Latest Inspection
This is the latest available inspection report for this service, carried out on 26th May 2010. CQC 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.
For extracts, read the latest CQC inspection for Avenue The (1).
What the care home does well Each person living at the home has their own care plan and record of their care. This is based around the organisations assessment and care planning documentation. The record we looked at showed that a full assessment and introductory process had been completed before the person moved in. This included visits to the home to meet people and make sure it was the right place for the person to live. Four people who returned our surveys told us that they had been involved in the decision to move into 1 The Avenue and had been provided with enough information to help them make that decision. We looked at people`s care records which showed that people take part in lots of different activities and events. People enjoy activities such as water-skiing,watching football, going shopping,cooking,going out for walks,embroidery,and painting. People go to the Henshaws Arts and Craft Centre and Harrogate College. People do therapeutic employment such as working at The Gift People. We were told that another person is looking at doing some kind of voluntary work. People have opportunity to go on holiday, one person went to Carnovistie golfing, another person has booked to go to Disneyland Paris. The care record we looked at also showed that people have involvement from other health professionals, such as their dentist, optician and doctors. The medication storage arrangements and recording we looked at showed us that medication is being managed safely by the home. There have been no recent complaints or safeguarding incidents at the home. Staff we spoke to had received safeguarding training and knew how to report any concerns. All four people who live at the home and returned a survey said there was someone they could speak to if they were unhappy and said that they knew how to make a formal complaint. All four people who returned surveys told us that the home is `always` kept fresh and clean. During our visit it was clean and tidy and provided people with a homely and comfortable place to live.We went to the organisations human resources offices which are situated on Henshaws College campus. We checked one recent recruitment record and found that all the appropriate checks and information had been obtained before the staff member started to work in the home. The records also showed that appropriate induction and ongoing training had been arranged. People living at the home made positive comments on the surveys they returned to us when asked what does the home do well, they said, "Staff looks after us well." Most people in the home use sign language, which was interpreted by staff. One person used sign language and said that they liked to attend the Arts and Crafts centre as part of their day-care placement. Another person signed `walking,Knaresborough, clever.` The person was describing the mobility route they had learnt from the home into Knaresborough market place. Staff surveys were also positive when asked what does the home do well staff said, "Provides a sound and flexible service to service users with multi sensory disabilities." "As the service users have dual sensory problems, amongst other medical conditions, the home is capable of making outings and general independence of living a priority and can organise outings to suit all service users and give them a good variety of things to do." When asked what could the home do better? staff said, "The running of the house is not always as good as it could be. I feel that if an outside person could come and take a look then possible things could even be better here." "Work better as a stand alone unit within the organisation." Discussions with senior staff on duty and the rota confirmed that staff levels are arranged with people`s routines and preferences in mind,as much as possible. We found that the home has an appropriate management structure in place. The manager is appropriately qualified and experienced. What the care home could do better: The main bathroom on the first floor was in need of attention. The paintwork on the ceiling had discoloured which had been caused by a leak and needed re-decorating. The bath panel did not match the bathroom suite. The grouting and sealant around the bath was mouldy and discoloured and needed attention. However, we feel that 1 The Avenue continues to provide good and excellent outcomes for the people who live there and we have made one new recommendation as a result of this random inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Avenue The (1) 1 The Avenue Knaresborough North Yorkshire HG5 0NL three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Irene Ward Date: 2 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Avenue The (1) 1 The Avenue Knaresborough North Yorkshire HG5 0NL 01423865576 01423541889 dave.houston@hsbp.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr David Anthony Houston Type of registration: Number of places registered: Conditions of registration: Category(ies) : Henshaws Society for Blind People care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users who can be accommodated is: 5 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 category: Learning Disability, Code LD, maximum number of places 5 Date of last inspection Brief description of the care home 1 The Avenue is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged under 65 years who have learning disabilities with an additional impairment. The house is situated within walking distance of Knaresborough town centre. There are local amenities close to the home. It is a
