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Inspection on 20/05/10 for Seely Hirst House Care Home

Also see our care home review for Seely Hirst House Care Home for more information

This is the latest available inspection report for this service, carried out on 20th May 2010.

CQC found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Seely Hirst House care home is a well managed environment for people to live in. The accommodation is kept tidy and well presented. Staff work hard to provide care and assistance to the people who live there and although agency staff are being used on a regular basis to provide cover there is a main group of staff who have worked at the home for a long time to ensure consistency in care. Comments from people at the home included:The home provides excellent care and looks after me really well.` `The home is kept clean and comfortable. The staff are very friendly, caring, nothing is too much trouble for them to do for you. My bedroom is really cosy, warm and clean. I am very comfortable and happy here and I have no complaints`. There is an effective alarm sensor in each person`s bedroom. This system alerts staff when someone enters the bedroom, leaves the room or moves around in the bedroom. In this way staff are quickly alerted to people who may need help. We observed staff moving people from the lounge to the dining room for lunch. People were encouraged to walk alongside staff, transferred safely to wheel chairs by hoist or assisted to their feet with the use of a standing aid. This was well conducted and carefully done providing people with dignity as they done so.(Skirts pulled down, cushions repositioned to make comfortable etc). Most of the times foot plates were applied to protect people`s feet during transport. Two members of staff gave out the medicines at lunch time to separate areas of the home. When giving out people`s medicines they wore a tabbard to show people that during this time they were concentrating on medicines and should not be disturbed unless it was related to medicines. Medicines are correctly managed. Staff continue to receive an effective induction process and agency staff report that they are never asked to carry out tasks alone and are made welcome by the friendly staff who work along side them. There are policies in place to ensure the safety of the people who live and work at the home. Relatives that spoke with us said that they thought care provided to their relative was good and that they had no concerns about the care. `There is a happy atmosphere at the home.` We spoke with relatives who said that they felt able to raise any concerns that they may have through the senior staff at the home and knew that they would be taken seriously and acted on. People said that they knew how to make a complaint. A copy of the complaints procedures is displayed in the entrance to the home and is also available in the service user guide. We spoke with six staff members, they were able to demonstrate their awareness of safeguarding issues. This means that they would know how to respond if they saw someone at the home being placed at risk. Staff also told us that they were aware that if problems were not resolved by the organisation they could alert the external agencies that includes the Police, Social Services or the Care Quality Commission with their unresolved concern about care at the home. The Annual Quality Assurance tells us that: `Residents are safeguarded from all forms of abuse by training all staff in adult abuse protection and safeguarding. Recruiting staff in line with our policies and procedures,conducting reference checks, Vulnerable adult first checks and enhanced Criminal Records Bureau checks. Fully inducting new staff members into post using the common induction standards. There is regular supervision of staff. There is a whistle blowing, grievance and disciplinary policy that staff have access to and are fully aware of`. People at the home are involved in the recruitment process of staff and there are regular meetings held for the people who live at the home, and for staff to express their views and concerns. This forms part of the quality assurance feed back provided by the home.

What the care home could do better:

An initial risk assessment of people`s needs is in place but some of the risk assessments and evaluations no longer accurately reflect people`s current needs. However, care provided does not appear to have suffered and people told us they felt happy and safe in this home. We checked accident records and saw that staff reacted and recorded this information appropriately to help people. Incidents recorded were not always easy find as they were included in the daily diary or handover information so that at a later date they would be less easy to find to check patterns arising from them to prevent further incidents. At the care home we noticed that people looked well presented and one person told us that the hairdresser visits on a regular basis. We noticed that some women had facial hair. This is an area that has been overlooked and spoils the presentation of some women at the home. After meals we noticed that one person left the table and was later seen with food markings around their mouth. Some one else said that they would have liked to return to their bedroom to clean their teeth after lunch time but felt the staff were too busy and did not want to ask them. It is important for staff to remember to check that each person at the home is regularly asked if they are in need of any help. We noticed that there was a long gap between the first course of the meal and the second course. We noticed that people who wander would in time need better supervision at meal times. Not all room doors are labelled to identify who lives in them and not all staff wore their name badges at inspection. This is an area where the manager may choose to review.

