Inspection on 30/06/05 for Gateford Hill Care Home

This inspection was carried out on 30th June 2005.

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

Gateford Hill Care Home 21/11/07

Gateford Hill Care Home 18/05/06

Gateford Hill Care Home 15/11/05

Gateford Hill Care Home 10/12/04

Gateford Hill Care Home 06/05/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Gateford Hill Care Home Gateford Hill Worksop Nottinghamshire S81 8AF Lead Inspector Karmon Hawley Unannounced 30/6/05 10.00 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 and Care Homes for Adults 18 – 65*. 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. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Gateford Hill Care Home Address Gateford Hill Worksop Nottinghamshire S81 8AF 01909 475402 01909 500179 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) Ashbourne Homes Diane Cameron CRH 66 Category(ies) of OP 36 registration, with number PD 30 of places Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10th September 2004 Brief Description of the Service: Gateford Hill provides older people nursing, residential care for older people, younger disabled nursing unit and a residential unit for younger people. The care home is owned by Ashbourne Healthcare. The care home is divided into separate units: 9 older people nursing, (Milner Suite) 18 younger physically disabled nursing, (Cavendish) 27 residential older people, (Machin) and 12 younger people residential (Lindrick), 66 placements in total. The home as 64 single and one double room, 62 rooms are fitted with en-suite facilities. Each of the units has a lounge, dining room, assisted bathing facilities and kitchen facilities. The home, which has thirty three acres of land is located in a quiet area at the edge of a residential estate in Gateford, Worksop. Access is mainly by car, a regular bus service is available to the perimeter of the housing estate. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. Six service users case files and other documentation related to their care, staffing and the environment were examined. Eight service users and three members of staff were spoken with during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 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. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,5 Service users can be assured their needs will be met and they may visit the home and draw their own conclusions as to the suitability of Gateford Hill prior to making a decision. EVIDENCE: The manager, registered nurses or the unit managers assess prospective service users prior to them entering the home. The assessment is either performed in the community or within Gateford Hill itself. On occasion two assessments may take place so as to assess how the prospective service user would relate to life within Gateford Hill and to ensure all necessary equipment is available. Service users may visit for the day or have a respite stay. The pre admission assessment covers all the requirements of the standard. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8 Care plans in place were of a good standard ensuring service users identified needs and personal goals are appropriately assessed and met. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Various assessment tools are in use to ascertain needs such as manual handling, pressure area care, risk and continence, information from assessments is extracted and placed within the plan of care, which is based upon the daily activities of living. Care plans covered all identified needs and were individualised. Choices, preferences, rights and risks were taken into Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 10 consideration as was social and recreational needs. Appropriate risk management plans were in place. Information with regards to advocates was evidenced with the plan. Consideration had been given to ensure individuality is maintained and a personal life story was available to enable this. There was evidence of specialist services being accessed, appropriate equipment in place and service users receiving NHS entitlements. Staff spoken with were able to discuss service users needs, core values and principles. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 Service users are facilitated in experiencing a lifestyle that suits their needs and take part in appropriate activities and development opportunities. Contact with relevant others is maintained and supported and service users are helped to exercise choice and control over their lives. EVIDENCE: Service users are free to leave the home and return as they wish, two service users spoken with were able to substantiate this. Staff spoken with discussed the issues of rights, compromise and negotiation with regards to risk taking and further sources they may liaise with if required. Visitors are welcomed in to the home and there are no restrictions imposed. Visitors can be received in Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 12 private and service users can choose who they wish to see. Privacy is given at all times and evidence was available to substantiate that when a service user’s girlfriend visits he is satisfied with arrangements in place. There is a mini bus available to facilitate visits out and service users also use dial a ride if required. There are many daily activities available within the home; service users spoken with expressed there needs with regards to this were met. One service user assists staff in cleaning the dining room after meals, on speaking with her she expressed she enjoyed doing this. There is a link with the local college educational facility where one service user attends. Three service users have their own computer and there is also one available within the home for service users to use. No service user currently has a job, however the unit manager stated that this would be facilitated if required. Service users are able to bring in their own possessions should they wish. There was evidence to demonstrate advocates are in use as required. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users can be confident complaints will be listened to, taken seriously and acted upon. EVIDENCE: There is clear and simple complaints procedure on display and available in all service users rooms. The policy demonstrates appropriate guidelines and action to take. In depth information is available as are templates of response letters to the complainant. Staff spoken with were able to discuss action they would take in the event of a complaint. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 26 Service users live in a clean, pleasant and hygienic environment. EVIDENCE: Gateford house is well maintained both internally and externally, decoration is of a good standard and a routine maintenance programme is evident. The home is clean, pleasant and hygienic in all areas and sufficient staff are employed to sustain this. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 Staff individually and collectively have the knowledge and skill to meet the needs of service users. EVIDENCE: All staff undertake induction training and have individual training files. Both the trainer and staff member sign the induction training; the programme is in depth covering all requirements. There was good evidence available to demonstrate staff training is taking place, training statistics are kept and sent to regional office. Staff spoken with stated there is opportunity for development and a good standard of training is offered. Service users spoke highly of staff and expressed their needs were met. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,38 Service users are consulted and their views considered; the home is run in their best interest. The health safety and welfare of service users and staff is promoted and protected. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 17 EVIDENCE: The regional manager visits the home monthly and completes the required regulation 26 feedback forms. These were evidenced and were satisfactory. Internal audits are also carried out for all units; following this an action plan is devised to work towards improvements if required. Service users or relatives are given a routine questionnaire, if concerns are noted a service users meeting is held. All maintenance and servicing checks and related health and safety documentation, such as fire system testing and accidents records were observed and were satisfactory. Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 18 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 x 2 x 3 3 4 x 5 3 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score x x x x x x x 3 Score Standard No 7 8 9 10 11 Score 3 3 x x x Standard No 27 28 29 30 x x x 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x 37 x 38 3 Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 19 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 Gateford Hill Care Home C53 C03 S24640 Gateford Hil V234325 300605 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Edgeley House Tottle Road Nottingham NG2 1RT 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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