Care Home: Harbourne Resource Centre

What the care home does well People who use the service are well cared for. Their individual needs and life histories are taken into account and the care is person centred. The manager and staff treat people well and are very mindful of people`s dignity when providing any support. There is an excellent range of activities on offer to people. Staff are enthusiastic whenproviding activity and make sure people are not bored. Meal times are seen as a social occasion and are made pleasant and enjoyable for people. Staff are well trained and can demonstrate how their training has improved the service for people, for example, the dementia mapping as mentioned above. The home is well managed. The interests of people who use the service are seen as important to the manager and staff and are safeguarded and respected. What the care home could do better: Some consideration should be given to providing more dignified protective clothing for people who use the service at mealtimes. Serious consideration should be given to some refurbishment in the home. This will make it more comfortable for the people who use the service. Random inspection report Care homes for older people Name: Address: Harbourne Resource Centre Brearcliffe Drive Wibsey Bradford BD6 2LE 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: Dawn Navesey Date: 0 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Harbourne Resource Centre Brearcliffe Drive Wibsey Bradford BD6 2LE 01274435450 01274679383 angela.matthews@bradford.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): City of Bradford Metropolitan District Council Department of Social Services care home 27 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 14 13 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 27 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: Dementia, over 65 years of age - Code DE(E), maximum number of places: 14 Mental disorder, excluding learning disability or dementia, over 65 years of age - Code MD(E), maximum number of places: 13 Date of last inspection Brief description of the care home Harbourne Resource Centre is a local authority run residential home for older people who have an organic or functional mental illness. A day care service operates from the Care Homes for Older People Page 2 of 11 Brief description of the care home premises and this is run jointly between NHS and local authority staff. It is situated in a residential area of Bradford close to local amenities including shops, library, public houses, churches and GP services. The home is easily accessible by public transport and it is only a short bus ride from Bradford City Centre where there are lots more amenities available. The home has a large car park that can be used by visitors and there is a Social Services area office adjacent to the home. Accommodation is provided on two floors and there is a large garden at the rear of the home for the service users. Fees are available on request from the manager of the home. Care Homes for Older People Page 3 of 11 What we found: We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection, which took place on 25th April 2007 and annual service reviews. - Surveys returned to us by people using the service, their relatives and staff. - Relevant information from other organisations. - What other people have told us about the service. - One inspector also carried out an unannounced visit to the home on 7th April 2010. The visit lasted 3 hours. During the visit we talked to people living in the home and the staff and the registered manager about their experiences of living and working at Harbourne Resource Centre. The home sent us their annual quality asssurance assessment (AQAA) when we asked for it. This gave us some of the information we asked for but was brief in parts. It did not identify many new areas of improvement or future ways the service will be improved. It would have been useful to have been given more examples on what people who use the service had said about it and how people who use the service had been affected by the improvements made. However, the manager did tell us of some improvements made to the service in the last year. These included: Dementia care mapping. Staff have been trained to carry this out to look at how people are engaged and occupied and how they interact in the home. The manager said the work they had done so far showed people were positively engaged and that there is plenty of interaction and stimulation for people in the home. She said it had also identified new activities and experiences to be tried with people. Picture menu now in place. This means that people are now more able to make choices from the menu. More work on life histories. Staff have worked hard with people who use the service and their families to develop very comprehensive life history books. They have also gone on Care Homes for Older People Page 4 of 11 to develop activity interest bags with people, which means they always have something to hand to occupy them if they want to, for example a photo album or a favourite DVD. We saw the activity bags were used well with people and helped to stimulate peoples interest. At our last visit to the home we asked that improvements were made to care plans, in that they were always accurately dated. The manager said this has now been done. She also said that care plans were reviewed regularly to make sure peoples current needs are met properly. Staff and people who use the service said they were involved with this. One staff member said, Constantly reviewing the care plans means that people get the care they need and how they like it. People who use the service and their relatives spoke very highly of the home. These are some of the things they said: The care and attention from all staff to both resident and relatives is always first class They look after the medical side of things well Cares excellently for the needs wishes and preferences of every individual. People look well cared for clean, tidy and well groomed. Attention had been paid to detail. People had clean glasses, wore jewellry and scarves or a trilby hat and had their hair styled as they wished. Staff said they try to support people to continue as they would have in their own homes and routines. Staff were patient, gentle and kind when interacting with people. They were discreet and respectful of peoples dignity when attending to any personal care needs. They gave reassurance and explanations for any tasks that they needed to support people with. Staff were very familiar with peoples needs and could talk confidently about the support they give. Staff were able to describe peoples preferred routines with regard to their support and what works well for people. Some staff have worked at the home a number of years and have a very good knowledge of peoples individual needs and know people well. Staff said they found the care plans useful and they had all the information they needed for them to be able to give good support. People who live at the home and their relatives were happy about what they do at the home. In returned surveys, most people said there were always or usually activities arranged by the home. One person said, They arrange activities which relatives can join in with. On the day of our visit people were enjoying a variety of activities. These included, gentle exercise, reminiscence sessions and nail painting. Some