Inspection on 24/06/05 for Hardwick House

This inspection was carried out on 24th 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.

Other inspections for this house

Hardwick House 07/03/09

Hardwick House 12/12/06

Hardwick House 18/10/05

Hardwick House 25/02/05

Hardwick House 05/08/04

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

CARE HOMES FOR OLDER PEOPLE Hardwick House 6 Hardwick Road Eastbourne East Sussex BN21 4NY Lead Inspector Kathy Flynn Unannounced 24 June 2005 12.30 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. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Hardwick House Address 6 Hardwick House Eastbourne East Sussex BN21 4NY 01323 721230 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) Mrs M J Goddard Mrs Fiona Mary Brittain Care Home 19 Category(ies) of Care home (PC) 19 registration, with number of places Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is nineteen (19). 2 That service users are sixty-five (65) years or over on admission. Date of last inspection 25 February 2005 Brief Description of the Service: Hardwick House is a care home registered to provide care and accomodation for up to 19 individuals over the age of 65 years. The home is a large four storey property situated in a residential area near the centre of Eastbourne. It is within easy walking distance of the town centre and public transport, with GP and dental surgeries accessible, and reasonably close to the seafront. A large detached property on four floors it provies single accomodation with en suite facilities, with a passenger lift that enables residents to have access to all floors. On the ground floor there is a large lounge to the left of the entrance with an equally large dining area to the right, the kitchen is to the rear of the bulding and residents rooms are on the three other floors. There is an attractive garden behind the building that residents use when weather permits and a parking area also at the rear of the building. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The requirements recorded in the previous inspection report were used to develop the plan for this inspection. The aims were to assess if the home had met these requirements, identify the aspects of the service that have improved and how the service could be developed for the benefit of residents. The inspection was carried out over five and a half hours from 12.30pm, this included a tour of the building, an examination of some care plans, staff records, the menu and some policies and procedures. There were 16 residents at the home at the time of the inspection, with one resident returning to their home after a period of respite and a new admission to the home from the hospital. The residents at the home were introduced during the inspection and there was an opportunity to talk to two residents in their rooms after lunch. The inspection was carried out during Wimbledon, many were enjoying watching this on TV and others had appointments in the town. The staff on duty and the manager were happy to discuss the support provided at Hardwick House. What the service does well: What has improved since the last inspection? The four requirements from the last inspection have been met. Risk assessments in respect of residents going out, falls, self medication and short term memory loss have been developed and included in the care plan if appropriate. The personnel files for staff include the information listed under Schedule 2. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 6 Radiators have been fitted with guards. The manager has enrolled on a ‘Train the Trainers’ day regarding Adult Protection and will then be in a position to train the staff at the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 and 5. Standard 6 is not applicable. An appropriate pre-admission assessment is used prior to the offer of a room to ensure the home can meet prospective residents needs. EVIDENCE: Appropriate pre-admission assessments are completed for all prospective residents and rooms are only offered if the home can meet their assessed needs. Residents and their families are encouraged to visit the home before they agree to accept a room. A resident explained that her family had been to the home to look at the room and meet the manager, who had come to see her at the hospital, she was very happy with her room and was looking forward to living there and getting to know the other residents better. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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) 7,8,9 and 10. There is a clear consistent care planning system in place, which provides staff with the information they need to satisfactorily meet service users needs. The staff have a good understanding of the residents’ support needs. This is evident from the positive relationships, which have been formed between the staff and the residents. The medication at this home is well managed promoting good health. EVIDENCE: Care plans include relevant information concerning residents, who are involved in their compilation and review. Risk assessments have been reviewed to include information on residents going out independently, falls, self medication, falls and short term memory loss. These are clearly recorded and include relevant information for staff concerning action to be taken to provide appropriate support. Staff have a good understanding of residents’ needs and were able to discuss their individual requirements, their likes and dislikes and how they choose to spend their time at the home, as well as the role of the staff in ensuring that residents are given appropriate support. Residents spoke positively about the manager and the staff, they felt that the staff understood their needs and they were able to ask for help at any time. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 10 Residents are registered with GP’s and access to other health care professionals can be arranged if required. The manager and staff are actively involved in the day to day support of residents, health concerns are quickly identified and appropriate action is taken. Policies and procedures for the administration of medicines are in place, the manager was asked to review the current policy of administering medication at lunch time and signing the MAR charts later, a practice that is supported by the pharmacist. An appropriate risk assessment may show that this practice is safe in this home. Staff have received appropriate training and discussed their responsibilities when administering medicines. It was noted that staff treat residents with respect and the residents explained that all personal care is provided in the residents’ rooms, which ensures that their privacy and dignity is respected. