Care Home: Harleith

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What the care home does well Harleith provides a welcoming and homely environment and is bright and airy. The staff team at Harleith are committed, enthusiastic and motivated to providing a high level of care to the people they support. Comments by the people who live at Harleith included, "the staff are great", I really like my key worker", "they listen to me" and "they`re helping me to do more and get my own bungalow".People living at Harleith are encouraged and supported to be as independent as possible and good progress has been made especially with the people who have lived at the home for along time. The residents at Harleith have their support needs met and the staff respect their right to make informed choices about the service and personal lifestyle. The manager and staff value the role that relatives and friends can continue to play in the lives of the residents and are encouraged to visit when they wish. The provision of leisure activities and community presence is really good and people are able to do both individual and group activities. There are systems in place for the manager and Directors/Trustees to check how well they are meeting the needs of the people living at Harleith The manager and staff team continue to work hard to improve care plans and risk assessments ensuring the identified needs of each person are being met. What has improved since the last inspection? Over a period of time all the people living at Harleith will have Person Centred Plans and those already started contain excellent details and provide a clear picture of the needs and aspirations of the person. The Directors/Trustees of the organisation with the manager are continuing to maintain Harleith and redecoration is planned both externally and internally for the coming year. The format for recording the details of each person`s finances have been developed and each person has a ledger with details of their financial affairs and balance of cash held plus particulars of any building society or bank accounts. A new cooker and microwave has been purchased since the last inspection. What the care home could do better: The managers and staff team are to be commended for maintaining a high standard of care and attention to detail in a genuine resident led service. The home continues to be a happy place to live and work for both residents and staff. CARE HOME ADULTS 18-65 Harleith 42 Grand Avenue Southbourne Bournemouth Dorset BH6 3TA Lead Inspector Marion Hurley. Key Unannounced Inspection 3rd January 2008 10:30 Harleith DS0000003945.V353800.R01.S.doc Version 5.2 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 Harleith DS0000003945.V353800.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 Adults 18-65. 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. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harleith Address 42 Grand Avenue Southbourne Bournemouth Dorset BH6 3TA 01202 426544 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) The Stable Family Home Trust Mrs Samantha Irene Habgood Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. . Date of last inspection 17th July 2006 Brief Description of the Service: The registered service provider is the Stables Family Home Trust [S.F.H.T] a charity that provides residential care, a day service and related services for adults with learning disabilities. The day and residential services are interdependent with support from specialist staff at the day service being available to the staff and service users in residential care. The day service staff provide training, guidance and help with among other things matters such as employment, risk assessments and personal relationships. The home is located in a residential street in the Southbourne area of Bournemouth, within easy walking distance of local amenities that include, cliff top walks, a beach, shops, cafes, restaurants, post office and places of worship. Public transport is readily available and Bournemouth town centre a ten-minute bus ride away. The accommodation provides for up to eight people in a large detached three-story house converted for use as a residential care home. Service users bedrooms are located on the first and second floors of the premises. The home is centrally heated and all residents have single rooms, and the use of a shared lounge, dining room, kitchen and laundry facilities. To the rear of the property there is a garden with a paved patio area, a brick built barbeque and garden seats. At the front there is a large parking area. The weekly fees are calculated on an individual basis, dependent upon each person’s individual financial circumstances. Additional charges are made for hairdressing, newspapers, magazines and personal items such as toiletries. The provider makes information about the service available upon request in the form of a Service User Guide and Statement of Purpose, which are given to new residents. A copy of the Commission for Social Care inspection (CSCI) inspection report is available at the home. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection and was carried out over a period of 7 hours spread over two days, January 3rd and January 9 th, 2008. An Expert by Experience and their supporter assisted the inspector on the second day; details from their report have been included in this report. During the two site visits time was spent talking to the people who live at the home, support staff and the manager. Some judgements about the quality of life and choices were taken from direct discussion with the people and their support workers and from evidencing records held at the home. The Registered Manager for Harleith is currently on maternity leave and a Registered Manager from another of the Stable Family Home Trust assisted the inspector. Further information about the home was collected in a number of different ways. Prior to the inspection the manager provided the Commission for Social Care Inspection with written information about the home in their annual quality assurance self assessment (AQAA) The service continues to provide a good standard of support and progress has been made towards meeting the requirements set at the last inspection. The inspector would like to thank the residents, staff and managers for their friendly welcome, kind hospitality and support during the inspection process. The Expert by Experience concluded their report by saying “I would highly recommend this home to anyone looking for a residential home. It is warm and friendly, staff and residents have a great relationship and mutual respect for each other. Residents are offered all sorts of opportunities to go out and engage in the community”. What the service does well: Harleith provides a welcoming and homely environment and is bright and airy. The staff team at Harleith are committed, enthusiastic and motivated to providing a high level of care to the people they support. Comments by the people who live at Harleith included, “the staff are great”, I really like my key worker”, “they listen to me” and “they’re helping me to do more and get my own bungalow”. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 6 People living at Harleith are encouraged and supported to be as independent as possible and good progress has been made especially with the people who have lived at the home for along time. The residents at Harleith have their support needs met and the staff respect their right to make informed choices about the service and personal lifestyle. The manager and staff value the role that relatives and friends can continue to play in the lives of the residents and are encouraged to visit when they wish. The provision of leisure activities and community presence is really good and people are able to do both individual and group activities. There are systems in place for the manager and Directors/Trustees to check how well they are meeting the needs of the people living at Harleith The manager and staff team continue to work hard to improve care plans and risk assessments ensuring the identified needs of each person are being met. 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. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may be considering Harleith as a home for themselves or a relative have access to the information they need to make an informed choice about whether to move to the home. Residents and or their representatives are actively involved in their own assessment and in the process to ascertain if the home, facilities and staffing could meet their needs appropriately. EVIDENCE: Discussion with residents and inspection of resident files indicated that they had been involved about moving into the home. Further information seen on care plans confirmed that the service continues to ensure that residents’ aspirations and needs have been assessed and documented. Support staff were seen to communicate easily and appropriately with all the people living at harleith and observation of their practice demonstrated they had the skills and experience to support the residents at Harleith. A general Statement of Purpose for Commissioners of the Stable Family Home Trust Services is displayed in the main hallway together with a Statement of Residency Guide to Living at Harleith. This document is personalised and is Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 9 well written and makes excellent use of photographs, symbols and easy to read text. Each person living at Harleith has their own copy, which they have signed and dated. The Expert by Experience wrote, “When a new person comes to live at the home they visit the home first. So that when they move in the residents already know them”. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Harleith benefit from having their assessed and changing needs reflected in their individual plan and acted upon. People are consulted on and participate in all aspects of life in the home and are supported to make decisions and take risks as part of an independent life style. The care plans and risk assessments were detailed and contained the right kind of information so that the staff team would be able to care and support the person to meet their identified goals. EVIDENCE: Three care plans were looked at and were found to be comprehensive and demonstrated how the identified needs including risks would be met. Records showed that care plans and assessments are reviewed appropriately. Written agreements were also in place, which the residents had each signed. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 11 Records seen and discussions with the residents at Harleith evidenced that they continue to participate in the life of the home and regularly are involved in the shopping and cooking. The residents spoken with confirmed they were consulted about “their menus” and activities. Regular resident meetings take place so that they can put their points of view forward in respect of daily routine and other issues they wanted to discus. One person said, “If I want to go out and I just tell them and then go “. Minutes of residents meetings further illustrated the residents involvement in the decision making process that affects them as a household and individually Different points of view were all recorded and issues discussed covered a wide range of topics. Since the last inspection the manager and staff team have made a commitment to ensure that every person living at Harleith has the opportunity to be involved in person centred planning. Two people have made good progress in starting their plan and the information contained on one person’s file was very informative and showed that the staff had worked side by side with the person to ensure they