people said they preferred to read or watch television. Their choices were respected. Some people were also out, enjoying an activity in the local community. When we asked staff what they thought the home did well, they said: Aims to meet individual needs of the service users at a relaxed pace A lot of involvement with relatives and carers and local community Activities provided and social events for service users. Care Homes for Older People Page 5 of 11 Staff also said they felt they had enough staff to provide people with a decent amount of activity and said they didnt feel people were bored at the home. They said they usually have time to sit and chat with people as well as provide all the care they need. Some people have been assisted to link with a volunteer to help them get out and about more. One person said This has changed my life, turned it around completely. The manager and staff said they were trying to recruit more volunteers for other people in the home. The atmosphere in the home is calm and relaxed. Life seems to go at the pace of people who use the service. People are free to move about the home as they wish and are able to have their things around them. People who live at the home were encouraged to make choices throughout our visit. They also have regular meetings where they can voice their opinion on the service and make any suggestions for change. We observed the lunch time meal. This was unhurried, relaxed and calm. It was clear this was seen as a social occasion. People were sat in small groups which encouraged conversation and interaction. Staff gave the support needed in a discreet and respectful manner. People said the food was good and there was always plenty of choice. We discussed, with the manager, the suitability of the protective aprons that people were using when eating their meals. She said she would consider alternative more dignified types of protective clothing in the future. People who use the service said they knew how to complain and who to speak to if they are generally unhappy about something. Most said they would speak to the manager or their keyworker. It was clear from staffs interactions with people that the people who live at the home seemed confident to raise their wishes or concerns. A relative said, They are always helpful to relatives if you wish to have a chat with them about any concerns. Staff were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse. All staff were clear on their responsibility to report abuse or allegations of abuse and confirmed they had up to date training. The manager is familiar with the local authority safeguarding referral system. This means people are properly protected. In returned surveys, a number of staff said the home could do with some refurbishment. The manager said she had identified this and was currently working with their maintenence officer on a rolling programme of bedroom re-decoration. She also is in the process of developing a retro room to use for their reminiscence work. We thought that some of the decor, furnishings and carpets were looking a bit tired and worn and would benefit from renewal or replacement. The manager said she is developing the environment of the home to make it more user- friendly for people with dementia and memory problems and has introduced clearer signage on doors and corridors. She said she intends to develop this further as the home is re-decorated. Since our last visit to the home, two new kitchens have been fitted out on two of the wings in the home. This means that people who use the service and their visitors can make their own refreshments. People who use the service and their relatives were very positive about the staff and manager of the home. Their comments included: Care Homes for Older People Page 6 of 11 The carers are very well trained in their jobs Brilliant standards from management to carers, kitchen staff and cleaners The staff are well trained, well motivated and very caring Harbourne resorce centre is a very well run home They (staff) are led by a very good management team It is an excellent well run home. People who use the service said they felt there were enough staff available to them. They said they always or usually received the care and support they need. A small number of staff raised concerns about staffing in the home. They said they sometimes use agency staff to cover for sickness or vacancies. The manager said they always try to get the same agency staff to give people consistent support. Staff were very positive about their training. They said: We get good training, regular updates Staff receive training regularly and staff development needs are met. In the AQAA, the manager said, Registered manager is competent, qualified and experienced with at least 5 years experience. She has many years experience of both working with older people and managing the home. She has also recently completed training to degree level in dementia care. She leads the staff team well. Staff said she is very supportive and approachable and makes sure the needs of the people who use the service come first. This was clearly demonstrated during our visit in the way in which the manager interacted with people who use the service and staff. The manager also has a number of ways she monitors the quality of the service. These include regular meetings with people who use the service and their relatives, sending out questionnaires to gain peoples views and individual meetings when requested. The results of the last questionnaires sent out showed people were very satisfied with the service. She is also about to introduce a comments board to display any comments received from visitors or people who use the service. In the AQAA, the manager also indicated that all health and safety matters in the home are up to date. Arrangements are in place to make sure of safe working practices. What the care home does well: People who use the service are well cared for. Their individual needs and life histories are taken into account and the care is person centred. The manager and staff treat people well and are very mindful of peoples dignity when providing any support. There is an excellent range of activities on offer to people. Staff are enthusiastic when Care Homes for Older People Page 7 of 11 providing activity and make sure people are not bored. Meal times are seen as a social occasion and are made pleasant and enjoyable for people. Staff are well trained and can demonstrate how their training has improved the service for people, for example, the dementia mapping as mentioned above. The home is well managed. The interests of people who use the service are seen as important to the manager and staff and are safeguarded and respected. 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 Older People Page 8 of 11 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 Older People Page 9 of 11 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 15 Some consideration should be given to providing more dignified protective clothing for people who use the service at mealtimes. Serious consideration should be given to some refurbishment in the home. This will make it more comfortable for the people who use the service. 2 19 Care Homes for Older People Page 10 of 11 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 Older People 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. 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