CARE HOME ADULTS 18-65
Trabel House 26-28 Cambridge Road Huddersfield West Yorkshire HD1 5BU Lead Inspector
Stella Henderson Unannounced Inspection 15th November 2005 08:30 Trabel House DS0000026308.V265070.R02.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 Trabel House DS0000026308.V265070.R02.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. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Trabel House Address 26-28 Cambridge Road Huddersfield West Yorkshire HD1 5BU 01484 535180 01484 420008 enquiries@trabelhouse.co.uk 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) Mr David Cuthbertson Mr Christopher Lambourne, Ms Linda O`Regan Mrs Lynda Melanie Taylor Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Two service users can be accommodated at the Gate House. Date of last inspection 10th November 2004 Brief Description of the Service: Trabel House is owned and managed by Valeo Ltd, a private company. It is a care home for 12 people with learning difficulties and associated challenging behaviours. Trabel House is set in its own well kept gardens. There are ten single bedrooms in the main house, a lounge, dining room, breakfast room, kitchen and laundry room. On the second floor there is an art room, music room and keep fit room. The Gate House, which is adjacent to Trabel House, is a two bedroomed bungalow with a lounge/dining room, kitchen, bathroom and store room. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of approximately five hours. The inspector spoke to staff and service users, and evidence from case files and other documentation also contributed to this report. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 6 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 Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 7 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): 2 Detailed assessments undertaken prior to the service being offered ensures that individual needs are identified and met through the care planning process. EVIDENCE: The case files of two individuals were inspected on this occasion. Prior to being admitted to the home, both had received a comprehensive assessment to establish their needs, and these were then translated into detailed care plans. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 8 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, 8, 9 People who choose to live at Trabel House can be confident that they will be provided with opportunities to contribute to their care plans. Staff at the home will also support people to make decisions about their lives, and to lead as independent a life as possible. EVIDENCE: There was evidence that people who receive services at Trabel House contribute, as far as they are able, to their own person-centred plans, which promote inclusion and choice. Evidence in recording and other documentation, and conversation with people at the home also indicated that they are involved in making both day to day and long term decisions about their lives. People who live at the home are supported and protected by comprehensive risk assessments. These include identification of the risk, who is at risk and ways of managing the risk. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 9 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, 15, 16 People living at the home are involved in appropriate educational and fulfilling activities. Links with family and friends are promoted and people who receive services are encouraged to exercise their own responsibilities and have their rights respected. EVIDENCE: People who receive services at Trabel House are engaged in age and peer appropriate activities. One person explained to the inspector that he goes out to the pub, and another was just off to college. The majority of people living at Trabel House have frequent contact with family. Referrals have been made to a scheme that may provide independent visitors for those with no family. It was evident from case file recording that daily routines promote independence and choice, and people are also offered the chance to air their views about rights and responsibilities through, for instance, house meetings. An example of this was where one person had found the bad language of another offensive, and asked him to stop. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 10 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, 20 The person-centred approach followed by staff at Trabel House allows people living in the home to receive personal support in the way they prefer. The health needs of service users are met, with staff referring to and accessing appropriate services. The health and well-being of people at the home is safeguarded by a satisfactory medication system. EVIDENCE: There was evidence on file to indicate that people have an annual review of their medical care. There are also routine GP appointments, dental and optical care and, if necessary, referrals made to other specialists. A member of staff was observed dispensing medication. He described to the inspector the training that he had received, and explained how the process of dispensing medication was carried out and how the system is monitored. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 11 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 There is evidence that people living at Trabel House are listened to and able to make complaints. People at the home are protected from abuse by policies, procedures, practices and the training of staff. EVIDENCE: The complaints file was inspected and this demonstrated that complaints had been dealt with promptly and appropriately. The inspector suggests however that the outcomes of complaints are more clearly recorded, to state whether they have been upheld or not. People who live at Trabel House also have the opportunity to express their concerns at a more formal level, through house meetings or to their key workers for example. Staff receive training in adult protection, and were able to explain to the inspector what to do in the case of suspected abuse. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 12 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): Not inspected on this occasion EVIDENCE: Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 13 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): 34 A thorough recruitment procedure is followed at Trabel House that ensures that the welfare of people living there is safeguarded. EVIDENCE: Personnel files were inspected and these were found to be compliant with Schedule 2 of these regulations. The inspector recommends however, that a recording system is put in place to evidence that all documentation has been seen before employees are offered a contract. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 14 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): 37, 39, 42 The registered manager is competent to run the home and is appropriately qualified to run the home. Service users can be confident that their views will be taken into account in the day to day running of the home. A failure to take prompt action for the repair of a fire safety door means that the health and safety of service users is undermined EVIDENCE: The registered manager is currently on maternity leave. One of the deputy managers, who is working towards gaining an NVQ management qualification, has taken the role of acting manager supported by the service manager for the home. People receiving services are able to voice any issues both informally and through regular residents’ meetings – this is an area of improvement made since the last inspection. It is recommended that in order to promote effective quality monitoring and ensure that the aims and objectives of the home are met that any comments received from people receiving services, their families Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 15 and other stakeholders should be logged and used to provide outcomes for people living at the home. Although regular health and safety audits are undertaken, on the day of inspection a fire door mechanism was broken and the inspector requested that this be immediately repaired. It is important for the safety of service users that such breakages are reported and attended to immediately. Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 16 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 X 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 3 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Trabel House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000026308.V265070.R02.S.doc Version 5.0 Page 17 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 Refer to Standard YA42 Good Practice Recommendations The health, safety and welfare of service users are promoted and protected Trabel House DS0000026308.V265070.R02.S.doc Version 5.0 Page 18 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
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