found out as much as they could about the persons wishes in respect of their chosen lifestyle and aspirations for the future. From speaking to the person they were “excited” about their future plans and felt staff were supporting them “all the way”. All the details of meetings and contacts were compiled in their individual Personal Planning Book. Although the staff team is small, a key worker system is in operation and it seems to work well. Three of the people when specifically asked identified their key worker and all indicated they were happy with the arrangements. Staff spoken with were enthusiastic and motivated about their key working role, however they do need to be reminded to record the specific contact times with the resident and to complete the monthly summary. The manager is aware the key worker forms have not been regularly completed and will “remind” all key workers this is part of their responsibilities to ensure the records are kept up to date. Observations made during the visit showed that staff have a good understanding of the residents’ support needs and positive, trusting relationships have been formed between residents and support workers All the people spoken to felt they were able to make daily decisions about their lifestyles and routines. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Harleith benefit from the opportunity for personal development with their daily living skills and enjoy leisure activities in their local community. People are supported to maintain contact with their family and friends. People living at Harleith are supported to contribute to the weekly menu and dietary preferences and needs are taken into account, which respect individual preferences. EVIDENCE: It was evident throughout the visit that the people living at Harleith are supported to maintain their individual living skills and that the staff team have a very good understanding of the residents support needs and really try to assist them to achieve their full potential. Three people spoken to enthusiastically described the three-year Life skills course they are studying at Poole College. A range of subjects are taught on this course including, Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 13 budgeting, computer skills, craft and art activities and everyone completes several work placements. All the residents travel to the College by accessing public transport except when there was a recent strike by the bus company and one person described in great detail how the home “sorted out the bus for them so they didn’t miss anything”. Other people living at Harleith go the Day Services offered by the provider where they enjoy a range of different activities including lifeskills, computer training, cooking, animal husbandry, gardening, woodwork and pottery. From speaking to the residents and checking other records, it was apparent the people living at Harleith enjoy full and active social lives in the community. People made mention of going out to the local shops, supermarkets, swimming, having meals out, going to the local pub and playing pool, visiting their friends at the other two group houses, visiting family, and meeting their girl/boyfriends. Generally people seem to organise their own activities and only rarely did they chose to go somewhere as a “whole group”. The more independent people had bus passes so they could easily access public transport both locally and within the county. Harleith has two good size communal lounge/dining/activity rooms. One has comfortable lounge furniture, TV and a small dining table and the other has a dining table often converted for pool or table tennis and two computers and the resident notice board. At the top of the house is a smaller room lounge used as the “quiet room“ or alternatively for people to create their own music. There is pay phone in this use for the residents’ use though several have their own mobile phones. It was noted that despite some people having lived at Harleith for several years they are continuing to gain new independence and this was really pleasing to see and learn about both from the staff and the individual person for example one person described how they managed their own laundry, another talked about their cooking and a third showed their bus pass. Four people living at Harleith have been given their own “food budget” and write their own weekly menu, shop and then cook their own meal with minimal staff support. Their menus are displayed in the kitchen alongside the other menu and there is an informal rota for accessing the kitchen just to ensure not too many people are all in it at the same time. Staff said this had not presented any problems and everyone seemed quite flexible. The main menu was well balanced but staff need to ensure individual menus remain balanced and healthy for example one person was having pasties twice in the same week, though another had chosen avocado salad for their evening meal. In general records relating to the recording of food consumed, temperatures of cooked food and temperatures of appliances and the cleaning rota were being maintained however the inspector did highlight some gaps to the manager who said they would ensure staff were more diligent in this aspect of record Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 14 keeping. The freezer has an internal door, which is cracked, and this should be replaced. Overall the kitchen was clean but once again some aspects had been overlooked and the extractor fan/vent was in need of a good clean. The floor covering by the doorway was split and this should be replaced as soon as possible to prevent any risk of tripping. This is particularly important as people may be carrying hot food or drinks. All the people when asked were very satisfied with the arrangements for the meals and enjoyed their meals. Those people who attend the day services have