Inspection on 21/02/06 for Hartfield House

This inspection was carried out on 21st February 2006.

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

Hartfield House 06/12/07

Hartfield House 20/11/06

Hartfield House 16/08/05

Hartfield House 06/12/04

Hartfield House 09/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Hartfield House 5 Hartfield Road Eastbourne East Sussex BN21 2AP Lead Inspector Debbie Calveley Unannounced Inspection 21st February 2006 10:45 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 Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 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. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hartfield House Address 5 Hartfield Road Eastbourne East Sussex BN21 2AP 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) 01323 731322 Mrs Cindy Nahoor Mrs Cindy Nahoor Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty - one (21). Service users must be aged sixty - five (65) years or over on admission. 16th August 2005 Date of last inspection Brief Description of the Service: Hartfield House is registered to provide care and accommodation for up to twenty-one older people. The premises are situated opposite the park of Hartfield Square and within walking distance of the town centre of Eastbourne and the mainline railway station. A passenger lift provides access to all floors. The home has well maintained gardens to the rear of the property. Regular social activities are arranged within the home plus outings to places of interest. The home has well maintained gardens to the rear of the property. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 21 February 2006, from 1045 hrs until 1700 hrs. There were fifteen residents living in the home at this time, the oldest being ninety-seven years old and the youngest sixty-eight years old. One inspector inspected the home and conducted informal interviews with nine residents, one relative and three members of day staff and the registered provider/manager and the deputy manager. The inspection process consisted of a tour of the building, inspection of documentation and records, observation of the lunchtime meal and looked at the delivery of care for six residents, informal interviews with four staff members, eight residents and one relative. It was found to be a positive inspection and that many standards have been met and maintained. The inspector would like to take this opportunity to thank the staff and residents for their welcome and for their views of life in Hartfield House. The key standards not assessed at this inspection were looked at during the last inspection 16 August 2005. What the service does well: The atmosphere of the home was relaxed and staff treated residents with respect and consideration. The residents spoken with all had very positive comments to make about the home and its staff. “This is my home and I really enjoy living here” “ I am not lonely anymore” “ the staff make sure I am okay” “the food is not bad” Residents are encouraged to treat Hartfield House as their home. Residents said meals are tasty and choices offered at each mealtime. The premises are well maintained and all parts of the home are clean and hygienic. Complaints are handled satisfactorily and systems are in place to protect residents from abuse. Robust recruitment practice is followed to safeguard residents. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 6 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. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 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 Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 3, 4 and 5. The Statement of Purpose and Service Users Guide give prospective residents and/ or their representatives the information required enabling them to make an informed choice about where they live. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. The home welcome and encourage prospective residents and their representatives to visit the home prior to admission to enable them to assess the suitability of the home and meet the staff and fellow residents. EVIDENCE: A Statement of Purpose and Service Users Guide, which conforms to the Care Homes Regulations and National Minimum standards, is in place. It is available Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 9 to all residents and their relatives and is written in a clear and user-friendly format. There is a statement of terms and conditions, which includes the services covered by the fees and the room to be occupied. It was confirmed from viewing the residents’ files that a pre-admission assessment is completed on all prospective residents. The assessment takes place at the residents’ place of residence, and input from other relevant professionals is sought when required. It is said that the residents’ representatives are involved if possible. Six pre-admission assessments were viewed. Three of the residents spoken with were able to confirm that they were visited before admission whilst two could not remember. The pre-admission assessment identifies any specific needs of the prospective resident and this informs the admission process. The home provides supportive care for elderly people and the documentation available demonstrates that a full assessment of the resident’s specific needs is completed following admission to the home, and then reviewed on a regular basis. The deputy manager confirmed that trial visits can be arranged and residents and their representative can spend a day in the home prior to admission. This enables them to meet the staff and other residents, and sample the food and atmosphere. There is a month’s trial either way to ensure that the home is suitable and the home can meet the needs of the resident. Four residents confirmed that they had visited the home prior to their admission; one resident said her daughter had visited and chosen the home for her and another said that she had no idea how she came to be admitted to the home and was not sure how long she had been there. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Residents benefit from a comprehensive care planning system that guides staff in all aspects of personal and health care and that all risks are identified and planned for. Residents are protected by satisfactory systems for the recording, handling and storing of medication. EVIDENCE: A selection of care plans were viewed, the documentation evidence that there are clear directions for the staff to follow. They are routinely updated on a monthly basis. Care staff and the deputy manager spoken with were aware of residents individual care needs. Four residents spoken with said they believed staff were aware of their care needs and felt that they are properly looked after. One visitor also said that the care given to her mother was very good. Risk assessments were seen; it was discussed of ways to develop the moving and handling risk assessment. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 11 The Medication Administration Record (MAR) chart was viewed and found to be satisfactory. The staff have received appropriate training in the administration, recording, ordering and storage of medication. Policies and procedures for staff to follow are in place. A recommendation of good practice was the tracking of pulse rates and blood tests when residents are taking long term medication for their heart, such as digoxin. