Inspection on 08/12/05 for Hadfield House

This inspection was carried out on 8th December 2005.

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

Hadfield House 02/05/07

Hadfield House 10/05/05

Hadfield House 04/10/04

Hadfield House 01/06/04

Hadfield House 24/10/03

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

CARE HOMES FOR OLDER PEOPLE Hadfield House 39/41 Queens Road Oldham OL8 2BA Lead Inspector Sandra Bennett Unannounced Inspection 8th December 2005 8.30 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 Hadfield House DS0000005519.V263745.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. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hadfield House Address 39/41 Queens Road Oldham OL8 2BA 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) 01616200348 NO FAX Masterpalm Properties Limited Mrs Kathleen Adshead Care Home 28 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number disorder, excluding learning disability or of places dementia (3), Old age, not falling within any other category (21) Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 28 service users to include: *up to 3 service users in the category of MD (Mental disorder excluding learning disability or dementia under 65 years of age). *up to 8 service users in the category of DE(E) (Dementia over 65 years of age). *up to 21 service users in the category of OP (Old age not falling within any other category). No service user to be admitted to the home who is under 55 years of age. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 10th May 2005 2. 3. Date of last inspection Brief Description of the Service: Hadfield House is a Victorian detached house, situated one mile from Oldham Town Centre, close to local amenities and public transport. The home is registered to provide care for up to 28 service users in the following categories, Old Age, Dementia and Mental Disorder. Accommodation consists of two large lounges and a lounge/dining room. There are 26 single bedrooms, 17 of which have ensuites, an additional eight single bedrooms share an adjoining ensuite and one shared room. There are large well-established gardens to the front of the property, which overlook the local park. Seating areas are provided for service users. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unscheduled inspection took place on 8th December 2005. Time was spent talking to eight service users, one professional and four members of staff. The case files of four service users were looked at in detail, looking at their experiences in the home from their time of admission to the present day. Records of care were examined, staff duty rotas, personnel files and administration of medication. Quality assurance questionnaires were left for service users and their families to complete, none had been returned at the time of writing this report. What the service does well: What has improved since the last inspection? The home has continued to work towards its refurbishment programme, with several service users’ bedrooms having been redecorated and carpets replaced. A system of task allocation has been developed in order to promote staff accountability. The dining room has been made congenial for service users with tablecloths flower decorations and individual teapots. The home has recently achieved the Investors in People award. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 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. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 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 Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 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 The lack of professional assessments being obtained prior to service users admission may lead to their needs not being met. EVIDENCE: A detailed assessment had been completed by the home of the service users needs. However a professional assessment should be obtained prior to service user’s admission in order to identify if the home can meet their needs fully. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 9 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, 9, 11 The lack of detailed professionals assessments, care planning and medication reviews may pose a risk to service users. Care of the dying is managed with sensitivity. EVIDENCE: Four care plans were examined. The assessment of these in relation to care planning was difficult due to the lack of a professional assessment. Care plans did reflect the home’s assessment. Two care plans required more detailed on how health issues such as Parkinson’s could be addressed. This would give staff a greater understanding of how to deliver care. Through interviews with service users and staff evidence was gained that staff had an in depth knowledge of service users needs which was recorded in daily reports. Service users said, “Staff are very kind and caring”. Outcomes for service users were not adversely affected however this may result if consistency is not maintained. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 10 One service user had been identified with weight loss, with the home implementing nutritional screening. A detailed policy was on file on the care of the dying. Staff discussed a recent death in the home and how this was managed offering additional support to the service user and their family. They also acknowledged the affect this may have on other service users and how they were encouraged to discus their feelings. Issues relating to medication included the lack of dates and signatures on changes made to recording sheets. In two instances medication was not being given as prescribed for example “when necessary medication was being given to one service user on a regular basis”. Records also indicated that one service user was regularly refusing prescribed medication. In these instances a review of medication needs to take place through consultation with the service users GP. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 11 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): 14, 15. An appropriate range of activities was provided in the home and service users are able to exercise choice and control over their daily lives. Appropriate well-prepared food is provided by the home. EVIDENCE: Interviews took place in private with four service users who discussed life in the home. One-service users said, “staff look after me smashing, I can go to bed when I want even through the day for some piece and quite. Food is very good and I would tell the manger if I were not happy about anything”. Another service user said “I am very happy hear and really enjoyed the pantomime we went to last week”. A programme of activities is displayed in the hallway of the home together with photographs of other trips out. One service user said they did not like to go out on trips but did enjoy going out for the occasional meal also that “staff do not mind if you do not want to go out it is up to us”. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 12 Food served on the day was tasty and nutritional all service users spoke to said food was good and they could have more if they wanted. One service user discussed suppers saying, “We have toast, cake or biscuits and if I am in my room staff will bring it to me. We can have a cooked breakfast if we want”. Service users confirmed that routines in the home were flexible and they could rise or go to bed when they wished. The lounge dining room provided a congenial setting and the tables were set attractively. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 13 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 Service users are protected from abuse and exploitation. EVIDENCE: Adult protection and whistle blowing policies were in place. Staff at interview were aware of these procedures and their responsibility in reporting any such event. Staff receive training on adult abuse by accessing Oldham Social Services training sessions. Staff at interview also discussed how this forms part of NVQ qualification. They demonstrated a good knowledge of how abuse may present and action they would be required to take should they suspect any instances of abuse. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 14 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): 23, 24, 25, 26. The home presented as being appropriately maintained, safe, clean and tidy throughout. Service users bedroom were homely and appropriately personalised. EVIDENCE: Since the last inspection the home has continued with their programme of redecoration, which is ongoing. A number of carpets and chairs needed to be replaced in bedrooms this had been recognised by the manger and included in the plan. Several service users were interviewed within their rooms, which were personalised and well equipped to make their stay in the home as comfortable has possible. Two service users had a private telephone line and another had SKY television installed. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 15 Service users said they were warm and comfortable. A selection of service users rooms was inspected and all communal areas. These were designed on an individual basis, well maintained, clean and free from odour. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 16 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): 29, 30 Staff recruitment procedures and training were robust and provided protection for service users. Suitable staffing levels were maintained in the home. EVIDENCE: Two staff files were examined and found to have the appropriate references and criminal record bureau checks. There was evidence that 97 of staff had trained to NVQ2 with 20 of staff moving on to complete NVQ3. The deputy manager is also undertaking NVQ4 in management. Staff interviews verified that additional training, had taken place, including dementia care, moving and handling, protection of vulnerable adults and managing challenging behaviour. Several staff had worked for many years in the home with the continuity of care benefiting the service users. Examination of the duty rota showed that staffing levels were maintained in line with the needs of the service users. Rotas are managed well with, additional staff on duty at peak times of the day. All service users comments throughout the inspection were positive regarding the care, treatment and respect they received from staff. Hadfield House DS0000005519.V263745.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): 36, 37 The leadership and management style of the home is inclusive of the views of service users, their representatives and staff. Some improvement is needed in record keeping in the home. EVIDENCE: The manager is qualified to NVQ 4 in care and management and has continued their professional development through attending training course such as food hygiene optical care, nutrition and pressure sore care. The home is well managed and provides an open and inclusive atmosphere for service users, staff and relatives. A record is maintained of work allocation and staff supervision in order to promote accountability in the home. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 18 Record keeping is well maintained in the home with the exception of standards 7 and 9 as mentioned previously in this report. The home has recently achieved the Investors in People award. Hadfield House DS0000005519.V263745.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 2 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 3 2 X Hadfield House DS0000005519.V263745.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. 1. Standard OP3 Regulation 4/5 Requirement The registered person must ensure that a professional assessment is obtained prior to a service user’s admission. The registered person must ensure that all aspects of service users needs are included on care plans. The registered person must ensure that medication is administered to service users as prescribed. Timescale for action 31/12/05 2. OP7 15 31/12/05 3. OP9 13(2) 31/12/05 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 OP9 Good Practice Recommendations The registered person should ensure that where service users medication regime has changed, that the service user’s medication needs are reviewed. Hadfield House DS0000005519.V263745.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Hadfield House DS0000005519.V263745.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. 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