Care Home: Savings House

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What the care home does well People are supported to make their own daily decisions and their individual independence is encouraged. They enjoy a wide range of activities both in the home and outside in the local community. Individuals live in a comfortable and well-maintained home. The owners work hard to make sure that everyone is well cared for and the home is run well. What has improved since the last inspection? The good quality of the care and services provided by the home has been maintained. Regular upgrading of gas and electrical services have been completed and the owners make sure that regular health and safety checks are in place. What the care home could do better: It is important that a record of any financial transactions regarding people`s monies is properly maintained. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Savings House Old North Road Brotherton Knottingley West Yorkshire WF11 9EP     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Linda Trenouth     Date: 0 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Savings House Old North Road Brotherton Knottingley West Yorkshire WF11 9EP 01977674982 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Rundle Colin Dean,Mrs Elizabeth Helen Dean care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Savings House is a care home registered to provide personal care and accommodation for up to three older people of either gender. The home consists of a large two-storey detached house situated on the main road into the village of Brotherton and is within walking distance of local facilities and amenities including shops, cafes and pubs. Only one person is currently accommodated and the registered providers do not intend to admit anyone else in the future. Two further people receive day care at the home. The bedroom occupied is on the ground floor and does not have en suite facilities. There is a shared bathroom on the first floor that can be accessed via a stair lift. The home has a large, well maintained garden and an area of hard standing for parking to the rear. Mrs Dean is the principal carer and her husband and a part time care worker assist her. Mr and Mrs Dean live on the premises. The current weekly fees are 385 pounds per week. 0 Over 65 3 Care Homes for Older People Page 4 of 24 Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We visited the service over one day for approximately 3 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. We sent out questionnaires to ask people how they felt about the service, three questionnaires were returned and their comments are included in this report. We looked at records, watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure the service provides a good Care Homes for Older People Page 6 of 24 standard of care. We have reviewed our practise when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward as recommendations, but only when it is considered that people who use the service are not being put at significant risk or harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The manager of the home completed a self-assessment form called AQQA, which is information we asked for every year and is used as part of the inspection process. The returned self-assessment documentation provides information about staffing and people who use the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have good information provided to them to make sure they know their rights whilst living at the home. Evidence: People are given the right information to decide if the home will meet their needs to then help them decide if they want to move into the home or not. There is only one person living at the home. They have been at the home for many years and feel confident that they would be able to discuss any changes to their needs with the owners of the home. The owners do not intend to admit anyone else to the home and do not provide any intermediate care. Care Homes for Older People Page 10 of 24 Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care are well supported. Evidence: People are well supported with their health care needs and have good access to local community health care services. It is clear from discussions with staff and individuals that people receive support in a dignified and sensitive way. People tell us Mrs Dean is a very kind and caring person, always willing to help Observations made during the visit confirmed that there is a good rapport between staff and individuals and people are clearly comfortable and relaxed. People say, We have everything that we need and could not be cared for better Care Homes for Older People Page 12 of 24 Evidence: Medication is managed well and individuals are supported with any medication needs that they may have. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live fulfilling lives at the home. Evidence: People tell us that they enjoys living and staying at the home. People enjoy a range of social activities both with the staff and also independently with their own interests. The owners provide many opportunities for outings and holidays. One person also has regular contact with the Salvation Army and regularly attends the local chapel for services. There are many outings and visits to places of local interest when the weather is better. People are supported with choosing personal items and enjoy shopping for items such as clothing. Staff tell us, Mrs Dean takes them to out to shows and for meals. I think they are looked after very well. Care Homes for Older People Page 14 of 24 Evidence: People are able to maintain relationships with family and friends who can visit the home whenever they wish to do so. People tell us that their visitors are made to feel very welcome. The menu is varied and nutritious and people tell us that they food is good, with plenty of choice and plenty to eat. They say, the food is always good and all home cooked, lovely baking and fresh food Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel that their concerns and complaints will be listened to and acted upon. Evidence: A complaints procedure is available and the people say they feel confident that any matters of concerns would be dealt with immediately and properly. People felt very comfortable taking their concerns to the owners of the home. People say, If I were unhappy I would tell Mr and Mrs Dean they would sort things out for me People also had annual reviews with their social workers to make sure they were happy and continued to be happy living at the home. Each week the individual personal allowances are paid into the owners bank account. This is then given to the individual to self manage. It was discussed that clear records must be kept to account for receipt of their personal allowance to make sure everyone is protected. The registered providers are clear about what actions to take if abuse is alleged or has taken place. Care Homes for Older People Page 16 of 24 Care Homes for Older People Page 17 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and comfortable. Evidence: The home is clean and well decorated. The furnishings are comfortable and homely. One persons bedroom is on the ground floor and this is decorated to suit her personal tastes. People are offered a key to their room if they wish to use it. The bathroom and toilet are on the first floor. There is also a stair lift which helps people to the first floor bathroom. Within the bathroom there is a shower facility and a manual bath hoist. People have access to all parts of the home. The registered providers live on the premises and so are accessible at all times. There are call systems fitted in the bedroom to make sure that people are supported during the night if needed. Care Homes for Older People Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing is suitable for the care provided. Evidence: The registered providers give most of the care and support to individuals although a part-time care worker is employed at the home for one afternoon a week. The part-time care worker is also employed by the local authority social services department and works at the home for only three hours per week. Staff receive all their training via social services. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of people living at the home. Evidence: The owners, Mr and Mrs Dean have a lot of experience in providing care services. They are happy providing care for one person only and do not intend to admit anyone else to the home. People tell us that they are, Kind and caring people, they cant do enough for you, you would have to go along way to find care as good They encourage people to view their opinions about the care they receive and make sure they are involved in decision making from day to day. Care Homes for Older People Page 20 of 24 Evidence: The hoists, stair lift, gas and electrical safety are serviced regularly. The home has proper arrangements in place to make sure that health and safety practices promote a safe environment for everyone. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 13 Records must be kept of any 09/04/2009 financial transactions that involve peoples personal monies. This is to makes sure that everyone is protected and safe from allegations of financial abuse. 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 Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!