Inspection on 09/01/06 for Hartlands Rest Home

This inspection was carried out on 9th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 19/04/05

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 Announced Inspection 9th January 2006 10:00 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 Rest Home DS0000020680.V266558.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 Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hartlands Rest Home Address 57 Salop Road Oswestry Shropshire SY11 2RJ 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) 01691 658088 NONE Mr Declan Joseph Roche Mrs Rita Marion Clarke Care Home 17 Category(ies) of Dementia (17) registration, with number of places Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 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 representatives. 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 accommodation 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 DS0000020680.V266558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 10.00am and lasted two and a half hours. Fifteen places were occupied. The inspection included discussion with service users, management and staff. Observation of daily routines, examination of service user records, policies and procedures also formed part of the inspection process. There were no visitors present during the inspection process. Written comments and feedback via questionnaires were sought prior to the inspection from a number of individuals. These included: Service users relatives, Consultant Psychiatrist, Health and Social care professionals. What the service does well: What has improved since the last inspection? The home continues to carry out re decoration programme to maintain a well presented home for people to live in. A new boiler has been purchased since the last inspection along with thermostatic valves being installed to all sinks. Hartlands Rest Home DS0000020680.V266558.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 Rest Home DS0000020680.V266558.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 Rest Home DS0000020680.V266558.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): These key standards were assessed at the last inspection of 19th April 2005. EVIDENCE: Hartlands Rest Home DS0000020680.V266558.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): 7&9 There is a clear and consistent care planning process in place, so staff are well aware of residents’ needs and how to care for them. Medication is received into the home in accordance with policies and procedures. EVIDENCE: All service users have a plan of care generated from an initial assessment. The care plans of the two newest admissions to the home were examined. These were well-organised and contained explicit detail on the individual’s needs and how these are to be met by staff. The home should be commended on the quality and content of care plans. Care plans focused on being person centred and reflected very specific personal details. Care plans demonstrated that time had obviously been spent with family members to reflect individuals in a positive way along with detailing what individuals need assistance with. Care plans reflected the homes attempts to promote independence despite some of the very dependant service users living at Hartlands. Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 10 Standard nine medication was not fully assessed on this occasion, however the requirement made at the last inspection that the home should sign to say that medication has been checked when received into the home was found to be satisfactory. Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 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 the following standard(s): These key standards were assessed at the last inspection of 19th April 2005. EVIDENCE: Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 12 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): 16 There is a clear and accessible complaints procedure in place. EVIDENCE: The complaints policy is clearly laid out in the homes Statement of Purpose that is given to all prospective service users. It was stated on the pre inspection questionnaire and confirmed by the manager that there have been no formal or informal complaints received since the last inspection. There have been no complaints received at the Commission for Social Care Inspection. Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 13 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 & 25 Service users live in a safe, well-maintained environment. EVIDENCE: A tour of the home took place as part of the inspection process. All areas were seen to be well maintained, clean and pleasant throughout. The requirement to attend to the carpet in room 13 has been addressed since the last inspection. An ongoing redecoration programme continues to take place to keep the home to a well-presented standard. Thermostatic valves have been fitted to all sinks. The requirement made at the last inspection that bathroom 9 should not pose a risk of scalding to service users is monitored closely. A temperature record chart is kept in the bathroom. This was satisfactory at the inspection visit. Hartlands Rest Home DS0000020680.V266558.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): 30 Staff are supported to undertake training relevant to their role and responsibilities. The homes commitment to the NVQ training programme continues to benefit service users who are supported by well-trained and qualified staff group. EVIDENCE: It was stated on the pre inspection questionnaire and confirmed with the manager and through discussion with staff that 80 of care staff have undertaken NVQ training. A variety of refresher and specialist training has taken place since the last inspection including, safe handling of medicines, first aid, positive dementia, health eating and food hygiene, fire training and first aid. Confirmation of training was seen from completed college workbooks, feedback from assessors and discussion with staff. The home has purchased five training manuals from Mulberry House. The manager has begun to roll out training to the staff group including death, dying and bereavement. Hartlands Rest Home DS0000020680.V266558.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): These key standards were assessed at the last inspection of 19th April 2005. EVIDENCE: Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 3 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 3 17 x 18 x 3 x x x x x 3 x STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 17 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 Hartlands Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 18 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 Rest Home DS0000020680.V266558.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!