Inspection on 28/09/05 for Hanningfield Retirement Home

This inspection was carried out on 28th September 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

Hanningfield Retirement Home 15/11/07

Hanningfield Retirement Home 05/01/07

Hanningfield Retirement Home 03/03/06

Hanningfield Retirement Home 22/03/05

Hanningfield Retirement Home 09/02/05

Hanningfield Retirement Home 09/02/04

Hanningfield Retirement Home 06/11/03

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

CARE HOMES FOR OLDER PEOPLE Hanningfield Retirement Home 99 London Road Sittingbourne Kent ME10 1NR Lead Inspector Ms Patricia Green Announced Inspection 28th September 2005 11:00 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 Hanningfield Retirement Home DS0000023953.V259497.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. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hanningfield Retirement Home Address 99 London Road Sittingbourne Kent ME10 1NR 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) 01795 479587 Hanningfield Retirement Home Ltd Mrs Heather Littlewood Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd March 2005 Brief Description of the Service: Hanningfield Retirement Home is a large detached property providing accommodation over two floors; the Home is registered to provide care for approximately 27 persons within the ‘Older People’ category. There are 27 single rooms; one with en-suite facilities. The Home employs a Manager, a Team Leader, two ‘Seniors’ in addition to Care staff. The Registered Manager, Mrs Heather Littlewood, has several years experience of managing the Home and holds a City & Guilds Advanced Care Management qualification. The Home is situated on the main A2 London Road into Sittingbourne and is approximately half a mile from the town centre, on a bus route. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was Announced. During the Inspection the premises were toured, a broad range of documentation was viewed and the Proprietor, Manager, staff and a number of residents were spoken to; in addition two relatives were spoken to who were visiting at the time. What the service does well: What has improved since the last inspection? There were no Requirements/Recommendations made during the last Inspection of the Home; however evidence gained during this Inspection demonstrated the Proprietor’s commitment to close monitoring of the standard of care within the Home to ensure that a high quality environment is maintained. Hanningfield Retirement Home DS0000023953.V259497.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. Hanningfield Retirement Home DS0000023953.V259497.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 Hanningfield Retirement Home DS0000023953.V259497.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): 1, 2, 3, 4 & 5 Service users are well informed of the services and facilities on offer at the Home and are safeguarded by the Home’s assessment process and written documentation relating to their stay at the Home. EVIDENCE: A ‘Statement of Purpose’ and ‘Service User Guide’ have been produced which give information and details relating to the facilities within the Home and which adequately reflect services on offer. On receiving a new referral the manager will make arrangements to meet with the prospective resident for the purposes of assessment; a new preassessment procedure has recently been introduced, which aids clear identification of need before the resident moves into the Home and also to ensure that the Home has the capacity to meet the needs of the new resident. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 9 If the referral has been received from the social services department, then an assessment will also be requested from this department as part of the admission procedure; should there be a need for specialist advice or the acquiring of specialist equipment, then this would be assessed in accordance with the Home’s capacity to meet the resident’s needs. This initial assessment will form the basis of the ‘plan of care’ to be implemented when the resident moves into the Home, with ongoing assessment and updating as necessary. It was evident from this Inspection that much emphasis has been given to this initial assessment process, so as to ensure that all needs of the resident can adequately be met within the Home. The manager said that as part of the admission procedure the prospective resident is invited (and family as appropriate) to visit the Home before deciding to move in; on moving into the Home a trial period is agreed, allowing for the new resident to settle before making the decision regarding a permanent placement. On moving into the Home each resident is given a ‘formal agreement’ which outlines the terms and conditions of stay at the Home as well as other information relating to the Home, contained within the ‘Service User Guide’. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 10 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 & 10 Services users are safeguarded by the Home’s ‘care planning’ procedures and by staff who have received guidance and training in good care practice. EVIDENCE: During the Inspection a selection of ‘care plans’ were viewed; these were noted to be detailed in content, clearly setting out the identified care needs of the resident; ‘risk assessments’ are included as an integral part of care planning and identify the daily support required by the resident. Evidence was gained of the regular reviews that take place of an individual’s care needs, with written records then updated as appropriate. In discussion with staff they demonstrated a good understanding of residents needs and awareness of individual care plans. The management operate a ‘Key worker’ scheme, which appears to work well within the Home, with a member of staff having specific responsibility for a named resident; the ‘Key Worker’ in conjunction with the manager will Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 11 ‘monitor’ the needs of the resident and report any changes/concerns to management, allowing for these changes to be addressed quickly. In discussion with residents, they expressed that they felt they were ‘very well looked after’ and praised the staff for their attentiveness; they said they felt they were able to talk with the staff and the manager should they have any concerns or ‘worries’. Residents said that they were satisfied that their health care needs were attended to within the Home and that they were able to request to see their doctor as needed; ‘care planning’ records within the Home reflected the assessed health needs of the individual resident. Relatives spoken to during the Inspection said they felt ‘their relative’ was very well looked after within the Home and that there was a good understanding in relation to required care needs. Evidence gained during this Inspection demonstrated close working by the manager and the staff team in monitoring the needs of residents, with staff having been given clear guidance of the importance of care planning and regular monitoring. