Inspection on 22/11/05 for Hansa Rest Home

This inspection was carried out on 22nd November 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

Hansa Rest Home 18/07/07

Hansa Rest Home 24/10/06

Hansa Rest Home 27/06/05

Hansa Rest Home 04/10/04

Hansa Rest Home 20/04/04

Hansa Rest Home 28/04/03

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

CARE HOMES FOR OLDER PEOPLE Hansa Rest Home 9 Empress Road Lyndhurst Hampshire SO43 7AE Lead Inspector Tracey Box Unannounced Inspection 22nd November 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 Hansa Rest Home DS0000012170.V262215.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. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hansa Rest Home Address 9 Empress Road Lyndhurst Hampshire SO43 7AE 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) 023 8028 2298 Mr Peter John Louis Colato Mrs Ann Colato Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Hansa rest home is a detached house set in a quiet residential street a short distance from the centre of Lyndhurt. The home is privately owned by Mr and Mrs P Colato, who also live in the home. Mrs Ann Colato is the registered manager of the home and their daughter is deputy manager. The care home is registered to provide accommodation and support for up to nine older people. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over five hours. The people living at Hansa prefer to be referred to as residents, therefore will be referred to as this throughout the report. At the time of the inspection seven residents lived at the home, all were present during the inspection. The inspector witnessed good interacting between residents and staff. Records were seen and the inspector asked residents and staff for their views and experiences of living and working at Hansa. One resident stated “I feel very at home here, and have done for many years, the staff are very good, I see the manager and the owners on a very regular basis, they make sure we are happy here and I can speak to them about any concerns I may have. The food is good, my bedroom is comfortable and I have my own personal belongings with me. I am encouraged to keep active with the activities the home offer, although I enjoy reading, staff respect my wishes if I do not wish to participate. My visitors are made welcome. What more could I want.” One resident stated “I like it here very much” One member of staff said “ I work part time and this is my first job working with elderly people, which I really enjoy, I get a lot of support and guidance from the family who own and manage Hansa, which has helped me to settle in well.” Three residents, when asked, commented on how polite, helpful and friendly the staff are at the home. The manager showed the inspector the layout within and surrounding the home, including communal areas and a few bedrooms, all areas appeared clean and comfortable, providing a pleasant environment for residents. What the service does well: What has improved since the last inspection? Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 6 The care plan process has been revised, the information gathered from the pre assessment paperwork is transferred to the care plans, to ensure staff receive relevant information to provide adequate support to the individual. Two residents have been admitted, leaving a vacancy in a double bedroom. Two part time staff have been employed and the deputy manager has obtained her Registered Managers Award (RMA). The downstairs bathroom ceiling has been redecorated. 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. Hansa Rest Home DS0000012170.V262215.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 Hansa Rest Home DS0000012170.V262215.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): These standards were assessed at the previous inspection. EVIDENCE: These standards were assessed at the previous inspection. Hansa Rest Home DS0000012170.V262215.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): 8,10 (Standards 7 and 9 were assessed at the previous inspection.) The home provides a good level of care for service users in respect of their health care needs. Personal support within the home is offered in such a way as to promote and protect residents’ privacy and dignity. EVIDENCE: The inspector looked at three care plans (two of which belonged to residents who had recently moved to Hansa), all included pre assessment paperwork, the information in these assessments was used to compile to individuals care plans and some risk assessments, the manager reviews each care plan monthly, signed documentation showed this practice occurred. Records also showed details of visits to residents by their GP, the district nurse and the chiropodist. One resident confirmed she asks if she needs to see anyone regarding her health, either they visit her at home or her relatives take her, “If I am ill, the home contact my GP to come and see me. I feel very well looked after here.” The deputy manager confirmed every Tuesday morning, Age Concern provide ‘movement to music’ to residents at the home. One service user said “staff care for me as I wish, all I have to do is ask”. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 10 Staff confirmed the care plans provide them with the information they need to satisfactorily meet the resident’s needs. The inspector witnessed staff address individuals in their preferred manner, as stated in individuals care plans, one resident conformed she prefers to be called by her Christian name. Staff were observed knocking bedroom doors and waiting for a reply before entering. Residents rights and responsibilities are included in there ‘service user guide’ Staff receive training as part of induction and the topic is discussed on a regular basis to ensure good working practice, as well as in their support and supervisions. Staff have access to, and sign to say they have read and understood the home’s policies and procedure regarding privacy, dignity, respect and care planning. One resident said “staff treat me with respect and dignity when they help me.” All residents commented on how polite, helpful and friendly the staff are at the home. Hansa Rest Home DS0000012170.V262215.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): 12,14,15 (Standard 13 was assessed at the previous inspection.) Residents feel the home matches their expectations and preferences, their social, cultural, religious and recreational needs are met. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. Dietary needs of service users are catered for with a balance and varied selection of food available that meets individual’s taste, dietary requirements and choices. EVIDENCE: One service user explained how they felt about moving from their home where they required very little support, to moving into a care home providing everything. They said “I am here because I cannot manage on my own anymore, although I am more dependant on staff to cook meals and do my laundry, I didn’t expect to feel so at home.” “I get support and help to do what I want, staff encourage us all to take part in activities, sometimes I do, staff are understanding if I don’t want to. My family take me out.” The inspector asked some of the residents what sort of activities they enjoy participating in, all explained how much they enjoy spending time perusing their own interests/hobbies, which included reading, watching television, and spending time with their visitors. