CARE HOME ADULTS 18-65
Hartington Road Care Home 75 Hartington Road Leicester Leicestershire LE2 0GQ Lead Inspector
Chris Wroe Key Unannounced Inspection 8th May 2007 10:45 Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 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 Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 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 Adults 18-65. 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. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Hartington Road Care Home Address 75 Hartington Road Leicester Leicestershire LE2 0GQ 0116 2425779 0116 2516112 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) None Mr Mohammed Anwar Mr Mohammed Anwar Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 9th May 2006 Brief Description of the Service: Hartington House (or Heart House) is registered to provide care for three residents with mental health problems. The home is a terraced house set in a residential area and is approximately a 10 minute bus journey from the city centre. The home was set up specifically to meet the cultural needs of people from the Asian communities. It is situated on Hartington Road, opposite a community centre and close to a range of shops and local amenities. There is one single and one shared bedroom, both of which are located on the first floor. On entering the home, there is an open plan dining room and lounge. The kitchen leads off the dining room, and the toilet and shower room are at the rear, on the ground floor. The staff at the home encourage service users to maintain their independence and have daily routines. The home has a mixed skilled staff team and some members of staff are able to converse in the service users’ first languages. Fees are charged at £285-£350 per week with additional charges made for any assessed additional needs. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. The inspector visited the home on 8th May 2007. The visit started at 10.45am and lasted for four hours. The manager, Mohammed Anwar, and members of staff helped us during our visit. The three people who live at the home were at a neighbouring home during the inspection. We went to speak with them. All residents chose to speak to us. An interpreter helped us with some of the communication. The main method of inspection used was ‘case tracking’. This means looking at the care given to residents in different ways. The ways this was done are: • talking to the residents • talking to staff and the manager • watching how residents are given support • looking at written records. Everyone who lives in the home continues to be happy about the care given by staff. They felt they got good support. They felt the home was comfortable and they had what they need. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Only three people live in the home, so a lot of individual detail has been kept out of the report, to make sure it is kept confidential. What the service does well:
There are care assessments, which have been completed for each person living in the home, to tell about the kind of support and care they need. People we talked to said they felt the home was the right place for them. Care plans continue to contain good information about the different needs of people who live in the home and about how staff can support them. Care plans show that each person is an individual with different needs and wishes about how they want to live their lives. Staff show that they help residents to be in charge of their own lives. Residents continue to be able to go out when they want to, and to be as independent as possible People are involved in different things which interest them, including work and leisure activities. They told us that they enjoy the way they live their daily lives.
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 6 People who live in the home have different faiths and cultural choices, and staff support residents in these. Religious festivals are celebrated, and staff help residents to fulfil the requirements of their religion. People who live in the home are able to have contact with their families, and to develop friendships and relationships if they choose to. The meals provided cater for the different dietary, religious and cultural needs of people who live in the home, for example, vegetarian foods and Halal foods. People who live in the home are mainly able to be independent, but staff prompt residents to look after their health and personal care, when needed. Staff are aware of the different personal support needs of residents. Reviews are held to make sure residents’ mental health needs continue to be met, and medication is right for them. Care plans contain details of health care needs. People who live in the home can deal with their own medication if they are able to and it is safe for them, or they are supported by staff to take their medication. There is a complaints procedure in the home. There have been no complaints since the last inspection. There are procedures in the home, which talk about what action to take to protect residents from harm and keep them safe. Staff in the home have had training about how to protect vulnerable adults from harm. The home provides adequate basic furnishings and fittings for people who live in the home. There is a shared lounge and dining area, and people who live in the home are able to use the kitchen. People are able to have their own things in their bedrooms. The manager confirmed that contact is maintained with the fire service and the environmental health department to ensure safe practices in the home. The manager carries out checks to make sure people who come to work in the home are safe and reliable. The staff rota shows there is always someone in the home to support people. Staff have ongoing training, to help them to continue to do their job well, for example health and safety training, first aid. Staff have ongoing supervision to support them to do their job. The manager, Mohammed Anwar, has had a number of years’ experience. Staff and people who live in the home said that they found the manager approachable.