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 12 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 & 15 Service users benefit from living in a Home where they have opportunities to be involved in a range of different activities, with encouragement and respect given to the choices they make on a daily basis; they also benefit from the encouragement given to remain in contact with family and friends. Residents experience a choice of menu, with their suggestions and requests encouraged. EVIDENCE: The Home has an ‘activities programme’ which has been devised in consultation with the residents; this includes activities such as Bingo (being played at the time of the visit), Quiz’s, Games, Films, Craft activities etc., as well as visiting entertainers and arrangements made for trips out. Residents expressed that they very much enjoy the activities on offer, however emphasised that it was their choice whether to be involved or not in a particular activity and this was always respected by the staff; they said that suggestions for activities/entertainment were often discussed within the Residents meetings (held approximately 3 monthly). Residents said that they are encouraged and assisted as appropriate to continue with their own specific interests and hobbies; they also said that Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 13 visitors to the Home were very welcome with family and friends encouraged to visit; the Home has produced a visitors policy which incorporates the ‘open door’ approach that is fostered. Relatives spoken to during the Inspection particularly commented how they were made to feel very welcome when visiting and said there were no restrictions when they visited and on how much time they chose to stay. In discussion with the manager and Proprietor it was evident that much emphasis is given to providing a stimulating environment for residents, with support given to the residents to make choices and to remain in control of their own daily life as much as is possible. The Home employs two Cooks, one working Monday - Friday and the other at weekends; in addition a kitchen helper is employed. The Cooks are very much aware of the personal likes and dislikes of individual residents, with the Cook on duty confirming that she is encouraged by the management of the Home to offer plenty of choice for the residents, with food being seen as a very important aspect of quality of life for residents. Residents spoken to said that they enjoy the meals at the Home and there was plenty of choice; they commented that they were regularly asked if they had any specific requests and said that choices for the menu were very often discussed during Residents meetings. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 14 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): 16. Service users are protected by the Home’s ‘complaints’ procedure. EVIDENCE: The management has produced a ‘complaints’ procedure with details of this included in the ‘service user guide’; the management said that as part of the admission process, the resident and their family would be made aware of the procedure in place. Residents spoken to said that they were aware of the ‘complaints’ procedure and felt very able to approach the staff or manager should they have any concerns; they also commented that they felt the ‘Residents meetings’ offered a good avenue for expression of opinion. The manager said that there have been no complaints received during the previous year. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 15 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, 20, 23, 24, 25 & 26 Service users benefit from living in a homely environment which is comfortably furnished, well maintained and kept to a good standard of cleanliness. EVIDENCE: It is evident that much thought and planning has been given by the management of the Home to ensure that residents experience a comfortable, clean and hygienic environment, with décor and general maintenance kept to a high standard. The communal areas of the Home are nicely furnished, offering a choice of main lounge, ’quiet’ lounge, conservatory and dining room; corridor areas are given a homely feel with pictures and seating arranged. The management demonstrated good awareness in relation to Health & Safety, with regular checks by management to ensure that a safe environment is kept; policies covering ‘Health & Safety’ and ‘Risk Assessment of Premises’ have been produced, which were viewed during the Inspection. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 16 The residents’ bedrooms are very comfortable and reflect the individual preferences of the resident, with many personal items having been brought into the Home, helping to create a homely and ‘welcoming’ feel to the room. Residents said they have total choice over where they like to spend their time within the Home and can use their own room at anytime; residents said that meals are served within the resident’s own room as an alternative choice to the dining area. On touring the Home it was noted that a number of residents have chosen to have their own personal telephone line installed within their room. There is a well maintained garden area, with residents commenting that they enjoy the use of the garden during the warmer months of the year. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 17 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): 28 & 29 Service users are protected by the Home’s recruitment policy and safeguarded by staff having a NVQ or currently undertaking training for this qualification. EVIDENCE: During the Inspection a selection of staff files were viewed which demonstrated the robust recruitment procedure that has been introduced; all staff applicants are asked to complete an application form, with identity check, written references applied for and CRB check undertaken. On commencing employment the new member of staff will be subject to a probationary period initially and will undertake an Induction training programme during this time; the manager confirmed that each staff member is given a contract of employment and job description and will be given a copy of the ‘employer’s handbook’. In discussion with the manager and Proprietor it was evident that training for staff is seen as an essential component in offering good quality support and care to residents; a number of staff have now completed training for NVQ at Level 2 with confirmation that 3 additional staff are to commence this training shortly; the management is mindful of the Recommendation as outlined within the ‘National Minimum Standards’ for Care Homes in relation to qualified staff; it would appear that with the commitment to training demonstrated by management this target will be exceeded. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 18 Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 19 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, 32, 33 & 36 Service users benefit from a service that is well-managed and planned, with strong leadership and a supportive ethos. EVIDENCE: During this Inspection evidence gained demonstrated that the Home is well managed with the best interests of residents being paramount; the manager has a City and Guilds advanced care management qualification and has much knowledge and experience of running a care home. An ‘open door’ approach has been fostered by the manager, with the staff team working very closely together in the day to day life of the Home; staff said that they felt well supported in their daily role and could always approach the manager for discussion and guidance. It was evident also during this Inspection that there is a close working partnership between the Proprietor and manager; the Proprietor visiting the Home regularly and offering a supportive/supervisory Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 20 role to the manager (monthly reports on the conduct of the Home – Regulation 26 – are prepared by the Proprietor). On touring the Home a very relaxed atmosphere was noted, with staff observed to offer a friendly yet professional approach in the support of residents, with much interaction taking place between staff and residents generally. Residents commented that they felt very supported by management and said they felt they were ‘listened to’ and could express an opinion on a one to one basis with the manager; they commented that the Residents meetings also offered an opportunity to make their views known. In discussion with the manager and in viewing documentation evidence was gained of the one to one supervision sessions that are arranged for staff; these are held 2 monthly for each staff member with a written record kept of the session. The Home has an annual ‘Appraisal’ system of staff and this was included in discussion with the management; however written records in relation to Appraisal of staff were not viewed on this occasion. Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 21 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 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 3 17 x 18 x 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x x 3 x x Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 22 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. Refer to Standard Good Practice Recommendations Hanningfield Retirement Home DS0000023953.V259497.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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