Inspection on 26/01/09 for York House

This inspection was carried out on 26th January 2009.

CSCI found this care home to be providing an Excellent service.

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

York House 06/03/07

York House 20/06/06

York House 30/01/06

York House 07/11/05

York House 12/10/04

York House 17/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: York House Old Bank Road Dewsbury West Yorkshire WF12 7AH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karen Summers     Date: 2 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: York House Old Bank Road Dewsbury West Yorkshire WF12 7AH 01924459574 01924463332 yorkhouse@orchardcarehomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Tri-Care Ltd Name of registered manager (if applicable) Miss Helen Gill Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home York House is a private care home owned by Tri-Care Ltd, registered to provide care and accommodation for up to 36 older people. It is situated in a residential area of Dewsbury, in close proximity to Dewsbury town centre and a variety of community facilities. There is parking available in the grounds for visitors, and people can enjoy the views across Dewsbury and the Calder Valley from the gardens, bedrooms and the main lounge/dining area to the rear of the home. The home has been purpose built and is well designed in relation to meeting the needs of the people who use the service. The standard of accommodation and facilities remains high. The current charges at the home range from £381.74 to £510.00 per week. Additional charges are made for hairdressing, chiropody, toiletries, newspapers and transport. Information is available from the home about the service by way of the homes Service User Guide. 0 Over 65 36 care home 36 Care Homes for Older People Page 4 of 24 Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection of this service was completed on the 9th March 2007. The quality rating for this service is three star. This means the people who use this service experience excellent quality outcomes. This report refers to an inspection, part of which included an unannounced visit on the 26th January 2009, commencing at 9.15 am, and the length of the visit was 8.25 hours. There were 35 people living at the home on the day of the visit. Care Homes for Older People Page 6 of 24 During the visit we spoke with members of staff, relatives and people who receive care to obtain their views. We also looked at a sample of care records, staff recruitment and training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, we sent surveys to 10 people who live at the home, 8 of which were retuned, (and 2 of the surveys had been completed by the persons relative,) 10 to staff, 3 were returned, and 5 to local doctors and health care workers (social workers, pharmacist, community nurses etc.) 3 of which were returned. The comments in the surveys were positive about the standard of care provided by the staff at the home. The provider informed the Commission for Social Care Inspection on the day of the visit that fees range from three hundred and eight one pounds and seventy four pence to five hundred and ten pounds. Additional charges include hairdressing, private chiropody, newspapers, clothing, dry cleaning and personal toiletries. We would like to thank all people who gave feedback about the home, and would like to thank the manager and staff for their co-operation throughout the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using 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 assessed prior to them moving into the home to ensure that their needs can be met, and are able to visit the home to establish whether or not it is the right place for them. Evidence: The manager said that prospective people who use the service and their families, are encouraged to visit the home and spend some time there speaking to visitors and people who live there, to gain an insight of how they view the service. The records of three people were looked at, all of which contained a pre admission assessment carried out by the funding authority, and in addition to this there was an assessment of the persons needs carried out by the home. This means that peoples needs are identified and that staff are sure they can meet those needs before people move in. Care Homes for Older People Page 10 of 24 Evidence: People living in the home confirmed that they had received enough information about the home before they moved in so they could decide if it was the right place for them. One person said, I visited the home before I came in and was made very welcome. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care plans outline the level of support and care each person requires in ensuring their health and welfare needs will be met. The recording and administration of medication is good. People are treated with respect. Evidence: Three peoples care plans were seen. Since the last inspection the standard of the care records have improved. The information relating to the needs of the person were recorded and how they usually spend their day. There was evidence to suggest that people receive personal and healthcare support in a person centred way, and that their social, cultural, religious needs, and likes and dislikes were recorded. There was also information in the care records of involvement from peoples doctors, social workers, opticians and other health care professionals where needed. One person said, If you need any medical assistance the home will contact the doctors surgery and always a doctor arrives in a matter of hours. My visits to the hospital have also been organised, and a carer always goes with you. Care Homes for Older People Page 12 of 24 Evidence: Care reviews had taken place, and the care plans had been updated monthly or as the needs of the person changed, and this was with the involvement of the person or their relative. Without exception, people who completed the surveys said that they receive the care and support they need, and that staff listen and act on what they say. One person said, You only have to push the buzzer and help is given at once. Another person said, The staff are marvellous, whatever we want they try to get it for us. A relative also said, The care received at York House is always excellent. Everyone gave mother such care and support when her son died. She said that arrangements were made with counsellors by the home and they visited her relative. Comments from health care professionals (doctors, pharmacist, social workers etc.) include, Wonderful and caring support and help for all my residents in all aspects of their care. Another person said; If I had an elderly relative, I would have no problem allowing them to settle in York House. Staff were seen talking to people in a courteous manner, and also seen to knock on the door prior to entering rooms. Medication housekeeping was of a good standard, and should someone wish to selfadminister their own medication, there is a risk assessment and documentation. People are encouraged and supported to manage their own medication. One person said that they used to look after their own tablets but felt relieved when staff offered to do it for them. Staff who administer medication have had training and there was evidence of this in the staff files. There was also evidence in the newly developed quality monitoring files, that care plans and medication are two of the audits that take place to ensure that standards and safety are maintained. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using 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 living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are good, varied and served in a pleasant environment. Evidence: Evidence was seen that the social interests of people are recorded on the pre admission assessment, and this provides a basis for the type of activities that the home provides. A list of daily and weekly activities is displayed in the entrance of the home, and people are informed of what activities are taking place on a daily basis. The manager said that activities take place in the afternoons and are carried out by care staff. Following the inspection we were contacted by a relative who said that when she has visited on an afternoon activities have not always take place. She also said that when she has asked the staff why there were no activities that day, the staff said that they were too busy. At the time of the visit people were seen joining in activities. Six surveys were returned from people living at the home, and when asked, Are there activities Care Homes for Older People Page 14 of 24 Evidence: arranged by the home that you can take part in The following comments were made, There are activities on a daily basis available for us to take part in. Because of the lack of participation from other residents often activities are cancelled. This is my only complaint and not the fault of the staff. Staff did say that very few people wished to do any activities. A relative said, Mother can go to any activity if she wishes, or stay quietly in her room. Another person said that when their relative was well then they enjoyed all the activities provided. The enclosed garden at the rear of the building was well kept and a pleasant area for people to sit, and this was mainly due to the hard work and dedication of one of the people living at the home. This person spoke enthusiastically about the garden and how he enjoyed going there each day. In relation to activities he said, Plenty on offer and always things different. If you wish to do an activity the home will encourage you to do it. In my experience they have done everything to help me. I said I would like to do some gardening. The home bought me the tools I needed and the plants I wanted to put in the garden. All of which are very satisfying. Consideration is given to people with visual and hearing impairments, and large print books and talking books are made available at the home. Telephones with large buttons for ease of use were also seen in peoples rooms. The menus offered a variety of food, and were on display for people to see. The cook and the manager said that the menus were being reviewed and would continue to reflect a balanced diet whilst taking into consideration peoples wishes and food preferences. Birthdays are celebrated and a birthday tea provided for the person and their relatives, and people living there confirmed this. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using 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 can be confident that their complaints will be listened to and acted upon. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that the people they support are safe. Evidence: The homes complaints procedure is displayed in the entrance to the home, and the manager confirmed that a copy of the procedure is made available to people living at the home and their relatives. Without exception relatives said that they knew how to make a complaint, and knew who they would go to if they were concerned about something. One person said, I have my own key worker which I often have chats with and know I could talk to her or any other member of staff. It is not often that I feel I need to make a complaint but I do know how to go about it if I ever felt I needed to. All staff have received safeguarding (adult protection) training which provides information on how to protect people from abuse, and staff who were spoken with said that they were aware of the procedure to follow if they suspected abuse of a person, and that they were also aware of the homes Whistle blowing policy. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using 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 offers people a homely, comfortable and clean environment. Evidence: As part of the inspection a tour of the home took place, which included the communal areas, a number of bedrooms and the laundry. Ongoing refurbishment continues, and there was evidence that audits are carried out by the company monthly to ensure that high standards are maintained. The premises were clean and systems are in place to control the spread of infection. Everyone said that the home is fresh and clean. One person said, It is always kept clean and fresh towels are provided daily. Always smells nice. A relative said, As soon as you come through the front door it feels clean and like home. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using 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. There are sufficient numbers of staff to meet peoples needs. Staff receive training to assist them to carry out their responsibilities and they have had all the necessary checks before working with people so they are kept safe. Evidence: The duty rota confirmed that there were sufficient staff on duty to care for the number of people living at the home, and the manager also confirmed this. When asked if the care staff are available when needed, people replied, Always One person said, And they call into my room from time to time to make sure I am o.k. The home continues not to have a dedicated laundry person and staff carry out these duties. The staff also carry out the duties of an activities person. This was discussed with the manager who confirmed that there were sufficient staff on duty to meet the needs of people. Please refer to standards 12 - 15 regarding activities. Care practice observed during this visit, and the relationship between staff and people being cared for was positive. A sample of recruitment records were inspected and the correct information and checks had been carried out. There was also evidence in the staff records and staff Care Homes for Older People Page 18 of 24 Evidence: confirmed that they had induction training, training in abuse awareness, fire, dementia care, and movement and handling. Seventy five percent of care staff have an NVQ (National Vocational Qualification) level two or above. The manager said that wherever possible staff cover holidays and sickness in preference to agency cover ensuring the continuity of care for people. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using 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 the management approach of the home and the manager ensures so far as reasonable practicable that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. Evidence: The person in charge of the home has recently taken over as manager. She has a number of years experience of working with older people and has completed the registered managers award. The company is also aware of the need for this person to apply to the CSCI to be the registered manager. Staff spoken positively about the approach of the manager and how she is available should they need to speak with her. On person said the, Manager is very approachable and I can talk to her regarding any concerns I may have. For those people who wish small amounts of personal monies are held safely at the Care Homes for Older People Page 20 of 24 Evidence: home. Receipts are kept of all transactions made. Regular meetings involving people who live at the home continue to take place and the manager is also looking into introducing a newsletter to keep people informed of current events within the home. Records were seen to suggest that staff have regular supervision, and staff confirmed this. Routine health and safety checks are carried out and appropriate records were seen of those looked at. Satisfactory records were also seen of fire alarm and emergency lighting tests. Routine health and safety checks are carried out and appropriate records were seen of those looked at. The Area Support Manager visits the home a minimum of monthly and writes a report about the visit which is used to monitor the quality of the service. The Manager also said that audits have recently been introduced to monitor care plans, medication, bedrooms, etc, and the company will monitor the results, to ensure that standards are maintained. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 To show peoples involvement and enjoyment of activities a more detailed record should be made in each persons records. The home should employ a dedicated activities person to ensure that the care needs and/or the social needs of people are not compromised. The home should consider employing a dedicated laundry person to ensure that the care needs of people are not compromised. 2 12 3 27 Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!