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 12 Some residents enjoy ‘movement to music’ and visiting the local community centre which offer activities such as a ‘tea dance’ the inspector saw a leaflet advertising local events happening in the town, the owner explained the home receive leaflets once a month, which are displayed in the home for all to see. The inspector witnessed lunch being served and eaten, tinned vegetables were used, three residents said they prefer tinned vegetables as they have eaten them for as long as they can remember. Staff gave each resident the choice between a meat and vegetarian option, more servings were available to residents if they wished, residents confirmed this practice occurs daily. Hansa Rest Home DS0000012170.V262215.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 (Standard16 was assessed at the previous inspection.) The home has satisfactory procedures for protecting service users’ form abuse. EVIDENCE: The inspector saw the homes adult protection procedure, which includes the Department of Health “No Secrets” guidelines. The inspector saw staff training records, which showed that staff had net received training on abuse, however the deputy manager will shortly be commencing a ‘train the trainer’ course, which will enable her to train staff within the home. Awareness of abuse and the correct procedures to follow is covered in the induction process of new staff, and documents showed staff have read and agreed they understand the procedures to follow, including the home’s Whistle blowing procedure. One member of staff said “ I know where the procedures are should I need to access them, however either the manager, the deputy manager or the owner is always available.” Hansa Rest Home DS0000012170.V262215.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): 19 (Standard26 was assessed at the previous inspection.) Residents live in a safe environment, which is well maintained. EVIDENCE: The manager showed the inspector around the home, which appeared well maintained. The owner confirmed that as he lives at the house, maintenance jobs are seen to quickly. One resident said “ if I notice anything that needs fixing or I want a picture hung, I ask and the job is as good as done.” One resident said their room was very pleasant, clean and warm, they were encouraged to bring their own personal belongings, furniture and pictures to make it feel like home. A random selection of bedrooms were seen, all were found to be clean, warm and furnished with personal items. One resident said “I feel safe here, as well as being free to come and go as I please”. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden is well maintained and residents enjoy using it, to walk around, sit in or look at from inside the home. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 15 Hansa Rest Home DS0000012170.V262215.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): 27,28 (Standards 29 and 30 were assessed at the previous inspection.) The number of staff meet the residents’ needs, however staff must obtain training to ensure their skills meet the residents’ needs. EVIDENCE: At the time of the inspection, appropriate numbers of skilled staff were on duty, ensuring the residents safety, however a staff rota for the month of November was not available. The deputy manager explained she had not completed one, but stated there are always at least two staff on duty, all the family work together to ensure staff numbers are adequate. Three staff files were sampled, two of which belonged to the two staff who were employed recently. The files contained photographs of the individual, along with other evidence of the individual’s identification. The inspector saw evidence that appropriate check had been completed against the Protection Of Vulnerable Adults (POVA) list and Criminal Records Bureau (CRB) disclosures had been completed. Staff files and the homes training records showed that staff were in need of the following mandatory training: Moving and handling, food hygiene and first aid, therefore the manager is required to ensure staff receive all mandatory training when necessary to maintain the qualification, the manager must arrange for staff to receive appropriate training which will enable them to meet the residents needs Hansa Rest Home DS0000012170.V262215.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): 31,33,38 (Standard 35 was assessed at the previous inspection.) The home has a registered manager who runs the home in the best interests of the service users. Relevant training would protect residents and staffs’ safety and welfare. EVIDENCE: The manager was registered with The Commission for Social Care Inspection (CSCI) in March 1998 and is married to the provider. The manager completed her registered managers award (RMA) in 2002. The managers daughter who is the deputy manager has completed her RMA and is completing her National Vocational Qualification (NVQ) level 4 in care. The deputy manager confirmed she gets feedback on the running of the home on a daily basis by talking to residents informally, as well as talking to relatives/visitors when they visit the home. Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 18 Satisfaction surveys are completed on an annual basis to obtain views from resident’s, their relatives/representatives. The findings from the last survey were not available for the inspector to read. The inspector saw certificates to show staff had received health and safety training, however all staff are required to receive Moving and handling training to ensure the health, safety and welfare of residents and staff. The home has adequate risk assessments for working practices, staff, visitors and office space, thus ensuring a safe environment. The inspector viewed certificates for the servicing of systems and radiators were covered and had thermostatic controls. Staff confirmed their awareness of health and safety procedures, and were aware if the homes policy and procedures, and where to find them. Hansa Rest Home DS0000012170.V262215.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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 2 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Hansa Rest Home DS0000012170.V262215.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 OP27 Regulation 18 (1) (a) Requirement The manager must ensure all staff receive relevant training when necessary. Timescale for action 22/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hansa Rest Home DS0000012170.V262215.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Hansa Rest Home DS0000012170.V262215.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. 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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