Inspection on 28/09/05 for Downlands Park Nursing Home

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Downlands Park Nursing Home 21/11/06

Downlands Park Nursing Home 31/01/06

Downlands Park Nursing Home 15/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Downlands Park Nursing Home Isaacs Lane Haywards Heath West Sussex RH16 4BQ Lead Inspector Lynne ODonnell Unannounced Wednesday 28 September 2005, 1:00pm 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 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 Older People. 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. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Downlands Park Nursing Home Address Isaacs Lane, Haywards Heath, West Sussex, RH16 4BQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01444 457871 BUPA Care Homes LTD Mrs Kathleen Joan Hurcombe Care Home 46 Category(ies) of Care Home with Nursing 46 registration, with number of places Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 March 2005 Brief Description of the Service: Downlands Park Nursing Home is registered to provide nursing care for up to 46 Service Users in the category of older people. The home is set in landscaped grounds which back onto woodland. Accommodation is provided over two floors which are serviced by a passenger lift. All Service User rooms are single occupancy, the majority of these rooms have ensuite facilities. In addition there are two lounge areas and a mezzanine seating area, separate dining room, television room and assisted bathing and shower facilities. There is also a large activities room which accommodates a daily programme of varied activities which Service Users can access as they wish. The Registered Providers of the home are BUPA Nursing Homes Limited. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection which took place over a total of 8 hours. During the inspection the Inspector reviewed care plans and staffing and other related records. The Inspector also spoke with a number of residents, their relatives and other visitors to the home as well as the Registered Manager and staff on duty. It was clear from the above, that the Registered Manager is committed and experienced and that both she and the competent and motivated staff team provide consistently high standards of care at the care home. The home provides a welcoming and homely atmosphere and residents spoke very highly of the care provided by the staff team, comments included ‘the staff are very good,’ and ‘I am very happy here’. What the service does well: What has improved since the last inspection? What they could do better: The home provides a consistently high standard of care. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 6 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. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, 5 All residents have a pre admission assessment of need undertaken prior to moving into the home. The home is able to meet the assessed needs of the current residents. Prospective residents and/or their representatives are able to visit the home prior to moving in on a permanent basis. EVIDENCE: Pre assessment records were seen for five residents who have moved into the home since the last inspection. This assessment is undertaken by the Registered Manager and covers all aspects of personal, social and health care needs. A number of residents spoken with confirmed that they had been visited and their needs discussed prior to moving into the home. It was clear through records seen and discussions with residents and staff that the home is able to meet the needs of the current residents. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 9 Residents spoken with confirmed that either they or their relatives were able to visit the home prior to moving in with some residents staying on a short term/respite basis before any permanent move. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 All residents have a care plan in place which provides details of their health, personal and social care needs. Residents health care needs are monitored and met. EVIDENCE: The care plans of five residents were reviewed during the inspection. Where a need has been identified either through the pre admission assessment or further review a care plan is in place outlining the aims and goals of any staff intervention and giving clear guidelines for staff as to how the needs are to be addressed. The care plans covered all aspects of health, social and personal care needs as required. Within the care plans a daily support chart was in place which staff complete to confirm the care given. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 11 It was clear from the care plans seen that the health care of residents is monitored with referrals to doctors and other health professionals as needed. Staff spoken with demonstrated a good understanding and awareness of the individual needs of the residents and how these were to be met. Residents spoken with were satisfied that their care needs were met by the staff team. Relatives visiting the home were also generally satisfied that the care needs of their relatives were being met by the staff team. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 With the exception of main meal times daily routines can be flexible to meet residents preferences. Residents are able to maintain contact with family and friends and access the local community A variety of nutritious meals are available for residents which are served in the dining room or in individual rooms dependent on personal preference. EVIDENCE: It was clear through care plans and discussions with residents and staff that daily living routines and activities can be flexible and take into account personal preferences. A range of leisure and recreational activities is available to residents. The weekly programme of events is co-ordinated by the activities manager, and details of the activities on offer are distributed to all residents each week. During the inspection a harvest festival service was held, in liaison with the local church, from which a number of volunteers had come to participate. A Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 13 number of residents and relatives joined the service and those spoken with afterwards confirmed that they had enjoyed it. The volunteers from the church confirmed that they visited the home four times during the year to hold a service; at Easter, summer, Harvest festival and Christmas. In addition to these services a weekly