Inspection on 03/07/06 for Hartwell Residential Home

This inspection was carried out on 3rd July 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

Hartwell Residential Home 02/07/07

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 Michael O`Neil Key Unannounced Inspection 3rd July 2006 08:55 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.V302026.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.V302026.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 hartwell@highfield-care.com 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.V302026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing levels must meet the Residential Staffing Forum levels required for older people. 13th December 2005 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. 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 is 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. 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 monthly fees from 3rd July 2006 were £303 - £465 per week. Additional charges included hairdressing, newspapers and private chiropody. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Mike O’Neil, regulation inspector. This inspection took place between the hours of 8.55 am and 4:00 pm. Kathleen Webb, registered manager, was present during the inspection. The manager submitted a pre inspection questionnaire and relatives returned care home surveys to the CSCI prior to the actual visit to the home. The relatives’ views and some information from the questionnaire are included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to 7 staff and 9 residents. The inspector wishes to thank the staff and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: Residents themselves said that the care they were receiving was good and that the staff were very nice. Residents added comments such as” staff are lovely”, “staff speak nicely to you” and “it is a really nice place to be here at Hartwell” Relatives made comments such as “the staff are professional caring people and the standard of care is very good at Hartwell”. The inspector observed that residents were well dressed in clean clothes and had received a good standard of personal care. A friendly and welcoming feel was evident in Hartwell. Residents said that the home was “a happy place” this was evident on the day of inspection. There were activities available for residents. The activities coordinator showed great enthusiasm about her role and was keen to include as many residents as possible in different types of activities. Fresh fruit was available in the lounges of the home and residents said that drinks and snacks were available at all times. Residents said that staff had been providing them with lots of fruit juice during the recent hot weather. Residents said that they had a choice of food, up to 3 options at lunchtime, and that the quality of food served was good. All areas of the home were clean and tidy. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 6 The home was clean, with no unpleasant odours noticeable. What has improved since the last inspection? 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. Hartwell Residential Home DS0000032211.V302026.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.V302026.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessments prior to admission took place. These enabled staff to be aware of residents needs to ensure that they could be met. EVIDENCE: The manager confirmed that residents were only admitted to the home once they were sure that they could meet their needs. Copies of full need assessments were in the residents files. All the relevant information from the assessments had been built into the care plan. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, social and personal care needs were well documented in the care plans meaning that the resident’s needs could be met. 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 good. Residents said that the staff were helpful, friendly and nice. Medication storage and procedures protected the residents’ health and welfare. Residents said that the staff promoted their privacy and dignity by knocking on their doors and waiting for a response before entering. Staff spoke to residents in a respectful way and showed empathy and patience when providing personal care to the residents. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 10 EVIDENCE: Two resident plans of care were checked. The standard of the care plans was good. The care plans provided detail of the residents specialist needs. The care plans identified that a range of health professionals visited the home to assist in maintaining the residents health care needs. Residents or their relatives were involved in drawing up the care plans. Staff were updating resident risk assessments and the care plans on a monthly basis. Residents themselves said that the care they were receiving was good and that the staff were very nice. Residents added comments such as” staff are lovely”, “staff speak nicely to you” and “it is a really nice place to be here at Hartwell” Relatives made comments such as “the staff are professional caring people and the standard of care is very good at Hartwell”. The inspector observed that residents were well dressed in clean clothes and had received a good standard of personal care. Medication procedures provided protection to residents. Medicines were securely stored around the home in locked cupboards within treatment rooms. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. The inspector observed a staff member dispense medication to residents in a safe and hygienic way. Staff said they had received medication training. The inspector saw a certificate of this training. Residents said that staff at the home respected their privacy and dignity by knocking on their doors and waiting for a response before entering. The inspector observed this practice of staff knocking on residents’ doors. Staff spoke to residents in a respectful way and showed empathy and patience when providing personal care to the residents. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends ensuring that they continue to be involved in community life. Meals served at the home were of a good quality and offered choice to ensure residents receive a healthy balanced diet. EVIDENCE: Residents were able to spend their day as they wished and move freely around the home. Some residents were sat in the gardens. Residents said that they were able to maintain contact with their family and friends and that their relatives were always made to feel welcome when they visited. A friendly and welcoming feel was evident in Hartwell. Residents said that the home was “a happy place” this was evident on the day of inspection. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 12 Some residents said that they had lots of friends within the home as well as those friends who visit. Some residents said they enjoyed the activities available at the home, whilst other residents said that they chose not to join in with the activities arranged. Activities were advertised around the home. Some activities that residents had participated in were recorded in their care plans. The inspector spoke with the activities coordinator. The coordinator showed great enthusiasm about her role and was keen to include as many residents as possible in different types of activities. The inspector was pleased to hear that the activity coordinator spent time in the morning speaking to the residents who chose not to join in with the group activities. The activities coordinator was also keen to develop links with other agencies to assist residents with specific needs such as some who were partially sighted. Residents said they chose when they got up and went to bed and generally how they spent their day. Some residents said they preferred to stay in their room at certain times of the day and that the staff respected their decision. Residents said that they had a choice of food, up to 3 options at lunchtime, and that the quality of food served was good. Lunch was served in a pleasant relaxed manner and residents were sat at tables, which had been nicely set. Residents said that they enjoyed their lunch. Fresh fruit was available in the lounges of the home and residents said that drinks and snacks were available at all times. Residents said that staff had been providing them with lots of fruit juice during the recent hot weather. The cook was aware of residents’ special diets and said she used fresh produce in the majority of the dishes prepared. