Inspection on 15/08/05 for Harvey House

This inspection was carried out on 15th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Harvey House 15/06/06

Harvey House 19/04/05

Harvey House 11/11/04

Harvey House 13/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Harvey House Church Lane Barwell Leicestershire LE9 8DG Lead Inspector Linda Clarke Unannounced 15 August 2005, 9:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Harvey House Address Church Lane Barwell Leicestershire LE9 8DG 01455 843575 01455 843575 None Leicestershire County Council Social Services 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) Ms Margaret Smith Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated. No person falling within category MD(E) may be admitted to the home when 6 persons who fall within category MD(E) are already accommodated. No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated. No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated. No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated. Service users between the age of 55-65 years of age who fall within the above categories and were resident in the care home at the date of registration may continue to reside there. To be able to admit the named person of category PD who is under 65 years of age named in variation application number V8651 dated 15 June 2004. Date of last inspection 19th April 2005 Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: Harvey House is a residential care home providing personal care and accommodation for up to forty older persons. Harvey House also offers a rehabilitation service for upto eight individuals who need to re-gain skills before returning home. The forty single bedrooms are without en-suite facilities. The home has a enclosed garden, with seating and mature plants and trees, an aviary is the centre piece of the garden. The premise is owned by Leicestershire County Council Social Services Department and is situated in the village of Barwell which offers local shops, Churches and cafeterias. The home is easily accessible by private or public transport. Accommodation is provided over two floors with access between floors being via stairs or a passenger lift. Harvey House is fully accessible, with communal areas and bedrooms being located on both floors. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 9.00am and 2.00pm. The opportunity was taken to look around the home, spend time with residents, view records and policies which, included viewing the care plans of three residents residing at the home, and one individual accessing the rehabilitation unit. Information recorded on the pre-inspection questionnaire and resident and relative Comment Cards has been incorporated into the Inspection report. The Registered Manager facilitated the Inspection, spending time with the Inspector; the Inspector also interviewed two members of care staff. What the service does well: What has improved since the last inspection? The Statement of Purpose has been revised since the last Inspection; ensuring information about care provision is up to date. An additional booklet is available to those individuals accessing the rehabilitation unit. Staff have recently received training in the handling of medication, and its administration by a Pharmacist. Care staff have been allocated dedicated areas within the home to which they are responsible for the answering of calls bells. An Activity Organiser has been recruited, who has consulted with residents and their relatives so as to gain information as to residents interests and hobbies. Consultation has taken place through letters incorporating questionnaires and through meetings with residents and their relatives. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 7 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. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 8 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 Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 9 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) 1, 3 and 6. The admission process is well managed with residents needs being assessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: Harvey House has a Statement of Purpose, which outlines the care and accommodation offered to residents, arrangements for staffing including staff training, the daily living arrangements offered to residents including information on mealtimes. A separate booklet is available for those individuals accessing the rehabilitation unit. As part of the assessment process residents and relatives are asked to provide a history of their life prior to admission, this provides additional information to help in the delivery of care and activities provided. Information supplied could be used to a greater advantage in the developing of resident care plans. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 and 10. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans of three residents’ were viewed, which contain an outline of resident needs. Care plans could be further developed to encompass a comprehensive record of resident needs, with consideration being given to physical health, mental health and socialisation including hobbies and interests, thus providing a holistic approach to care. The records of one individual accessing rehabilitation was viewed, these contained assessments and an individual plan of care, which detailed goals, needed to be achieved, consistent with independent living. The medication and administration records of those residents whose records were viewed were inspected and found to be in good order. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 11 The Inspector spoke with two members of care staff, who were able to relay the individual needs of residents. Staff were aware of the promotion of residents privacy and dignity, this was demonstrated through comments made to the Inspector and the Inspectors observation of staff interacting with residents. The Inspector received nine completed comment cards from residents, all indicated they were well cared for and that their privacy was respected and that they were treated well be staff. The Inspector received nine completed comment cards from relatives/visitors, eight confirmed they were happy with the overall care provided. One comment card incorporated an additional comment. ‘Very pleased with the home, always happy and helpful staff.’ Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14 and 15. Residents experience a homely life style and visitors are encouraged to visit. Various formal and informal activities are made available meeting residents’ recreational needs. EVIDENCE: An Activity Organiser has been appointed, since her appointment she has consulted with residents and written to their relatives to identify hobbies and interests of residents. Consultation has also taken place with residents General Practitioners, consistent with health promotion and safety. A meeting has been organised for residents and relatives to meet the Activity Organiser and discuss the provision of activities. Residents of Harvey House already have the opportunity to participate on a monthly basis, with entertainers visiting the home, who provide a variety of entertainment including keyboard playing and singing. Church and Communion services are also held within the home. A group of residents in the home attend local Churches. On a monthly basis residents also have the opportunity for an outing, visits have included Woodlands Garden Centre, picnics in Cadeby, Bosworth Water Park and Riversley Park in Nuneaton. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 13 Transport for outings is provided by an external agency, the cost of which is paid through fund raising. The Registered Manager felt that the restrictions placed by external transport provision impacted on resident’s enjoyment of outings. It is recommended that the use of Social Services transport be explored for the benefit of residents. The Inspector received nine completed comment cards from residents, of which seven indicated they were happy with the food provided. The Inspector spoke with three residents, all of which confirmed their satisfaction with meals, one gentleman in particular was very happy with the choice and variety offered at mealtimes. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. EVIDENCE: Harvey House has received one minor complaint since the last Inspection, which took place in April 2005, the complaint and the outcome of the investigation was documented. The Commission of Social Care Inspection has not received any complaints in relation to Harvey House. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 23, 24 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including garden areas, which individually and collectively meet the resident’s needs. EVIDENCE: Harvey House is well maintained and is suitable to the needs of residents; it is decorated and furnished to a standard that creates a comfortable and homely environment. The garden is well maintained which benefits from mature trees and plants, the garden provides garden furniture, in order that residents can relax and look at the birds in the aviary, this being the centre piece of the garden. Harvey House has spacious sitting rooms on both the ground and first floor, which offers residents a variety of choices as to where to sit, one sitting room is provided for those individuals who wish to smoke. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 16 The Inspector viewed the bedrooms of individuals whose records and care plans had been read, all were furnished and decorated to a good standard, one bedroom had an odour of urine, the Registered Manager confirmed that conversations were already taking place with the resident and their relatives about the replacement of the carpet. The Registered Manager outlined environmental improvements, which would be taking place during this financial year; these improvements include the purchasing of new dining tables and chairs, decoration to the main stairs and hallway and the decoration of the ground floor. External improvements are also to take place, which includes the painting of windows and fascias. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 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 at the home are well trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: The pre-inspection questionnaire indicates that Harvey House employs twenty one members of care staff, of which thirteen have attained a level 2 National Vocational Qualification; this level of achievement is to be commended. The Inspector spoke with two members of staff, both of which have attained a level 2 National Vocational Qualification. Staff spoken with had a clear understanding of resident needs, and confirmed they were responsible for the devising and reviewing of care plans. Staff had not received formalised training in care plan writing. Staff have received training in a variety of topics, including fire awareness, moving and handling, first aid to name some. The Departmental Training Plan details training available to care staff in care plan and record writing and medical conditions including physical and mental health. Care staff should therefore be encouraged to access these courses to increase their awareness and develop service user care. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 18 The Inspector discussed with the two care staff interviewed, the use of care plans and daily records and how these could be developed to encompass all aspects of care, and contain a greater level of detail and information. Staff interviewed confirmed the staffing levels, indicating that there were generally five care staff on duty in the morning, with two or three for the afternoon and three for the evening. Care staff hours were consistent for all days of the week, the one difference being a laundry assistant was not on duty at weekends, and therefore this became a care staff duty. The records of two members of staff recruited since the last Inspection were viewed and were found to contain all relevant documentation including a Criminal Record Bureau check. The Inspector received nine completed comment cards from relatives/visitors, of which five indicated that in there opinion there were not always sufficient staff on duty, of which two comment cards made an additional comment. ‘The main concern of this home is the shortage of staff sometimes when you need help you can wait up to 15 minutes. The Registered Manager and care staff interviewed confirmed that staff have now been allocated specific areas within the home for which they are responsible, this has improved the response to resident call bells. ‘On a number of occasions the doorbell is not answered, I can only assume the staff are too busy to be able to operate the entrance lock’. The Registered Manager advised that the current pagers allocated to staff do not indicate that the front door bell has been rung; staff pagers are to be altered to indicate the ringing of the front door bell. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 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, 35, 36 and 38. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The pre-inspection questionnaire completed by the Registered Manager detailed the regular maintenance and checks pertaining to the environment, which includes fire equipment and fire drills. The two members of staff spoken with confirmed that they receive regular one to one supervisions with a member of the management team, supervisions have not been as frequent as usual due to management availability, care staff confirmed that any issue of concern they had could be raised with the person in charge on a day to day basis. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 20 Regular resident, staff and management meetings take place which ensures that the management of the home is open and transparent, affording all with an opportunity to comment and contribute to the continuing development of care. Records indicated that financial arrangements were managed in a variety of ways, by the resident themselves or by their relatives. On the day of the Inspection a resident was observed being supported in raising concerns as to the fees charged for his residential placement. Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 3 x 3 3 x 3 Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. 1. Refer to Standard 7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Recreational and activities form part of the care plan. 3. Daily records contain more detailed information, indicative of their care plan. It is recommended that resident access to Local Authority transport is explored, for the provision of outings. It is recommended that access training in care plan writing and medical conditions, including mental health and dementia as detailed within the Departmental Training Plan. 2. 3. 14 30 Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Harvey House C51 C01 S32572 Harvey House V242480 150805 Stage 4.doc Version 1.40 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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