their main cooked meal at mid-day and a copy of the day service menu is displayed to ensure not duplication of similar meals. The menus were written in both text and complimented with good use of photographs. The Expert by Experience wrote “What I feel is very good there are bowls of fruit put out, Apples, Oranges, Bananas etc. which the residents can help themselves to anytime they like”. “Everyone goes to the Bournemouth Forum a local Self Advocacy organisation. One resident has passed his cycling proficiency test. The residents can go on holiday with whomever they want and where they want. One resident said” I’ve been to the Costa Brava”. Another said, “I’ve been to Africa and saw the animals Elephants, Rhinos and Lions. I caught the plane on my own as, my parents were already there”. Once a year residents from that home and sister homes go on holiday to a chalet complex in New Milton”. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide flexible support, which maintains residents privacy, dignity, independence and control over their own lives. People benefit from having their healthcare needs assessed and properly acted upon ensuring a good quality of care in this area. People benefit from having their medication appropriately stored, administered and recorded. EVIDENCE: Staff were observed offering appropriate support and encouragement to the people living at Harleith. Care plans indicated individual preferences regarding how people prefer to be supported and or prompted to maintain their person hygiene. People spoken to clearly said they were happy with the way “staff” supported them, comments such as “I like it here”, “staff are great”, and “staff are kind” “no one tells me when I have to get up” were all typical statements. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 16 Records viewed and discussion with staff evidenced that where assistance with medical and healthcare needs is required appropriate support is provided to ensure the residents’ needs are acted upon. Records showed that people were supported to attend routine health checkups and the form “Feedback from my appointment” provided details of where the appointment was, who was present, what happened at the appointment and what will happen next. When any problems were identified, either physical or emotional the manager was knowledgeable about whom to seek help and advice from. One person is being positively supported to manage their own medical condition in readiness for the future. Medication was inspected and found to be appropriately stored and records maintained. Records showed that staff are trained in the administration and safe storage of medication prior to taking on the responsibilities of administering medication to anyone living at Harleith. Staff must ensure they follow the codes on the MAR sheets and not leave any blanks when people are away from the home on holiday. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Harleith feel their views are listened to and acted on and are protected from abuse, neglect and self-harm. Staff have received training in protection issues, so they would know what to do if they suspected the people living at Harleith were not being properly treated. EVIDENCE: Discussion with staff and records seen demonstrated that staff receive Adult Protection training and have an understanding of the principals and procedures to be followed in order to promote the protection of residents. The service has a complaints procedure, which is in an accessible format and is displayed in a prominent position in the home. People spoken to felt confident about raising any concerns and had a good understanding of whom to complaint to and what they would expect to happen. The service user guide and statement of purpose contain a copy of the home’s complaint procedures. Everyone living at Harleith has their own Service user Guide that they have signed. In addition the information and forms are displayed in the residents notice board in addition to forms to record any bullying or harassment specifically experienced in the community. The forms make good use of both easy read text and symbols and when two residents were specifically asked they both knew where the forms were kept. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 18 Others when asked whom they would go to if they were unhappy about anything replies varied. Some people named their key worker and others said the manager. One person said, “If things need sorting out we get together”. There was a very open and inclusive culture within the home and everyone seemed to feel they could confide in or seek support from the staff and manager at any time. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at Harleith benefit from having a homely and comfortable environment and they have access to all indoor and outdoor communal areas. EVIDENCE: The home is situated near to local community facilities and the residents are able to walk to the newsagents, shops and to the local pub. It is also close to many bus routes so people can easily get into the larger towns of Bournemouth or Christchurch. Due to the good availability of public transport the home does not require its own transport and most people living at Harleith are quite confident in using public transport and have been supported to understand the different routes and systems. The property is an older style building and requires considerable maintenance, which is generally completed within a reasonable timescale. All the bedrooms are personalised and reflect the individual’s interests and personal tastes. Two rooms have kitchen sinks, which set in a recess, and both residents when Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 20 asked were keen these should be maintained as they felt it gave them some extra “independence”. One person also has a fridge and kettle and clearly enjoys the freedom of making drinks in his own bedroom. The communal areas are in need of redecoration and the manager explained this had already been identified as work pending. The external paintwork is also due to be renewed within the year. The carpet in the communal areas is showing signs of wear and the areas through the doorways need to be made secure. The kitchen is adequate but would be benefit from a major refurbishment and the laundry needs to be reorganised to improve access to the machines and the hand washing facilities. Whilst it is positive that people living at Harleith take responsibility for the household duties it is the responsibility of all the staff to ensure that all areas are kept clean to a reasonable standard and several of the communal areas were in need of a good clean. These areas were drawn to the manager’s attention at the time of the visit. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A team of committed and caring staff, who had received the right training, were supporting the people living at Harleith to lead fulfilling lives. EVIDENCE: From checking rotas and speaking to the staff, it was clear that staffing levels were flexible, dependent upon the individual activities that the residents wanted to do. Staff also confirmed they had sufficient time to meet residents personal care needs at all times. Two staff independently gave detailed accounts of training undertaken and provided evidence of their knowledge and skills relevant to their roles and responsibilities. Feedback from staff and records seen also confirmed that the manager provided regular 1:1 supervisions and regular staff meetings took place. The home is equipped with all the correct fire appliances and staff were aware of the procedures however, as most of the staff regularly undertake sleep in duties they must receive fire safety training every quarter and not just six monthly. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 22 The current staff team are enthusiastic and motivated to providing the right support for each person and when asked offered a lot if information about the individual people living at Harleith. Staff were clearly aware of people’s individual likes/dislikes and the key worker system seems to work well with good relationships built up between workers and residents. Throughout the visit staff were seen chatting busily to the residents or encouraging them to do small tasks. The organisation has a training and development programme which included mandatory training. The records showed that the staff had completed the necessary mandatory training or had been booked on courses. The manager must ensure all relief/bank staff are included on the training courses. Training certificates were seen on the files looked. One person said, “I have been sent on lots of training, this was my first care job and the organisation has been very supportive”. Regular staff meeting stake place and minutes of the meetings were seen. Record showed that staff were receiving regular supervision sessions and they also confirmed this was so. The AQAA recorded that the home/organisation has a recruitment and selection policies/procedure in place. Three staff files were looked at to see if the correct details were in place. All three files contained evidence of application forms, two satisfactory references and POVA first/Criminal Record Bureau Checks. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support for the people living at Harleith is enhanced by a staff team that is led by a competent and experienced manager, who ensures the home is well run. People living at Harleith can be confident that their views underpin selfmonitoring, review and development of the service. EVIDENCE: The manager has several years experience of working with the organisation initially as a support worker and later in a management capacity. They are suitably qualified having successfully completed the Registered Managers Award/ NVQ level 4. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 24 Observations on the day, records viewed and discussion with staff and the people living at Harleith evidenced that on the whole the manager delivered an effective “service user led service”. Residents, and staff spoke highly of him and felt that he was approachable and inclusive in their management style. It was clear from the information given by the people living at Harleith that they are consulted on the day-to-day running of the home. The home carries out regular resident meetings with records kept to ascertain their views regarding the general running of the home. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? 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. 1 Standard YA34 Regulation 19.Sch 2(1) Requirement The registered provider must ensure that all staff records contain proof of their identification, including a recent photograph. Timescale for action 31/03/08 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 YA24 Good Practice Recommendations The registered provider should ensure areas where the carpets receive most wear and tear are either replaced or re-laid to ensure there are no loose threads in the doorways. The Registered provider may wish to consider the refurbishment of the kitchen. The registered provider should encourage everyone who cleans the communal areas to do so to an acceptable standard. The registered manager may wish to consider redesigning the laundry to afford more practical space. The corporate policy on quality assurance and review needs to be developed further to include how feedback is to be sought from other interested parties, including DS0000003945.V353800.R01.S.doc Version 5.2 Page 27 2 YA30 3 YA39 Harleith service users. Please note this is work in progress. Harleith DS0000003945.V353800.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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