Inspection on 02/03/06 for Hartlands Residential Home

This inspection was carried out on 2nd March 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

Hartlands Residential Home 06/06/06

Hartlands Residential Home 23/09/05

Hartlands Residential Home 08/02/05

Hartlands Residential Home 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Hartlands Residential Home Whitehall Street Abbey Foregate Shrewsbury Shropshire SY2 5AD Lead Inspector Keith Salmon Unannounced Inspection 2:15 28 February 2006 th 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 Hartlands Residential Home DS0000020676.V278354.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. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hartlands Residential Home Address Whitehall Street Abbey Foregate Shrewsbury Shropshire SY2 5AD 01743 356100 01743 341268 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) D Roche Limited Mrs Ann Sargeant Care Home 31 Category(ies) of Dementia (31) registration, with number of places Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2005 Brief Description of the Service: Hartlands Care Home is owned by D. Roche Limited and registered to provide residential care for 31 Residents, with dementia, who are aged 65 years and over. Built in the Victorian period, the Home is set close to Shrewsbury Town Centre, is easily accessible by public transport, and just a short walk from Shrewsbury Abbey and the River Severn. Accommodation is provided on two floors, with access via a passenger lift, and comprises mainly single bedrooms many with en-suite toilet facilities. The Home benefits from a spacious and private garden at the rear, with ample parking facilities to the front of the property. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection commenced at 2.15 pm, took 2.0 hours, and was undertaken by one Inspector. Being the second Inspection of 2005/06 it looked specifically at Requirements cited at the previous Inspection, held in July 2005, and ‘Key Standards’ not assessed at that Inspection. This Report is a product of observations made during a tour of the Home, a review of care related documentation, including staff recruitment/deployment records, plus a range of documents/records reflecting the general operation of the Home. In addition discussions were held with 2 Residents, 1 Visitor, the Registered Manager and several members of Staff. What the service does well: What has improved since the last inspection? Requirements cited at the previous Inspection, relating to the risk assessment of the use of an outwardly opening toilet door, and to the need for hand rails in corridors have been met, as have Recommendations relating to annual case assessment of Residents, and the commencement of the replacement of worn carpets. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 6 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. Hartlands Residential Home DS0000020676.V278354.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 Hartlands Residential Home DS0000020676.V278354.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): Standards in this section not fully assessed at this Inspection. EVIDENCE: Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 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): Standards in this section not fully assessed at this Inspection. EVIDENCE: Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 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): Standards in this section not fully assessed at this Inspection. EVIDENCE: Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 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): Standards in this section not fully assessed at this Inspection. EVIDENCE: Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 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): 19,20,22,23,24,25,26. The standard of the environment is generally good. The Home’s dining and lounge/sitting areas offer a good variety of size and outlook, with furnishings being in good order and presenting a very comfortable ‘domestic’ ambience. Specialist equipment is available to facilitate provision of care. The gardens provide a safe environment and are easily accessible to Service Users of all abilities, at all times of year. EVIDENCE: Generally, the environment at Hartlands is pleasant with good standards of general housekeeping. Individual rooms seen were observed to be pleasant, with evidence of Residents having chosen to bring in their own possessions. The provision of aids and adaptations e.g. hoists, wheelchairs, stand-aids, and recently installed hand-rails, is consistent with the needs of the Service Users, and with the demands of tasks carried out by Care Staff. The Home is located in pleasant and safe grounds with good access for Residents. The laundry is appropriately equipped with ‘industrial’ machines, appropriate facilities for the washing of hands and flooring of an impermeable type. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 13 At the previous Inspection a ‘Requirement’ was cited relating to an outwardly opening toilet door located in the ground floor corridor. Evidence was seen of risk assessment having been undertaken regarding this possible threat to the safety and well-being of Residents, Staff and Visitors. The Inspector was informed that hitherto there had been no incidents reported involving the door. However, the Manager accepts it would be wise to proceed by considering ways in which access to the room could be re-sited in the adjacent corridor. In the interim, to prevent the door being opened quickly i.e. without sufficient warning to passers-by, a sprung self-closing bracket has been fitted. In view of the absence of reported incidents, action taken by the Home in addressing this matter, and observations made at the time of the Inspection, the Inspector considers this Requirement may be reassigned as a Recommendation. The Home has commenced a programme for the replacement of worn carpets. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Staff numbers and skill-mix on duty were consistent with that shown on the rota, and were sufficient to meet the assessed care needs of the current Residents. Recruitment and employment practices are consistent with safeguarding of Residents. The Home has a good commitment to providing introductory and on-going NVQ training and specialist training related to the particular needs of the client group cared for at Hartlands. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. Staff Personal Files demonstrated evidence of full compliance with the Standard and Schedule 2 of the Regulations. Staff training files demonstrated Staff are subject to a thorough, and relevant, orientation/induction programme, which is followed by comprehensive ‘foundation’ training, e.g. ‘manual handling and lifting’, ‘fire safety’, ‘simple infection control’. Staff were observed to be carrying out care provision to a high standard, sympathetic to identified care needs. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38. The Home has excellent leadership from the Manager, who, in turn, is very well supported by experienced Senior Staff. The ambience of the Home is friendly, inclusive and operationally very well organised, with the central purpose being ‘the best interests of Residents’. All Staff are subject to effective support with regular supervision, and appeared involved and happy in their work. Health and Safety Policies/Procedures/Practices were satisfactory. EVIDENCE: Residents and Staff were observed to approach the Manager with a range of issues, which were received in an interested and involved manner. COSHH requirements were satisfactory, with maintenance and servicing of equipment regularly undertaken, and appropriately documented. The Manger informed the Inspector that Resident’s personal monies are not managed by the Home, but by Relatives/Advocates. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 16 Records are maintained relating to the hot water supply to baths, and water tested, during the Inspection was satisfactory. COSHH data sheets were seen to be up-to- date. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP19 Good Practice Recommendations The Registered Manager should continue investigation into finding a solution to the potential hazard of the outwards opening toilet door in the downstairs corridor. Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Hartlands Residential Home DS0000020676.V278354.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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