CARE HOMES FOR OLDER PEOPLE
Station View 16 - North Yorkshire County Council 16 Station View Starbeck Harrogate North Yorkshire HG2 7JA Lead Inspector
Kate Shackleton Unannounced Inspection 14th February 2006 13:30p 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 Station View 16 - North Yorkshire County Council DS0000034592.V277536.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 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. Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Station View 16 - North Yorkshire County Council 16 Station View Starbeck Harrogate North Yorkshire HG2 7JA 01423 887128 01423 885935 Address 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) North Yorkshire County Council *** Post Vacant *** Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (3) of places Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. All Service Users for Intermediate Care (up to a maximum of 8) will be accommodated within the Rehabilitation Unit Care services provided for Service Users under category PD should be on a short term basis only and for service users over the age of fifty (50) 16th November 2005 Date of last inspection Brief Description of the Service: Station View is a care home owned and operated by North Yorkshire County Council and registered to provide a service for up to 39 older people aged over 65 years. A condition applies to this registration, which allows a maximum of three people over the age of fifty to use the respite care beds. The home offers a range of different services, which include long stay care, respite care, interim care and intermediate care. The home also operates a day-centre, which offers up to 36 places per day. People from the home can join in with the day centre activities. The home is purpose built and is located in the Starbeck area. There is good range of amenities close by such as shops and public houses. Harrogate and Knaresborough centres are within a short distance. The home is a single storey building with level access. All bedrooms are single and arranged in small units. There are several inner courtyards and garden patio areas. Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was the second to be undertaken between April 2005 and March 2006. It took four hours including preparation time. The majority of time was spent talking to service users and observing life in the home. Some discussions were held with staff and managers. Most areas of the home, including bedrooms and shared areas, were looked at. The focus of this visit was on a number of key standards not assessed at the last inspection together with those subject to requirements or recommendations at that visit. What the service does well: What has improved since the last inspection? What they could do better:
The priority must be to recruit a manager and complete the registration process as quickly as possible. A service as diverse as Station view needs someone in charge who can lead and develop the staff team in what are relatively new ways of working with service users. The move from a traditional care home setting providing long term/respite care to now having an
Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 6 assessment function which feeds into the process deciding people’s future care package requires strong leadership if service users are to get the best out of the system. 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. Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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 the following standard(s): These standards were not assessed at this visit. EVIDENCE: Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. EVIDENCE: Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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): 12,13,and14 Service users receive a service that they are happy with from a helpful staff team. EVIDENCE: Service users were very complimentary about the staff and the service that they receive. The bedrooms, particularly of the people who live in the home permanently, included a lot of their own possessions giving a feel of real ownership and individuality. The inspector was shown by one service user the recent craft work that he was doing and which he sold to raise money for the homes amenity fund. The service user clearly enjoyed the occupation and was proud of his achievements. Two service users were seen enjoying a game of dominoes. One wing of the home is used as a rehabilitation unit. The sole purpose of this unit is to increase service users knowledge and skills to enable them to return home. Remaining service users can use the on site day centre to join in the activities offered there. Positive relationships were observed between staff and service users and staff was heard offering people a choice about their teatime meal. Service users were able to give a number of examples about the way in which people
Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 11 exercise choice and control in their daily lives. Some situations given were, rising and retiring time, clothes to wear, bathing times, choice of activities in and outside the home and food. Service users said that the staff are kind and helpful. Visiting is encouraged and a number of visitors were seen in the home during this visit. They seemed relaxed talking with staff and their relatives. Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. EVIDENCE: Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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): 19 and 26 Service users live in a clean environment. EVIDENCE: A tour of the premises showed the home to be clean and free from offensive odours. A requirement made at the three previous inspections to upgrade some toilets remains outstanding. This requirement goes back to June 2004. At the December 2004 inspection, the inspector was told that the work had been allocated for completion by January 2005. The manager explained that they are still waiting for money to be allocated for this work. Whilst the state of these toilets does not have an adverse effect on the standard of care delivered, it is the registered provider’s duty to maintain all parts of the premises to an acceptable standard. It is now about time that this work was done. Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. EVIDENCE: Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 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 Service users would benefit from having a registered manager in post. To ensure consistent good quality care, the home needs a person in charge to lead and develop the service. EVIDENCE: Following the July 2004 inspection, a requirement was made to submit an application to register a manager. This issue has been raised at subsequent inspections and at the last inspection (November 2005) a number of shortfalls were identified directly attributable to the lack of a registered manager responsible for the day-to-day management of the home. Whilst the shortfalls have now been addressed, the home still does not have a registered manager. In the interim, Ms Sandra Mitchell, an Operations Manager, alongside her other duties has had oversight of the service. She has given assurances that a manager will be appointed before the end of March 2006 and an application to register the manager will be received by the Commission by the end of April 2006.
Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 16 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X 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 1 X X X X X X X Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23 Requirement The toilets located near the day centre area must be refurbished. (Previous timescale 01/07/04 not met) An application to register a manager must be submitted to the Commission. (Previous timescale 31/08/04 not met) Timescale for action 31/05/06 2. OP31 8 30/04/06 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 Station View 16 - North Yorkshire County Council DS0000034592.V277536.R01.S.doc Version 5.1 Page 18 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
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