Inspection on 19/04/05 for Hartlands Rest Home

This inspection was carried out on 19th April 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

Hartlands Rest Home 02/10/08

Hartlands Rest Home 07/06/06

Hartlands Rest Home 09/01/06

Hartlands Rest Home 13/12/04

Hartlands Rest Home 05/05/04

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

CARE HOMES FOR OLDER PEOPLE HARTLANDS REST HOME 57 SALOP ROAD OSWESTRY SHROPSHIRE SY11 2RJ Lead Inspector KAREN POWELL Unannounced 19 April 2005 10.20 th 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. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service HARTLANDS REST HOME Address 57 SALOP ROAD OSWESTRY SHROPSHIRE SY11 2RJ 01691 658088 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) MR DECLAN ROCHE MRS RITA CLARKE CARE HOME 17 Category(ies) of 17 DEMENTIA ELDERLY registration, with number of places HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2004 Brief Description of the Service: Hartlands is a privately owned care home registered to provide care for a maximum of 17 older people with mental health problems. The home sets out its stated philosophy in the Statement of Purpose, which is made available to all service users or their representitives. It states that we provide a safe, friendly and comfortable environment for our residents to live, and where relatives and friends are very welcome. The original house has been extended and offers accomodation on ground and first floor levels to provide 9 single and 4 double bedrooms. The first level of the home can be accessed by a shaft lift. The home has a large lounge and separate dining room. There is an outside seating area at the rear of the home. The home is situated in the town of Oswestry and is within walking distance of the town centre, providing access to the local church, shops and other amenities. There is a railway station three miles away at Gobowen, which links to all main lines. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.20am and lasted 5 hours and twenty minutes. All 17 places were occupied. The inspection included discussion with service users, staff and relatives and observation of daily routines, examination of service user and staff records, policies and procedures. What the service does well: What has improved since the last inspection? The three requirements made following the last inspection visit have all been carried out to a satisfactory standard. The required basic staff training has been undertaken or is planned for the near future. All staff are regularly supervised on an ongoing basis. Tiling in the downstairs toilet and shower room has been completed to reduce the spread of infection in the home. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 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 REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 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 HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 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) 3, 4 & 5 Service users are assessed before moving into the home. Relatives are provided with the opportunity to visit the home to assess its quality, facilities and suitability to an individual’s needs before an admission EVIDENCE: Two new service users have been admitted to the home since the last inspection. Both individuals were assessed before moving into the home. This was confirmed by written assessments. The homes manager stated that relatives had viewed the home on behalf of both individuals admitted. A relative of another service user visiting at the time of the inspection told the inspector they had visited the home before their relative moved in. EVIDENCE: HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 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 & 10 There is a good, clear, consistent care planning system in place. The staff are sensitive to the individual needs of each service user and meet these in a professional manner. EVIDENCE: The care plans of the two newest admissions to the home were looked at. Service users health, personal and social care needs were set out in both care plans. Service user care plans contained information that confirmed health care needs are met. District nurse, Doctor’s, chiropodists and opticians visits were recorded well. Due to the nature of service user disabilities there are no service users who are able to self medicate at the home. Polices and procedures are in place for staff dealing with medication. However records were not completed for receipt of medication into the home for April 2005. The home must ensure all medication that enters the home is checked and recorded. Service user relatives stated that they can see their relative in private if they wish. Individual’s receiving care during the inspection were taken to their rooms or bathrooms. Staff observed during the inspection spoke respectfully to service users. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 10 EVIDENCE: HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 11 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, 14, & 15 Staff work in close liaison with service users and their relatives to understand their individual lifestyles and preferences in order that these can be continued when they move to Hartland’s. In consultation with individuals living at the home or their relatives if appropriate, choice and control over their lives is promoted where possible. EVIDENCE: The home has a varied plan of activities for all service users to take part in. A singer who regularly visits the home entertained service users during the afternoon of the inspection. A relative of one service user described the recent Easter Bonnet event. An outing to the Blue Planet Aquarium took place on 5th April 2005. A plan of trips over the next twelve months was available and a planned quiz night posted on the homes notice board. A local vicar known to one service user before moving into the home, visits once a month to conduct a service. A relative of one service user stated that they visit at various times of the day as they wish. All relatives who spoke to the inspector said they are given a warm friendly welcome by all the staff whenever they visit. Observations made during the inspection showed that staff allowed service users time to carry out their daily living routines. