Inspection on 13/09/05 for Thorpe House Nursing Home

This inspection was carried out on 13th September 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

Thorpe House Nursing Home 23/01/08

Thorpe House Nursing Home 15/05/07

Thorpe House Nursing Home 16/01/06

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Thorpe House Nursing Home 22 Finthorpe Lane Almondbury Huddersfield West Yorkshire HD5 8TU Lead Inspector Karen Summers Announced Inspection 13th September 2005 09:00 Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 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 Thorpe House Nursing Home DS0000065036.V253387.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 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. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thorpe House Nursing Home Address 22 Finthorpe Lane Almondbury Huddersfield West Yorkshire HD5 8TU 01484 300385 01484 300368 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) Thorpe House Nursing Home Limited Mr James A Lockwood Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (21) Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for three named service users under the category of DE (dementia). 30th March 2005 Date of last inspection Brief Description of the Service: Thorpe House is a privately owned and managed care home registered to provide accommodation and nursing care for up to 21 adults with severe and enduring mental health needs. The establishment, a stone built period residence, is situated on the outskirts of the village of Almondbury, with easy access to the town centre of Huddersfield. The property is set in extensive and well-maintained gardens and grounds. Service users private accommodation consists of five double and eleven single bedrooms. Communal areas are spacious and comfortable and furnished and fitted to a good standard. Thorpe House Nursing Home DS0000065036.V253387.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 Thorpe House on Tuesday 13th September 2005, commencing at 9am. The duration of the inspection was 5.75 hours. The Business manager, Mrs R Croft, and Staff nurse, Mrs A Turner were present at the inspection. The following methods have been used in the production of this report: sampling of records, care plans, individual discussion with 10 service users, tour of the premises and document reading. What the service does well: What has improved since the last inspection? What they could do better: The service user’s guide should be reviewed to show that the complaints procedure is now an appendix to the guide, and not “displayed within a wall cabinet in the entrance of Thorpe House and within the policy file” as the guide presently states. When a service user has a variation to the menu the variation should be recorded, as the records would show that individual needs are catered for, and in the event of an outbreak of food poisoning, the food served that day could be traced. The damaged to the wall caused by a door handle, should also be repaired. All staff should have annual movement and handling training and fire lectures as well as drills twice a year. The results of the service user surveys should be published and made available to service users, their representatives and other interested parties. Please contact the provider for advice of actions taken in response to this Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 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 Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 No service user moves into the home without having had his/her needs assessed. Prospective service users have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: Prior to admission all service users are assessed to ensure that the home can meet there needs, and where appropriate the service user would visit the home and meet other service users and staff. All service users are given a service users guide, which includes information that they need to make an informed choice about living at the home. The service user’s guide should be reviewed to show that the complaints procedure is now an appendix to the guide, and not “displayed within a wall cabinet in the entrance of Thorpe House and within the policy file” as the guide presently states. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 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. EVIDENCE: Care plans were comprehensive and record the action that needs to be taken by care staff, to ensure that the health and social care needs of the service users are met. Risk assessments and action to be taken had also been recorded, together with any restrictions on choice and freedom agreed with the service user. The documentation had been reviewed every two months, or as the needs of the service user had changed, and had been drawn up with the involvement of the service user together with family, friend’s and/ or advocate as appropriate, and relevant agencies/ specialists. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Service users take part in appropriate activities, and are part of the local community. Service users are encouraged to maintain contact with their family and friends. A variety of meals are offered that take into consideration the food preferences of service users. EVIDENCE: Service users are encouraged and supported to develop and maintain independent living skills, and also participate in a wide range of social and recreational activities. Several service users who were spoken with were looking forward to attending college that day, where they participate in various courses, including cooking, sewing and life skills. They also commented on how they had recently enjoyed their cruise holiday, and a number of service users were looking forward to seeing Blackpool illuminations. With out exception they said that the staff at the home were kind and looked after them well. They also said that if they had any concerns, then they knew who to go to. Service users are encouraged to maintain contact with their relatives and friends, and their visitors are always welcome at the home. One service user commented on how she enjoyed the food. The menus offered variety, and food preferences and diets were also taken into consideration. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 11 When a service user has a variation to the menu the variation should be recorded, as the records would show that individual needs are catered for, and also should there be an outbreak of food poisoning then the food served that day could be traced. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Service users’ physical and emotional health needs are met, and they receive personal support in the way they prefer and require. EVIDENCE: Detailed health care records are held with evidence of regular Care Programme Approach (CPA) reviews. Service users confirmed that they are treated with dignity and respect, and that all personal and health care support is given in private. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users and their relatives and friends can be confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: There is a complaints procedure and a procedure for the protection of vulnerable adults, including whistle blowing, and all staff have had training in abuse awareness and control and restraint. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Service users live in a well-maintained and homely environment. The premises are clean and systems are in place to control the spread of infection. EVIDENCE: The home is decorated to a good standard, and bedrooms are all individualised to reflect the interests and personalities of the service users. In bedroom 14 the wall behind the door, had been damaged by the door handle and is in need of repair. The home is kept clean and there are policies and procedures that refer to the control of infection. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 & 35 The staffing levels and skill mix were sufficient to meet the number and needs of service users. Service users’ individual and joint needs are met by appropriately trained staff. EVIDENCE: There were sufficient number and skill mix of staff on duty day and night, to care for the number of service users. 76 of care staff have an NVQ level 2 or equivalent. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 In relation to the views of the service users/ relatives they can be confident that the home is run in their best interest. Without all staff having the recommended amount of fire lectures, staff and service users could be potentially at risk in the event of a fire. Also without staff having up to date movement and handling training the health and safety of service staff and service users is at risk. EVIDENCE: Service user/ relatives and staff meetings take place on a regular basis and minutes are recorded. The monitoring of service users/ relatives views also take place, and Mr Lockwood, the manager, plans to share the outcome of the recent questionnaires at the next meeting and publish them within the home. All staff should have bi annual fire lectures, and annual movement and handling training. Thorpe House Nursing Home DS0000065036.V253387.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 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Thorpe House Nursing Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000065036.V253387.R01.S.doc Version 5.0 Page 18 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. 4. 5. Refer to Standard OP1 YA17 YA24 YA39 YA42 Good Practice Recommendations The service user’s guide should be reviewed to show that the complaints procedure is now an appendix to the guide. Variations to the menus should be recorded. Bedroom 14 – The damaged wall caused by the door handle, should be repaired. 39.4 The results of the service user surveys should be published and made available to service users, their representatives and other interested parties. 42.2 i. All staff should have annual movement and handling training. ii.Staff should also have fire drills and lectures twice per year. Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 19 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 Thorpe House Nursing Home DS0000065036.V253387.R01.S.doc Version 5.0 Page 20 - 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!