Inspection on 06/01/06 for Hackworth House

This inspection was carried out on 6th January 2006.

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

Hackworth House 25/04/07

Hackworth House 08/08/05

Hackworth House 04/03/05

Hackworth House 28/07/04

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

CARE HOMES FOR OLDER PEOPLE Hackworth House Cheapside Shildon Co Durham DL4 2HP Lead Inspector Mr Stephen Ellis Unannounced Inspection 6th January 2006 1:45 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 Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 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. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hackworth House Address Cheapside Shildon Co Durham DL4 2HP 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) 01388 773247 01388 773247 Durham County Council Mrs Lyn Bregazzi Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Hackworth House is a long established care home for older people, provided by Durham County Councils Department of Social Care and Health. Hackworth House is registered with the Commission for Social Care Inspection (since April, 2003) to provide up to 40 beds for older people requiring accommodation and personal care. People are accommodated in single bedrooms on two floors. All meals and beverages are supplied. The care home is not registered for the provision of continuous nursing care. However, all community nursing and medical services are supplied, just as they would be if the service user were living in his/her own home. A separate, day care centre for older people is attached. Hackworth House is situated close to the town centre and there is good access to it by road. It is set back off the road and consequently is fairly private, having a large front garden. The home is due to close later in 2006, but this is not certain. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. It included a tour of the building, examination of a number of records and discussions with 15 residents, 2 relatives, and 4 staff employed at the home. There were 34 service users being accommodated, including 2 people in hospital. What the service does well: What has improved since the last inspection? 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. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 6 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 Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 7 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. Only service users who have had a thorough assessment of their needs are admitted to the home. The home only admits service users whose needs it can meet. EVIDENCE: Service users said that the home met their needs and expectations, in keeping with the initial assessment of their needs carried out before they were admitted. The visiting relatives’ comments supported this view. An examination of 4 plans of care at the last inspection confirmed that comprehensive assessments of need were carried out prior to admission and that these assessments were reviewed and updated at least monthly. These were to a high standard. Staff comments confirmed that assessment of need was on-going and related to the home’s admission criteria, statement of purpose and registration categories. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 8 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. Residents’ health, personal and social care needs are fully met. Residents are treated with respect and their privacy and dignity are promoted. There are good arrangements for dealing with people’s medication requirements. EVIDENCE: Residents said that they believed their health and social care needs were well known by staff and were being fully met. They said that the community nurse or doctor would see them whenever required. Their personal and social care needs were known, understood and respected by the staff team. They said that they felt they were treated with respect and sensitivity. As one resident said: “We have fabulous staff. They are lovely with me”. Another resident said: “It’s a good place here. Everything’s all right here. It’s the best place. Even staff who leave, come back, because they love it here”. Another typical comment from a resident was: “The staff are excellent. Nothing’s a trouble to them”. Care plans were examined at the last inspection in August 2005 and were detailed and comprehensive about residents’ health and social care needs, Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 9 providing clear guidance to staff. They were subject to regular review, in keeping with National Minimum Standards. They were to a high standard. Staff training (e.g. NVQ level 2 and Customer Care) has included the important issues of privacy and dignity and 75 of care staff have achieved National Vocational Qualifications (NVQ) at either level 2 or 3. There are good arrangements for the safe administration of medicines. Most care staff members, including residential supervisors and manager, have completed the Safe Handling of Medicines course. There is good support from a local Pharmacist who supplies the medication in Monitored Dosage form (in weekly cassettes with the medication clearly identified for the individual resident). There are good storage systems and care staff check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. Senior care staff members carry out medicine audits routinely. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 10 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. There are very good arrangements for daily life and social activities, including catering. EVIDENCE: Residents said that they enjoyed the lifestyle experienced in the care home. It was in keeping with their expectations and preferences. They could exercise choice in their daily lives, such as how they spent their time, what they wore and the times they got up and went to bed. For example, one resident likes to go out to visit friends and is supported by the home to do this. Residents particularly liked the programme of social and recreational activities on offer. This has included outings to places of interest, quizzes, social evening on Saturdays which might include a film, visiting hairdresser each week, manicure sessions, bingo, dominoes, local shopping, visiting entertainer (about every 6 weeks), birthday parties, monthly residents’ meetings, visits from ‘Create’ who provide a variety of recreational and reminiscence services, plus religious services. The home also provides a magazine called “The Hackworth Herald” that is written and distributed by the home every 3 months. Of special note was the recent party held at a local pub in celebration of one resident’s 100th birthday, which was arranged by a regional newspaper. The resident showed me the photographs and press cuttings and had clearly enjoyed the Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 11 occasion. Recently, a production of a play had been held at the home, which many residents enjoyed watching. They also spoke highly of the catering service, especially the varied and appetising menu, and flexibility of catering staff in taking account of their preferences. A typical comment was “The food’s very good here”. The dining room was attractive with linen tablecloths and a well-presented, laminated menu at each table. Catering staff members try to promote healthy eating, including access to fruit and vegetables, plus cakes that are suitable for all, including diabetics. A sweet trolley shop is available on Fridays. Comments received from residents and visiting relatives confirmed that visitors are always made welcome and could visit at any reasonable time. There are very good links with the local community (for example, many local businesses support fund-raising events for the residents’ benefit) and some service users visit local shops and places of interest. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 12 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): 18. Residents are protected from abuse. EVIDENCE: Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to try to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. All care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident and these features reinforce the caring culture and provider policies concerning adult protection. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 13 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. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: A walk around the building showed it to be well maintained, clean and pleasantly furnished. However, it was noted that the sluices on each floor continue to be basic and could be improved. Also, another two electrical sockets in bedrooms would be desirable, although this was not an issue of concern for residents. Parts of the corridor and side stairs carpeting need to be renewed. It was noted that residents were satisfied with the premises, especially their bedrooms. Each bedroom had been personalised by its occupant. These were pleasant, comfortable rooms. There are eight communal rooms spread around the home and these provide a good choice of location for various activities. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 14 There were no unpleasant odours and the home was found to be clean in all the areas inspected. Care staff members have completed training in Health and Safety, Infection Control and Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is well maintained with repairs and servicing being carried out promptly and according to schedule. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 15 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. Staffing numbers and mix of skills are appropriate for the needs of residents. Care staff members are trained and competent to do their jobs, with 75 having NVQ level 2 or above. The home’s recruitment policy and practices support and protect residents. EVIDENCE: At the time of inspection, there were 34 residents being accommodated. Typically, during the day (7 am to 10 pm) there are four care assistants on duty plus one residential supervisor on the Early shift and 3 care assistants plus one residential supervisor on the Late shift. In addition, there is one service user who has one to one care input between 8 am and 8 pm. At night, two care assistants are on duty. A full time registered manager works weekdays. There is a part time administrator and a full time maintenance officer. Domestic and catering staff members are deployed in sufficient numbers to meet the needs of the home. Residents said that staff members were available in sufficient numbers to provide timely assistance when required. People did not have to wait very long for help with personal care. The home is routinely employing agency care staff, but these tend to be the same staff each week, which helps provide continuity of care. Residents and staff members did not discriminate between permanent and agency staff. They were all well regarded by service users. A typical comment made by residents was: “The staff are excellent. Nothing’s a trouble to them”. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 16 There are very good staff training arrangements at this home. Twelve members of care staff out of the 16 employed have achieved NVQ level 2 or above (75 ), which is commendable. An impressive staff training and development programme is operating at the home, including customer care, equality and diversity, positive dementia, moving and handling, first aid, safe handling of medicines, protection of vulnerable adults, health and safety, infection control and food hygiene. Staff confirmed that they had undergone extensive induction and foundation training. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to try to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. All care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident and these features reinforce the caring culture and provider policies concerning adult protection. As one resident said: “It’s very friendly here, with a good atmosphere; it’s nice and clean and staff are very approachable. There’s nothing to criticise”. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 17 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. The manager of the home is fit to be in charge, of good character and able to discharge her responsibilities fully. The home is run in the best interests of residents. Residents’ financial interests are safeguarded in those situations where the home is involved. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The registered manager is experienced and competent in her role. Residents and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She has completed her Registered Manager’s Award at NVQ level 4 and has the Certificate in Social Service (CSS). The home’s management team, comprising the registered manager and senior staff such as the residential supervisors, meets every 3 weeks. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 18 Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home helps look after residents’ monies, such as pocket monies, clear individual accounts and records are maintained, including individual bank accounts in many instances (about 12). Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. All staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at bi-monthly staff meetings. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. For example, there is an annual survey of residents’ satisfaction carried out and the findings are reported within the home. There is a quarterly magazine/ newsletter for residents (“The Hackworth Herald”), plus bimonthly residents’ meetings, in which issues of interest and concern are discussed. The registered provider’s representative reports on the findings of his monthly, unannounced visits to the home, in keeping with regulation 26 of the Care Homes Regulations 2001. Copies of the report are sent to the Commission for Social Care Inspection and the home’s manager, as well as key members of the registered provider organisation. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 19 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 4 x x 3 Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 20 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 OP19 Good Practice Recommendations It is desirable for improvements to be made to the sluices and to the number of electrical sockets in bedrooms. Also, consideration should be given to renewing parts of the corridor carpet and side stairs carpet. Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 21 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 Hackworth House DS0000031222.V264429.R01.S.doc Version 5.0 Page 22 - 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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