Inspection on 14/07/05 for Hartland House

This inspection was carried out on 14th July 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

Hartland House 10/07/06

Hartland House 14/11/05

Hartland House 20/09/04

Hartland House 27/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hartland House Milnthorpe Cumbria LA7 7QW Lead Inspector Margaret Drury Unannounced 14 July 2005 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. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hartland House Address Beetham Road Milnthorpe Cumbria LA7 7QW 015395 62251 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) Abbeyfield Lakeland Extra Society Limited Derek Nichols Care Home 23 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 23 service users to include: up to 23 service users in the category of OP (Old age, not falling within any other category) up to 7 service users in the category of DE(E) (Dementia over 65 years of age) Date of last inspection 20 September 2004 Brief Description of the Service: Hartland House is owned by Abbeyfield Lakeland Extra Care Society Ltd and is managed on a day-to-day basis by Derek Nichols. It is situated on the outskirts of Milnthorpe in South Cumbria. The home is registered to care for up to 23 older people, 7 of whom may have varying forms of dementia. Hartland House is a modern detached building that has been extended and adapted for its present use as a care home. There are 23 single bedrooms, all with ensuite toilet and bath or shower facilities. There are extensive communal areas, including small sitting areas where residents can just sit or meet with their visitors in private. There are well kept gardens with patio areas and garden furniture. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one day. The recently appointed manager was on duty on the day of the inspection and, together with the deputy manager, was able to assist the inspector. Time was spent talking with the manager, deputy manager and care staff on duty, looking at records to do with the running of the home and the care of residents. Time was also spent with some of the residents and visitors. Most parts of the home were inspected. What the service does well: What has improved since the last inspection? Since the manager was appointed in January of this year, he has worked extremely hard to meet all the requirements identified in the last inspection. A new care planning system has been introduced and almost all the information has now been transferred to the new format. All the medication records are now up to date and a new medication fridge has been purchased. Records are Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 6 in place showing staff off duty and all Criminal Records Bureau checks have been completed. An annual training plan has been introduced and training is on-going. Pipe work and radiators throughout the home are now guarded. 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. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 & 5 The home’s Statement of Purpose and Service User Guide are very informative, and provide service users and prospective service users with details of the facilities on offer in the home, so that an informed decision can be made about moving in. Residents benefit from an admission process that includes a full assessment of needs. EVIDENCE: All prospective residents are given a Statement of Purpose and user guide when they first visit the home. This ensures that they have information about the facilities on offer. There is a clear admission process, which includes a full assessment of needs and capabilities to ensure the correct level of care can be provided. Prospective residents and their families are invited to visit the home for refreshments and/ or a meal prior to admission, in order to meet the staff and those already living in the home. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 &9 The systems for the administration of medication are good, with clear and comprehensive arrangements in place to ensure residents medication and healthcare needs are met. Residents benefit from a comprehensive care planning system. EVIDENCE: The registered manager has introduced a new care planning system and almost all the documentation has been transferred to the new format. The care plans contain information about residents care needs, including moving and handling. They are regularly reviewed and updated, with the resident wherever possible. The plans provide the care staff with all the information they need to meet resident’s needs. Records are kept about GP appointments and when district nurses visit, and residents said that an appointment is always made for them if they ask to see the doctor or nurse. The arrangements for storing and administering medication in the home are safe and well organised, and residents receive their medication as prescribed, with records kept. All the staff speake to residents in a courteous and polite way, knocking before entering bedrooms, and closing bedroom doors when assisting people with personal care tasks. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 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 standard(s) 12, 13 & 15 Social activities and meals are varied and provide residents with a range of choices and opportunities on a daily basis. Residents benefit from a “open house” visiting policy enabling them to keep in touch with their friends and family. EVIDENCE: Residents said there is usually something going on in the home and they can join in if they wish. Residents meetings are held, which allows those that wish, the opportunity to have their say about the running of the home. Local ministers visit and communion services are held for those who wish to partake. Members of the blind society visit each month. There is an open door policy for visitors and this enable the residents to keep in touch with their family and friends. Discussions with the chef and residents evidenced that there is an alternative at each mealtime providing residents with a variety of food. Special diets are catered for, and information is recorded about residents’ dietary needs and preferences. Meals can be taken in the dining room or in the person’s own room. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 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 standard(s) 16 & 18 The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to. The residents benefit from an adult protection policy that safeguards them from abuse. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they have any issue to raise it is dealt with promptly. Information about making a complaint is not displayed in the any area of the home but will be when the new policy, currently being written, is completed. There have been no complaints to record for some time. The home has an adult protection policy that includes whistle blowing. This subject is covered extensively in NVQ training and the staff that spoke with the inspector were aware of the procedure to follow should this ever be necessary. Staff have access to Cumbria’s policy for adult protection if they wish. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 23, 24, 25 & 26 Residents benefit from warm, comfortable and safe surroundings in which to live. EVIDENCE: The standard of the décor and furnishings in Hartland House is extremely high. The communal areas are bright and airy and the well-maintained gardens provide extra sitting and recreational space. All the bedrooms are single, with en-suite toilet facilities and either a shower or bath. The home is extremely clean and hygienic. There is ample communal space for residents to take part in activities, meet with visitors or just watch television. The rooms are well furnished, many with personal items brought from home. Domestic arrangements mean that the home is clean pleasant and hygienic. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 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 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 & 30 Residents are cared for by an experienced and trained staff group, who are appointed following a robust and thorough recruitment procedure. This ensures maximum protection for people living in the home. EVIDENCE: There were three members of care staff plus a senior carer and the manager and deputy on duty during the inspection. There was also a domestic, a cook and kitchen assistant. These staff were able to attend to peoples needs in a prompt and efficient manner, keep the home clean and provide meals and snacks throughout the day. When a new member of staff is appointed an application form is completed, the person is then be invited for interview. Two written references are sought, but the person will not be confirmed in post until a satisfactory Criminal Record Bureau check had been completed. These measures contribute to the protection of residents. Staff recruitment is a problem at this time but the manager has the support of the board of directors to use staff from a local agency in order to meet the staffing requirements. Residents said the care staff are helpful, kind and friendly, and that they didn’t have to wait too long when needing help with anything. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 14 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, 32, 33, 36 & 38 The manager and deputy have a clear development plan and vision for the home, that they are communicating to the residents, staff and relatives. Residents benefit from health and safety policies and staff training, which means the home is a safe and secure place to live and work in. EVIDENCE: The registered manager works closely with the deputy manager, who is also head of care, to ensure all the assessed needs are met and that the home complies with current legislation. The management approach appears to be fairly relaxed, although the manager is forthright when putting his point across. The deputy/ head of care spends a lot of time working “hands on” which is much appreciated by the residents, many of the whom are able to voice their opinions about how the home should be run. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 15 All staff are supervised every two months by their line manager, although the home manager has met with each member of staff on a one to one basis since his appointment in January this year. The home is working toward the Investors in People Award and hope to complete this in record time. This will ensure good internal and external quality audits. Health and safety procedures and staff training ensure the home is a safe place in which to live and work. Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 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 3 x x 3 x 3 Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 17 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Hartland House F58 F10 s22645 hartland house v233071 140705 ui stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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