CARE HOMES FOR OLDER PEOPLE
Townend Close Victoria Road Crosshills Keighley West Yorkshire BD20 8SZ Lead Inspector
Mrs Irene Ward Unannounced Inspection 09:45 20 February 2006
th 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 Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Townend Close Address Victoria Road Crosshills Keighley West Yorkshire BD20 8SZ 01535 634639 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) Anchor Trust Mrs Jill Wiseman Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Townend Close provides personal care and accommodation for up to 39 older people and is owned and managed by Anchor Trust. The home is a detached property that is purpose built which also adjoins a sheltered housing scheme. The accommodation is spaced over two floors and all areas are accessed by a vertical passenger lift. The home is set in its own grounds with a large car park to the front of the home. Townend Close is in easy access of local amenities in Crosshills and the towns of Skipton and Keighley are readily accessible. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection carried out on the 20th February 2006, which started at 9.45hrs and finished at 12.15hrs. A tour of the home was carried out which included the service users private accommodation, a selection of records were looked at and time was spent observing activity in the home, talking and listening to service users and staff. The focus of the inspection was a number of key standards, inspecting the care records of four service users in detail to establish if they corresponded with service users experiences in the home. The registered manager was not on duty at the time of inspection. Margaret Bishop Senior Care assisted throughout the morning. What the service does well: What has improved since the last inspection?
The home continues to improve through the strong leadership and management approach of the home. It is evident that staff are given direction and are supported by the homes management team. This was clear in the discussions held with staff. Service users spoken with said that all staff are approachable and helpful and that they are able to do as they wish, and that they were fortunate to live in such a good home.
Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 6 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. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 and 6 Prospective service users can be confident before moving into the home that their needs can be met. EVIDENCE: There have been no amendments made to the Statement of Purpose or the Service Users Guide since the last inspection. All the required information is given to all prospective service users, which was confirmed by one new service user who had recently moved into the home. All service users are given Terms and Conditions of Residence and a copy is held on file. Service users are given the opportunity prior to their admission to visit the home and stay for the day, come for tea or a overnight stop, whatever they wish or are able to do. The senior carer stated that the home does not provide intermediate care. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 11 Service users are well supported to make choices about all aspects of their health, personal and social care needs. EVIDENCE: Four service users case files were inspected, which contained comprehensive plans of care. Risk assessments covering areas of daily living were available and up to date. The health care needs of service users were recorded on their individual care plans. Risk assessments covering areas of daily living were available and up to date. Copies of Terms and Conditions of Residence were also held on individual files. Service users files continue to be well documented. The organisations policies regarding the death of a service user are in place. The senior carer was able to demonstrate that the home has recently dealt with a death in a sensitive manner. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Service users dietary needs are well met. EVIDENCE: Mealtimes at Townend Court continue to be flexible. Choices are available each mealtime and all service users spoken with commented that the food at the home was very good. Special diets such as diabetics are catered for. Menus were inspected and on a four weekly cycle. Seasonal changes are made accordingly. The kitchen was clean and maintained well throughout. In discussions with the main cook, the environmental health had recently inspected the home. Three recommendations were made, which are currently being completed. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 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 Service users are confident that any concerns they may have are acted upon. EVIDENCE: The home’s complaints procedure is available to service users and visitors. Service users commented that if they had a complaint or a concern that they would speak directly with staff on duty or to the manager. It then would be acted upon. Service users were also confident that the registered manager would always put things right. There has been one informal concern raised which has been dealt with appropriately by the home. Residents meeting are held regularly. This was seen as being a good forum for raising concerns and was confirmed by service users. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 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): 23 and 26 Service users are provided with a clean and homely environment, which continues to be maintained to a high standard. EVIDENCE: The home continues to be maintained to a high standard throughout. All areas of the home inspected were all clean and no unpleasant odours were present. The home was warm, well lit and ventilated. Service users rooms have been personalised with their own furniture and belongings. Service users who showed me their rooms were proud and said that they felt that they were in their own flat than it being a care home. They also commented on how well the home is kept clean. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 13 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 Service users benefit sufficient numbers of staff on duty that are well informed. EVIDENCE: The staff duty roster was inspected. This reflected eight care staff including two senior carers on duty in the morning. There is two waking night staff on duty each night. There is also one administrator, one activities co-ordinator. The ancillary staff includes three kitchen staff, four domestic staff and one maintenance man. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 14 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): 38 Service users’ health safety and welfare continues to be promoted and protected. EVIDENCE: Throughout the morning and from discussions held with service users and staff and through observation, Townend Close continues to be managed well with a committed staff team. The organisations health and safety policies and procedures are in place. A number of health and safety records were inspected all of which were up to date and accurately maintained. Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 15 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 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X 3 X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 16 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. 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. Refer to Standard Good Practice Recommendations Townend Close DS0000007962.V283420.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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