Inspection on 02/07/07 for Hartwell Residential Home

This inspection was carried out on 2nd July 2007.

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

Hartwell Residential Home 03/07/06

Hartwell Residential Home 13/12/05

Hartwell Residential Home 13/06/05

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 Residential Home 117 Jumble Lane Ecclesfield Sheffield South Yorkshire S35 9XJ Lead Inspector Tony Railton Key Unannounced Inspection 2nd July 2007 08:15 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 Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 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. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hartwell Residential Home Address 117 Jumble Lane Ecclesfield Sheffield South Yorkshire S35 9XJ 0114 2468422 0114 2466417 HartwellRH@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited 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) Mrs Kathleen Mary Webb Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing levels must meet the Residential Staffing Forum levels required for older people. One specific service user under the age of 65, named on variation dated 6th February 2007, may reside at the home. 3rd July 2006 Date of last inspection 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. Hartwell is situated in the North of Sheffield in the district of Ecclesfield. Set back in its own grounds, off a country road and transport is needed to reach this impressive looking country home. However, 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 is accessible for wheelchair users. There are a number of lounges and dining rooms and the homes gardens are extensive with views across the countryside and the home has a car park. A copy of the previous inspection report was displayed and available in the foyer of the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of fees from 3rd July 2007 is £318 £490 per week. Additional charges included hairdressing, newspapers and private chiropody. Further information about the services provided and the role of the CSCI can be obtained from the home. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home commenced at 08.15 and ended at 13.15. During this visit there was the opportunity to look at a sample of six peoples records including assessments, care plans, daily and medical records. Six staff records were also seen and included police and protection of vulnerable adults list checks and training records. There was the opportunity to speak to people using the service, the manager and her staff team and a visiting District Nurse. The returned relatives surveys and the homes service history was also considered. This was a very positive visit and the inspector would like to take the opportunity to thank all the residents, the manager and her staff team for their patience and co-operation throughout the visit. What the service does well: What has improved since the last inspection? Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 6 For the enjoyment and benefit of people using the service work has been carried out to improve the garden. More residents meetings have been arranged to give people the opportunity to comment on the way the home runs and the quality of services provided. For the safety of people living in the home all of the portable electric appliances have been checked to make sure they are safe. More detail has been added to the records kept following a fire drill to include what action has been taken to make sure people remain safe. 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. The summary of this inspection report can be made available in other formats on request. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 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 Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People have their personal and healthcare needs assessed before they are admitted to make sure the home can meet their needs. People using the service experience good quality outcomes in this area. We have made this decision using a range of evidence including this visit to the service. EVIDENCE: The manager of the home said that they assess everyone’s care needs before they are offered a place in the home. They went on to say that people are invited to spend some time at the home as part of the assessment process to make sure that people choose the right home. Six case files seen confirmed that everyone coming to live in the home has a comprehensive assessment to make sure that the home can meet their individual care and healthcare needs. Records also show that most people also have an Integrated Care Management Programme Assessment completed by Social Services to show others what their care needs are and how they can be met. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 9 The manager confirmed that the home does not provide specialist rehabilitation facilities for those requiring intermediate care. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using the service are treated with dignity and their wishes respected, care is planned and they are protected by the way medicines are dealt with. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: A sample of six peoples records show that their care needs are set out in their care plans, and the reviews, daily and medical records show that peoples’ individual needs are met. People were observed throughout the visit being treated with dignity and having their wishes respected. The manager said that the principles of treating people with dignity and respect underpin the care provided by the home and form part of the induction training for staff. This was confirmed by the staff training records, which also shows that all staff have recently had Equality and Diversity Training to help them provide a better service for people in the home. This practice is to be commended. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 11 People are protected by the way medicines are administered in the home as the medicine system was checked and found to be safe. The medication system was also audited by the pharmacist on 26 June 2007 and found to be safe Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People are assisted and encouraged to make decisions and choices about their lives and are offered a varied and balanced diet. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People were observed throughout the visit being assisted and encouraged to make decisions about their lives. People were also observed being offered choices by those looking after them. One person said that they ‘like to make things’. There is a display cabinet showing a range of art and crafts and other things made by residents. The manager confirmed that items made by residents are sold to raise funds. Another person said that the ‘gardens are beautiful’ and they enjoy ‘parties on the lawn’. The photographs in the reception area confirmed this and show residents enjoying a garden party. One person said that they enjoy the meals and that they have a choice of menu. The kitchen staff and menu checklist confirmed residents’ choices and preferences. A sample of the lunchtime meal found it to be well presented, well cooked and tasty. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 13 The kitchen staff said that following a recent visit from the Environmental Health Department they were awarded a four ‘Gold Stars’ certificate for the kitchen and the quality of their food preparation. The manager confirmed this and the Certificate displayed. The manager said that the quality of the meals provided is very good indeed. The people using the service confirmed this. The homes returned relatives surveys show that they are also happy with the quality of the meals provided by the home. The daily records of six people using the service show that they enjoy participating in a range of activities including Religious services. The manager confirmed that local clergy visit the home and hold services on a monthly basis for those who wish to attend. The manager said that although people living in the home make decisions about their lives and express choices and preferences, the daily records would benefit from an increase in the use of descriptive words to reflect this. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People are protected by a robust and accessible complaints policy and are also protected from abuse. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The manager said that the home has not received any complaints or had any Safeguarding Referrals. The Quality Audit documents and service history confirmed this. Eight returned relatives surveys show that relatives know how to make a complaint but have never had a reason to complain, as they are happy with the service provided. People spoken to say that they enjoy living in the home and they have no complaints about the care they receive. People using the service are protected from abuse as staff training records show that all staff has had POVA (Protection of Vulnerable Adults) training. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26. People using the service live in a safe, comfortable and homely environment, which is safe and clean. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People using the service were observed relaxing in the lounges and dining rooms, which are comfortable, clean and homely. One person said that they like ‘living in the home’ and another said its like ‘home from home’. Eight returned relatives quality assurance surveys show that they are happy with the facilities provided. The manager said that recent heavy rain has damaged the reception area and the ceiling on the main staircase landing. A tour of the premises found this to be correct. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 16 The manager also said that for the benefit and enjoyment of residents there have been improvements to the garden. A tour of the garden confirmed this. During a tour of the home it was noted that for the comfort and benefit of residents a number of areas were in need of some minor remedial work. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People using the service have their care needs met by trained and qualified staff and are protected by a robust and effective staff selection and recruitment process. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: People using the service are protected by the homes staff selection and recruitment policies and practices as a sample of six staff records showed that police and POVA (Protection of Vulnerable Adults List) checks are carried out before they are employed. The manager said to make sure people are cared for properly, that a new induction checklist shows that all staff receive the appropriate training within the first six weeks of employment. The staff training records confirmed this. The staff rota’s show that there is enough staff available to make sure that peoples care needs are met. Enough staff were observed to be available throughout the visit and appeared to be meeting peoples care needs in a relaxed and unhurried manner. In order to provide better care for the people using the service it was noted that staff have received Moving and Handling, First Aid, Food Hygiene, Infection Control, POVA, Managing Challenging Behaviour and Dementia training. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 18 The manager said people using the service are cared for by qualified staff and that 50 of care staff have a National Vocational Qualification Level 2 or above. The quality audit records and staff training records confirmed this. One person said that the staff are ‘very caring’. Another said that staff are ‘wonderful’ and that they are well cared for. Eight returned relatives quality assurance surveys show that they are happy with the quality of care provided. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People live in a well managed home, which is run in their best interests and where they are safe. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the service. EVIDENCE: The manager said that the home has a quality assurance system, which involves gaining the views of people using the service and their relatives on the quality of care provided. This was confirmed by the minutes of the residents meetings and the eight returned relatives surveys and the quality audit information. The minutes of the staff meetings and supervision records show that staff also have the opportunity to comment on the running of the home. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 20 The manager said that for the safety of residents all portable electric appliances have been checked. The health and safety records confirmed this. To make sure people are safe more detail is added to the documenting of fire drills to include any corrective action taken by the home. The manager said that to fully meet minimum standards she has nearly completed the Registered Managers Award NVQ Level 4. The monthly audit carried out by the manager and health and safety documents show that people using the service live in safe and well-maintained surroundings. Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 21 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP19 Regulation 23 (2)(b) Requirement The water damage to the ceiling on the main staircase landing and to the front reception area must be repaired and redecorated. Timescale for action 01/10/07 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 2 3 Refer to Standard OP14 OP19 OP31 Good Practice Recommendations The daily records would benefit from an increase in the use of descriptive words to reflect and show peoples choices, preferences, likes and dislikes. The minor repairs and re-decoration identified should be completed as soon as is practicable. The manager should inform the CSCI upon completion of the Registered Managers Award, NVQ Level 4 Hartwell Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Residential Home DS0000032211.V343961.R01.S.doc Version 5.2 Page 24 - 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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