Care Home: Hawthorn Street

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What the care home does well The care and support plans reflect the individuals` preferences and needs. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand the needs of each resident and do everything they can to support people`s individual needs. People`s right to make individual choices is respected and supported. One relative commented that Hawthorn Street `Provides a very homely residence with good food` and everyone at the home seemed to enjoy their meals. The people who live at Hawthorn Street are involved in making decisions about the way their home is run, and the manager and staff make sure people`s views are central to any decisions. People are supported to attend local healthcare facilities, such as their own GP and dentist, and observations confirmed the healthcare professional`s view that the staff respect people`s privacy & dignity. People know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. One person`s relative said that the `Private bedrooms (are) nicely equipped.` The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. One relative commented that `Hawthorn Street...always seems calm and a happy place to be...` and another wrote that `Hawthorn Street always looks clean and tidy and residents happy whenever I call`. What has improved since the last inspection? Since the last inspection the licence agreements for each person who lives at Hawthorn Street have been updated. The individual plans of care and support are reviewed at least every six months and people are involved in developing and reviewing their plans. People`s health and wellbeing is observed and monitored. Since the last inspection visit in October 2006, the manager and staff have worked hard to improve the environment within both houses. The lounges and kitchens are now well furnished and attractively decorated and have a comfortable, welcoming feel to them. The manager is now registered with the Commission for Social Care Inspection. What the care home could do better: The bathroom in each house needs to be brought up to a better standard to meet the present and future needs of the people who live at the home, and support people`s independence and safety. The home needs to recruit more staff, in order to maintain continuity and prevent the need for agency staff.One relative wrote in the questionnaire that they thought `...staff could encourage friendships better...`. Another said that staff could support (resident) to take part in social events outside the home more, while another commented that they believed that a `Lack of staff seems to be the reason for any loss of activities`. CARE HOME ADULTS 18-65 Hawthorn Street 2-4 Hawthorn Street Amisfield Road Hipperholme Halifax West Yorkshire HX3 8NZ Lead Inspector Liz Cuddington Key Unannounced Inspection 21st November 2007 12:50 Hawthorn Street DS0000001053.V347012.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 Hawthorn Street DS0000001053.V347012.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. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hawthorn Street Address 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) 2-4 Hawthorn Street Amisfield Road Hipperholme Halifax West Yorkshire HX3 8NZ 01422 203541 www.st-annes.org.uk St Anne’s Community Services Mrs Julie Kathryn Gibson Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 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 category: Learning Disability - Code LD The maximum number of service users who can be accommodated is: 7 19th October 2006 2. Date of last inspection Brief Description of the Service: Hawthorn Street is a care home that is registered to provide care and support for seven adults with physical and learning disabilities. The home is owned and managed by St Anne’s Community Services. The home is in the Hipperholme area of Halifax. Local shops, a church, pub and other local amenities are within walking distance. The home can be easily accessed by public transport. Accommodation is provided in two semi-detached houses. There is internal access between both houses. Large living and dining areas are provided in each house. All of the bedrooms are single; toilet and bathing facilities are located close to the bedrooms. The houses are surrounded by well-maintained, enclosed gardens. Fees are £363.27 per week; this includes accommodation and all meals. People living at the home buy their own personal toiletries and make a weekly contribution for use of the home’s transport. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess the quality of the care and support received by the people who live at the two houses on Hawthorn Street. No visits have been made since the last inspection in February 2007. The methods used to gather information included conversations with the people living at the home and the staff, looking at care plans, examining other records and a visit to both houses. We sent questionnaires to the relatives of people who live at the houses and health and social care professionals. We received four completed questionnaires back from relatives and two from professionals involved in the life of the people who live at the home. We also received the home’s self-assessment questionnaire. These questionnaires provide a lot of valuable information to help form a judgement about the quality of the care and support offered to the people who live at Hawthorn Street. We would like to thank the people who live at both of the houses, and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The care and support plans reflect the individuals’ preferences and needs. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand the needs of each resident and do everything they can to support people’s individual needs. People’s right to make individual choices is respected and supported. One relative commented that Hawthorn Street ‘Provides a very homely residence with good food’ and everyone at the home seemed to enjoy their meals. The people who live at Hawthorn Street are involved in making decisions about the way their home is run, and the manager and staff make sure people’s views are central to any decisions. People are supported to attend local healthcare facilities, such as their own GP and dentist, and observations confirmed the healthcare professional’s view that the staff respect people’s privacy & dignity. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 6 People know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. One person’s relative said that the ‘Private bedrooms (are) nicely equipped.’ The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. One relative commented that ‘Hawthorn Street…always seems calm and a happy place to be…’ and another wrote that ‘Hawthorn Street always looks clean and tidy and residents happy whenever I call’. What has improved since the last inspection? What they could do better: The bathroom in each house needs to be brought up to a better standard to meet the present and future needs of the people who live at the home, and support people’s independence and safety. The home needs to recruit more staff, in order to maintain continuity and prevent the need for agency staff. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 7 One relative wrote in the questionnaire that they thought ‘…staff could encourage friendships better…’. Another said that staff could support (resident) to take part in social events outside the home more, while another commented that they believed that a ‘Lack of staff seems to be the reason for any loss of activities’. 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. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 8 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 Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 9 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 & 5 People who use the 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 carries out a thorough pre-admission assessment procedure to make sure the home can meet the individual’s needs. Each person has an up to date licence agreement which means that people are aware of their rights & responsibilities. EVIDENCE: Since the last inspection, the licence agreements for each person who lives at Hawthorn Street have been updated. There have not been any new admissions to the home since the last inspection, when the admission procedures were seen to be satisfactory. The manager and staff have drafted a new Service User Guide that will be suitable for the people who live at the home. It is a colourful document with photographs of the houses and the places people visit. The manager said they plan to design an individual guide to reflect each person’s life and illustrate them with photographs of places and activities they enjoy. The written part of the Guide is in straightforward language. Hawthorn Street DS0000001053.V347012.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, 8 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning their care and are supported to take risks. EVIDENCE: Two individual care and support plans were looked at. Although the plans are currently being developed to make them more person-centred, they still show that people are involved in developing and reviewing their plans. The ones that were examined reflect the individual’s preferences and needs. The plans clearly demonstrate the person’s involvement in making all the decisions that affect them. Each plan shows what the person wishes to achieve and staff record when this had happened and, if not, they give the reason. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 11 Each plan has a detailed ‘pen picture’ of the person, which is descriptive and gives an outline of the person’s life and the people who are important to them. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. The relatives who commented confirmed that the service supports people to live the life they choose and agreed that the service meets people’s different needs. Where any activity involves a potential risk, a detailed assessment is made and plans are agreed to minimise the risk, while still supporting people’s right to independence and choice. Observation, and conversations with the staff, confirmed that the staff know and understand the needs of each resident. The staff in both houses were seen to promote people’s independence and everyone is treated as an individual. The individual plans are reviewed at least every six months and the records show that the home holds regular planning meetings with the people who live at Hawthorn Street. If the person wishes, their family is invited to attend and contribute to their review. All the written information is securely stored and confidential information about people is only shared with those who need to know. Hawthorn Street DS0000001053.V347012.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, 14, 15, 16 & 17 People who use the 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 to attend a range of activities, to make sure each person’s recreational, educational and leisure needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. EVIDENCE: In the questionnaires, the relatives and health and social care professionals all said that the service usually supports people to live life they choose ‘as and when staffing…permits’. The care plans include each person’s choice of recreational and leisure pursuits and their goals. The activities people attend depend upon what they want to Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 13 do, what they can afford and having the staff available to provide support. Each person has at least one full day out every week, to a place of their choice. Some activities are restricted because of the financial cost of attending and the staff time available. One of the health and social care professionals who commented said that the home manages to ‘support my client with very complex needs…’. Another wrote that the staff are ‘striving to promote independence, managing the risks whilst…ensuring the client experiences various activities and outings.’ The people who commented during the visit said they enjoy their meals. The ones that we saw reflect the individual’s preferences and needs. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. The staff have begun to involve people more in menu planning and are currently developing a way of supporting people to do this by using pictures to help them make choices. People who live at both houses are involved in shopping and some like to help prepare the meals. People who need assistance to manage eating and drinking are offered help discreetly and at the person’s own pace. One relative commented that there is the ‘ability for residents to join in with household activities, eg. washing up, preparing food.’ Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 14 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 People who use the 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’s personal and healthcare needs are met. People are protected by the home’s medication systems. Medications are stored safely and administered accurately. To maintain their privacy and dignity, the staff treat people with respect, care and consideration at all times. EVIDENCE: People’s health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, or the family, and their advice is followed. The plans contain detail about the individual’s physical and emotional health. The plans, and conversations with staff, confirmed that people’s cultural and individual preferences are understood by everyone and are central to the care and support they are offered. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 15 Whenever possible, people are supported to attend local healthcare facilities, such as their own GP and dentist. The healthcare professional who returned a questionnaire commented that the home always meets people’s healthcare needs and always contacts them when they require support. Each plan is individual and reflects the person’s choices for all aspects of their life. The way people prefer their care and support to be provided is clearly detailed. The relatives said in their questionnaires that the home always, or usually, meets people’s needs. One person’s relative commented that the ‘..general appearance (is) better but there are still times when his dress is not appropriate.’ The relative gave examples of clothes not being mended or suitable for time of year and said that his fingernails are not always clean. This and other comments were passed on, without disclosing the source, to the manager during the inspection visit. On the day of the inspection visit, everyone was dressed appropriately and looked nice and comfortable. One person was sitting talking to a member of staff who was ironing people’s clothes. Everyone seems to socialise and interact well with each other, the staff and visitors. The staff have set up, with his agreement, a routine for one person to help him to feel more relaxed and able to socialise with the other people who live at the home. This has brought about a marked change to the person’s daily life and wellbeing, so that he is now comfortable with the people who live and work at the home and with visitors. People are supported to be independent in their daily lives and any adaptations they need are made available. The medication is stored securely and safely. The Medicines Administration Record (MAR) charts are accurately completed and the quantities of medicines received, in stock and returned to the pharmacy are recorded correctly. The staff that administer medication have recently received suitable training updates from a Boots’ pharmacist. In addition, three staff have taken further training and the others will also take this or similar training. Observations during the inspection confirmed the healthcare professional’s view that the staff always respect people’s privacy & dignity. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 16 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 & 23 People who use the 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 people who live at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people staying at the home are safe. EVIDENCE: Everyone who lives at Hawthorn Street has a leaflet in their personal file, explaining how they can make a complaint if they wish. The manager is planning to record a straightforward version of the complaints procedure onto an audiocassette tape. The manager has sent a copy of the complaints leaflet to the relatives of the people who live at the home. The staff training records showed that all of the staff have taken adult protection training. They have also had training in non-challenging behaviour. Conversations with the manager and staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Most people know how to make a complaint or raise a concern if they need to. Two people’s relatives commented, in their questionnaires, that they had Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 17 received an appropriate response when they raised a concern. This was confirmed by a health care professional. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 18 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, 27, 28 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Both houses offer a safe, comfortable and generally well-maintained environment. The bathrooms need to be refurbished and updated, to provide safe and suitable bathing and toilet facilities for people. The gardens are tidy and attractive, providing a safe and sheltered place for people to sit and enjoy the fresh air. EVIDENCE: Since the last inspection visit in October 2006, the manager and staff have worked hard to improve the environment within both houses. The lounges and kitchens are now well furnished and attractively decorated and have a comfortable, homely feel to them. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 19 There are new sofas and chairs and some new carpets in both of the houses. Each lounge has a new television and ‘digibox’, as well as a DVD player and the kitchens have been equipped with new cookers and fridge/freezers. All areas of both houses are clean, comfortable and well looked after. Everyone who commented agreed that their home is well kept. They all said that the home is fresh and clean and two people said they sometimes help with the cleaning. One relative commented that ‘Hawthorn Street always looks clean and tidy and residents happy whenever I call’. Another said that the ‘private bedrooms nicely equipped.’ The bathrooms have not been updated since the houses were built and are in need of a complete refurbishment to bring them up to present day standards. The baths are very low, making getting in and out more difficult especially as people’s health and care needs change. There are only showers over the baths, which are not as safe as separate walk-in showers. One of the shower hoses and head needs to be replaced and some of the tiles and seals are in a poor state of repair. The home has plans to replace the floor covering and some of the floorboards in both bathrooms. The gardens at both houses are tidy and well looked after, offering people a safe and pleasant place to sit and relax during the better weather. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 20 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures which ensure that staff are suitable to work with the people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet the care, social and leisure needs of the people who live in both houses. The staff confirmed that the number of staff on duty is adjusted to reflect people’s needs. All staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 21 The manager said that a new member of staff is due to start employment in the New Year, and they are planning to carry out further recruitment in January 2008. One healthcare professional commented the home have made improvements to staffing ‘by not using agency/bank staff’, although the home does still use some agency or ‘bank’ staff. When this is necessary, they try to use the same people to maintain as much continuity as possible. New support staff take the Learning Disabilities Award Framework training as part of their induction and foundation training. This makes sure they have a good understanding of their role and responsibilities, and provides a sound basis for NVQ study. One new member of staff was about to start the induction training, which is planned to meet the ‘Skills for Care’ standard. Another is currently taking the Learning Disabilities Award Framework (LDAF) foundation course and another was due to start the National Vocational Qualification (NVQ), having just completed the LDAF training. Currently, six of the 11 staff have completed an NVQ award and the home employs two people who are NVQ assessors. The manager keeps a record of all the training everyone has attended, both through St Anne’s own training programme and with external trainers. All staff have taken the mandatory training such as moving and handling and fire safety, as well as other training to update their skills and knowledge. The staff have regular one to one supervision and the manager is planning ways to make these sessions more structured and therefore more effective. Three of the relatives said they felt that staff usually have the skills they need to do their job. One relative also commented that the staff always meet people’s different needs. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 22 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 People who use the 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 safe and well managed and everyone who lives and works at the home can contribute to the decision-making processes. EVIDENCE: Since the last inspection the manager has been registered with the Commission for Social Care Inspection. The manager has the skills to manage the home effectively and is currently taking the Registered Managers’ Award, to support her nursing qualifications. The comments made by the people who live at the home, their relatives and staff support our observations that the home is well managed and run in the best interests of the people who live there. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 23 There is a good management structure within the home and the organisation, which supports the manager. The manager promotes an open and inclusive management style and everyone is involved in the decision-making processes. Observations during the inspection visit, and comments from other people, confirm that everyone’s views are valued and taken into account. The staff keep records of any financial transactions they make with, and on behalf of, people and a weekly check of people’s monies is made. The money held on behalf of the people who live at the home is securely stored. The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. Staff have basic health and safety training. All these measures make sure that the health, safety and welfare of the people at the centre is promoted and safeguarded. Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 24 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 3 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 2 28 3 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 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA27 Regulation 23(2)(n) Requirement To maximise people’s safety and independence, the home and the organisation should replace the existing bathrooms in each house with facilities that are up to date and meet people’s present and future bathing and toilet needs. Timescale for action 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hawthorn Street DS0000001053.V347012.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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