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 12 EVIDENCE: Three service users told the inspector the “food was very nice”. Two relatives of service users stated that the food was very good offering a good variety. Relatives also said they can eat with their relative if they wish. One relative had eaten at the home the evening before the inspection and had enjoyed the meal. Lunch was served during the inspection and appeared to be presented well. The meal was home cooked using fresh produce. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 13 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 Concerns or complaints are dealt with promptly and professionally. Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: The home has a clear complaints procedure, which is explained in the homes statement of purpose, which is given to all prospective service users or their family/representative before moving into the home. One relative spoken to was fully aware of the complaints procedure and how to make a complaint if they needed to. They were satisfied that any issues taken to the manager were dealt with correctly. Relevant policies and procedures in relation to the protection of vulnerable adults were seen at the inspection. EVIDENCE: HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 14 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, 25 & 26 The standard of the environment is good providing service users with a safe well-maintained environment to live in. The standard of cleanliness reflects the ongoing cleaning schedule which maintains this standard throughout the home. EVIDENCE: The home offers a comfortable, pleasant and hygienic well-maintained environment to all service users observed on a tour of the home. Individual bedrooms are furnished with comfortable furnishings and individuals own belongings. The carpet in room 13 currently poses a trip hazard and must be remedied. A continued programme of routine maintenance and renewal of the fabric and decoration continues to be implemented throughout the home. Relatives stated that the standard of cleanliness throughout the home was good. The hot water supply in room 9 bathroom felt hot to the touch. The temperature could not be checked as the thermometer was broken and a HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 15 further thermometer could not be found. The manager agreed the bathroom would not be used until the water temperature had been checked. A thermometer was requested to be purchased as a matter of priority. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 16 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 The home is staffed to a level that ensures service user needs are met at all times. The home continues to support staff to complete training, however further work to develop individuals in specialist areas related to the service user group cared for at Hartland’s is needed. EVIDENCE: The number of staff seen at the time of the inspection was satisfactory. Discussion with the manager verified staffing levels remain constant with a very low turn over of staff. Discussion with the manager and examination of the most recent staff file demonstrated that thorough recruitment procedures had been followed in line with the homes recruitment policy. Examination of two staff files, including a new member of staff and a long standing member of staff showed neither had completed infection control training or bereavement training. The home must provide training to staff in specialist areas which are considered to be appropriate to the homes category of registration. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 17 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, 33, 35, 36 & 38 The home is managed by a competent manager who leads the staff group with confidence. They are clear about their roles and responsibilities. Good systems of communication are in place to seek the views of the service users and families/representatives. Service users finances are handled appropriately by designated senior staff only. Staff are regularly supervised to enable them to carry out their work effectively. Health, safety and welfare of service users and staff are promoted fully by safe working systems in place. EVIDENCE: Mrs Clarke has completed a dementia care for care providers course which was a condition of her registration. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 18 The home has a good quality assurance system in place. A quality assurance survey was issued to all family/representatives of service users in January 2005 seeking their views in a number of areas relating to the home. The responses were showed to the inspector. The comments were very positive. Monies held at the home on behalf of service users are handled in line with the homes policy of handling service user money. A sample was checked and found to be satisfactory at the inspection visit. All staff are appropriately supervised on a regular basis. This was confirmed through discussion with two staff. Records of supervision were examined during the inspection. Accident and fire prevention records examined were appropriately maintained. Matters pertaining to fire safety and environmental health were found to be satisfactory at the last inspection carried out by Shropshire Fire and Rescue service and Environmental Health Department. HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 19 HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 20 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 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 x x x x x 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 3 x 3 HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 21 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. 2. 3. 4. Standard 9 19 25 30 Regulation 13 (2) 13 (4) 13 (4) 18 (1)(a) Requirement Medication at the home must be checked and recorded The carpet in room 13 must not pose a trip hazard The hot water supply in bathroom 9 must not pose a risk of scalding Specialist training for staff must be incorported within the training plan Timescale for action Immediate Immediate Immediate 08/08/05 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 25 Good Practice Recommendations A thermometer is purchased which allows the temperature of hot water to be checked HARTLANDS REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn 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 REST HOME E56 S20680 Hartlands Rest Home UAI V212733 19.04.05 Stage 4.doc Version 1.30 Page 23 - 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. 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