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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, 14 and 15. Links with the community are good and support and enrich residents’ social opportunities. The routines of the home are flexible, this enables residents to have control over their lives and encourages them to make choices about all aspects of their day to day living. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: There is open visiting at Hardwick House, although there were no opportunities to speak to relatives or friends during the inspection. Residents’ families can visit often and one explained that a party to celebrate her birthday has been arranged by her son, at a local hotel. Contact with the local community is encouraged. One resident plays an active role in a local church, many residents go out independently or with staff to the nearby shops and café’s and the library is within walking distance. Residents are able to exercise personal autonomy and choice, some are responsible for their own finances and all are encouraged to spend their time as they wish in the home. The support provided is flexible and can be arranged to fit in with the preferences of residents. One resident has an interest in tennis and requested that her meals be provided in her room so that she doesn’t miss Wimbledon. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 12 There are choices available for all meals including a cooked breakfast if requested. Residents were complementary about the food and said that they were given what they asked for, including smaller meals if they wished. Staff were aware of the individual likes and dislikes of residents, any particular dietary needs and were happy to offer alternatives if residents change their minds at meal times. Most of the food is fresh, including fruit and vegetables with cakes and pastries baked daily by the cook. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 standard(s) 16 and 18. The home has a satisfactory complaints system and there is evidence that residents feel their views are listened to and acted upon. Staff have a good knowledge and understanding of Adult Protection issues, which protects residents from abuse. EVIDENCE: There have been no complaints at Hardwick House, residents stated that they do not have any concerns about the support they receive and if they did they could talk to the manager or a member of staff at any time. Staff discussed adult protection, some staff have received training in previous jobs and a programme of updating and training staff will be arranged when the manager has completed the appropriate ‘Train the Trainers’ course. Staff had a good understanding of adult protection, they were able to explain what abuse is, what action they would take if they had any concerns and that there are policies and procedures at the home, including whistle blowing. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 standard(s) 19, 20, 23, 24, 25 and 26. The standard of the environment within this home is good and provides residents with an attractive, clean and homely place to live. EVIDENCE: Hardwick House provides comfortable, homely, individual and communal space for residents. A lounge and separate dining room on the ground floor are large enough for activities and a number of residents use the dining room at mealtimes. An attractive garden to the rear is used when weather permits, on the day of the inspection it was warm and sunny, residents stated that they had been sitting in the garden before lunch, reading the papers and talking to the other residents. All rooms are used for single occupancy including the four double rooms although these can be can be used for couples if required. Residents are encouraged to bring their own possessions into the home and many have personalised their rooms with furniture, pictures and ornaments. A resident discussed the pictures she had on the walls of her room, the majority were of members of her family and she had collected some of her ornaments Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 15 on holidays that she had been on before moving into the home. Although her room is in the basement it is bright, she is able to look out onto the garden and noted that someone was sitting in the garden talking to staff, she was happy to talk about the support she receives. The home was clean and systems are in place for the prevention of infection. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 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) 27, 29 and 30. Staff morale is high resulting in an enthusiastic workforce that work positively with the residents to improve their whole quality of life. Recruitment procedures are followed for the employment of staff that provide appropriate protection for residents. EVIDENCE: There is a dedicated team of staff working at the home, they have a range of skills, which enable them to meet the residents needs, there are low levels of staff sickness and staff turnover is low, some have worked there for several years while others have returned after working elsewhere. An appropriate recruitment procedure is in place, which includes POVA/CRB checks and references prior to the offer of employment. Training is provided including mandatory training and induction training for all new staff, which forms the basis for NVQ Level 2. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 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 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) 31 and 32. The management is supported by staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their role and responsibilities. EVIDENCE: The manager of the home has been responsible for the day to day management of the home for three years, she completed the Registered Manager Award and has just completed the NVQ Level 4 in Care. She has a good understanding of the needs of the residents and has a clear development plan and vision for the home. The management approach at Hardwick House is open and encourages the involvement of staff and residents in decisions about the services provided. The staff stated that they are involved and have opportunities to make suggestions to develop the services. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x x x x Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 19 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 OP 9 Good Practice Recommendations To review the current policy of administration of medication at lunch time. Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Hardwick House H59 H10 S21125 Hardwick House V217933 160505 Stage 4.doc Version 1.20 Page 21 - 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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