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home large three storey detached house with gardens to the front and side of the property. All bedrooms are designed for single occupancy. The weekly fees on 26th July 2007 range from £672 to £730 and did not include costs for hairdressing, chiropody, toiletries and transport to leisure activities. People who use the service/relatives and other interested parties are able to have access to inspection reports as they are displayed in the main entrance of the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This was an unannounced inspection of the care home at 1 The Avenue. The visit was completed on 26th May 2010 by one inspector. The homes staff and the people living there did not know that we were going to visit on this day. During our visit we looked at a selection of records, looked round some parts of the building and talked to some of the people who live at the home and the staff who work there. Before our visit we looked at all of the information we had about the service and asked the home to complete an annual quality assurance assessment. This is a self-assessment that tells us about the home. We also sent out surveys to people who live and work at the home. Four people who live at the home and two staff completed and returned surveys to us. We used all of this information to plan our inspection visit and have included it in this report where appropriate. What the care home does well:
Each person living at the home has their own care plan and record of their care. This is based around the organisations assessment and care planning documentation. The record we looked at showed that a full assessment and introductory process had been completed before the person moved in. This included visits to the home to meet people and make sure it was the right place for the person to live. Four people who returned our surveys told us that they had been involved in the decision to move into 1 The Avenue and had been provided with enough information to help them make that decision. We looked at peoples care records which showed that people take part in lots of different activities and events. People enjoy activities such as water-skiing,watching football, going shopping,cooking,going out for walks,embroidery,and painting. People go to the Henshaws Arts and Craft Centre and Harrogate College. People do therapeutic employment such as working at The Gift People. We were told that another person is looking at doing some kind of voluntary work. People have opportunity to go on holiday, one person went to Carnovistie golfing, another person has booked to go to Disneyland Paris. The care record we looked at also showed that people have involvement from other health professionals, such as their dentist, optician and doctors. The medication storage arrangements and recording we looked at showed us that medication is being managed safely by the home. There have been no recent complaints or safeguarding incidents at the home. Staff we spoke to had received safeguarding training and knew how to report any concerns. All four people who live at the home and returned a survey said there was someone they could speak to if they were unhappy and said that they knew how to make a formal complaint. All four people who returned surveys told us that the home is always kept fresh and clean. During our visit it was clean and tidy and provided people with a homely and comfortable place to live. Care Homes for Adults (18-65 years) Page 4 of 8 We went to the organisations human resources offices which are situated on Henshaws College campus. We checked one recent recruitment record and found that all the appropriate checks and information had been obtained before the staff member started to work in the home. The records also showed that appropriate induction and ongoing training had been arranged. People living at the home made positive comments on the surveys they returned to us when asked what does the home do well, they said, Staff looks after us well. Most people in the home use sign language, which was interpreted by staff. One person used sign language and said that they liked to attend the Arts and Crafts centre as part of their day-care placement. Another person signed walking,Knaresborough, clever. The person was describing the mobility route they had learnt from the home into Knaresborough market place. Staff surveys were also positive when asked what does the home do well staff said, Provides a sound and flexible service to service users with multi sensory disabilities. As the service users have dual sensory problems, amongst other medical conditions, the home is capable of making outings and general independence of living a priority and can organise outings to suit all service users and give them a good variety of things to do. When asked what could the home do better? staff said, The running of the house is not always as good as it could be. I feel that if an outside person could come and take a look then possible things could even be better here. Work better as a stand alone unit within the organisation. Discussions with senior staff on duty and the rota confirmed that staff levels are arranged with peoples routines and preferences in mind,as much as possible. We found that the home has an appropriate management structure in place. The manager is appropriately qualified and experienced. 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 24 The main bathroom ceiling needs to be re-decorated. The grouting and sealant around the bath needs attention. This will makes sure that the people have a clean and well maintained bathroom. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
