Random inspection report
Care homes for older people
Name: Address: Honister Ellenbrook Lane Hatfield Hertfordshire AL10 9RW two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Patricia House Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Honister Ellenbrook Lane Hatfield Hertfordshire AL10 9RW 01707274918 01707274918FP Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anna C Theanne Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Anna C Theanne care home 22 Number of places (if applicable): Under 65 Over 65 0 22 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 22 0 Honister is a care home, which can provide personal care and accommodation for up to 22 older people, who may also have a dementia. The property is a large detached dwelling set in a quiet residential part of Hatfield in Hertfordshire. The house is a three-storey building and has a lift for access to the upper floors. In recent years the building has been extended and 10 of the bedrooms now have en suite facilities. All bedrooms are for single occupancy. There are two communal bathrooms and six communal use toilets. Two lounges are available to service users and there is an additional, newly constructed dining room.
Care Homes for Older People Page 2 of 8 Brief description of the care home The home is situated near to the Galleria Shopping Centre and to the many facilities offered in the town of Hatfield. There is easy access to the main road routes and the railway station. The homes Statement of Purpose and Service Users Guide are displayed in the reception hall and copies are available on request together with copies of the last CSCI inspection report. Current fees for a place at the home are available on request. Care Homes for Older People Page 3 of 8 What we found:
The inspection took place over part of one day with one regulation inspector. The manager was present during the visit and we spoke with residents, staff, a district nurse and a visitor. We visited all areas of the home briefly and checked a selection of records. Although the home is currently registered for 22 people, changes have been made to the bedroom usage. There are now 19 single occupancy bedrooms and an additional quiet room available for residents to use. What the care home does well:
Most current residents now have some level of confusion and staff at the home have all had training in dementia care. We found that all areas of care provision in the home has been reconsidered by staff and the residents are receiving person centred care, underpinned by good person centred recording. Care planning now shows the involvement of the individual concerned and shows the individual choices and aims of each resident in a user friendly format. Information about the home is also in an easy read format, enabling any new residents to understand what living in the home will be like. We spoke with the district nurse who was visiting several residents on the day. They confirmed that the home always provides appropriate care for residents and are currently caring well for one resident who is very ill. The staff all work as a key worker to named residents and complete records to show how the individual health and social needs of each person are being met. Staffing levels are very good, and this allows residents to be taken out for short or longer trips, which many of them clearly enjoy. The visitor we spoke with said that residents really enjoy the walks they go for with staff. The manager confirmed that staffing levels allow a selection of walks to take place, and the staff offer short, medium and longer walks according to residents choice and ability. An activity co-ordinator works in the home most days and care staff also provide daily stimulation. During the inspection an aromatherapist was working with residents and one care worker was sitting and reading with one resident. The manager said that she has applied to the Social Care Institute of Excellence and hopes to have two computers installed under the get connected scheme. These computers are specially designed for people who have a level of confusion and will provide additional stimulation for people who use this service. We saw evidence of the monthly residents meetings which take place at the home and the staff we spoke with confirmed that residents take a full part in making choices about daily life in the home. The manager said that residents are now involved in interviewing the college students who come to work at the home from time to time on college placements. One resident has also been involved in reviewing the homes written policies to confirm they are acceptable to the people who use the service. We saw evidence that residents had taken part in the recent national elections. Some had used a postal vote but most had gone out to vote with staff, and had then stayed out for tea.
Care Homes for Older People Page 4 of 8 There is a stable staff team and the manager said that there has not been a staff vacancy at the home for many years. Staff are well trained, which means that residents benefit from a professional and competent work force. Four care workers have completed NVQ 4 training and one has completed NVQ level 3. Every member of staff has completed NVQ 2 training. The deputy manager has also qualified as an NVQ assessor. The staff at the home have strong links with the Health Protection Unit, and are part of a pilot scheme to implement higher standards of infection control into care homes for the benefit of all those living in residential care. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
