Inspection on 19/09/07 for Trabel House

This inspection was carried out on 19th 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

Trabel House 16/01/06

Trabel House 15/11/05

Trabel House 10/11/04

Trabel House 18/05/04

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 Trabel House 26-28 Cambridge Road Huddersfield West Yorkshire HD1 5BU Lead Inspector Bronwynn Bennett Key Unannounced Inspection 19th September 2007 09:15 Trabel House DS0000026308.V343890.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 Trabel House DS0000026308.V343890.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. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trabel House Address 26-28 Cambridge Road Huddersfield West Yorkshire HD1 5BU 01484 535180 01484 420008 rm@valeoltd.com 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.V343890.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users can be accommodated at the Gate House. Date of last inspection 20th September 2006 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-bedroom bungalow with a lounge/dining room, kitchen, bathroom and store room. The provider informed the Commission for Social Care Inspection on 19 September 2007 that the fees range from £1,145.57 to £2,689.04. Trabel House DS0000026308.V343890.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 9.15 am and finished at 4.45 pm. During this visit the inspector spoke to people living at Trabel House, some staff and the deputy manager. The inspector read records of people’s care and staff records, looked at how medicines are given and looked at the accommodation available in the home. There were ten people living at the home on the day of this visit. Before this visit the Commission for Social Care Inspection sent out questionnaires. Ten questionnaires were sent to people living at the home and five responded. Three 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 made in the surveys received by the CSCI. One relative commented that the home does everything well, another said the standard of food served is good and the home is clean. Trabel House provides a welcoming environment that is clean and homely. One individual said they liked living at the home and liked the staff. The home offers a welcoming environment where there is a friendly and supportive staff team. The staff work hard to ensure people are supported to make the right choice about moving into the home. Short visits and short stays are encouraged to provide people with enough information to decide if Trabel House is the right place for them. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 6 Care records are person centred and reflect how people wish to be cared for. People are supported to keep in contact with their family and friends. Individuals are supported to make decisions and choices in their lives. 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. Trabel House DS0000026308.V343890.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 Trabel House DS0000026308.V343890.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 without having their care needs assessed. EVIDENCE: No one has moved into Trabel House since the last admission by the CSCI. The admission procedure for admitting new people into the home was discussed with the deputy manager. No person moves into the care home before their care needs have been assessed. Short visits are encouraged so that people can meet others living in the home. Two people who took part in the survey said they received enough information about the home before deciding to live there. Trabel House DS0000026308.V343890.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. Individuals’ assessed personal goals and needs are reflected in their plan of care. However, some improvement is 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: Relatives who responded to the survey felt that they were kept up to date about important issues affecting their loved one, and felt the care home was able to meet individual needs. During this visit, individuals and staff were observed interacting well with one another and sharing positive working relationships. People spoken to during this visit said they were happy living at Trabel House. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 10 Individuals were observed making choices and decisions and receiving support from the staff team where required. Two care records were looked at during this visit and the content of these records is generally good. Individual files continue to be detailed and person centred, and reflect the individual’s choices and preferred lifestyle. The deputy manager said that, where possible, individuals are involved in the development of their care plan, however, this was not recorded in the records looked at. Where an individual or their representative are involved in the care planning and care review process, a record should be kept. A recommendation was made during the last visit by the CSCI about this matter and is repeated in this report. The daily records looked at require some improvement to show the level of support required by the individual and also to indicate if the care plan is working. This was discussed at the time with the deputy manager who agreed to take action in this matter. One of the care records examined had been reviewed. The deputy manager advised that a review had taken place for one individual but there were no records made available at the time of this visit. Greater care is required to ensure that records are available at all times for everyone living at the home. Risk assessments were in place for each individual that support people to take risks as part of their chosen lifestyle. Trabel House DS0000026308.V343890.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: There is no one currently living at Trabel House in paid employment however, some individuals are undertaking educational training. People are supported to be part of the local community and continue to access local facilities such as shops, pubs, clubs and places of interest. One individual said that they had enjoyed being taken out on trips by the staff. Individuals’ Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 12 preferred activity was seen recorded in the care records looked at. On the day of this visit, people were being supported by staff in their chosen activity such as shopping and going to the day centre. Personal relationships with family and friends are supported and encouraged. The deputy manager said that people see family and friends whenever they wish. Individuals’ care records reflect the way people are treated with dignity and respect. One person commented in the survey that they decide when they want to be alone or in the company of others. During this visit, people were being supported in a respectful and dignified manner by the staff. One person spoken with said that they are well cared for by the staff. Where people have chosen to carry out domestic duties such as cleaning their room, this is recorded in their care record. The home continues to work well to ensure the menu and choice of food respects individual cultural needs. There is a weekly menu that everyone plans. Some people have chosen to assist staff in preparing main meals, for example preparing vegetables. The care records looked at showed that support required by people to prepare drinks and snacks. Trabel House DS0000026308.V343890.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 generally their health care needs are being met. The medication policies and procedures sufficiently protect people living at the home. EVIDENCE: A positive response was received when individuals were asked, as part of the survey, if the staff listen and act on what they say. The response from relatives was positive when asked in the survey if the care home gave the expected care and support. Individual personal preferences for how to dress, personal care and appearance, preferred times for rising and going to bed was recorded in the care record looked at. