Inspection on 13/06/05 for Hartwell Residential Home

This inspection was carried out on 13th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hartwell Residential Home 02/07/07

Hartwell Residential Home 03/07/06

Hartwell Residential Home 13/12/05

Hartwell Residential Home 30/11/04

Hartwell Residential Home 06/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hartwell 117 Jumble Lane Ecclesfield Sheffield S35 9XJ Lead Inspector Mike ONeil Unannounced 13 June 2005 08:55 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. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hartwell Address 117 Jumble Lane Ecclesfield Sheffield S35 9XJ 0114 2468422 0114 2466417 hartwell@highfield-care.com Highfield Care Homes No 2 Limited 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) Mrs Kathleen Mary Webb PC Care Home Only 34 Category(ies) of OP Old age - 34 registration, with number of places Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Staffing levels must meet the Residential Staffing Forum levels required for older people. Date of last inspection 30 November 2004 Brief Description of the Service: Hartwell is a residential care home for older people; it is registered to provide personal care and accommodation for 32 service users. Highfield Care Homes provide both the accommodation and care. Hartwell is situated in the North of Sheffield in the district of Ecclesfield. The home is set in large grounds, off a country road and transport is needed to reach the home. Amenities such as shops, libraries, church and local services are based in the near by communities of Chapeltown and Ecclesfield.The home comprises of two levels with lift access to the upper level. The home was accessible for wheelchair users. There were a suitable number of lounges and dining rooms and the homes gardens are extensive with views across the countryside and the home had a car park. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 08:55 to 13:00. Kath Webb ,registered manager was present during the inspection. Ten residents and five staff were spoken with. A sample of records were examined and a partial inspection of the building was carried out. The inspector wishes to thank the manager, staff and residents for their time, friendliness and cooperation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: More detail is needed in staff recruitment files. Staff must receive fire safety training. More details must be recorded on fire records after a fire drill has taken place. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 6 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. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI 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 Hartwell J55 S32211 Hartwell V230024 13.06.05 UI 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) 4. Standard 6 is not applicable to this home. Staff were receiving specific training. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: Residents said that they saw medical/nurse specialists when they needed to and that staff helped them to attend appointments at the local hospitals. Staff said that they had undertaken relevant training needed to assist them in caring for the specific client groups who are resident at Hartwell. A detail of this training was seen in staff training files checked. This training will assist them to meet the needs of the residents at Hartwell. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI 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) 8,9 and 10. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were very nice. Medicines were securely stored around the home. Residents’ privacy and dignity was maintained. EVIDENCE: Discussion with residents identified that a range of health professionals visited the home to assist in maintaining health care needs. Residents said that they were happy and that the staff were very caring. Other residents added the staff of the home were” wonderful” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. Medication procedures provided protection to residents, as medicines were securely stored around the home. Residents were observed to receive personal care in a manner that respected their privacy and dignity as staff knocked on residents door and waited before being invited in. Residents said that staff were polite and helpful. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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) 12,13,14 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: Residents said that they were able to maintain contact with their family and friends and said that their relatives were always made to feel welcome when they visited. A friendly and very welcoming feel was evident in Hartwell. Residents said they chose when they got up and went to bed. Residents were having breakfast at different times in the morning. Residents said that activities were available both within the home and on trips outside the home. Some residents said that they took a walk outside the home every morning and met people within the local community. The cook was very enthusiastic about her job and was very keen to ensure the residents were offered choice of meals. The cook showed good knowledge of the special diets some resident’s need. Residents said that they had a choice of food and that the quality of food served was good. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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 and 18. The homes complaints procedure was clear and accessible. Complaints made were listened to and action taken to deal with any issues promptly. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. EVIDENCE: A complaints procedure was displayed in the home. Residents said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Records checked indicated that staff had received information and training on adult abuse. This will help to ensure that residents are protected from abuse. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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) 19,20,21,22,24,25 and 26. The environment within the home was well maintained and clean providing a comfortable, safe environment for residents. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 13 EVIDENCE: The grounds around the home were very welcoming and garden furniture was available for residents and their visitors to use. All areas of the home were clean and tidy. Lounge and dining areas were domestically furnished. Four bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean and in a good condition. The flooring to the ground floor toilet was discoloured and a join was worn and beginning to lift. The manager said that quotes to replace the floor covering had been received and that the floor covering would be replaced in the next two months. The quote was seen at the time of inspection. The home was clean, with no unpleasant odours noticeable. Residents said that the home was always kept clean. The home was warm in all areas. Staff said that there were enough hoists and other moving and handling equipment available to ensure that residents could be safely moved. The nurse call system was heard to be working. Window restrictors were fitted to all windows checked. This will assist in maintaining resident safety. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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 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) 27,28,29 and 30. Staff were employed in sufficient numbers. Further detail was required in staff recruitment files. New and existing staff had undertaken training in various subjects. EVIDENCE: The manager stated that agreed staffing levels were being maintained. The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Residents said there was always a member of staff available when they needed them. Staff said staffing levels were adequate. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification, although the manager said that several staff had nearly completed the course. The recruitment information obtained for new staff was insufficient to adequately protect the welfare of residents who lived at the home. The recruitment practices were generally sound although there was no documentation available to indicate the decision as to whether to employ a person based on interview, the references obtained or the Criminal Record Bureau (CRB) check. Staff said that there were good training opportunities available to them, which enabled them to feel competent to do their job. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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 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) 32,33,34,36,37 and 38. There was a positive style of management in the home and staff moral was good. Staff said they were appropriately supervised on a continuous basis. Further staff fire safety training and more information on fire records is needed. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 16 EVIDENCE: Recorded visits by the registered provider had been carried out. Records of these visits have been forwarded to the CSCI. This quality assurance monitoring will help to ensure that the home is run in the best interests of the residents. Staff said that staff moral was high and said that they enjoyed working at the home. The homes insurance certificate was up to date. Staff said they were receiving supervision and management support on a regular basis. The health and welfare of residents could not be fully protected, as one member of staff had not received recent fire safety training. Practice fire drills had been conducted in the home, however the records did not identify the length of the drill, any corrective action needed after the drill and the drills were not conducted at different times of the day. Staff said they had received recent moving and handling training. A sample of records showed that staff were receiving this statutory training. The hot water temperature in one bathroom measured a safe temperature of 44 degrees centigrade. At the time of inspection no fire exits were blocked and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. This will promote the safety and welfare of the service users. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 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 x 3 3 3 x 3 3 2 Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 18 Yes 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 21 Regulation 23 Requirement Timescale for action 01/09/05 2. 29 17,19 3. 38 23 4. 38 23 The floor covering to the ground floor toilet must be replaced. (Previous timescale of 31/01/05 not met) A thorough recruitment 01/08/05 procedure must be followed and this must be demonstrated on individual staff files together with information required by the regulations and standards. Fire Drills must be conducted at 01/08/05 different times of the day/night so as to ensure that all staff working at the home are aware of the procedures to follow in the event of fire.Fire Drills records must indicate the duration of the drill and any corrective action taken after the drill. Staff must receive fire 01/08/05 instruction training at least once a year. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Hartwell Refer to Good Practice Recommendations J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 19 1. Standard 28 Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent by 2005. Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Hartwell J55 S32211 Hartwell V230024 13.06.05 UI Stage 4.doc Version 1.30 Page 21 - 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!