Inspection on 15/06/06 for Harvey House

This inspection was carried out on 15th June 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

Harvey House 15/08/05

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 Mr Steve Hunnybun Unannounced Inspection 15th June 2006 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Harvey House DS0000032572.V289178.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. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harvey House Address Church Lane Barwell Leicestershire LE9 8DG 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) 01455 843575 01455 843575 www.leicestershire.gov.uk Leicestershire County Council Social Services Ms Margaret Jean 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 DS0000032572.V289178.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 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. Specified Service Users 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 7. Date of last inspection 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 an enclosed garden, with seating and mature plants and trees, an aviary is the centre piece of the garden. The property 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. It was not possible to ascertain the scale of charges on this occasion, as the registered manager was not present on the day of the inspection. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting four residents and tracking the care they receive through review of their records, discussions with three of them and with the care staff and observations of care practices. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. What the service does well: 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. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 6 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 Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 7 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: All files tracked contained comprehensive assessments. Community care assessments had been completed prior to admission as had an admission checklist and an assessment had been completed after the resident was admitted. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: All residents’ files contained useful and comprehensive care plans. A member of the senior staff team is currently involved in a working group developing new tools for care planning. This will further enhance what is already a robust tool. Care plans are reviewed and residents’ are offered the opportunity to sign the plan. Health care needs are recorded in residents’ files as are the outcome of any appointments attended. Residents who spoke with the inspector stated that they feel that their needs are met at the home. Medication records were up to date and accurate; medicines are stored and administered appropriately. All residents who spoke with the inspector stated that they are treated with respect by staff. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 9 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): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: The inspector spoke at length with the home’s activity organiser. There is a very full and varied programme of activities at the home. This includes parties, music evenings, individual and group trips, aromatherapy and bingo. The organiser spends time getting to know residents and finds out what activities they like so that the programme can be tailor-made for individual needs. All residents who spoke with the inspector were aware of who she is and her role within the home. They all stated that they like the fact that activities are there but that they can choose to participate or not. Residents stated that they can maintain contact with family and friends where appropriate and that they have a private room where they can receive visitors. Residents stated that the food is good, they like the choice and flexibility of meals. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: All residents who spoke with the inspector stated that they feel confident to raise concerns and complaints and that they will be listened to. Complaints are recorded in a folder; none had been received since the last inspection. Records of old complaints were examined and indicated that the home deals with them promptly. The home has a robust adult protection and a copy of the Multi-Agency Vulnerable Adult Protection document No Secrets is available. The copy seen on the day of the inspection was out-of-date, the homes’ representative was advised to contact the adult protection team and request an updated version. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: The property is in good repair, pleasantly decorated and homely. There are several small lounges, one of which can be used by residents who choose to smoke. All residents who spoke with the inspector stated that they like the property and were happy with their rooms, all of which were personalised to a high standard. The provision of several lounges was commented on as being particularly positive as it affords residents privacy and a quiet environment. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 12 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files examined contained all relevant recruitment documents. Comprehensive training records were also present. The majority of staff have either completed or are working towards an NVQ award. Comments from residents regarding staff included; ‘very good’, they look after you lovely’ and ‘they are good but busy’. Staff observed during the inspection treated residents with respect. Rotas indicated adequate staff to meet residents’ needs although they did say that staff are ‘pushed’ at times. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 13 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The registered manager was not present on the day of the inspection but comments from residents and staff indicated that the home is well managed. Residents’ views are currently sought at regular meetings organised by the activities organiser. Such meetings are optional but the content of them is communicated to residents who choose not to attend. A senior member of staff stated that she attends a working group that has been developing a format for quality assurance questionnaires to be used throughout the authority. All records of residents’ finances seen were up to date and accurate. Robust records are kept regarding health and safety. Regular fire drills and tests are carried out and the home has a useful fire risk assessment. Records regarding substances hazardous to health were up to date and accurate and regular audits of health and safety are carried out. Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 14 Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 15 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 X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 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 Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Harvey House DS0000032572.V289178.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000032572.V289178.R01.S.doc Version 5.2 Page 18 - 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!