Inspection on 19/10/05 for Strawberry Bank

This inspection was carried out on 19th October 2005.

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

Strawberry Bank 04/02/10

Strawberry Bank 17/09/09

Strawberry Bank 07/08/09

Strawberry Bank 08/07/09

Strawberry Bank 16/01/09

Strawberry Bank 24/01/08

Strawberry Bank 26/09/07

Strawberry Bank 15/05/07

Strawberry Bank 04/07/06

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Hawkhills

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Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Strawberry Bank 17 Strawberry Bank Liversedge West Yorkshire WF15 6JT Lead Inspector Karen Summers Announced Inspection 19th October 2005 09:00 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 Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Strawberry Bank Address 17 Strawberry Bank Liversedge West Yorkshire WF15 6JT 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) 01924 410471 01924 405070 Prince Edward Anojan Joseph Miss Claire L Allen Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To forward a Statement of Purpose and Service User Guide within three months of becoming the registered provider. To complete Schedule 1 of the Fire Safety Officers report Date of last inspection 3rd May 2005 Brief Description of the Service: Strawberry Bank Care Home provides personal care to older people over the age of 65 years. The home is located on three floors with a stair lift between each floor. The home has both single and shared bedrooms, a lounge with a quiet area and a separate dining room/ smoking area. There is a patio to the rear of the property, where service users may sit in the warmer months of the year. The home is located at the head of a quiet cul-de-sac off the main Halifax road into Liversedge. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an announced inspection at Strawberry Bank, on 19th October 2005, commencing at 9.15am and the duration of the inspection was 6.75 hours. Ms Claire Allen, registered manager, and Mr Prince Joseph, registered person, were present at the inspection. The following inspection methods have been used in the production of this report; sampling of records, individual discussion with eight service users, discussion with management, tour of the premises and document reading. The home successfully changed hands to Mr Prince Edwards Anojan Joseph, proprietor, earlier this year, therefore the home are in the process of updating their documentation. What the service does well: 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. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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 Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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): 3 No service user moves into the home without having had his/ her needs assessed, and prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Following a pre admission assessment, the service user cannot be assured that their needs can be met, unless they receive conformation in writing from the registered person. EVIDENCE: Prospective service users and their relatives are encouraged to have a look around the home, and spend some time there before deciding to move in. Service users are admitted following an assessment of their needs that is undertaken by the manager or her deputy, and to which the prospective service user, his/ her representative (if any) and relevant professionals have been party. The manager then verbally contacts the social worker and agrees to offer a placement. As stated in the Regulations, the registered person must confirm in writing that the care home is suitable for the purpose of meeting the service user’s needs. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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): 9 - 11 Service users are able to take responsibility for their own medication if they wish, within a risk management framework. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: The staff are in the process of updating the care records therefore the documentation will be inspected at a follow up visit. Staff who are responsible for medication administration have had training, and the medication housekeeping was of a satisfactory standard. Should a service user wish to self- administer their medication, there is a risk assessment and documentation. Staff were seen to respond to service users in a kind and respectful manner. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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 - 15 EVIDENCE: The home has a dedicated activities person, and activities are now recorded on a day-to-day basis. Not only do activities take place within the home, staff also take service users out to visit local places of interest. Service users commented on how they enjoyed the activities, and especially the places of interest that they had visited. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 11 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): 16 - 18 Service users and their relatives can be confident that their complaints will be listened to, taken seriously and acted upon in a timely manner. Service users are protected from abuse. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, and with an assurance that they will be responded to within a maximum of 28 days. There is a whistle blowing procedure, and staff receive abuse awareness training. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 12 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): 19,22,24,25 & 26 Service users have the specialist equipment they require to maximise their independence. The owner has started to improve the environment for the service users, however a number of areas are still in need of redecoration and refurbishment. EVIDENCE: A redecoration and refurbishment programme has commenced, and appropriate locks have been ordered for fitting to service users bedroom doors. Bedroom 9 & 12 – The beds should have headboards. Bedroom 15 – should have a toilet roll holder in the en-suite, and the damaged wardrobe should be repaired/ replaced. Bedroom 21 – the door should close properly. Basement sluice room – should have a handle on the door and be kept locked. The room is in need or redecoration, and should be kept clean. There should be washable floor coverings and walls, and the room should not be used as a storeroom. The basement entrance hall (not used,) wall coverings are showing signs of wear and in need or redecoration within the refurbishment programme. Risk assessments have been completed in relation to the Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 13 guarding of radiators in service user areas, and a programme of work has commenced. The home provides movement and handling equipment that is required to promote the independence of service users. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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): 27 - 30 The staffing levels and skill mix were sufficient to meet the number and needs of service users. EVIDENCE: There was a sufficient number and skill mix of staff on duty to care for the number of service users in the home. 46 of care staff have achieved an NVQ level 2 or equivalent, and the manager plans to meet the recommended standard of 50 of staff having the qualification by the end of December 2005. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 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): 31,33 & 38 Once the manager has completed her training she should have the knowledge to efficiently manage the home. EVIDENCE: Claire, the manager, has a number of years experience in the care of older people, and she has commenced an NVQ level 4 in management and care, which she plans to complete early next year. Fifteen questionnaires were received from service users and their visitors/ relatives, and thirteen of those returned said that they were generally satisfied with the care provided. Three said that sometimes the home provided suitable activities and three said that in their opinion there were not always sufficient numbers of staff on duty. One person also commented that the bathrooms/toilets were not always kept clean and that staff congregated in the kitchen leaving service users unattended. These issues were discussed with the manager and the proprietor, and they agreed to monitor the situation. The supervision of staff has commenced, and planned to take place approximately every two months. All staff have movement & handling training and the Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 16 manager ensures that there is always a member of staff qualified in first aid on duty. Staff have attended fire drills, and the emergency lighting and alarm tests are carried out weekly. Not all staff have had two fire lectures a year, however further training sessions have been booked to address the situation. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 17 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 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 X X 3 X 2 2 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 2 Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 18 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 OP3 Regulation 14.-(1)(d) Requirement The registered person shall confirm in writing to the service users that having regard to the assessment, the care home is suitable for the purpose of meeting the service user’s needs in respect of his health and welfare. Timescale for action 21/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP24 Good Practice Recommendations Doors to service users’ private accommodation should be fitted with locks suited to service users’ capabilities and accessible to staff in emergencies. (Identified at the previous inspection) Locks have been ordered and due to be fitted within the next few days. The guarding of radiators in service users areas should be completed as per schedule. The sluice room should be kept clean and the walls and floor coverings should be washable. Standard 28.1 - 50 of care staff should have achieved an DS0000063274.V259520.R01.S.doc Version 5.0 Page 19 2. 3. 4. OP25 OP26 OP28 Strawberry Bank 5. 6. OP31 OP38 NVQ level 2, or equivalent by 31st December 2005. Standard 31.2 - The manager should have an NVQ level 4 in management and care or equivalent. Standard 38.2 – Fire – All staff should have two fire lectures a year. All staff should have a fire lecture twice per year. Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 20 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 Strawberry Bank DS0000063274.V259520.R01.S.doc Version 5.0 Page 21 - 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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