Inspection on 29/06/06 for Gardner House

This inspection was carried out on 29th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Gardner House 18/06/07

Gardner House 17/01/06

Gardner House 08/11/04

Gardner House 12/07/04

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

CARE HOMES FOR OLDER PEOPLE Gardner House Brierton Lane Hartlepool TS25 4AG Lead Inspector Belinda Parker Unannounced Inspection 29th June 2006 09:00 X10015.doc Version 1.40 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 Gardner House DS0000021739.V299908.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 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. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gardner House Address Brierton Lane Hartlepool TS25 4AG 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) 01429 261023 01429 261023 www.c-i-c.co.uk. Community Integrated Care Miss Lisa Newbury Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Gardner House is a care home for older people and is registered to provide care and accommodation for up to 29 older people. The home is well served by bus routes to the town centre of Hartlepool. The home also has a number of lounge areas, dining room, and a quieter room. Menus cater for the specific needs of individual residents. Residents are able to personalise their own rooms and relatives and friends are welcome to visit at any reasonable times. The home has 29 individual bedrooms but does not offer en-suite facilities although they do all have wash hand basins. There are an adequate number of bathing and toilet facilities within the home to meet the needs of the residents. The home has a pleasant enclosed garden to the rear with a number of raised flowerbeds, there are also substantial lawned areas to the side and rear of the building. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 29/06/06 over a period of 7 hours. During the visit time was spent talking with service users, staff and the manager. Seven survey forms from service users, four comment cards from relatives and two comment cards from other health care professionals were returned to CSCI prior to the visit. We toured the home and a number of records were examined. What the service does well: What has improved since the last inspection? Since the last inspection a new ARJO bath has been purchased. This provides service users with a wider choice of bathing facilities. One service user commented, “ The new bath is great. You can have a lovely deep bath”. The recommendations made by the Fire Officer earlier in the year are currently being actioned by the company. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 6 What they could do better: 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. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 the following standard(s): 3 and 6 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The pre-admission process is clear. Service users and their representatives are involved in the process. This ensures the home is able to meet the individual needs of prospective service users. The home, in conjunction with Hartlepool social and health care services provide short term accommodation and support to maximise service users independence and return home. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 9 EVIDENCE: Three care plans included evidence to show that a thorough pre-admission process had been carried out. Which had involved service users and their representatives. A service user recently moved into the home confirmed that he, his relatives and a social worker had met with the manager at his home. A service user said, “No use moving into a home and fretting. You have to be sure you are making the right choice”, “ My own choice to move into this home”. The home does not provide intermediate care. Only short term rehabilitation supported by Hartlepool social and health services Mobile Rehabilitation Team. The manager said at present there are no service users in the home that require short-term rehabilitation support. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The care planning process is clear. This provides staff with the necessary information to meet the changing needs of the people who live in the home. Medication in this home is well managed promoting the health of service users. Service users are treated with respect. EVIDENCE: Three service users’ care plans examined included comprehensive information to enable care staff to satisfactorily meet the needs of service users. Care plans are evaluated on a monthly basis to ensure the changing needs of service users are met. Evidence available showed that the manager carries out a care plan audit on a regular basis. Service users had signed the care plan to show their agreement. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 11 Evidence recorded in the care plans showed that service users receive visits from other health care professionals to meet their health needs. A medication audit was carried out. Medication in this home is managed well, promoting the health of service users. Service users spoken to confirmed that staff treat them with respect. Comments included, “ Girls perfect, there when ever you want them”, “ The girls have the patience of saints”. Staff spoken to during the visited said they encourage service users to do as much for themselves as possible. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The activity programme in the home requires further development to provide service users with an opportunity to participate if they so wish in a fulfilling social life. Service users are able to maintain contact with relatives, friends and make use of community facilities. Service users are encouraged and enabled to lead an independent life style of their choice. The dietary needs of service users are met. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 13 EVIDENCE: The programme of activities available to service users living in the home is limited. This was confirmed through discussion with service users, staff and responses included in survey forms returned to CSCI. The manager said this remains a funding issue. The company should consider providing additional hours for an activities organiser who would be able to focus on this area. Service users said external entertainers come in to the home occasionally and staff arrange some activities if they have time. Service users spoken to confirmed visiting is flexible. A service user said she goes out to an older persons club in the community every Tuesday, which she enjoys. Service users also commented that the routine in the home is flexible and you can have a lie in if you so wish. Staff spoken to said they encourage service users to lead an independent life style and do as much for themselves as possible. We observed during lunch, staff assisting some service users to cut their chicken up, the service users’ then proceeded to eat their own meal. One service user said, “ Staff assist me with bathing as I couldn’t manage myself. But I do as much as I can for myself”. We sat with service users at lunch and observed that the tables were set appropriately the atmosphere was relaxed and unhurried. Service users got the meal of their choice. A meal sampled was hot, tasty and attractively presented. During the afternoon service users were offered a choice of choc ice or ice lolly due to the hot weather. Service users said the food is nice and well cooked. A four-week rotating menu is in place providing a choice of meals. A service user said” I am diabetic but an alternative sweet is always available for me”. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 the following standard(s): Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The complaints process is clear. It provides service users with an opportunity to make their views known. Robust processes followed by the home ensure service users are protected from abuse. EVIDENCE: The home has a clear complaints policy and procedure in place. The complaints procedure is displayed in the home and in the Service User Guide for service users’ information. The home had received two complaints since the last inspection. This information had been recorded appropriately including the outcome of the complaint. Service users spoken to said they would speak to the manager if they had a complaint. Another service user said he attends resident’s meeting, as this is another way to make your views known. Staff spoken to were able to demonstrate that they were aware of the process to follow if an incident of abuse occurred in the home. Staff have recently completed a 13-week course on Abuse and No Secrets. The home follows a thorough recruitment process. This ensures service users living in the home are protected from abuse. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The environment is clean, comfortable, safe and accessible for service users EVIDENCE: On touring the home it was observed to be light, bright and airy. A new specialist bath has been purchased and a repair carried out to another specialist bath. This provides service users with an increased choice of bathing facilities. Service said they are pleased with the standard of their personal accommodation. A programme of redecoration is ongoing within the home. The manager said service users choose what colour they would like their room to be painted. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 16 The home was viewed to be safe, accessible and comfortable. Service users were observed moving freely around the home. Some service users were enjoying the sunshine sitting in the courtyard area. Another two service users were sitting in the smokers lounge. The home was clean and free from any offensive odours. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The home employed trained and competent care staff in adequate numbers to meet the needs of the people who live there. Robust recruitment procedures are in place to protect service users from abuse. EVIDENCE: Evidence received prior to the inspection and on the day of the visit confirmed that staff are employed in adequate numbers to meet the collective needs of the service users. One staff member during interview did feel that an additional staff member for a short period during the early morning would be an advantage due to this being a busy time. A comment card returned to CSCI included the response, “ The staff work very hard, being understaffed is not their fault. It is understood that cost is the key factor”. The majority of staff have achieved National Vocational Qualification Level 2 in Care. The manager has recently completed the Registered Managers Award. Staff spoken to said they attend regular training, that ensures service users and visitors receive a good service. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 18 Evidence of training attended was viewed in staff personnel files and training records maintained by the manager. The home follows a thorough recruitment process. Six staff personnel files examined showed that they included all the required information to ensure service users living in the home are protected from abuse. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. The manager runs the home in the best interests of the people who live there. Service users are given the opportunity to make their views known. The financial rights of service users are protected. Health and Safety is promoted in the home for the protection of service users, staff and visitors. EVIDENCE: Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 20 The manager is experienced in working with older people and has recently achieved the Registered Managers Award that will enhance her management skills to ensure the home is run in the best interests of the people who live there. A service user spoken to said, “The staff and management of this home is wonderful”. A staff member said, “ The manager is flexible”, “ This is a great place to work”. Evidence was viewed that showed that service users are given the opportunity to make their views known. A service user spoken to said, “ I like to attend meetings, to find out what is going on”. The manager carries out a quality assurance and monitoring process on a monthly basis covering all aspects of care delivery and environmental issues. Copies of this audit were able for inspection. Money held on behalf of service users by the home is appropriately accounted for. All financial transactions recorded included two signatures. All money is stored individually in an appropriate locked facility. Certificates were available for inspection to show that all major systems and equipment in the home are serviced regularly and maintained. Recent recommendations from the fire officer are being actioned and nearing completion. Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 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 3 x 3 x 3 x x 2 Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 22 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. 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 OP12 Good Practice Recommendations The company should consider appointing an activities coordinator or provide additional care staff hours to provide a varied programme of activities to enhance the social life for the people who live in the home. The registered provider should continue to work towards completing recommendations made by the fire officer to improve fire safety within the home. 2. OP38 Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. Extracts may not be used or reproduced without the express permission of CSCI Gardner House DS0000021739.V299908.R01.S.doc Version 5.2 Page 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. 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