service is held at the home. All of the residents spoken with confirmed that they attended the activities that they wished to do so and enjoyed them very much. In addition to group activities the activities manager also arranges to spend time individually with those residents who do not enjoy group activities or who are unable to attend. All residents spoke very highly of the activities manager. In addition to activities within the home, outings are also arranged and a number of residents spoke of a trip earlier in the week to a garden centre. Some relatives had also taken part in the service and those spoken with confirmed that they are able to visit the home at any time and are always welcomed by staff. A daily menu is displayed outside the dining room. Residents advised that they have a choice of main meals and were generally satisfied with the meals served. It was clear through discussions with the Registered Manager and the staff team that every effort is made to cater to individual likes and dislikes. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The residents of the home are protected from abuse. EVIDENCE: There are clear policies and procedures in place within the home in respect of adult protection. Staff have received training in this area and this was confirmed by the care staff spoken with. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21. The residents live within in a safe and well maintained environment A range of both indoor and outdoor communal facilities are available to the residents. There are sufficient and suitable toilet and bathing facilities provided within the home. EVIDENCE: The home is accessible, safe and well maintained. Internally the home is kept clean and tidy with routine maintenance undertaken as required. Externally the large garden and grounds are well kept and provide an accessible and attractive area for residents and their visitors to enjoy. Accommodation is provided over two floors with a lift in place allowing residents access to both. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 16 There are a variety of communal spaces available for use by residents including 2 lounges, a television room, dining room, activities room and mezzanine seating area. All of the rooms are appropriately and adequately furnished and well maintained. The majority of individual rooms are for sole occupancy however there are six double rooms. Residents spoken with were very happy with their rooms. They are able to bring in their own furniture if they wish to do so. Furniture can also be provided. Twenty nine of the rooms provide ensuite facilities. In addition to this there are further appropriate bathing facilities, one of which has recently been upgraded. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 The needs of the current residents are met by the numbers and competencies of the current staff team. The home is committed to providing National Vocational Training for its staff team. Residents are protected by the homes recruitment procedure which is thorough and robust. There is a staff training and development programme in place. EVIDENCE: Current rotas for the home were seen and these showed that staffing levels are provided consistently and in sufficient numbers to meet the needs of the current residents. Agency staff are used to cover annual leave and sickness, but when this is necessary the same agency staff are used whenever possible. Five of the current care staff team have an NVQ at level 2 or above with a further four registered to start the training. In addition a range of training is available to staff. Staff spoken with advised that they had received training in a variety of areas including moving and handling, food hygiene, health and safety. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 18 Individual staff files are maintained to detail the training they have undertaken. In addition the Registered Manager keeps a training action plan which provides an annual overview of training given/planned for the forthcoming year. The records of two staff employed since the last inspection were seen and these demonstrated that the home operates a thorough recruitment process with all required information and checks obtained prior to the commencement of employment. Staff confirmed that they received induction training once they had started work at the home. Induction training packs were available. Staff considered that communication throughout the staff team was very good and effective. Staff also considered that they worked well together as a team with individual members advising that the staff had been very welcoming and supportive when they had first started to work at the home. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33. The Registered Manager is qualified, competent and experienced to run the home and meet its stated purpose. The management approach within the home creates an open and positive atmosphere The home is run in the best interests of the residents. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 20 EVIDENCE: The current Registered Manager has been the manager at Downlands Park for a number of years and also has previous management experience. She has now successfully completed her Registered Manager Award. It was clear in talking with the Registered Manager that she participates within the staff training programme enabling her to update her knowledge and skills base. The Registered Manager demonstrated a good knowledge, awareness and understanding of the current and changing needs of the residents and how these could be met. It was evident through discussions with residents, staff and visitors that the Registered Manager encourages an open and inclusive atmosphere within the home. The Registered Manager advised that she speaks with residents on an individual basis each day and this was confirmed with residents spoken with. Both residents and staff spoke highly of the Registered Manager with comments including ‘the manager is excellent’, ‘she is very supportive and will work alongside us’. Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 4 4 3 x x x x x Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 22 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Downlands Park Nursing Home H60-H11 S24137 Downlands Park Nursing Home V246497 220905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing BN11 1RY National Enquiry Line: 0845 015 0120 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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