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Inspection on 27/06/05 for Hansa Rest Home

Also see our care home review for Hansa Rest Home for more information

This inspection was carried out on 27th June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents spoken with said the staff were friendly and provided them with the care and support they require and that they found the home being run by the family a real benefit. One resident said " it`s just like home, only better because I`m not on my own". The home benefits from well trained staff who integrate well with the residents.

What has improved since the last inspection?

Hansa rest home received an "Investors In People" award in March 2005.

What the care home could do better:

Redecoration of the downstairs bathroom would improve this areas appearance. The inspector was assured the work would commence on this area soon. Mr Colato explained his ideas to refurbish this bathroom, as the bath is not used. The manager must ensure new staff do not start work until the required recruitment checks have been completed. The manager must ensure all care plans are completed and care plans and risk assessments are reviewed on a regular basis to ensure the health and safety of all people living and working at the home. The home could improve its filing systems to ensure all paperwork is appropriately stored.

CARE HOMES FOR OLDER PEOPLE Hansa Rest Home 9 Empress Road Lyndhurst Hampshire SO43 7AE Lead Inspector Tracey Box Unannounced 27.06.05 10:00am 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 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 H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hansa Rest Home Address 9 Empress Road, Lyndhurst, SO43 7AE Telephone number Fax number Email 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 P & Mrs A Colato N/A CRH 9 Category(ies) of OP - 9 registration, with number of places Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 04.10.04 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 J Colato, who also live in the home. Mrs A Colato is the registered manager of the home and their daughter is deputy manager. The home is registered to provide accommodation and support for nine residents in the older persons catagory. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours, the inspector was assisted during this time by the deputy manager, both Mr and Mrs Colato were also available. The inspector had the opportunity to speak with two visitors. The people living at Hansa prefer to be referred to as residents. At the time of the inspection the home had four vacancies, all five residents were at the home. The environment within and surrounding the home was good, providing the residents with an attractive and homely place to live. The inspector witnessed good interacting between residents and staff. The inspector spent time with two residents as they looked at their care plan. The inspector looked at records and asked staff, residents and visitors for their views and experiences. What the service does well: What has improved since the last inspection? Hansa rest home received an “Investors In People” award in March 2005. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 standard(s) 3,6 A comprehensive procedure for assessing the needs of potential new resident is in place to ensure the residents and the homes needs are met prior to admission. EVIDENCE: The inspector witnessed a residents file which included a pre-assessment form which was completed by Mrs A Colato. The information included likes and dislikes, medical and family history and other relevant information to ensure the home receives relevant information in order to provide the care the individual requires. Family/representatives are invited to participate in the completion of the assessment to obtain as much information as possible. One resident confirmed this practice, and said they visited the home for a days trial. Hansa rest home does not provide intermediate care. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 standard(s) 7,9 Residents health, personal and social needs are fully met, however the system for transferring information from the pre assessment to the care plan needs completing. The system for the administration of medication is good, with clear guidelines in the form of a policy. EVIDENCE: One resident explored their care plan with the inspector The care plan included limited information regarding the individuals health, personal and social needs, however the information was included in their pre admission assessment. The completion of the care plan will provide staff with the information they need to satisfactorily meet the residents needs. The manager must ensure this information is transferred appropriately. The resident confirmed that they tell staff how they wish to be cared for, the manager confirmed Hansa is a “homely” place to live, as it is managed by a family, the residents also agreed. A resident who explored their care plan with the inspector, was not sure what was included in their care plan or risk assessments, these documents had not been reviewed for two months, however, the resident said “staff know how I wish to be cared for because they know me, and I let them know what I like Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 10 and when”. The resident confirmed “I like the small staff team, they are helpful, friendly and kind, and the manager is more like a mother.” Staff said that residents inform them of their wishes, and that there was always a member of the management around to ask. They also confirmed that “communication regarding changes to residents care is good”. At the time of the inspection, staff administer all residents medication using a monitoring dosage system, as preferred by all the residents. One resident said “I don`t have to worry about missing or taking too much if the staff keep it and give it to me”. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 standard(s) 13 Contact with family/friends/representatives and local community is encouraged as the individual wishes. EVIDENCE: The inspector asked all of the residents what sort of activities they enjoy participate in, all explained how much they enjoy spending time perusing their own interests, which included reading, needlework, watching tennis, enjoying spending time with their visitors and spending time in the well established garden, one resident commented “sometimes eat our meals outside on the patio furniture”. A record of visitors to the home was seen, which showed family visits, the inspector talked to two visitors, both of whom expressed their happiness with the care and support their relative receives. Transport to enable residents to attend appointments is supplied by family members. One resident told me “this morning I walked to the local shop to buy some fruit, I often walk around the block, I let staff know exactly where I`m going so that they are able to find me should I fall.” The inspector received three relatives comment cards, all of which gave a very positive feedback regarding the home, one resident comment card made the following statement “I couldn’t wish for a better place to be”. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 standard(s) 16 The home has a satisfactory complaints procedure in place with some evidence that residents feel that their views are listened to and acted upon. EVIDENCE: Five residents were asked by the inspector if they had made a complaint in the past, all replied “No, I haven’t felt the need to.” The inspector asked if they felt able to should the need arise, all responded “I am aware of what to do, and I feel the home would do it’s best to improve things should I need to complain.” The inspector witnessed the homes complaints procedure, which gives clear guidelines of process. A copy of the complaints procedure can be found in the homes policy file, a copy is attached to the office door, next to the communal lounge for all to see. Two visitors spoken with were aware of the procedure, but have not felt the need to do so ( this is also evident from the comment cards the inspector received prior to this inspection), they were confident the home would take appropriate action should a complaint be made. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 standard(s) 26 The home is clean and hygienic providing a pleasant environment for residents. EVIDENCE: The deputy manager showed the inspector around the home and the garden, one resident showed the inspector their bedroom. The gardens are well maintained and residents enjoy using it, to walk around, sit in or look at from inside the home. Certificates identified all staff had received infection control training and food hygiene, Staff confirmed this. The inspector witnessed the homes procedures to ensure hygiene is maintained, staff use protective clothing whilst completing their duties of personal care and cleaning. Redecoration of the downstairs bathroom would improve this areas appearance. The inspector was assured the work would commence on this area soon. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 Since the last inspection the standard of vetting required as part of the recruitment process has declined with appropriate checks not being carried out and potentially leaving residents at risk. The arrangements for the induction and training of staff are good, staff clearly demonstrate their understanding of their role and responsibility. Staff are trained and competent to do their job. EVIDENCE: The inspector witnessed the files of two staff. One of the two references that are required was not available for one staff member, all other checks had been completed appropriately. The deputy manager assured the inspector that the staff member had received constant supervision whilst working, this was evident from the staff rota, however this is not seen as good practice. The inspector witnessed the homes induction/foundation pack which was being completed by a new member of staff. The inspector viewed a staff training plan which enables the manager to monitor staff training needs, which is discussed at staff supervisions, however the supervisor must ensure these meetings are documented. The home is a member of the Hampshire Care Association, the deputy attends training for managers, and then cascades her training to all staff at the home. Forthcoming training opportunities are advertised on the notice board, certificates of attendance are displayed in the entrance hall. Staff explained the Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 15 variety of training they had received enables them to carry out their role effectively. The deputy manager is completing her registered managers award, their assessor visited the home during the end of this inspection. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 It was the homes policy not to deal with any residents financial matters, or hold cash for residents, this is viewed as positive by all who live and work at the home. EVIDENCE: The deputy manager confirmed that residents money is dealt with by the individual or their family/representative. Two residents said that they prefer their family dealing with their money, one relative confirmed this. Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x x Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? 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 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. Refer to Standard Good Practice Recommendations Hansa Rest Home H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 H54 S12170 Hansa V235103 270605 drg.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!