Inspection on 12/12/05 for Harrison House

This inspection was carried out on 12th December 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

Harrison House 04/04/07

Harrison House 25/08/05

Harrison House 07/03/05

Harrison House 11/10/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Harrison House Dysart Road Grantham Lincs NG31 7DL Lead Inspector Mr Doug Tunmore Unannounced Inspection 12th December 2005 10:00 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 Harrison House DS0000041720.V272141.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. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harrison House Address Dysart Road Grantham Lincs NG31 7DL 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) 01476 565901 01476 571250 Lincolnshire County Council Mrs Samantha Lawrence Care Home 24 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (22), of places Physical disability (1) Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Conditions of registration The Category PD is restricted to the immediate care of people between the ages of 55 and 64 inclusive. Conditions of Registration The 1 DE place applies to one named person only and will revert to an OP place when that person no longer resides at the home. Conditions of Registration The Category DE (E) applies to one named person only and will cease to apply when that person is no longer accomodated at the home. Conditions of Registration The PD place is in the Primrose Unit, room 9. 25th August 2005 Date of last inspection Brief Description of the Service: Harrison House is a purpose built, two-storey unit, owned and managed by Lincolnshire County Council, Social Services Directorate. The home is situated approximately half a mile from the town centre of Grantham, with shops and local facilities and is on the main bus route. There is a car park to the front of the building and there are large gardens to the side and rear of the home. The home is registered to provide personal care only. The home no longer admits residents on a long term basis, concentrating on intermediate, rehabilitation and short term care. Intermediate care is provided within dedicated accommodation with specialist facilities, equipment and staff to deliver short term intensive rehabilitation to enable residents to return home. The home is composed of four wings. These being Cornflower and Green Leaves for intermediate care, Primrose for short stay and Blue Haven for long stay, which is being phased out. There is also a day care centre. This is reflected in the homes Statement of Purpose and Service Users Guide. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved looking at policies and procedures relating to maintaining the safety and general welfare of residents. Residents were spoken to as well as the team leader and care staff and observations were made of care practices. A partial tour of the home took place. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 6 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 Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 7 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): The above standards were not inspected on this occasion. EVIDENCE: Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 8 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 & 10 There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. Residents dignity and privacy is maintained when personal care is undertaken. EVIDENCE: Files seen showed that care plans were prescriptive regarding the intimate care needs required by residents and the need to maintain the privacy and dignity of residents. A carer was aware of the intimate care needs of residents and confirmed that she had undertaken the homes induction training. A resident commented that ‘the home has grab rails to enable me to move myself around and keep my independence’. Another resident stated the staff are good at this home and we have a male carer who is very good’ and they all have a sense of humour’. All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed during Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 9 the stay of residents. Two files showed that care plans had been signed by the residents to show that they agree with the care being provided. Three residents stated that they had signed their care plan. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 The home provides a programme of social and leisure activities. Residents preferences relating to activities is not kept on file. EVIDENCE: The home has an activities worker who works eighteen hours per week split between four days. Four residents said that they join in activities, playing cards or bingo. A resident commented that the activities organiser is ‘very bubbly’. Photographs were also seen on the notice board of the activities being undertaken in the home and the dates of when entertainers are to attend this home. A occupational therapist visits weekly to undertake movement to music, with residents. The homes social and leisure diary was seen and showed that a wide range of activities are undertaken. However, three residents files seen did not identify in their care plans social affiliations and hobbies so that they could be maintained during their stay at this home. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 11 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): The above standards were not inspected on this occasion. EVIDENCE: Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 12 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): 26 The home is clean and tidy with a pleasant smell throughout the home. EVIDENCE: The home employs four cleaners and a maintenance man who carries out the cleaning of carpets and general maintenance. Four residents commented that they are very happy with the cleanliness of the home and couldn’t wish for better. A partial tour of the home by the inspector found it to be clean and smelt fresh. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 13 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): 27,28,29 & 30 Residents are protected by robust recruitment practices. They benefit from a staff team who are well trained and receive appropriate levels of support. There are sufficient staff to care for the residents. EVIDENCE: Two personnel files of care workers were seen and contained CRB checks (Criminal Record Bureau), references, application forms and interview notes. All care workers have been given The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes training record was seen which showed that, eleven care workers had NVQ (National Vocational Qualifications) level 2, two of these having NVQ 3, two workers are currently undertaking NVQ level 2 and five are undertaking NVQ level 3. One care worker said that she is thinking about undertaking NVQ training. The home meets the standard for 50 of staff to be trained to NVQ level 2 by 2005. Statutory training such as fire training, moving and handling and first aid are undertaken at this home. Other training undertaken included; HIV-aids, health and safety, adult protection, stroke training, medication and falls prevention. One care workers training profile was limited in relation to the training she had received in comparison to other workers. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 14 The duty rota showed that adequate staff numbers are on duty to meet the needs of residents during the day and night in this home. A carer said that the numbers of staff on duty at the busiest times ‘is not to bad’. Residents seen stated that ‘we get immediate assistance when we ring the call bell’. They also said that ‘I have been here one week and there has been enough staff to look after me, they are first rate’. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 & 38 Residents’ health and general welfare and safety is promoted. The home empowers residents to have the opportunity to voice their views and opinions. Appropriate accounting is undertaken to safeguard residents monies. Residents benefit from the positive leadership of the registered manager. Aids and adaptations are not always used appropriately. EVIDENCE: The registered manager has completed the level four in care award, certificate in education and is also close to completing the Registered Managers Award. Both residents and staff made positive comments about her management style and said that she had a visible presence in the home and was always approachable. The home does not hold residents meetings this is due to the type of short term care offered by this home. The home conducts residents improvement questionnaires and a comments and suggestions form for all those residents Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 16 leaving the home after recieving respite care. Files seen showed that residents have made positive comments in these questionnaires about the care they have received. An evaluation of these questionnaires is also posted on the homes notice board for the information of residents and visitors. This evaluation showed that the overriding experience of those people who had stayed at this home was a very positive one. Two residents confirmed that they had completed the homes questioner. Another resident said that she had stayed at the home five times and was happy with every aspect of it. The home only deals with personal allowances of a small number of residents, which are kept at the home. All other monies relating to funding are paid to Lincolnshire County Council. Residents personal allowances were seen and it was found that an accurate record is kept and receipts are available for any monies spent, with signatures also obtained from the hairdresser or the visiting chiropodist. One resident confirmed that she keeps her own petty cash about her person and has a lockable facility in her room. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills, emergency lighting and the servicing of these are undertaken. Certificates were available showing that bath hoists and the shaft lift had been serviced. Not all wheelchairs seen on the day of the inspection had footplates. However, the footplate on two wheelchairs was not used properly when pushing a resident. This was brought to the attention of the team leader. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP12 Regulation 12(3) Requirement The registered person must so far as practical ascertain and take into account residents wishes and feelings regarding activities, hobbies and social affiliation, which they may wish to continue at this home. The registered person must ensure that unnecessary risk to residents by the improper use of wheelchairs are identified and eliminated. Timescale for action 23/03/06 3. OP38 12(c ) 25/02/06 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 OP30 Good Practice Recommendations The home should ensure that all workers have equal access to training. Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Harrison House DS0000041720.V272141.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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