Inspection on 14/11/05 for Hartland House

This inspection was carried out on 14th November 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 14/07/05

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 Beetham Road Milnthorpe Cumbria LA7 7QW Lead Inspector Mrs Margaret Drury Unannounced Inspection 14th November 2005 12:20 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 Hartland House DS0000022645.V262868.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. Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hartland House Address Beetham Road Milnthorpe Cumbria LA7 7QW 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) 015395 62251 Abbeyfield Lakeland Extra Care Society Limited Mr Derek Nichols Care Home 23 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (23) of places Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 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 14th July 2005 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 en-suite 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 DS0000022645.V262868.R01.S.doc Version 5.0 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 afternoon. The recently appointed manager was on annual leave on the day of the inspection and the inspector was assisted by the deputy manager and newly appointed care co-ordinator. Time was spent talking with the 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 the chairman of the house committee. Some parts of the home were inspected. Those standards not inspected during this visit all met the National Minimum Standards during the inspection that took place earlier in the year. What the service does well: What has improved since the last inspection? Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 6 The home has appointed a care co-ordinator to complete the management team. She has delegated responsibilities for the care planning system and will work closely with the key workers and care staff. All the information from the previous care plans has now been transferred to the new format, which gives in depth details about the needs of the residents. This ensures care staff have all the required information to meet the assessed needs. 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 DS0000022645.V262868.R01.S.doc Version 5.0 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 Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 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): 2&4 Residents benefit from a detailed contract and resident guide that outlines their rights and the facilities offered at the home. Residents and their families benefit from discussions about the level of care provided, which ensures they know the assessed needs can be met. EVIDENCE: All residents are given a contract and resident’s guide when they enter the home. There is also a contract with Social Services department. Both these documents ensure the service user is aware of their rights when they are admitted. 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. This helps them to decide whether or not the home is able to meet all the assessed needs. Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 & 10 The home has a clear and consistent care planning system, which ensures residents health, and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The documentation for the new care planning system has now been completed and the inspector was able to examine a sample of the care plans during the visit. They were all found to be up to date and contain a wealth of information to assist the care staff in the delivery of care. The newly appointed care coordinator has delegated responsibility for ensuring all the reviews are completed on time. She works closely with the key workers and care staff, which will benefit the residents and guarantee that their assessed needs are met. Discussions with a number of residents during the visit confirmed they find the care staff “very kind and helpful” and that they are always treated with respect and courtesy. Hartland House DS0000022645.V262868.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): 14 & 15 Service users benefit from being able to express their wishes about how to spend their time and are given the choice about whether or not to join in any organised activities. Menus are varied and all benefit from a choice at each meal. EVIDENCE: Many of those living in Hartland House are able to make their own choices about how to spend their days. Discussions with them during the inspection evidenced that they could choose how and where to spend their time. Residents meetings are held and this gives further opportunity for them to “have their say” about the running of the home. Part of the visit took place during lunchtime and the inspector was able to observe the meal and noted that it was served in relaxed, informal way. One new resident who spoke with the inspector had decided to have her lunch in her room that day but was going to have her evening meal in the dining room. Hartland House DS0000022645.V262868.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): 17 & 18 Service users benefit from the availability of an advocacy service should this ever be required. Staff have a knowledge of abuse issues, which protects those living in the home. EVIDENCE: An advocacy service is provided for any resident who has no family or friends to assist them in managing their affairs. Residents are made aware of this service when they move into the home. All residents are given the opportunity to take part in the election process if they wish. 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 DS0000022645.V262868.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): 19, 21 & 22 The standard of the environment within this home is excellent providing residents with an attractive and homely place to live. Residents benefit from en-suite rooms as well as communal bathing facilities and also the specialist equipment required to meet their needs. EVIDENCE: The environmental standards within this home are extremely high and provide excellent living accommodation for the residents. Whilst all the bedrooms have en-suite facilities there are also communal assisted baths for those who sometimes prefer a bath to their en-suite shower. The home has specialist equipment for those residents requiring them. These include, handrails on corridors, assisted bathing, raised toilet seats and hoists. All of these facilities ensure the residents live in safe, comfortable and suitable surroundings. Hartland House DS0000022645.V262868.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): 28 & 30 Residents benefit from an experienced staff team who are trained to care for older people with varying degrees of need. EVIDENCE: Hartland House has an excellent training programme with all mandatory training up to date. The details are shown on the training matrix. All new staff must complete the induction programme and with the amount of training organised, staff receive the minimum of three days training per year in order to meet the National Minimum Standards. Care staff are currently working towards NVQ levels 2,3 or 4 and the deputy manager is planning to start NVQ level 4 and Registered Managers Award in 2006. Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 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 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): 34, 35 & 37 There is clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. Residents are protected by the accounting and financial procedures operating within the home. EVIDENCE: The home is run by a voluntary/charitable organisation and as such is subject to The Charity Commissioners scrutiny. The financial viability of the home is in the hands of the Executive committee and the accounts are available for inspection at any time. The home has robust policies and procedures in place that are examined and updated on a regular basis. All records are up to date and the files examined by the inspector were found to be in good order. Residents know they have access to their records should they ever wish to see them. Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 15 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 3 X 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 3 X 3 3 X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X 3 x Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations Hartland House DS0000022645.V262868.R01.S.doc Version 5.0 Page 17 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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