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14. There are planned activities throughout the week; residents’ experience a lifestyle in the home that matches their expectations and preferences. There is an open door policy in the home and family and friends are welcomed in to home. The residents are able to exercise choice and control over their lives. EVIDENCE: There are activities in place, and these occur on a daily basis, outings are planned and enjoyed by the residents. Two residents were able to chat about the different outings that they go on, one resident talked about the walks she takes on a regular basis. Another resident also say that when the weather is better, they go over to the park opposite the home. There was positive interaction seen between staff and residents and staff were seen having coffee whilst playing dominos and there was a laughter filled quiz game being held in the main lounge with some residents during the visit. However as discussed, there is a need to develop social care plans with reference to past hobbies and interests and record the activities participated in as way of monitoring their mental and social health. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 13 Residents confirmed that there was flexibility to their day, and they chose how to spend it. Mealtimes have a degree of flexibility to venue and time, dependent on what the resident has planned. However the time of the midday meal does not change, but if the resident has an appointment, it will be adjusted for them. Visitors confirmed that they were welcomed in to the home at any time. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Satisfactory systems are in place to deal with complaints. Residents have confidence in the home’s complaints procedure and the service provider or acting manager’s ability to listen to and act on any complaints made. EVIDENCE: The complaint procedure and policy was viewed and is available to all residents and their families. The complaint book was available for inspection. A recommendation of good practice is that all complaints have an outcome and action taken recorded clearly. There have been no complaints received since the last inspection. One relative said that they would approach the manager with any concerns and feel confident that the issues would be addressed. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. The standard of the environment within this home is good providing residents with an attractive and homely place to live in. Resident’s bedrooms are comfortable and they are able to bring in their own possessions. The resident’s benefit from a clean and hygienic environment. EVIDENCE: The home was found to provide a well-maintained, safe and comfortable environment for residents to live in. There is work on going at present to upgrade the property. Resident’s bedrooms were warm and homely with personal photographs and ornaments evident. The ratio of double rooms has decreased during the upgrading. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 16 The home has a large lounge on the ground floor with comfortable seats, and a well furnished dining area, the residents spoken with were very happy with the décor and comfort of the home. Lighting and furnishings in the home are domestic in character. The home meets the communal space requirements for existing homes. The lounge is suitable for a range of social and leisure activities. The home has a lift that provides access to the three floors of the home. The call bell system was found appropriately placed for residents to access when required. There are adequate bathing facilities available for the needs of the residents. All baths in the home have electrically or manually operated seats. Grab rails and toilet riser seats are in evidence throughout the home. An occupational Therapist visited the home last year and the recommendations made have either been installed or are in the process of being installed. Random hot water temperatures were tested and were found to be of the recommended temperature. The home was clean, tidy and hygienic, with no offensive odours. The laundry room has recently been moved and upgraded, it is not entirely finished, but was safe to use. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. The deployment and number of staff at key times is sufficient to meet residents care needs. The recruitment practice is robust and does provide sufficient safeguards for the protection of residents. Staff receive training to ensure they are competent to perform their jobs. EVIDENCE: The care staffing provision is for a minimum of three carers each morning and three during the afternoon/early evening period. The deputy manager is supernummery to these numbers. Night staffing comprises one carer awake; a recent addition being contemplated is another staff member at night. The service provider/manager also employs cooks, domestic assistants and a gardener. The manager or deputy manager are on duty everyday except Sundays. However one of them is always on call. These staffing levels, plus the comprehensive staff training programme, contribute to the process of meeting the assessed needs of residents. The recruitment process was found to be robust; staff files of employees were examined and were found to contain all the necessary documentation and Criminal Record Checks. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 18 Staff training is on-going and the recording of staff training evidenced that all staff are receiving the necessary training to perform their jobs. The manager has been pro-active in accessing appropriate training courses and staff were complimentary regarding the support and training they receive. All new staff complete an induction programme in line with the National Training Organisation. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38. Resident’s benefit from an experienced Manager who runs the home efficiently and effectively, including providing support to staff. The ethos of the home is open and the resident’s financial interests are safeguarded by policies and procedures and staff training. All aspects of resident’s health, safety and welfare were seen to be protected and promoted. EVIDENCE: The manager is suitably experienced to run the home. She takes responsibility for the day-to-day running of the home along side her deputy manager, and is supernumery to the care staff; They are also on call for any emergencies. The plan is for deputy manager to undertake the NVQ level 4, management course and when has sufficient experience to apply for the manager’s post. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 20 There are systems in place to safeguard residents financial interests; there are also policies and procedures in place for staff to follow in respect of gifts and rewards from residents and their families. Staff training in moving and handling, infection control, first aid, fire safety and food hygiene are undertaken and recorded, and all staff are receiving training in Caring for people suffering from Dementia, Nutrition, Risk Assessment Management and Prevention of Adult Abuse. Documents relating to safe working practices and Health and Safety were available and found to be satisfactory as were accident records. A recommendation of good practice is to ensure that first aid boxes are accessible and fully stocked for immediate use. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 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 3 X X X 3 X X 3 Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard OP8 OP9 OP16 Good Practice Recommendations That risk assessments are developed in respect of moving and handling. The tracking of residents pulse rates and blood tests in respect of long term medications for heart problems. That all complaint investigations have a written outcome and action taken clearly documented. Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office 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 Hartfield House DS0000021127.V268567.R01.S.doc Version 5.1 Page 24 - 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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