD 20th September 2005 Date of last inspection Brief Description of the Service: St Anne’s (Huddersfield) is the collective name for a project of three houses registered to provide residential care to adults with enduring mental health needs. The project is managed from Heaton Road and the registered manager oversees all three houses. There are two deputy managers, one of whom oversees two houses and one who is based at the largest of the three homes. Each house has their own staff team with some flexible working across the three houses. Cambridge Road, the larger of the homes was purpose built and provides single bedroom accommodation for up to ten people over two floors. It is close to the centre of Huddersfield. Heaton Road provides accommodation for up to six people and is some distance from local amenities. Beech Street, which is close to local amenities, provides accommodation for up to four people. Both date from Edwardian times and provide single bedroom accommodation over four floors. Each of the three houses has communal facilities and gardens. Public transport is within walking distance of all three houses which are located in residential areas St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an unannounced inspection on the 24th of February 2006, and the duration of the inspection was 5.5 hours. Mrs Bedford, the manager was present at the inspection of Cambridge Road, Mrs Sheyd, the deputy manager, at Heaton Road, and Ms Briggs, care worker, at Beech Street. Several service users were also spoken with in each house. The majority of the core standards were assessed during the inspection in September 2005; therefore this inspection has mainly covered any requirements and recommendations to be followed up from that inspection. The inspector would like to thank service users and staff for their time and hospitality throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 6 In relation to self-administration of medication, service users should have a risk assessment and documented evidence to suggest that the procedure is being monitored. At Beech Street the vacant bedroom should be redecorated prior to occupation, and the backdoor porch tiles should be repaired/replaced early in the next financial year. At Heaton Road the laundry floor has been replaced however, there is a gap where the skirting board meets the floor where debris could collect. The gap should be sealed. Fifty per cent of care staff should have an NVQ 2 or an equivalent qualification. The outcome of the quality assurance questionnaires should be published. The bath hot water temperature should be monitored and maintained at 43°C. 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. St Anne`s (Huddersfield) DS0000026353.V284664.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 St Anne`s (Huddersfield) DS0000026353.V284664.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): These standards were not inspected however, the recommendation from the last inspection was. (Standard 2) EVIDENCE: New service users now receive a letter confirming that their assessed needs can be met at the home, and the information is kept on their personal file. St Anne`s (Huddersfield) DS0000026353.V284664.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): EVIDENCE: These standards were not assessed on this occasion. St Anne`s (Huddersfield) DS0000026353.V284664.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): EVIDENCE: These standards were not assessed on this occasion. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 11 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): The standards were not inspected however, the requirement/recommendation from the last inspection was. (Standard 20) EVIDENCE: The medication housekeeping was generally of a good standard however, with regard to the self-administration of medication, not all service users in each house had a risk assessment and staff did not sign anywhere to denote that the self administration for those individuals was being monitored. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 12 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): These standards were not inspected however, the recommendation from the last inspection was. (Standard 23) EVIDENCE: There have been no adult protection referrals since the last inspection however, staff are aware of the procedure to follow. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 13 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 & 30 Service users live in a homely and comfortable environment. EVIDENCE: Generally, the houses are well maintained and provide a comfortable and homely environment for service users. Environmental recommendations at Beech Street were followed up from the previous inspection and include: Vacant bedroom, identified at the previous visit to be redecorated. The bedroom is presently vacant, and Mrs Bedford confirmed that when a new service user is to be admitted to the room, they would be offered a choice as to how they would like it to be decorated. Mrs Bedford said that it would then be redecorated prior to them moving in. The backdoor porch tiles, identified at the previous inspection for replacement/ repair have not been made good. Mrs Bedford said that the work has been scheduled to take place at the start of the next financial year, in April 2006. The backyard floor covering has been power sprayed to remove the moss, and the outside gate has been repaired. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 14 Heaton Road – The laundry walls have been redecorated and the floor covering has been replaced however, there were gaps where the edge of the floor meets the skirting board where debris could collect. In the interest of infection control the edges where the floor meets the skirting board should be sealed. St Anne`s (Huddersfield) DS0000026353.V284664.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 The remaining standards were not inspected however, the requirement from the last inspection was. (Standard 35) The staffing levels and skill mix were sufficient to meet the number and needs of service users. EVIDENCE: Twenty-seven percent of care staff have achieved an NVQ level 2 or equivalent, and a further 7 staff have commenced the training. Once these staff have completed their training there will be a total of 66 of care staff that have the qualification. There was a sufficient number and skill mix of staff on duty to care for the number of service users in each of the houses. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 16 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): 39 & 42 In relation to quality assurance the home is run in the best interest of service users. Unless the bath hot water temperature is monitored and maintained at 43°C, service users could, potentially, be at risk of scalding. EVIDENCE: Service user/staff meetings take place at each house and minutes are recorded. In relation to quality assurance, the home seeks the views of service users and their relatives/visitors, and other interested parties, and acts upon those views where appropriate. However, once the information has been collated to show where there are issues and comments, there is no information to say what the service did to address the issues raised. This information needs to be published. In relation to the regulation of hot water temperatures, the bath hot water should not exceed 43°C, and the inspector advises that the water temperature be monitored and recorded to ensure that the desired temperature is maintained. Staff at the home started to monitor and record the water St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 17 temperature at the inspection, and the Service Manager who was also visiting said that he was in the process of distributing a book in which to record the temperatures. St Anne`s (Huddersfield) DS0000026353.V284664.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X X X 2 X X 2 X St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 19 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. 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 YA20 Good Practice Recommendations Standard 20.1 – Service users who administer their medication should do so within a risk management framework. Staff should also record that monitoring checks are being made. Standard 24.12 – Beech Street: Vacant bedroom, to be redecorated prior to a service user moving in. Backdoor porch tiles – identified to be repaired/replaced at the start of the next financial year. Standard 30.4 - Heaton Road, laundry room – Where the floor covering meets the skirting board should be sealed. Standard 32.6 - 50 of the care staff should obtain an NVQ level 2, or an equivalent qualification. Standard 39.4 – The outcomes of the service user surveys should be published and made available to service users, their representatives and other interested parties. DS0000026353.V284664.R01.S.doc Version 5.1 Page 20 2. YA24 3. 4. 5. YA30 YA32 YA39 St Anne`s (Huddersfield) 6. YA42 Bath hot water in service user areas should not exceed a maximum temperature of 43°C. You are advised to monitor and record the temperature of the hot water system in these areas. St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI St Anne`s (Huddersfield) DS0000026353.V284664.R01.S.doc Version 5.1 Page 22 - 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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