Inspection on 02/10/07 for Station View 16 - North Yorkshire County Council

This inspection was carried out on 2nd October 2007.

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

Station View 16 - North... 29/09/08

Station View 16 - North... 31/10/06

Station View 16 - North... 14/02/06

Station View 16 - North... 16/11/05

Station View 16 - North... 02/12/04

Station View 16 - North... 10/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Station View 16 - North Yorkshire County Council 16 Station View Starbeck Harrogate North Yorkshire HG2 7JA Lead Inspector Caroline Long Unannounced Inspection 2nd October 2007 09:30 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.V348924.R01.S.doc Version 5.2 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.V348924.R01.S.doc Version 5.2 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) www.northyorks.gov.uk North Yorkshire County Council Mr David Barrington 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.V348924.R01.S.doc Version 5.2 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) 31st October 2007 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 thirty-nine older people aged over sixty-five years. Three people over the age of fifty are able 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 thirty-six places per day. People from the home can join in with the day centre activities. 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. The home is purpose built and is located in the Starbeck area. There is a good range of amenities close by such as shops and public houses. Harrogate and Knaresborough centres are within a short distance. At the time of this visit the weekly charge is £370 this is dependent upon income and savings. There are extra costs for hairdressing, chiropody etc. The registered manager provided this information on the 11th October 2007. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for before the inspection, this is called an annual quality assessment questionnaire. Information from surveys that were sent to people who live at the home, their relatives, and the staff. An unannounced visit to the home. This was carried out by one inspector and lasted over seven hours and included talking to staff and team and operational managers about their work and the training they have completed. And checking some of the records, policies and procedures the home has to keep. Some time was spent observing staff supporting people and talking with the people who live at Station View, their visitors and health care professionals. Three peoples records were looked at in detail. • • What the service does well: The home is managed in a manner that puts the people who live their first. It concentrates on the needs, wishes and views of the people who use the service. Station View continues to provide good quality and diverse services. The permanent beds provide people with a home, when they can no longer manage at their own home. The rehabilitation unit provides people with the support they need to improve/develop their skills enabling them to return home and live independently. The respite beds provide people who need help and their families with a short break. The interim beds allow time for people to have their care needs properly assessed. All help to improve people’s quality of life. People are greeted and made welcome when they arrive at the home this helps them settle in more easily. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 6 People are able to make choices in some areas of their lives. Examples given by people are rising and retiring times, food and activities. This ensures that people are able to maintain some control over their lives. Staff are recruited in a way which seeks to make sure only suitable people are employed. This makes sure that the people living at the home are protected and made to feel safe. The staff are provided with comprehensive training to improve their knowledge and skills. This promotes best practice and ensures that people receive a good quality service. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 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.V348924.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6. People who use this service experience good quality outcomes in this area. People are provided with good information about the home and their diverse personal needs are identified and planned for before moving in, this make sure that Station View is the right place for them to stay. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home provides people with all the standard information and contracts by North Yorkshire County Council, which is available on request in different languages and formats. Specific information about 16 Station Road is also included. The team managers and staff confirmed information was given to people during the assessment visit and explained to people on entering the home; laminated copies were also kept in their rooms so they could read them at their leisure. These were seen in all the rooms visited during the site visit. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 9 There are four different types of admission to the home. The long-term beds provide people with a home where they are happy to live permanently. The respite beds provide people with a short stay in the home to enable them or their families to have a rest, so they may return to live in the community. The interim beds allow time for people to have their care needs properly assessed after which an informed decision can be made about their future care. The rehabilitation unit provides people with the support they need to improve/develop their skills enabling them to return home and live independently. There was a mixed response from people about whether they had received enough information before moving into the home, however where a person came into Station View straight from hospital they said: ‘Staff met and greeted them, made them feel welcome and introduced them to other residents at meal times. They did all they could.’ Although there are four different types of admission the registered manager explained anyone who comes in to the home is assessed in the same way. When people are unable to manage at home the care manager or the nursing staff if in hospital assesses them. The Care Manager then refers them to the weekly meeting held by North Yorkshire Social Service where the services are allocated. If it is agreed the home is appropriate for them all the assessments are given to the home. The registered manager will then visit the person in hospital and or in his or her own home to carry out Station Views own assessment. Following this people are then offered the opportunity to have a trial visit such as an evening meal or a overnight or weekend stay. Two peoples records who had recently been admitted to the home were looked at in detail, both contained a brief initial assessment, which had been carried out in their homes, which was accompanied by either information from the care manager or the hospital. Together this information would have been sufficient to help staff to plan for providing people with the care they need. The home offers dedicated accommodation and equipment for eight people who require intermediate/rehabilitation care, this is intensive therapy to help them go back to their homes. The site visit evidenced good practice within this unit. During the site visit a member of the community rehabilitation team explained when staff are provided with specific actions to follow to help people regain their independence staff will follow these and keep the team informed of the person’s progress. They also explained how staff would seek advice from the team if there were any changes to peoples needs. Staff described how they were helping a person to manage their own medication. Also they described Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 10 exercises they would encourage people to do, and how they would write up a list each day in people’s rooms, of the appointments they had with the rehabilitation team and the hospitals. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use this service experience good quality outcomes in this area. People generally receive health and personal care based on their individual needs and their right to privacy is upheld. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There have been many positive comments made by people both on the surveys and during the site visit. Examples are: ‘Fantastic’ ‘They are respectful, encourage independence, anticipate my needs and do what is wanted.’ ‘Very satisfied.’ ‘Staff quite marvellous.’ Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 12 ‘Couldn’t be better off anywhere else.’’ Staff spoken to were all aware of the key principles of respecting peoples privacy and dignity when delivering health and personal care. They displayed warmth towards people and were observed speaking to people in a respectful manner. The home now uses the single assessment folders, which are owned by people and kept in their bedrooms. People were familiar with their care plans and gave permission for them to be looked at in order to check that a plan had been formulated which helped staff provide support to them according to their needs and wishes. One person asked if the inspector had permission. Some of the plans did not contain enough detail or reflect where changes had occurred to people’s health care needs. However, staff spoken with at the site visit were fully aware of people’s needs and preference at Station View. They were able to give examples of how they had helped make sure their social preferences were being met and were monitoring people’s nutrition to make sure their health was maintained. The registered manager should consider reviewing all the information to make sure all health and social care needs, which are identified in the assessments, are reflected in the care plans, so the appropriate actions can be taken. A general risk assessment was carried out as part of the plan and more comprehensive risk assessments were carried when a person had mobility needs, the staff explained these were reviewed as needs changed. Due to the home offering such a diverse service the home have a large number of admissions and discharges, many are from hospital and many have complex health needs. To make sure they are following good practices they should consider carrying out a nutritional risk assessment on everyone entering the home, as this will help them accurately identify and meet any nutritional needs. People who live in the home and the records evidenced that the staff actively promote peoples rights to the health services they need, both within the home and in the community. Examples during the site visit were; a person went on a hospital visit; a physiotherapist visited the home; the staff explained the home has good relationships with health care professionals. Also the daily records showed where a relative had requested a general practitioner to visit one had been called the next day. A requirement was made at the last inspection for the home to review its policy and procedures for the administration of medicines to ensure it accurately records the medication given. The operational manager explained the systems have been thoroughly reviewed to make sure medication records Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 13 are accurate. A sample of medication records checked were accurate and staff confirmed that regular monitoring was taking place. Although further improvements could be made such as making sure two staff check and sign when the medication record sheets are changed and bottles with limited number of days of use, should be marked with the date once opened. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. People are generally provided daily lifestyle, which matches their varied expectations. People are receiving a varied diet in comfortable surroundings. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Although there was a mixed response in the surveys about whether the home provided social and leisure opportunities which met all people’s needs, this could be contributed to the different needs of the people who stay at Station View. Some people are only in for a temporary stay and do not require or want social activites and on the intermediate care/rehabilitation unit people are busy recouperating and preparing to go home. For the people for whom Station View is their permanent home they have use of all the activities in the day centre during the week, which during the site visit appeared to be a hub of activity and was very well attended. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 15 Staff were aware of peoples social needs for one person a local agency was taking them out to the pub regularly, which they said they enjoyed. A further person described the regular church services. The staff explained the hairdresser comes four times a week. The garden area had been improved, seating was provided to encourage people to sit out. People confirmed they are given a choice about their daily life, when to rise and when to retire. Views about the home were asked for at regular meetings. People said visiting is encouraged and staff are welcoming. Visitors were seen in the home during this visit. However the care records did not reflect peoples social needs, and the reliance of the day centre providing all the lifestyle needs for the people who live permanently at Station View could cause some to not have their needs met, especially at weekends when the centre is closed. Staff in the rehabilitation/intermediate care unit discussed how they promoted peoples independence and encouraged them to maintain their life skills, such as making a cup of tea. People who live in the home also confirmed that they are encouraged to carry out tasks independently but staff will help if needed. Many of the dining areas have been refurbished and now provide a very comfortable place for people to dine. People could choose to eat their meals either in the units lounge areas or in the day centre or in their rooms, staff are encouraged to eat with people and on a Sunday everyone is encouraged to eat in the day centre. The Registered Manager explained this is to enable everyone in the units to meet. Each of the dining tables has a laminated menu of each day of the weeks food, people said the food was hot and very good, they also confirmed they get a choice. One said the puddings were lovely. People were seen eating breakfast at their leisure and staff explained people could have drinks and snacks when they wanted. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18. People who use this service experience good quality outcomes in this area. People who live in the home and their families can be sure that complaints are taken seriously and staff are alert to any signs of abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaints procedure is given as part of the statement of purpose, which are in people’s rooms. Everyone surveyed or spoken with said they knew whom to complain to. Comments made were: - ‘I would go to the office’, ‘the staff’ or ‘the manager.’ However, one did comment that ‘they did not like to in case they got into trouble.’ People spoken with said they felt comfortable to approach the team managers and staff with any complaints. The team managers explained people who live in the home have regular meetings where they are invited to raise any issues or concerns. The operations manager investigates any major complaints made about the home, the registered manager dealt with any other concerns. The operations manager explained the complaints are reviewed regularly and used to inform and develop a plan for the service. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 17 Records showed there were three complaints since the last inspection in November 2006 all had been investigated following the homes procedures and resolved. The complaints covered the staff attitude and food. The Commission has received only one complaint concerning the fees, where it asked the provider to investigate. The policies and procedures regarding the protection of people in the home are in line with best practice. Management know the course of actions to take in relation to protecting the rights of people. Staff are aware of the need to report any allegations or suspicions of abuse to their manager. Although many staff have received safeguarding adults training as part of their National Vocational Qualification many were still waiting for further specific training about the procedure in North Yorkshire. The registered manager in the annual quality assessment questionnaire has highlighted the need for this specific training as an area to improve on in the next year. The team manager explained that they were expecting training to commence soon. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. People who use this service experience good quality outcomes in this area. People live in a clean, comfortable and safe home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The accommodation is arranged in five separate units, each with a small kitchenette/ lounges/dining area; and up to eight bedrooms, a bathroom and toilets. The bedrooms do not have en suite facilities, however they have a wash hand basin and all the units have a shared bathroom with assisted bathing facilities. There are additional sitting areas around the home where they can get away from others without having to go to their bedrooms. They can also use the day centre during the day and at weekends. Station view has undergone major refurbishment following the last inspection; Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 19 Many areas have been redecorated and provided with new carpets and curtains, there are new dining tables, chairs and armchairs in the flat lounges and the day centre. Some of the beds have been replaced with specialist nursing beds which have the adaptations necessary to help people maintain their independence. A gardner has been employed and he has successfully tidied up the internal gardens making them a pleasant place for people to sit. Overall the home is a much brighter, fresher and cleaner place to live. People using the service said it was now normally clean and fresh, one person commented how their bed was regularly changed. Staff explained how they now felt ‘proud’ of the home when they showed new people around. Station View has also commenced using the Tunstall Telecare system,which is a call bell system. This system enables people to maintain their independence by alerting staff to any possible risks, such as falls or if someone needs help with something. All bedrooms were individual, with different decorations and furnishings, people are encouraged to bring their own pieces of furniture and personal possessions; there was a homely feel to the home. During the site visit the home was spotlessly clean and free from offensive smells and this made the environment pleasant. To make sure this is always the case the home has developed the staff roles of house keeping Champion role and Infection control Champion. This means there is a person soley responsible for these areas so that the risk of people becoming ill from poor hygiene is unlikely Hand wash scrub, gloves and aprons are available throughout the home so as to minimise the risk of cross infection from one person to another. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. People receive high quality care from well-supported, well-motivated and welltrained staff. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: During the site visit all the people who live in the home made very positive comments about the staff. For instance: ‘Couldn’t get better staff.’ ‘Always very helpful’. ‘Staff are very helpful, if they haven’t time they will come back and help later.’ When asked in the survey do the staff listen and act on what you say four stated yes and one stated no. At the previous inspection a requirement was made for the home to review its staffing, this is to make sure that there are enough staff to care properly for people in the home. The registered manager has written in the annual quality Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 21 assessment questionnaire that the management have reconfigured hours within the home to provide additional resource worker time in the rehabilitation/intermediate care unit and the main home. Also that staffing levels will be kept under review during the next twelve months. However there was a mixed response about whether there was always enough staff working to meet people’s needs. People who returned the surveys when asked is the staff available when you need them one stated always, and four stated usually. When asked how the service could improve one wrote more staff. During the site visit people looked well cared for and two people who live in the home said there was enough staff. However three people said there was not and generally all of the staff felt there were times when they could not fully attend to everyone’s needs. Comments made by a person living in the home and a relative were: ‘Not enough staff, very short of staff and hard worked.’ ‘Bit short of staff, when need to find someone sometimes difficult.’ Discussion with staff, the team managers and examination of the records evidenced staff are provided with the training and support they need to enable them to provide appropriate care for people who use the service. Over the last year staff members have undertaken training on equality and diversity issues. The annual quality assurance assessment questionnaire which was completed by the registered manager states twenty four out of twenty seven staff have National Vocational Qualification (NVQ) level two or above in care. Three staff files were checked, the personnel department of North Yorkshire County Council carry out all the recruitment checks and these are thorough. These robust recruitment procedures will ensure staff that are employed by the home are suitable and able to care for people properly. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31, 33, 35 and 38. People who use this service experience good quality outcomes in this area. The home benefits from competent management and an effective quality assurance system. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The outcomes in this report evidence the home is managed by a competent manager. During discussions, the management team showed how they are continuously working to improve services and provide an increased quality of life for people. The Registered manager is currently working towards the national vocational Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 23 qualification level four in care and the registered managers award, which are both due for completion December 2007. People in the home and the staff generally said the management team were approachable and supportive. The staff and records confirmed staff receive supervision regularly and have regular staff meetings. This provides staff with support and encourages them to work together as a team. The team managers explained the home was following North Yorkshire County Council self-assessment of qualitative performance. They also confirmed the home continues to operates a quality review system, where people who use the service are asked about their views about the home. There is also a comments box in the entrance for people to put suggestions forward. The records for the safe keeping of people money were not looked at during the site visit. However the registered manager explained in the annual quality assessment question that Station View encourages people to manage their own finances wherever possible, and provides lockable facilities in their rooms and a key to bedroom doors. There is also a safe available for secure storage of money or valuables. Records and receipts are kept of possessions handed over for safekeeping. Also the finance department carry out a twice-yearly financial health check to ensure all records and practices are within the directorate’s procedures. The Registered Manager confirmed in the annual quality assessment questionnaire that most health and safety records were up to date, but he was still awaiting the electrical certification to be carried out. Staff confirmed they had received health and safety and manual assistance training. Fire training was carried out twice a year for day staff and four times a year for night staff. Also all working practices are up to date and advice is sought from relevant professionals on subjects such as fire training and implementing risk assessments. However during the inspection the home were using bed sticks that were not appropriately fitted. Following a discussion the operational manager agreed to make sure they were safely fitted and maintained and staff were trained to use them and the need for them was recorded in peoples’ care plans and risk assessments. Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 24 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 3 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 Requirement The care plans must fully reflect the changing health, social and personal care needs of people. Timescale for action 01/11/07 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 OP7 Good Practice Recommendations Risk assessment need to be reviewed when a persons health changes, this is to make sure their needs are met safely. The Medication Administration Records should contain either the General Practitioners or two members of staffs’ signatures alongside any directions regarding the dosage of the medication or the time the medication is to be administered. This is to make sure people receive the correct medication. Medication with limited number of days of use should have dates of opening. This makes sure that the medicine is safe to use. DS0000034592.V348924.R01.S.doc Version 5.2 Page 26 2 OP9 3 OP9 Station View 16 - North Yorkshire County Council 4 OP12 All the people who live permanently in the home should be given the opportunity for stimulation through suitable leisure and recreational activities at the weekend and these should be part of their care plan. The home’s staffing level should be continually reviewed to ensure they are adequate to meet the needs of all of the people living at the home at any time of the day and night. This is to make sure people’s needs can always be met. 5 OP27 Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Station View 16 - North Yorkshire County Council DS0000034592.V348924.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!