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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 the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure residents are protected from abuse. Complaints procedures are in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. EVIDENCE: Complaints procedures were displayed around the home. Residents said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Staff said they had received information on adult abuse and said they had read and were aware of the policies on whistle blowing at the home. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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 the following standard(s): Standards 19, 21, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the home was well maintained and clean providing a comfortable, safe environment for residents. However externally the grounds of the home were in need of attention as some areas of the gardens were overgrown and unkempt, meaning that the residents could not fully utilise the pleasant location where the home is set. EVIDENCE: The residents were sitting outside on garden furniture on a pleasant patio area of the home. However some areas of the homes gardens were overgrown and unkempt meaning that the residents could not fully utilise the pleasant location where the home is set. All areas of the home were clean and tidy. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 15 Three bedrooms were checked in detail and many others seen, all were comfortable and homely. Bed linen checked was clean and in a good condition. The home was clean, with no unpleasant odours noticeable. Relatives and residents said that the home was always kept clean. The bathrooms and toilets had been redecorated and were clean. Records checked showed that the hot water temperature in bathrooms and residents rooms were being tested weekly and measured safe temperatures below 45 degrees centigrade. This will assist in maintaining resident safety. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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 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): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were employed in sufficient numbers to meet the residents needs. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. Staff were not receiving adequate training on their induction, so may not have the required skills to meet the residents needs. However a proportion of staff have completed training that ensures these staff have the competences to meet the residents needs. EVIDENCE: The manager stated that agreed staffing levels were being maintained and the staff rota identified agreed staffing levels had been met. Staff said staffing levels were adequate. Residents said there was always a member of staff available when they needed them. The manager said that fifty per cent of care staff had now achieved their level 2/3 NVQ qualification. A sample of staff files checked identified that staff had achieved their NVQ qualification. One member of staff interviewed said they had completed their NVQ training. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 17 Two staff recruitment files were checked. The staff files contained references from the staff’s last employer, information to verify identity and Criminal Record Bureau (CRB) and Protection Of Vulnerable Adults (POVA) checks. The manager confirmed that all staff working at the home had completed an enhanced CRB/POVA check. Staff said that there were good training opportunities available to them. Two staff records checked identified that the members of staff had not received adequate or in depth induction training when they commenced work at Hartwell, only basic health and safety training was provided. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 18 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): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a positive style of management in the home. This would have a positive affect on the quality of the service the residents receive. Some of the homes policies and procedures did not fully promote the health, safety and welfare of residents and staff. EVIDENCE: The manager said she had now completed half of her level 4 NVQ management qualification. Residents said that they met regularly with the manager and spoke positively about her approachability and helpfulness. Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 19 Staff interviewed said they enjoyed working at the home and that they were receiving management supervision on a regular basis. The home had an active quality assurance system. There was evidence of internal auditing of the homes environment, services and records. Staff and relative meetings were held and minutes of recent staff meetings were seen. However the manager said that relative meetings had not been held. The manager and inspector discussed ways that these meetings could be arranged. The home handles money on behalf of some residents. Account sheets were kept, receipts were seen for all transactions and a second individual witnessed all transactions. The health and welfare of residents could not be fully protected as records showed that the portable electrical appliances in the home had not been tested in the past year. A sample of records showed servicing of the homes other utility systems had occurred. Practice fire drills had been conducted in the home, however the last three records in the file did not identify the length of the drill and any corrective action needed after the drill. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. At the time of inspection fire exits were clear 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 Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 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 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 2 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 3 X 2 Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 21 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 2 3 4 Standard OP19 OP30 OP31 OP33 Regulation 23 19 9,18 24 Requirement All external areas of the home used by residents must be well maintained. Staff must receive induction training within 6 weeks of appointment to their posts. The manager must be trained to NVQ level 4 or equivalent in management. A system must be implemented and maintained to review and improve the quality of care and services at the home. (Resident meetings) Portable electrical appliances must be safely maintained. Fire Drills records must indicate the time of the drill and any corrective action taken after the drill. Timescale for action 01/11/06 01/09/06 31/12/06 01/11/06 5 6 OP38 OP38 23 23 01/10/06 01/09/06 Hartwell Residential Home DS0000032211.V302026.R01.S.doc Version 5.2 Page 22 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 Hartwell Residential Home DS0000032211.V302026.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: 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 Residential Home DS0000032211.V302026.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. 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!