Inspection on 22/02/06 for Haighfield Nursing Home

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haighfield Nursing Home 22/02/07

Haighfield Nursing Home 02/12/05

Haighfield Nursing Home 11/02/05

Haighfield Nursing Home 05/07/04

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

CARE HOMES FOR OLDER PEOPLE Haighfield Nursing Home 241 Wigan Road Standish Wigan Lancashire WN1 2RF Lead Inspector Judith Stanley Unannounced Inspection 22nd February 2006 09:30 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 Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Haighfield Nursing Home Address 241 Wigan Road Standish Wigan Lancashire WN1 2RF 01942 821165 01942 510750 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) M & A Management Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 45 service users to include:up to 45 service users in the category of OP (Older People) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 11th February 2005 Date of last inspection Brief Description of the Service: Haighfield Care Home offers nursing and personal care and support for up to 45 service users over the age of 65 years. Haighfield is situated on the main road between Wigan and Standish. Local amenities are a short drive away form the home. The home is a four storey, purpose built home, with a purpose built extension. The home offers 35 single rooms and five shared rooms, some rooms have en suite facilities, however all rooms have a hand basin and bathrooms and toilets are in close proximity to service users accommodation and communal areas. The home offers two small patio areas at the rear of the home but outside garden space is limited. The external areas are well maintained and the grounds are well presented. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a 4 -hour period on one day, and was unannounced. In the absence of the manager, the nurse in charge and the senior carer assisted with the inspection. The first part of the morning was spent talking with staff and residents and watching how staff carried out the morning’s duties. The rest of the time was spent looking at records the home keeps on residents (care plans ) and other records the home needs to keep to run its business. What the service does well: What has improved since the last inspection? What they could do better: The carpets on the corridor, near the lounge area are stained and in need of replacing. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 Standard 6 does not apply at Haighfield as the home does not provide intermediate care. The admission procedure ensures that all people receive a proper assessment prior to moving in to the home in order to ensure that their care needs have been fully identified and that the home is capable of meeting those identified needs. EVIDENCE: The admission procedure is sufficiently detailed to guide staff on the actions to be taken to ensure that all new residents needs are properly assessed and planned for. All prospective residents are assessed prior to admission, at a place that is best for the resident, either at their home or in hospital. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 The standard of care planning and review was good, providing staff with the information they need to meet the resident’s care needs. EVIDENCE: Individual care plans were made available for inspection. Three care plans were looked at and indicated that all aspects of resident’s health, personal and social care needs were planned for. The care plans were clear and easy to read and had been updated monthly or more frequently if required. There was no evidence to demonstrate that residents or their family had been involved in the drawing up and in the maintaining of the care plan, however one relative spoken with was aware that care plans were kept. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 The routines of daily living are flexible enough so that the different needs, expectations and preferences of residents are met. Residents are assisted to maintain contact with friends and family. Residents are kept informed and are able to maintain a good level of independence, and to exercise choice and control over their lives. Meals are good, and served in quantities suitable for residents, and offer a generous amount of choice and variety. EVIDENCE: It was clear from observations, from records, and from conversations with residents that they are offered real choices about how they live their lives. Residents spoke about the activities planned for example, entertainers that were booked to come to the home; they enjoyed playing bingo and dominoes and arts and craft sessions. The home enjoys a good relationship with the local school and some pupils visit the home. Residents are able to part in religious services carried out in the home by visiting clergy and on the day on the inspection, the vicar was offering communion to residents. One resident Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 11 was looking forward to being confirmed the week after the inspection at the local church. Residents were seen to have access to a range of reading materials, including books and newspapers. Residents said they had been able to bring in some of their own processions, sufficient to make their bedrooms feel more personal. Residents were complementary about the meals that were provided. They said the food was good, that it was nicely cooked and presented. It was noted that some residents were on a pureed diet; the food was blended in separate portions to allow residents to savour different tastes and textures. Staff were available to assist any resident who required help, this was seen to be done in a discreet and sensitive manner. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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): EVIDENCE: None of the key standards were inspected on this occasion. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 24 The standard of the environment within the home is good, providing residents with a comfortable and homely place to live. EVIDENCE: From a tour of the building, it was seen that the premises were being maintained to a good standard both inside and out. It was noted that there was a problem with one of the windows in the lounge area; this was attended to during the inspection. The carpet in the corridor is marked and stained, this requires attention. Several bedrooms were inspected and were seen to be warm and comfortable. Residents had brought in personal items, small pieces of furniture, photographs and mementoes. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 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 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): EVIDENCE: None of the above standards were assessed on this occasion. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 15 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): 38 Procedures and practices operating within the home promoted and safeguard the health, safety and welfare of the people living and working in the home. EVIDENCE: Health and safety issues were good with regular maintenance checks of equipment being undertaken. All accidents and incidents were being correctly recorded and reported. Certificates for the gas, lift, fire equipment, electrics and portable appliances were available for inspection and were found to current and up to date. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 16 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 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x 3 x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 3 Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 17 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. 2 Refer to Standard OP19 OP33 Good Practice Recommendations The carpet in the corridor near the main lounge is stained and needs replacing. The registered person should continue to forward to the CSCI Regulation 26 monthly. Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Haighfield Nursing Home DS0000005680.V268744.R01.S.doc Version 5.1 Page 19 - 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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