Care Home: 83 and 85 Scott Hall Grove

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What the care home does well This was a very positive first inspection for the service. People and their relatives spoke very highly of the service and particularly the staff. They made the following comments "It`s a fantastic place" "Staff are very professional and really care" "Staff show real kindness" "I really look forward to coming here". People told us they are involved in unit meetings which are held every week. Topics discussed focus on day to day life in the service. Menus are also planned and activities people want to participate are discussed. This type of consultation will help to ensure that people have a say in all aspects of daily life in the service. People using the service told us it is always clean and it was clean when we visited. Comments from staff were very positive about the service. They said "I feel really proud to work here" "Being part of a new and progressive team gives great satisfaction". We found that all managers were committed to ensuring that people staying at the service were consistently well cared for, safe and happy. Staff and people spoke very highly of the manager and said she is always available and very approachable. What has improved since the last inspection? This was the first inspection of the service. What the care home could do better: There are no requirements following this visit. There are some environmental issues that should be addressed including: Internet access should be provided.This should be considered as it would give people more independence and allow them to keep in touch with friends and family. Signage needs to be fitted to bedroom and bathroom doors.This will help people find their way around the service more easily. More detail is needed in staff`s recruitment files.This will improve procedures and help protect people. Key inspection report Care homes for adults (18-65 years) Name: Address: 83 and 85 Scott Hall Grove 83 and 85 Scott Hall Grove Leeds West Yorkshire LS7 3JH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Mike ONeil     Date: 1 5 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 83 and 85 Scott Hall Grove 83 and 85 Scott Hall Grove Leeds West Yorkshire LS7 3JH 01132626025 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Leeds City Council Department of Social Services Name of registered manager (if applicable) Mrs Marie Elayne Simpson Type of registration: Number of places registered: care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 1.The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Service users with a learning disability - Code LD. 2. The maximum number of service users who can be accommodated is 10. Date of last inspection Brief description of the care home Scott Hall Grove is a purpose built service for 10 people with a learning disability,it was registered with us in March 2009.The registered providers are Leeds City Council. There are two units that can accomodate 5 respite and 5 emergency admissions. Each service is identical but is staffed separately. 10 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home All the facilities are located on the ground floor. The 5 bedrooms on each unit are single en-suite. Three of the beds on each unit are for people who may also have a physical disability and are fitted with tracking systems to aid moving and handling. A large specialist bath and separate toilets are provided. The kitchen/dining rooms on each unit are wheelchair friendly with height adjustable units. The lounges are spacious with a variety of seating. The gardens are secure and are wheelchair friendly with raised flower beds. People have to make a contibution to the fee for respite stays and the fee varies from 56.55 to 102.90 pounds per week. Toiletries, transport and newspapers are not included in the weekly fee and are charged separately. This information was provided by the deputy manager Julie Hutchinson on 15 September 2009. Care Homes for Adults (18-65 years) Page 5 of 27 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out in one day over a period of six and a half hours by one inspector. The purpose of this inspection was to look at how the needs of people living in the home are being met. This was the first inspection we have carried out at Scott Hall Grove since the service was registered in March 2009. During the visit we spoke to people using the service, visiting relatives, staff and management. We looked at various records including care records and looked at some parts of the home. Before the visit we sent surveys to the home to distribute to people using the service, visiting health care professionals and staff. Four surveys have been returned to us so far and their views are included in this report. Care Homes for Adults (18-65 years) Page 6 of 27 We asked the home to complete an Annual Quality Assurance Assessment (AQAA); this is a self-assessment which focuses on how the home is meeting the needs of the people using the service. This was completed to a high standard and gave us the information we asked for. This report is based on information from our site visit, the feedback from surveys, the homes self assessment and information we have received about the home since it was registered. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 7 of 27 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 Care Homes for Adults (18-65 years) Page 8 of 27 following this report, you can contact them using the details 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 Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 supported in making an informed decision about whether the home is right for them. They can be confident that the home will be able to meet their needs because a full assessment is done before they move in. Evidence: People, including those on the emergency unit, told us they had visited the service before making a decision about coming to stay for respite or emergency care. We saw records of pre-admission assessments in the care plans we looked at. These assessments incorporated the views of people, their families and other health care professionals. People said they had been given enough information before staying at Scott Hall Grove to help them decide if it was the right place for them. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Peoples changing needs are recorded in sufficient detail in their personal support/care plan which means that people will get the right support to meet their personal goals and changing needs. Evidence: We looked at three peoples care records. The care records we looked at had detailed assessments of peoples needs. This information is used to draw up support plans showing how peoples personal, health and social care needs will be addressed. The support plans are person centred and have information about peoples abilities and preferences. People or their representatives are involved in drawing up support plans and making decisions about how care and support will be given. The persons support plans had been regularly reviewed. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: The daily records of peoples support were up to date and were generally reflective of the information actually recorded in the persons care/support plan. However, staff were failing to record times when they made entries in the plans. Staff must be reminded that peoples care plans are a legal document and must always be signed, dated and timed. People told us they are able to make decisions about what they do and how they spend their time. They told us they are supported in maintaining their independence and the records showed that where this involves taking risks there are assessments in place to show how these risks will be managed. People said they often went out into the community with support from staff, chose what they wanted to do during the day and whom they preferred to spend time with. Whenever possible people are supported in managing their own money and this is recorded in the care records. We saw individual records kept of all transactions. People told us they are involved in unit meetings which are held every week. Topics discussed focus on day to day life in the service. Menus are also planned and activities people want to participate are discussed. This type of consultation will help to ensure that people have a say in all aspects of daily life in the service. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 service promotes and encourages the development of social and practical skills. This ensures that people have the opportunity to participate in leisure activities and live as part of the community. People are given the opportunity to exercise their right of choice regarding their daily lives. Evidence: People using the service who completed our surveys and who we spoke with said they are able to make decisions about what they do and how they spend their time. Daily routines are flexible. People said they can have their meals at any reasonable time and we saw people eating their breakfast and lunch at varying times during the morning and early afternoon. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: People told us they enjoy the food and are offered a choice of meals. As highlighted earlier in this report people are consulted about the menus and changes are made to try to accommodate peoples wishes. Staff are trying to accommodate peoples personal tastes in relation to the food served. People said they are always busy and discussed the various places and leisure activities they participated in over the course of a week. People said they attended day centres and local community centres. This will help people to maintain their links with the local community and their friends and peers. People said they really look forward to their respite stay at Scott Hall Grove and see it as a holiday. On the day of our visit several people were planning to go out for the day either to the shops, the park or to attend appointments. People said they also enjoyed playing on computer games or pool. Several games consoles and a pool table are sited in the large communal lounge. The home has lovely gardens and people sit outside whenever the weather permits. During the summer months there has been regular barbeques to encourage people to spend time outside. People and staff were concerned that there is no internet access at Scott Hall Grove. To help people maintain links with their friends and family internet access should be available at the service. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are consulted about how their care needs will be met and this helps to make sure that peoples needs are met in a way that takes account of their wishes. Evidence: Care plans show that peoples health is monitored and people have access to health care facilities and any relevant specialists that are necessary. Records show that people are assisted and supported by staff to make decisions and choices about all daily living needs. Information of peoples personal care needs is recorded, this also includes peoples wishes and preferences and when staff provide personal support in daily routines. People and their relatives are very positive about the level of care and support provided at Scott Hall Grove and made comments such as: Its a fantastic place Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: Staff are very professional and really care Staff show real kindness I really look forward to coming here. Staff have a very good knowledge of peoples health, social and emotional needs. Staff communicated with people with empathy and understanding. There are suitable systems in place to make sure that medicines are managed safely and people get their medicines as prescribed. The manager said that at the moment nobody in the service is managing their own medicines. However with support from the home and the appropriate risk assessments in place other people who visit Scott Hall Grove for respite care can manage their own medication. Staff said they had recently undertaken comprehensive medication training via a college. Staff say the training was excellent and this will provide staff with the knowledge to administer medication safely. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 appropriate systems in place to make sure that peoples concerns/complaints are taken seriously and acted on and to make sure that people are protected from abuse. Evidence: Information about the complaints procedure is available in the home. People told us they know how to make a complaint if they need to and know who to speak to if they are unhappy. Staff who completed surveys for us said they know what to do if anyone has a complaint about the service. The home told us they have had one complaint since March 2009, no complaints have been referred to us. There are procedures in place to make sure that people are protected from abuse. Staff said they are aware of protection polices and procedures. Records were seen of recent adult safeguarding training staff had undertaken. This will ensure people who use the service are safe and protected. Care Homes for Adults (18-65 years) Page 18 of 27 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 is well maintained clean and comfortable, so that people using the service have an environment that can safely meet their needs. Evidence: Scott Hall Grove is a purpose built unit consisting of 10 large en suite bedrooms. The accommodation is well equipped and furnished and fitted to a high standard to meet the needs and preferences of the people using the service. In addition to peoples private accommodation there are spacious communal facilities for people to meet together and enjoy social and recreational activities. People using the service told us it is always clean and it was clean when we visited. The bathrooms include aids and adaptations to meet the needs of the people using the service. There are sufficient toilets to enable immediate access. The kitchen and laundry are designed to enable and promote the involvement of people in domestic tasks and as part of developing or maintaining independence. The service is now 6 months old but some areas still feel a little sparse.Pictures and colour need to be added to provide a more homely feel to the service. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: There is not enough information or signage displayed in the service, which will help people with orientation. No numbers or name plates were fixed to peoples bedroom doors or bathrooms. As highlighted earlier in this report there is no internet access to the service. The provision of an internet service would help maximise peoples independence. Care Homes for Adults (18-65 years) Page 20 of 27 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 enough staff to meet peoples needs and people are protected because all the required checks are done before new staff start work.Staff are supported in developing the skills and knowledge they need to meet peoples needs. Evidence: People told us that staff treat them well and take notice of what they say. People said staff are usually available when they need them. Relatives said that staff were usually busy but were always available when needed. In the surveys staff said that there were sufficient numbers of staff employed to meet all the needs of people at the home. The staff we spoke to said there were enough staff on duty to meet peoples needs. We saw that staff were available to attend to peoples needs when needed. The manager told us that all the required checks are done before new staff start work. Three staff files were checked. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. Due to an oversight one file did not contain the CRB check but this information was forwarded to us the day after our visit. None of the staff files showed that Protection of Vulnerable Adults (POVA) Check had been completed. The manager said that these checks were carried out alongside the CRB check. We would recommend that this information is therefore Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: recorded on the staff files. Staff told us they received induction training when they started work and this covered what they needed to know. Staff said they get the training they need to keep them up to date and to help them meet peoples needs. They said they have regular supervision and feel very well supported by the management team. Comments from staff were very positive about the service. They said I feel really proud to work here Being part of a new and progressive team gives great satisfaction. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 service is well managed. People are able to share their views and contribute to the development of the service. Evidence: The registered manager has many years experience within the caring profession and has an NVQ level 4 certificate in management of health and social care. Deputy managers also support the manager. We found that all managers were committed to ensuring that people staying at the service were consistently well cared for, safe and happy. Staff and people spoke very highly of the manager and said she is always available and very approachable. The management team of Scott Hall Grove have ways in which to check out the quality of the service that they are providing. Regular staff meetings are arranged. People who use the service meet with the management of the home on a regular basis. Minutes of meetings held were seen. Satisfaction surveys are given to people Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: and their families both before their stay at the service and after they have left. The registered manager and deputy managers are available at the service on most days of the week. People and staff said they are able to talk to the managers at any time. There is evidence that the ethos of the home is very open and transparent. The views of both people who use the service and staff are being listened to, and valued. The self-assessment form completed by the home indicated that the required maintenance and servicing of equipment is up to date, a sample of records we looked at confirmed this. We did note one health and safety concern at the service. There are no blinds/curtains fitted to the windows in the large offices. This does mean that people can look directly into the offices from the street. This raises issues of privacy and security. Staff who work at night have expressed their vulnerability regarding this exposure. Blinds should be fitted to the windows to provide a safer working environment for staff. Staff said they had received recent fire safety and other health and safety training. The fire risk assessment had been reviewed in April 2009. No issues requiring attention were highlighted in the review. These measures will help to promote the safety and welfare of people. Care Homes for Adults (18-65 years) Page 24 of 27 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 Adults (18-65 years) Page 25 of 27 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 2 3 4 5 6 13 29 34 42 Staff should ensure that all written entries they make in peoples care plans are dated, timed and signed. To help people maintain links with their friends and family internet access should be available at the service. Signage should be improved so that people can become more orientated to the surroundings of the service. Records of POVA checks should be recorded on staff files. Blinds should be fitted to the windows in the offices of the service so that a safer working environment can be provided for staff. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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. 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