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 7 There are different ways that staff try to get people’s views about how the home is run. Staff have had training in different aspects of health and safety (such as first aid and infection control) to make sure that they work safely in the home. There are policies and procedures to tell staff how to work safely. 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. The summary of this inspection report can be made available in other formats on request. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The needs and aspirations of people who live in the home continue to be assessed and met, meaning that the home feels right for them. EVIDENCE: There are care assessments, which have been completed for each person living in the home, to tell about the kind of support and care they need. Staff make sure that reviews are held with social workers and mental health professionals to make sure people’s needs continue to be assessed. Terms and conditions for people living in the home remain in place. People we talked to said they felt the home was the right place for them. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from being enabled to fulfil their needs and choices. EVIDENCE: Care plans continue to contain good information about the different needs of people who live in the home and about how staff can support them. Care plans show that each person is an individual with different needs and wishes about how they want to live their lives. Staff show that they help residents to be in charge of their own lives. Residents continue to be able to go out when they want to, and to be as independent as possible. Staff who spoke to us showed that they understand the different needs and wishes of people who live in the home. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 11 Staff write ‘risk assessments’, which talk about what residents are able to do and how staff can keep them safe from harm. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a good lifestyle in the home. EVIDENCE: People who live in the home spend time during the day at a neighbouring home run by the same provider, and we went to speak with them there. Everyone said that they enjoy going to this home and spending time there. People are involved in different things which interest them, including work and leisure activities. They told us that they enjoy the way they live their daily lives. People who live in the home are able to be independent and to go out when they want to. They are involved in the local community in different ways. People who live in the home have different faiths and cultural choices, and staff support residents in these. Religious festivals are celebrated, and staff
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 13 help residents to fulfil the requirements of their religion. People who live in the home told us that they feel supported to be able to fulfil their religious wishes. The local authority acts as ‘appointee’ for people who live in the home, and people manage the allowances paid to them independently. People who live in the home are able to have contact with their families, and to develop friendships and relationships if they choose to. The residents have their lunchtime meal at the neighbouring care home where they choose to spend their day. Everyone who lives in the home generally prefers Asian foods. The meals provided cater for the different dietary, religious and cultural needs of people who live in the home, for example, vegetarian foods and Halal foods. A meal can be brought home for the evenings if people wish for it, or the member of staff who lives in the home cooks what they would like. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from good staff attention to health and medical care needs. EVIDENCE: People who live in the home are mainly able to be independent, but staff prompt residents to look after their health and personal care, when needed. They told us they feel well looked after. The lifestyle of the home is relaxed and flexible to enable people to make choices. Staff are aware of the different personal support needs of residents. Reviews are held to make sure residents’ mental health needs continue to be met, and medication is right for them. We spoke with people who live in the home, who said that health care check-ups are arranged for them, such as dentist and optician appointments. Care plans contain good details of health care needs. People who live in the home can deal with their own medication if they are able to and it is safe for them. Medication is mostly held for people in the
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 15 neighbouring home, since that is where they choose to spend their days. We were able to check a sample of medication stocks and records and saw that medication is administered appropriately. People who live in the home told us that they feel their medication is looked after well. There are policies to tell staff about how to give out medication properly, and staff have received training. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the home are protected from harm by policies about how to keep them safe, and by awareness of staff. EVIDENCE: There is a complaints procedure, which is up in the home for people to read. It is written in plain English with pictures to help people to access/understand. People who live in the home told us that they feel able to raise anything they are concerned about, and staff will deal with it. There have been no complaints since the last inspection. There are procedures in the home, which talk about what action to take to protect residents from harm and keep them safe. Staff in the home have had training about how to protect vulnerable adults from harm. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a generally comfortable home, which mostly meets their needs and wishes. EVIDENCE: The home provides adequate basic furnishings and fittings for people who live in the home. There is a shared lounge and dining area, and people who live in the home are able to use the kitchen. One person has their own bedroom, and two people share a bedroom (although one person is discussing the prospect of having their own bedroom in the future). People are able to have their own things in their bedrooms. When we spoke to them they all told us that they were happy with their bedrooms, and had everything they needed. There have been some improvements in the home since the last inspection: the flooring in the toilet and bathroom has been repaired, there is a new boiler,
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 18 and some parts of the home have been re-decorated, making it brighter and cleaner-looking. Double glazing has also been put in throughout. The manager confirmed that contact is maintained with the fire service and the environmental health department to ensure safe practices in the home. There is a fire risk assessment in the home, although it does not fully cover risks posed by smoking in bedrooms. A new fire exit has been created out of one window at the rear of the house. The manager confirmed that he had consulted with the fire service about this. Tests of electrical equipment are carried out to make sure equipment is safe. Records show that routine cleaning and temperature testing in the kitchen is carried out. There is a yard/garden at the back of the house. The washing machine is situated in the kitchen, which although not best practice (in relation to health and safety), is in keeping with a domestic style home of this size. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from having supportive staff in the home, who receive ongoing training. EVIDENCE: The manager carries out checks to make sure people who come to work in the home are safe and reliable. One member of staff lives in the home on an ongoing basis. She provides good support to the people who live in the home. As her first language and cultural background is not English, the manager ensures that she receives training in her first language and suited to her needs. Additional staff work in the home to make sure the required administrative work is completed. The staff rota shows there is always someone in the home to support people. Staff have ongoing training, to help them to continue to do their job well, for example health and safety training, first aid. One member of staff is studying for the National Vocational Qualification (NVQ) level 3 in care. Staff have ongoing supervision to support them to do their job.
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 20 One person told us that they feel they can talk to their ‘keyworker’ member of staff about any problems, and everyone said they feel well supported by staff. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are kept safe by management systems in the home. EVIDENCE: The manager, Mohammed Anwar, has had a number of years’ experience. Staff and people who live in the home said that they found the manager approachable. There are different ways that staff try to get people’s views about how the home is run. Residents’ and staff meetings are held sometimes, and people have an input into the running of their own home and the daycare programme of the neighbouring home where they spend time.
Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 22 People who live in the home were given private space to talk to the inspector. There are also questionnaires, which are given to people who live in the home twice each year to find out about their views. Tests of fire safety equipment have been carried out as required. Staff have had training in different aspects of health and safety (such as first aid and infection control) to make sure that they work safely in the home. There are policies and procedures to tell staff how to work safely. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 24 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. 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 YA24 Good Practice Recommendations It is recommended that the fire risk assessment more fully addresses the risks arising out of cigarette smoking in bedrooms, looking at ways to practically minimise the risks. Hartington Road Care Home DS0000006437.V335122.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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