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 14 Individual health needs were seen in the care records looked at and people are supported to access NHS appointments and facilities. People have their weight monitored on a monthly basis. The home takes action to refer people to the appropriate health care professional where there are concerns. Staff are presently recording how much one person is eating and drinking however, this has not been consistent. Where there has been a decision to monitor how much a person is eating and drinking, all records should be maintained so that an accurate picture of events is documented. In addition, where food and drink needs are being monitored, the staff must be given clear instruction of what is a sufficient intake. The required amounts must be measurable so that staff know when to seek medical advice. These issues were discussed with the deputy manager who agreed to take immediate action in this matter. The medication and medication records checked for two people were correct. A discussion took place with the deputy manager regarding the storage of specific medications. Clarification has been sought from the dispensing pharmacist and the home has acted on this advice. Trabel House DS0000026308.V343890.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. EVIDENCE: All but one of the respondents to the survey said they knew who to speak to if they were not happy. Three relatives who responded to the survey said they knew how to make a complaint about the care provided at the home however, one relative said they were unsure about how to make a complaint. This matter was raised with the deputy manager during this visit. All the responses were positive when relatives were asked if the the home had responded appropriately to any concerns they had raised regarding the care provided to their loved one. The home has a complaints policy and procedure displayed in the home. There was some discussion with the deputy manager regarding the positioning of this procedure which should be easily accessible to anyone who visits the home. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 16 There have been two complaints made to the home since the last visit by the CSCI. Both have been investigated through the complaints policy and procedure. The financial records for two people checked were correct. Staff spoken to during this visit had a good understanding of the actions that must be taken should there be any allegations of abuse. The deputy manager confirmed that all the staff have undertaken safeguarding (adult protection) training. Trabel House DS0000026308.V343890.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 clean, hygienic and generally well maintained. EVIDENCE: Generally, the home is clean and odour free and provides a homely environment for people. The communal areas of the home are comfortable and provide sufficient space to sit and relax. The comments received from the survey regarding the standard of hygiene in the home were positive and a relative commented that the home is clean. There have been maintenance works carried out at the home since the last visit by the CSCI. The hallways and staircases have been redecorated. Some of the bathrooms have had some retiling and general maintenance and all the carpets have been professionally cleaned. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 18 One bathroom requires some maintenance work such as replacing broken tiles and suitable curtains or blinds placed over windows to provide privacy for people. The deputy manager agreed to take action to remedy this area of the home. The home’s ongoing programme of maintenance includes extending The Gatehouse to provide extra space for people living in this area of the care home. There are also plans to provide a grassed area in the grounds of the home. The home’s laundry facilities were seen and were clean and well organised. An individual’s room seen had been personalised with their own choice of bedding, furniture, pictures and personal effects. Trabel House DS0000026308.V343890.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 Trabel House are protected by the organisation’s recruitment policy and procedure. EVIDENCE: One individual spoken to during this visit said they had a key worker. There was a positive response from people who were asked if they were treated well by the staff working at Trabel House. A health care professional who responded to the survey said they were satisfied with the overall care provided within the home. 30 of the care staff have achieved NVQ (National Vocational Qualification) level 2 in care and another 30 of staff are currently working towards this qualification. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 20 All new staff receive induction training. This is basic training in a number of areas such as safe movement and handling, safeguarding (Adult Protection), first aid, health and safety, food hygiene. Electronic training records showed that staff have received this training or that this training is planned. In addition, other training is provided for staff to meet specific needs of people living in the home or that relates to the staff role, for example, medication training for the safe administration of medication. The recruitment records looked at for three staff contained the required information and police checks. Trabel House DS0000026308.V343890.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 home’s registered manager is Ms Lynda Taylor who has managed the home since November 2004. Ms Taylor is currently working towards achieving NVQ level 4 and the Registered Managers Award. Trabel House DS0000026308.V343890.R01.S.doc Version 5.2 Page 22 The home has some quality monitoring in place, such as meetings for people living in the home so everyone can express their views and contribute to how they would like the home to be run. There are staff meetings and monthly management reviews are carried out by a representative of the organisation. The deputy manager said that an annual questionnaire has been sent to relatives and the organisation is currently in the process of analysing the information received from these surveys. There are also plans to send surveys to people living at the home. It is expected that information gained from the annual surveys will be published and made readily available to any interested parties. The fire records were looked at. The home’s fire alarm system is checked on a weekly basis. Individuals and the staff working at the home take part in regular fire drills. This is good practice. However, the emergency lighting has not been checked on a weekly basis. This was discussed at the last visit by the CSCI and a recommendation is made in this report regarding this matter. Emergency lighting checks should be recorded on a weekly basis and daily visual checks undertaken. New staff receive fire training as part of their 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 planned for all staff. The CSCI should be advised of the planned dates for such training. Fire training should be delivered to staff twice year. The home has taken action since the last visit by the CSCI and fire exit signs are now displayed in the home. Trabel House DS0000026308.V343890.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 3 ENVIRONMENT Standard No Score 24 2 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 3 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 2 3 x 3 X 3 X X 2 X Trabel House DS0000026308.V343890.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. 4. Refer to Standard YA6 YA6 YA6 YA19 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. All records relating to each individual should be made available at all times. Where fluid and dietary needs are being monitored, staff must be given clear instruction of what is a sufficient intake. The required amount of diet and fluids must be measurable so that staff are aware of when to seek medical advice. The policy and procedure for dealing with complaints should be displayed where it can be seen clearly by people living in or visiting the home. The identified bathroom should be refurbished. The broken tiles and general condition of this room requires DS0000026308.V343890.R01.S.doc Version 5.2 Page 25 5. 6. YA22 YA24 Trabel House 7. 8. 9. YA32 YA39 YA42 improvement. The staff at the home should continue working towards NVQ level 2 or above certification. The organisation should continue to develop quality assurance and quality monitoring systems. The organisation should provide fire training to ensure everyone is fully aware and up to date on the necessary actions that must be taken in the event of a fire. Trabel House DS0000026308.V343890.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 Trabel House DS0000026308.V343890.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. 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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