Random inspection report Care homes for older people Name: Address: Seely Hirst House Care Home 62-68 Mapperley Road Mapperley Park Nottingham NG3 5AS three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Allison-White Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Seely Hirst House Care Home 62-68 Mapperley Road Mapperley Park Nottingham NG3 5AS 01159606610 01159856283 careatseely@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Emma Jayne Louise Gershon Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Trustees of Seely Hirst House care home 38 Number of places (if applicable): Under 65 Over 65 0 38 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 12 0 Seely Hirst House is registered to accommodate up to 38 older people some of whom may have the condition of dementia. The accommodation is provided over two floors with a passenger lift providing independent access. Seely Hirst House is maintained to a good standard with well-maintained enclosed gardens. Seely Hirst House is situated in a residential area with good public transport links to the city centre. Last key inspection was 9th August 2007. At this random inspection (2010) Seely Hirst House current weekly fees range from £433.78 to £466.11. There are additional charges for hairdressing, purchase of newspapers for indviduals and a mini-contribution towards Care Homes for Older People Page 2 of 9 Brief description of the care home social outings. Information about Seely Hirst is available through a brochure and the Service User Guide. A copy of the inspection report is on display. Care Homes for Older People Page 3 of 9 What we found: This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people using the service and their views on the service provided. The last key unannounced inspection was 9th August 2007. This inspection visit was an unannounced random visit that took place over seven hours. We did not look at all the key standards but selected specific areas to observe or examine and to check that the current quality rating remains correct. Prior to the visit an analysis of the care home was undertaken from information gathered including information from the Annual Quality Assurance Assessment completed by the provider. As most inspections only have one inspector the report is written as what we found as it is written on behalf of the commission. The main method of inspection is case tracking. This is a method of randomly selecting people living at the home and discussing their expectations and experiences of living within the home with them. There were 35 people at the care home including older people for residential care and older people with dementia. Surveys were sent out and comments from them have been included from people at the home, their visitors and staff. The culture and diversity of people at the home was mainly White British although the staff group including agency staff came from different cultural or ethnic backgrounds. We spoke with six people from the home, visitors who we met and the staff. Displayed in the entrance is a copy of the relevant certificates, a copy of the menu for the week and an activities planner, a copy of the current inspection report and acknowledgements. The managers office and the administrator are found at the entrance to the building and accessible to people at the home, staff and visitors. A photograph of each member of staff is displayed in there should further identification of staff be needed. What the care home does well: Seely Hirst House care home is a well managed environment for people to live in. The accommodation is kept tidy and well presented. Staff work hard to provide care and assistance to the people who live there and although agency staff are being used on a regular basis to provide cover there is a main group of staff who have worked at the home for a long time to ensure consistency in care. Comments from people at the home included: Care Homes for Older People Page 4 of 9 The home provides excellent care and looks after me really well. The home is kept clean and comfortable. The staff are very friendly, caring, nothing is too much trouble for them to do for you. My bedroom is really cosy, warm and clean. I am very comfortable and happy here and I have no complaints. There is an effective alarm sensor in each persons bedroom. This system alerts staff when someone enters the bedroom, leaves the room or moves around in the bedroom. In this way staff are quickly alerted to people who may need help. We observed staff moving people from the lounge to the dining room for lunch. People were encouraged to walk alongside staff, transferred safely to wheel chairs by hoist or assisted to their feet with the use of a standing aid. This was well conducted and carefully done providing people with dignity as they done so.(Skirts pulled down, cushions repositioned to make comfortable etc). Most of the times foot plates were applied to protect peoples feet during transport. Two members of staff gave out the medicines at lunch time to separate areas of the home. When giving out peoples medicines they wore a tabbard to show people that during this time they were concentrating on medicines and should not be disturbed unless it was related to medicines. Medicines are correctly managed. Staff continue to receive an effective induction process and agency staff report that they are never asked to carry out tasks alone and are made welcome by the friendly staff who work along side them. There are policies in place to ensure the safety of the people who live and work at the home. Relatives that spoke with us said that they thought care provided to their relative was good and that they had no concerns about the care. There is a happy atmosphere at the home. We spoke with relatives who said that they felt able to raise any concerns that they may have through the senior staff at the home and knew that they would be taken seriously and acted on. People said that they knew how to make a complaint. A copy of the complaints procedures is displayed in the entrance to the home and is also available in the service user guide. We spoke with six staff members, they were able to demonstrate their awareness of safeguarding issues. This means that they would know how to respond if they saw someone at the home being placed at risk. Staff also told us that they were aware that if problems were not resolved by the organisation they could alert the external agencies that includes the Police, Social Services or the Care Quality Commission with their unresolved concern about care at the home. The Annual Quality Assurance tells us that: Residents are safeguarded from all forms of abuse by training all staff in adult abuse protection and safeguarding. Recruiting staff in line with our policies and procedures, Care Homes for Older People Page 5 of 9 conducting reference checks, Vulnerable adult first checks and enhanced Criminal Records Bureau checks. Fully inducting new staff members into post using the common induction standards. There is regular supervision of staff. There is a whistle blowing, grievance and disciplinary policy that staff have access to and are fully aware of. People at the home are involved in the recruitment process of staff and there are regular meetings held for the people who live at the home, and for staff to express their views and concerns. This forms part of the quality assurance feed back provided by the home. 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 6 of 9 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 7 of 9 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 1 7 15 Care plans must have an identified risk assessment in place to address the risk. This is to ensure that all health risks are addressed and optimum health maintained and regular reviews are need to ensure that they continue to meet the needs of the individual. assessment m 30/07/2010 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 8 of 9 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. 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