Inspection on 08/08/05 for Hackworth House

This inspection was carried out on 8th August 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

Hackworth House 25/04/07

Hackworth House 06/01/06

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 Stephen Ellis Unannounced 8 August 2005 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. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hackworth House Address Cheapside Shildon Co. Durham DL4 2HP 01388 773247 01388 773247 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) Durham County Council Mrs Lyn Bregazzi Care Home 40 Category(ies) of OP - Old People - 40 registration, with number of places Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4th March 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, but probably not until 2006. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4.5 hours. It included a tour of the building, examination of a number of records and discussions with 14 residents, one relative, one visiting social care manager and 7 staff employed at the home. There were 28 service users being accommodated, including 4 people for respite care. 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 B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 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 relative’s comments supported this view. An examination of 4 plans of care confirmed that comprehensive assessments of need were carried out prior to admission and that these assessments were reviewed and updated at least monthly. 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 B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 There are good arrangements for meeting service users’ health care needs, plus their personal care and social care needs, including the use of individual plans of care. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Residents commented that they were very satisfied with the arrangements for their care, including health care, social care and personal care. They felt they were treated with respect and their privacy and dignity was promoted by the caring practices of staff. As one service user said: “The members of staff are excellent; nothing’s too much trouble for them”. One service user had had a bad experience recently with a member of care staff who was new to the home and not directly employed by the home (allegations of inconsiderate handling). This was a highly unusual occurrence and was being investigated appropriately. The resident concerned felt able to confide in other members of the staff team and spoke highly of the normal caring practices of staff. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 9 Service users’ plans of care were comprehensive and detailed. They were up to date and being reviewed at the required intervals (at least once a month). These showed that service users’ needs concerning health, social and personal care were being systematically addressed. Each service user was assigned a ‘key worker’, being a member of the care team with special responsibility for a named resident. Members of staff described a very good health care service locally from medical and nursing personnel. There is a health care centre next door to the care home and many residents are registered with that practice. Two service users described some health care needs that were troubling them. They had not discussed these issues with staff. It may be helpful for care staff to be a little more proactive with service users in discussing their feelings and views about their health. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15 There are very good arrangements for daily life and social activities, including catering. EVIDENCE: Service users 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. They particularly liked the programme of social and recreational activities on offer. This included weekly 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. 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 menu at each Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 11 table. Catering staff members try to promote healthy eating, including access to fruit and vegetables, plus cakes that are suitable for all, including diabetics. Comments received from service users and the visiting relative confirmed that visitors are always made welcome and could visit at any reasonable time. There are good links with the local community and some service users visit local shops and places of interest. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 standard(s) 16 Service users and their representatives are confident that their complaints will be taken seriously and acted upon appropriately. EVIDENCE: Service users expressed confidence in the staff team and in discussing any matter of concern with staff members or management. One service user had had to raise concerns recently about a new member of staff and had found that she was taken seriously and the matter was acted on promptly and appropriately. Service users described staff as being approachable and supportive. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 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 standard(s) 19 Service users live in a safe, well-maintained environment. 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 service users. The first floor shower requires attention so that it can be easily used. At present, there is a problem with water drainage. 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 B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 14 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 and 30 Service users’ needs are met by the numbers and skill mix of staff. Staff members are trained and competent to do their jobs. EVIDENCE: At the time of inspection, there were 28 service users being accommodated. Typically, during the day (07.00 – 22.00) 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 08.00 and 20.00. 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. Service users 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. One service user reported a problem she had experienced with one new agency worker recently. The matter is being fully investigated. Service users and staff members did not discriminate between permanent and agency staff. They were well regarded by service users. The incident under investigation appears to have been a very rare occurrence. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 15 There are very good staff training arrangements at this home. At least 11 members of care staff out of approximately 15 employed have achieved NVQ level 2 or above. An impressive staff training and development programme is operating at the home. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 16 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) 33 The home is run in the best interests of service users. EVIDENCE: Service users spoke very highly of the care and attention showed them by all members of staff. They had great confidence in the management of the home. They described management and staff as being approachable and caring. They felt they were consulted on all key issues affecting the life of the home. For example, there are monthly residents’ meetings, which have an agenda and minutes are taken. There is good communication within the home. A newsletter/magazine is produced each quarter. Birthdays are celebrated, as are other special occasions. Quality assurance surveys and visits are carried out and reported on. In the entrance foyer, relevant information is displayed very well for the benefit of service users and their representatives. This includes previous inspection reports and information about who is on duty and forthcoming events. Hackworth House B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 17 Staff members also spoke well of the home’s management and leadership. Staff morale appeared positive in spite of uncertainty about the home’s future. There are good arrangements for staff supervision, support and appraisal. A visiting social care professional spoke highly of the home. He described it succinctly as being “top class”. Hackworth House B54 S31222 Hackworth House V232434 080805 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 4 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 4 x x x x x Hackworth House B54 S31222 Hackworth House V232434 080805 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 19 Good Practice Recommendations It is desirable for improvements to be made to the sluices, first floor shower 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 B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 B54 S31222 Hackworth House V232434 080805 Stage 4.doc Version 1.40 Page 21 - 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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