Inspection on 05/10/05 for Hanbury Court Nursing Home

This inspection was carried out on 5th October 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

Hanbury Court Nursing Home 12/01/07

Hanbury Court Nursing Home 20/05/05

Hanbury Court Nursing Home 23/11/04

Hanbury Court Nursing Home 07/10/04

Hanbury Court Nursing Home 24/03/04

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

CARE HOMES FOR OLDER PEOPLE Hanbury Court Nursing Home Dagmar Road Dagenham Essex RM10 8XP Lead Inspector Ms Rhona Crosse Unannounced Inspection 5 October 2005 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 Hanbury Court Nursing Home DS0000015592.V255200.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. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hanbury Court Nursing Home Address Dagmar Road Dagenham Essex RM10 8XP 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) 020 8593 8000 020 8984 8914 MNS Care PLC Mrs Mandy Leggate Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (41), Terminally ill (1) of places Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th May 2005 Brief Description of the Service: Hanbury Court is a purpose built care home providing 24 hour nursing care for 42 older people. The home is in a residential area of Dagenham. There is parking space within the grounds of the home and also no restrictions on parking in the street outside the home. The majority of the bedrooms are single occupancy (26 of these have en-suite facilities). There are 8 shared bedrooms. The home is wheelchair accessible and there is a passenger lift to the first floor. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home is well managed with systems in place to monitor the care of service users and the supervision of staff. As many of the key areas of the inspection were carried out at a prior inspection, this report covers only the remaining standards inspected on this visit. What the service does well: The home provides Intermediate care. This means that people who have been in hospital come to the home for rehabilitation for an agreed period of time. There are specific facilities and staff to give input into the rehabilitation of the service users. There is a occupational therapist and an assistant occupational therapist who are based at the home and work with the service user to enable them to be able to return home once they have reached an agreed level of ability. A consultant oversees the rehabilitation process. Activities take place and there are varied opportunities offered. Two service users visit a local ‘beauty’ shop once every six weeks for treatments. A request by 2 service users to go to see the new film Pride and Prejudice is to take place. Activities within the home are Bingo, board games, musical quizzes, general knowledge quiz and reminiscence discussions. Pub lunches are organised and afternoon tea and cakes in a local café is also organised. An outing to Southend took place in July. A trip to a theatre in Brick Lane was enjoyed by several service users, they went to see Danny La Rue (this was a matinee performance and a meal was also provided). Entertainers are brought into the home for special occasions. Halloween will be celebrated with decorations and a special dinner. A random selection of service users money held in safekeeping by the home was inspected. Money held was correct and had corresponding receipts for expenditure. The home regularly carries out a check on all monies held. Staff employment documentation was found to be in order for a random selection of staff files that were inspected. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 6 Staff training is provided and covers a wide range. Training already received was recorded. Formal written staff supervision sessions are taking place. The manager also carries out supervised practice with the qualified nursing staff. 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. Hanbury Court Nursing Home DS0000015592.V255200.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 Hanbury Court Nursing Home DS0000015592.V255200.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): Standard 3 and 6 were inspected at prior inspections At the last inspection these standards were met therefore they have not been inspected at this inspection. EVIDENCE: Hanbury Court Nursing Home DS0000015592.V255200.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): Standard 10. Standard Standards 7, 8, 9 and 11 were met at the last inspection and therefore not inspected at this inspection. Standard 10 was deemed met at this inspection from discussions with service users. Service users stated that their privacy and dignity are respected at all times. This standard is well managed. EVIDENCE: From discussion with service users and relatives visiting at the time of the inspection it was stated that all felt that privacy and dignity was respected. Service users stated: “ they treat us well”, “they come and ask us what we want and don’t just take us to the bathroom” “the staff never shout at us, they speak nicely to us and treat us with respect”. Relatives spoken with stated that they has not seen any poor practice that gave cause for concern. Hanbury Court Nursing Home DS0000015592.V255200.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 and 14 were inspected. The other core standards were inspected at subsequent inspections. There is a varied range of activities provided which meets the needs of service users. The activities co-ordinator encourages new ideas and acts on service users choices for social events they would like to take place. This standard is well managed. From discussion with service users it was evident that choice is respected, this standard is also well managed. EVIDENCE: The home has an enthusiastic activities co-ordinator who is constantly looking for new ideas to vary the range of activities offered. Requests for particular activities are made by service users and are acted upon by the activities coordinator. Two service users had requested to go out to see the new film Pride and Prejudice, the activities co-ordinator is organising this. Trips out to pub lunches and afternoon tea and cakes in a café take place. Two service users go out to a local beauty salon once every 6 weeks. Shopping trips to Lakeside and Green lanes have taken place. A trip for Christmas shopping is organised for November. A trip to a theatre in Brick Lane, London took place to see Danny La Rue, this was a matinee performance and a meal was also provided. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 11 In house activities are a coffee morning one every 2 months, general knowledge quiz (Thursday afternoons), musical quiz, reminiscence discussions, charades, Bingo, board games and French bowls all take place. On the afternoon of the inspection a baking session was to take place. A sausage plait was to be made, the activities co-ordinator had been to the butchers shop that morning. Service users spoke of the baking to take place they said they enjoy eating the proceeds of any baking they do. Other items that have been cooked are pizzas, cakes of various descriptions, and savoury quiches. Entertainers are brought into the home on a regular basis and the last entertainers came in to sing when a Barbecue took place on 7/8/05. Clothing parties also take place. One took place on the 5/5/05 and another is booked for 13/12/05 for Christmas. An impromptu fashion show took place at the home with staff dressing up at the last coffee morning. Two service users go out to a local Church (one service user goes weekly assisted by staff). Birthdays and special occasions are celebrated to mark the passing of the year. Halloween is the next occasion to be celebrated. Two more able service uses stated that they felt that the time allocate to activities on a daily basis should be increased as there is little to do once the activities have finished. The home should consider how they can increase the time allocated to activities. Service users who spoke with the inspector stated “we feel we have a choice in all things”, “ I go down to my bedroom when I want, mostly early evening to watch my own programmes on the T.V.” “we have a choice of food”, “we can get up when we want, if I want to lie in they don’t bother me, “I get up when I want”. Hanbury Court Nursing Home DS0000015592.V255200.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): Standards 16, 17 and 18 These standards are well managed with information available to service users and relatives and action taken by the management when a complaint is made. EVIDENCE: Staff have attended training in the detection and reporting of suspected abuse. The home has a policy and procedure for dealing with any complaints. Complaints are responded to in wiring by the home and a record is kept of the outcome of the complaint. In discussions with service users they stated that “staff are respectful” “ no one shouts here”, “if there is something you are not happy with you can tell the staff and they will put it right”, “speak to Mandy she will deal with it “, “things are not left, they sort them out for you”. Relatives visiting at the time of the inspection said that “any problems raised will get dealt with” “ Mandy will deal with anything you are not happy with”. No service users or relatives had any complaints about the service provided. No complaints have been made to the home since before the last inspection. Hanbury Court Nursing Home DS0000015592.V255200.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): All the above standards have been previously inspected so they were not inspected during this inspection. EVIDENCE: Although the above standards were not inspected, service users spoken with by the inspector spending time in their rooms noted that these rooms were clean, well decorated and homely. All had personal possessions in their rooms and the rooms looked very individual. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 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): Standards 29 and 30 were inspected. The remaining standards in this section were inspected at previous inspections. Employment practice is good therefore the protection of vulnerable adults is protected. Staff training is provided. Training that has taken place for 2005 is documented. This standard is well managed. EVIDENCE: A random selection of staff employment records were inspected these held the relevant information. An application form, 2 written references, CRB disclosure copy of a passport and birth certificate and copies of training certificates of courses and qualifications achieved. Training courses are provided for staff. Currently Eleven staff hold NVQ level 2 qualification. Four staff are taking NVQ level 3 training. Training that has taken place this year is: Clinical supervision (commencing Peg feeds 22/2/05, acute illness), Parkinson’s disease the training is provided by a consultant linked to the home. First aid (appointed person full first aid certificate) on 31/3/05, Wound care 7/4/05, Recognising and reporting suspected abuse 13/5/05, Religious and cultural rights 27/5/05, Managing aggression and violence in the work place 15/6/05, MRSA 10/8/05. Medication training (5 week course), Individual manual handling training is provided by the manager, who is a qualified manual handling trainer. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 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): Standards 33, 35 and 36 were inspected. The records of the home are well managed and well organised with information readily available. The manager is required to inform the Commission of any deaths, this was overlooked on one occasion. Due to this oversight this standard is not met. Standard 35 (service users finances) was inspected this area was well managed. Standard 36 (staff supervision) is in place. This is an important part of the management of the home as this identifies staff competency and can also be used to identify areas where improvements need to be made in work practice, therefore improving the standard of care for service users. EVIDENCE: Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 16 A random selection of service user money that is held in safekeeping was inspected. All money held was correct and corresponded with receipts held. The home has a system of checking expenditure and this is recorded, this is seen as good practice. All staff receive formal written supervision. Many of the staff have already had several supervision session (minimum is 6 times within a rolling a year). Annual appraisals of staff practice are also taking place. This was observed when staff files were inspected. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 17 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 x x x X HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 3 X X Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 18 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 OP33 Regulation 37 Requirement The manager must inform the Commission of significant events. Timescale for action 30/10/05 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 OP12 Good Practice Recommendations Consider providing more hours for daily activities. Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Hanbury Court Nursing Home DS0000015592.V255200.R01.S.doc Version 5.0 Page 20 - 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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