Inspection on 26/09/07 for Templefields

This inspection was carried out on 26th September 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

Templefields 22/09/09

Templefields 10/10/06

Templefields 09/01/06

Templefields 15/12/04

Templefields 08/07/04

Templefields 18/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Templefields Templefields House Temple Road Dewsbury West Yorkshire WF13 3QE Lead Inspector Bronwynn Bennett Key Unannounced Inspection 26th September 2007 09:30 Templefields DS0000026311.V351803.R01.S.doc Version 5.2 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 Templefields DS0000026311.V351803.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 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. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Templefields Address Templefields House Temple Road Dewsbury West Yorkshire WF13 3QE 01924 461056 01924 461008 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) VALEO Limited Miss Donna McMahon Care Home 14 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (1) of places Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2006 Brief Description of the Service: Templefields is owned and managed by Valeo Ltd, a private company. It is a care home for 14 people with learning disabilities and associated challenging behaviours. Templefields is located on Temple Road, Dewsbury, off the main Huddersfield Road. The home is close to public transport links and Dewsbury with all its facilities is close by. The accommodation at Templefields is arranged in two buildings. The main house has ten places and the Coach House four. The Coach House has been extended to provide more spacious living accommodation, including a conservatory. All of the bedrooms in the home are single and each building has its own lounge, dining room, bathrooms, laundry and kitchen. There is also a hydrotherapy pool and aromatherapy room available on the same site. These services are used by other homes in the Valeo group. The provider informed the Commission for Social Care Inspection on 26 September 2007 that the fees range from £1,057.53 to £1,802.35 per week. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit. The visit began at 9.30 am and finished at 5.00 pm. During this visit the inspector spoke to people living at Templefields, some staff and the deputy manager. The inspector read records of people’s care and records about staff working at the home, looked at how medicines are given and looked at the accommodation available in the home. There were eleven people living at the home on the day of this visit. Before this visit the Commission for Social Care Inspection sent out questionnaires. Twelve questionnaires were sent to people living at the home and six responded. Two questionnaires were received from relatives and one healthcare professional. Prior to this visit the manager gave the CSCI information that had been requested, for example about any illnesses, accidents and incidents and how the home is managed. The inspector would like to thank everyone for their assistance during this inspection process. What the service does well: There were some positive comments received from relatives regarding the care of their loved one. When asked what the care home does well, one person commented that everything was “good” and another said that the home responds appropriately to individual needs. The home provides a relaxed and homely atmosphere where people are supported by a friendly and supportive staff team. The staff are respectful and sensitive to the needs of people living at Templefields. Care records show individual needs and how people wish to be cared for. People are supported to make decisions in their lives. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 6 People are supported to be part of the local community and maintain contact with their family and friends. 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. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 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 Templefields DS0000026311.V351803.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No individual moves into the care home prior to having their needs and aspirations assessed. EVIDENCE: One person has moved into the home since the last visit by the CSCI. The way people are admitted into the care home was discussed with the acting manager and social work assessment was seen in a care record looked at. Five out of the six people who responded to the survey said they had received sufficient information about the care home before deciding if it was the right place for them to live. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each individual’s assessed personal goals and needs are reflected in their care plan. There are some improvements required in how care records are kept. People make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: The care records for two people were looked at. The information looked at was person centred and reflected how the individual wished to be cared for and their preferred lifestyle. Throughout the visit the staff were observed sharing positive working relationships with people living at Templefields. A potentially difficult situation was dealt with in a respectful and sensitive manner by the staff concerned. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 10 Five people who responded to the survey said that staff treat them well and there were positive comments when asked if the staff listen and act on what they say. The relatives who responded to this survey said that the home “always” meets the needs of their relative. Individuals spoken to during this visit said they had a key worker and that the staff supported them in their daily lives. One person was very complimentary of the staff working at the home. The deputy manager said that, where possible, people are supported to be part of their care plan and one individual spoken to confirmed this. However, individual involvement was not evident in the records looked at. A recommendation was made during the last visit by the CSCI about this matter and made again in this report. Some of the daily records looked at lacked sufficient detail and there were gaps in the recording. The deputy manager agreed to address this. The purpose of the daily record is to show how the individuals’ care has been given by staff and to assess if the care plan is working for that person. The care records looked at had been reviewed by the staff to make sure they were up to date and reflected what support people need. There were risk assessments in place for each individual to support people to take risks as part of their chosen lifestyle. It was evident that a risk assessment for one person was not up to date even though the staff had reviewed it. This was discussed with the deputy manager who agreed to take action and rectify the records looked at. When reviewing an individual care record or risk assessment, the staff must take into account all events in that person’s life prior to that review. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to be part of the local community and take part in appropriate activities. Individuals are supported to maintain relationships with family and friends and the rights of people are respected with their choice and independence being promoted. EVIDENCE: People living at Templefields are supported to undertake educational training and are supported by the staff to explore other activities such as the day centre and many people enjoy art and music. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 12 The information gathered from the survey showed that, overall, people felt they were able to do what they wanted each day. During this visit, people were observed being treated in a dignified and respectful way by the staff, and it was evident that those living at Templefields, and the staff team, share positive relationships. There was a relaxed and calm atmosphere within the home throughout this visit. People are supported to be part of the local community and access local facilities such as college, shopping and visits to the pub. One person advised that they are supported to go out independently, and during this visit individuals were observed going out with the staff. The acting manager said that people are supported to explore other activities such as art and music. Spiritual needs of people are respected and, where individuals choose to practice their faith and religious beliefs, this is supported by the home. There are no restrictions on visiting the home and people are able to maintain contact with their relatives and friends as they wish. One person spoken to said they stay with their relative at weekends. Another individual said they are supported to make frequent visits to their family. The domestic duties that people undertake are recorded in the individual’s care records. During this visit, people were seen assisting staff with some domestic tasks. One person said they are supported by staff to clean their room. The acting manager said that everyone living at Templefields contributes to the planning of meals. Some people are supported to shop, prepare and cook meals. The individual records looked at showed the support required by the individual to prepare food and drinks. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and their health care needs are being met. The medication policies and procedures sufficiently protect people living at the home. EVIDENCE: Five people who took part in the survey said the staff treat them well and there was a positive response when asked if the staff listen and act on what they say. One person said that the staff are caring and supportive. Personal preferences, such dressing, personal care and appearance, night time requirements and support was seen documented in the records looked at. Individual health care records looked at showed that people are supported to access NHS appointments and facilities. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 14 The medication and medication records checked for two people were correct. A discussion took place with the acting manager regarding replacing stock medication and recording on MAR (medication administration record) sheets. Good practice advice was given regarding developing a policy and procedure for homely remedies such as paracetamol. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally, people living at the home, their relatives and advocates are confident their views are listened to and acted upon. People are protected from abuse but the procedure for dealing with potentially difficult situations requires improvement. EVIDENCE: There have been no complaints made at the home since the last visit by the CSCI. With the exception of one person, everyone said they knew how to make a complaint. Both relatives that responded to the survey said they knew how to make a complaint about the care being provided by the home. One person spoken to during this visit said they would feel confident to raise a concern or make a complaint. There was no complaints policy and procedure displayed in the home. There was a discussion with the acting manager regarding the positioning of this procedure which should be easily accessible to anyone living and visiting Templefields. During this visit, a safeguarding incident was discussed. The inspector did not feel that staff were given significant direction in dealing with this matter to Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 16 meet safeguarding (adult protection) practice and procedure. The organisation should take action in the matter. The financial records for two people checked were correct. Staff spoken to during this visit had a good understanding of the necessary actions that must be taken should there be any allegations of abuse. The acting manager confirmed that all the staff have either undertaken safeguarding (adult protection) training or this training is planned. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally clean, hygienic and well maintained however, some minor remedial work is required to ensure individual comfort and privacy is promoted. EVIDENCE: The inspector had a look around the home. The individual rooms seen had been personalised by the individual with personal processions such as bedding and pictures. The home is generally clean and odour free, however, the inspector did observe the Coach House kitchen and corridor in need of a thorough clean. This matter was discussed with the acting manager and addressed later in that day. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 18 The home has an ongoing programme of maintenance and there has been some redecoration of the communal areas and hallways since the last visit by the CSCI. The dining room has new furniture and floor covering. Refrigerators and freezers have been replaced and there is a new carpet in the music lounge. The acting manager said that the Coach House is awaiting refurbishment and redecoration. People living in the area of the home have been consulted and have chosen the colour scheme. The bathrooms in this area of the home required blinds to ensure comfort and privacy for the individual. The acting manager agreed to rectify this matter. The home’s laundry facilities seen were clean and well organised and a sink for hand washing has been fitted in the Coach House laundry area. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally, a competent staff team supports people living at the home. People living at Templefields are protected by the organisation’s recruitment policy and procedure. EVIDENCE: People living at Templefields who were spoken to during this visit said they liked the staff that work at the home. Good interaction was observed between the staff and people living at Templefields during this visit. The staff spoken to during this visit said they feel supported in their role and confirmed they receive ongoing training. All staff that are new to working for the organisation undertake induction training. The inspector received copies of staff training records for basic training such as safeguarding (Adult Protection), first aid, health and safety, food hygiene, or this training is planned. In addition, staff receive medication training to ensure the safe administration of everyone’s medication. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 20 Some staff have achieved NVQ (National Vocational Qualification) level 2 or above in care and some staff are working towards this qualification. Many of the staff are currently working towards LDAF (Learning Disability Award Framework) qualification. The recruitment records looked at for three staff contained the required information and police checks. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a home that is well run and operates in their best interests. The health, safety and welfare of everyone is generally promoted and protected. EVIDENCE: The acting manager is Ms Helen Trout. She has worked for the organisation for eight years and is currently undertaking NVQ level 4 in health and social care. The staff spoken to during this visit said the acting manager is helpful and supportive. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 22 There is some quality monitoring taking place in the home, such as service user meetings and staff meetings. Questionaires have been sent to relatives and friends of people living at Templefields, the findings from this survey are being analysed by a representative within the organisation. There are plans to include people living at the home in the quality monitoring process through the completion of questionnaires. The fire records kept by the home were looked at. There are weekly checks of fire equipment. There was some discussion with the acting manager regarding good practice in this area of health and safety; for example, the emergency lighting should be checked on a weekly basis with the appropriate records kept. In addition, a daily visual check should be undertaken. The fire alarm must be tested and include activating the alarm each week to ensure it is active and in working order. New staff receive fire training as part of the induction training but there was no information available to show that existing staff have received up to date fire training. This was discussed with the deputy manager who advised that this training is being planned for all staff. The CSCI should be advised of the planned dates for such training. Fire training should be delivered to staff to ensure they are fully aware of the home’s fire procedure. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 23 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 24 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. 2. 3 Refer to Standard YA6 YA6 YA9 Good Practice Recommendations Where an individual or their representative are involved in the care planning and review processes, a record should be kept. The daily records kept for people should reflect the content of the individual’s care plan and whether or not outcomes of the care plan have been met for the individual. Risk assessments should be kept under review and up to date. This ensures there is clear information of how to manage the risk how the individual is supported take risks as part of an independent lifestyle. The organisation should develop and make available a medication policy and procedure for “Homely remedies”. The complaints policy and procedure should be displayed so it can be seen by everyone living and visiting the home. Staff should be given sufficient information in how to deal with safeguarding matters and potentially dangerous situations. Blinds should be fitted in the identified bathrooms in the DS0000026311.V351803.R01.S.doc Version 5.2 Page 25 4. 5. 6. 7. YA20 YA22 YA22 YA24 Templefields 8. 9. 10. YA32 YA39 YA42 Coach House. The staff at the home should continue working towards NVQ certification. The organisation should continue to develop quality assurance and quality monitoring systems. Fire training should be delivered to all staff to ensure everyone is fully aware and up to date on the necessary actions that must be taken in the event of a fire. Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Templefields DS0000026311.V351803.R01.S.doc Version 5.2 Page 27 - 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. 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