Inspection on 06/03/07 for York House

This inspection was carried out on 6th March 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

York House 26/01/09

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

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE York House Old Bank Road Dewsbury West Yorkshire WF12 7AH Lead Inspector Karen Summers Key Unannounced Inspection 08:45 6 & 9th March 2007 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 York House DS0000026300.V326515.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 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. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York House Address Old Bank Road Dewsbury West Yorkshire WF12 7AH 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) 01924 459574 01924 463332 Tri-Care Limited Miss Helen Gill Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: 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 residents can enjoy views across Dewsbury and the Calder Valley from 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 elderly resident group. The standard of accommodation and facilities remains high. The current charges at the home range from £450.00 to £480.00 per week. Additional charges are made for hairdressing, chiropody, toiletries, newspapers and transport. The service provider ensures that information about the service is available to prospective residents and the current residents by way of the home’s Service User Guide. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced site visit on the 6th & 9th March 2007, and the duration of the inspection was 11 hours. There were 36 service users living at the home at the time of the inspection. Miss Helen Gill, manager, was present throughout the inspection. The following areas were looked at and have been used in the production of this report; a sample of records, care plans, medication, individual discussion with 8 service users, 3 relatives, chiropodist, 2 members of staff, tour of the premises and document reading. To reflect the views of those who use the service, satisfaction questionnaires were sent to: 10 service users, 4 were returned; 10 relatives/ advocate/ friends, 6 were returned, and 7 GP’s, 1 was returned. In writing this report, information and evidence was not only obtained by way of visiting the home, but also from notifications of events sent by the company to the Commission for Social Care Inspection. The last inspection report was also consulted. The inspector would like to thank those who contributed to the inspection process, and also thank Miss Gill, the staff and service users, for their time and hospitality on the day of inspection. What the service does well: One of the relative’s questionnaires stated that the staff were excellent and took good care of their mother. Another stated that, “My mother has the impression that she is among friends.” – “this is an excellent care home, and very impressive.” Relatives who were spoken with said that the staff were good and kept them informed of their mothers care. A Chiropodist who was spoken with prior to the inspection said that she has a good working relationship with the staff and that they call her to see service users on a regular basis. The questionnaire returned from a doctor stated, that individuals’ health care needs are met by the care service, and that the care service respect individuals’ privacy and dignity. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 6 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. York House DS0000026300.V326515.R01.S.doc Version 5.2 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 York House DS0000026300.V326515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, & 5. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No service user moves into the home without having had his/ her needs assessed and been assured that those needs will be met. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: Prospective service users and their relatives are encouraged to have a look around the home, and spend some time there before deciding to move in, and service users are admitted following an assessment of their needs. Without exception, all service user questionnaires stated that they received enough information about the home before deciding it is the right home for them. And one relative’s questionnaire stated that the information had improved in the last year. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 9 Service users are provided with a contract at the time of moving into the home, and the contracts examined had been signed. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user’s health, personal, and cultural needs is set out in a plan of care, and they receive the level of support they require to ensure that those needs are maintained. The medication housekeeping was generally of a good standard. Service users feel they are treated with respect and their privacy is maintained. EVIDENCE: Care plans were of a good standard and set out the action that needs to be taken by care staff, to ensure that the needs of the service users are met. The daily record was also comprehensive and referred to the identified needs. One of the relative’s questionnaires stated that the staff were excellent and took good care of their mother. And relatives who were spoken with said that the staff were good and kept them informed of their mothers care. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 11 A Chiropodist who was spoken with prior to the inspection said that she has a good working relationship with the staff and that they call her to see service users on a regular basis. The questionnaire returned from a doctor stated, that individuals’ health care needs are met by the care service, and that the care service respect individuals’ privacy and dignity. Staff were seen talking to service users in curteous manner, and also seen to knock on the door prior to entering rooms. Medication housekeeping was of a good standard; should a service user wish to self- administer their medication, there is a risk assessment and documentation. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, religious and recreational interests and needs. Service users are encouraged to maintain contact with family and friends, and they visit on a regular basis. Service users also receive a varied, appealing balanced diet, which is suited to individual assessed needs, and in pleasant surroundings. EVIDENCE: Prior to admission the social interests of the service user is recorded on the pre admission assessment, and provides a basis for the types of activities that the home provides. A list of daily and weekly activities is displayed in the entrance of the home, and service users are informed of what activities are taking place on a daily basis. Activities generally take place in the afternoons and are carried out by identified care staff. Consideration is given to people with visual York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 13 and hearing impairments, and large print books and talking books are made available at the home. The majority of service users questionnaires stated that appropriate activities take place, and one questionnaire stated that they usually take place. Activities include aromatherapy, motivation and exercises, reminiscence, etc. Church services with communion take place each month. A mealtime was observed from a distance, and staff were seen to be assisting service users with eating in a relaxed and dignified manner. Service users who were spoken with commented that the food was always good, and that there was always a choice at meal times. One of the questionnaires stated that food was usually good. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure that is simple, and accessible. Residents are protected from abuse. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, and with an assurance that they will be responded to within a maximum of 28 days. Questionnaires stated that relatives and service users were aware of the complaints procedure and knew how to make a complaint, and service users who were spoken with said that they knew who to speak with if they were not happy with their care. Staff receive abuse awareness training. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely environment and well-maintained environment. The premises are clean and systems are in place to control the spread of infection. EVIDENCE: The decorative condition of the home was of a good standard, and there was evidence that there is a programme of routine maintenance and renewal of the fabric and decoration of the premises. The premises were clean and systems are in place to control the spread of infection. The service user satisfaction questionnaires commented that the home was always fresh and clean. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels and skill mix were sufficient to meet the number and needs of service users. Service users are supported and protected by the home’s recruitment practices. Staff are also trained and competent to do their job. EVIDENCE: There was a sufficient number and skill mix of staff on duty to care for the number of service users in the home. The majority of relatives’ questionnaires stated that the care staff had the right skills and experience to look after people properly, and two said usually. One said, “I feel some have more experience than others. There is not a dedicated laundry person however, the manager or deputy carry out the daily laundry duties. 64 of care staff has an NVQ level 2 or equivalent. The registered person operates a thorough recruitment process, ensuring the protection of service users. Staff confirmed that they had had induction York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 17 training within 6 weeks of their employment, and all staff are working through the Company’s new induction documentation. The information was also recorded in the staffs training files. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from the management approach of the home and the registered manager ensures so far as is practicable that the health, safety and welfare of service users and staff are protected. Service users are safeguarded by the accounting and financial procedures of the home. Staff are appropriately supervised. EVIDENCE: Ms Helen Gill the manager has many years experience of working within older people, and she has also achieved a NVQ level 4 qualification in management and care. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 19 A quality assurance audit of all care records takes place every 4 weeks, and a number of quality other audits take place each month in order to monitor specific areas such as complaints, accidents, and weight loss. In addition to the above, quality assurance questionnaires were sent out in June to service users and their relatives. The manager said that the questionnaires were returned to the company’s head office, and that they are to be discussed at the residents/ relatives next meeting, which take place approximately every 3 months. The results of the surveys are also to be published in the service user guide. A nominated person from the organisation carries out monthly management visits to the home. The purpose of this visit is to ensure that the home is meeting its objectives. A report is then produced, a copy of which is forwarded to the Commission as evidence. Service users personal finances were inspected and found to be correct. York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 20 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 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 21 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. 1. Refer to Standard OP26 Good Practice Recommendations York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 22 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 York House DS0000026300.V326515.R01.S.doc Version 5.2 Page 23 - 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. 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