Inspection on 19/04/05 for Harvey House

This inspection was carried out on 19th April 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 15/08/05

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 19 April 2005, 10:45am 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 S32572 Harvey House V221457 200405.doc Version 1.20 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 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 C51 S32572 Harvey House V221457 200405.doc Version 1.20 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 within the home. No person falling within category MD(E) may be admitted to the home when 6 persons who fall within category DE(E) are already accomodated within the home. No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accomodated within the home. No person falling within category PD(E) may be admitted to home when 10 persons who fall within category PD(E) are already accomodated within the home. 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 wtihin the home. 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 the variation application number V8651 dated 15 June 2004. Date of last inspection 11/11/04 Brief Description of the Service: Harvey House is a residential care home offering accommodation for up to forty older persons. The home is registered to meet the needs of older persons who may also have dementia, mental disorder, learning disabilities, sensory impairment and physical disabilities. Accommodation is offered on ground and first floor level, with access via the stairs or passenger lift. All accommodation is offered with single rooms. Harvey House also offers a rehabilitation service for upto eight individuals who need to re-gain skills before returning home. Harvey House is located in the village of Barwell offering local shops, churches and cafeterias. Barwell is well served by public transport. Harvey House is owned by Leicestershire County Council. Harvey House has an enclosed garden, with seating and mature plants and trees, an aviary is the centre piece of the garden. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place between 10.45am and 5.45pm. Opportunity was taken to look around the home, view records and policies and talk to residents. Seven service users, three visitor, two volunteers and two care staff were spoken to during the Inspection. The care plans of five residents were viewed. The Registered Manager along with the Deputy and Assistant Manager facilitated the Inspection. What the service does well: What has improved since the last inspection? Improvements have been made to the information recorded within care plans, which are now more detailed. The rehabilitation unit has re-opened within the home, which provides a dedicated area, including a kitchen area. Strong links with Occupational Therapists enable care staff to support individuals in regaining skills. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 6. On the whole the admission process is well managed with residents needs being accessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: The admission procedure is adequate in that assessments of individuals are carried out by a Social Worker as part of the referral process, for individuals accessing the rehabilitation unit an additional assessment is undertaken by an Occupational Therapist. The assessment process could be improved by a life history being obtained prior to and during the trial period, to establish a more comprehensive picture of the resident’s life in order to provide a holistic approach to care. A gentleman admitted to the rehabilitation unit on the day of the Inspection stated that he found the staff of the home to be welcoming. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 9 One individual accessing the rehabilitation unit had a clear understanding of the skills she needed to regain to live an independent life within her own home. No evidence of residents receiving a contract detailing the terms and conditions of occupancy could be located within records. The Statement of Purpose could not be located on the day of the Inspection. Information specific to individuals accessing the rehabilitation unit would provide targeted information for those to which the service is aimed. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 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, 8, 9 and 10. Residents are looked after well in respect of their health and personal care needs. The medication system is currently open to errors that may potentially have a detrimental affect on the healthcare needs of residents. EVIDENCE: Care plans of five individuals viewed reflected residents’ specific needs and contact with other healthcare professionals, this is particularly apparent for those individuals accessing the rehabilitation unit. One lady spoken to had a clear understanding of her care plan and the goals in which she had to achieve in order to return home. Medication polices and procedures are generally sound. However an anomaly for one resident was noted, in that medication had been signed as administered however remained within the monitored dosage system. A Pharmacist dispenses medication to the home, within a recognised system, however the system could be managed more effectively to reduce the element of risk. This was discussed with the Assistant Manager. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 11 Observation during the Inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on doors and wait for a response before entering and spoke to residents in a respectful, friendly and supportive way. Residents, Visitors and Volunteers spoke positively of the care within the home. Residents stating the majority of staff were very nice. One visitor stated that he had observed on occasions residents waiting for a lengthy period of time for staff to respond to call bells, a lady accessing the rehabilitation unit also felt that she her self had had to wait for staff to respond on occasions. Records indicated that a majority of calls are responded to within three minutes, there were a few calls, which took in excess of five minutes and were sometimes responded to when the call bell was pressed for the second time. The allocation of specific areas within the home for care staff to respond with regards to call bells may help to address this issue. Two Volunteers were spoken to, both had had relatives residing at the home in the recent past, both were happy with the care there relative received, and as a result of this were happy to support service users in a voluntary capacity. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 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, 13 and 14. 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: The home has an activities officer that arranges activities on a group or individual basis. Residents are also entertained by visiting entertainers those being musicians and singers. Residents access the local Church; Church of England and Catholic services are also held within the home. A group of residents were seen participating in a session of bingo supported by two volunteers, with prizes being awarded for the winners. Residents clearly enjoyed this activity, making comments. • • “I enjoy the bingo.” “It’s good to sit with other people.” A significant number of residents spoken to lived within the area prior to moving into Harvey House, and therefore have friends already within the home. Visitors were seen on the day of the Inspection visiting relatives. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 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 standard(s) 16, 17 and 18 Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. The home has a copy of the vulnerable adults procedure to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: Two residents spoken to stated that if they have any concerns they bring them to the attention of a member of staff, who would deal with them. Two visitors confirmed that in their view concerns raised would be dealt with. Staff within the home receive training on adult protection and resident rights. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. A comfortable and safe standard of accommodation is provided for the residents including a garden area, which individually and collectively meets the resident’s needs. EVIDENCE: The home is well maintained and suited 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, and provides comfortable seating with mature trees and plants, the main feature of the garden is an aviary. The bedrooms of five residents were viewed, and found to be comfortable and clean. Residents were asked as to the view of their individual bedrooms and the communal areas; all expressed a satisfaction with the accommodation provided. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 15 • • • “I prefer to sit in a small lounge by myself, so that I can read.” “My bedroom is very comfortable, just the way I like it.” “I like to look at the birds in the garden.” The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. The home provides for individuals accessing the rehabilitation unit bathroom and shower facilities, which mirror the positioning of baths, showers and beds within their own home. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 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 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 and 30 Staff at the home are well trained and supported, and employed in sufficient numbers to meet the residents needs. EVIDENCE: Staffing levels were sufficient to meet the resident’s needs at the time of the Inspection. Harvey House senior staff consists of the Registered Manager, Deputy Manager and two Assistant Managers, and twenty-three care staff. The Deputy Manager is a qualified National Vocational Qualification Assessor. Fourteen care staff have attained National Vocational Qualification level 2. The Local Authority has in place a departmental training plan, the document details general areas of training and training specific to needs of residents. Staff training records reflected a variety of topics of training accessed which included health and safety, adult protection, care practice and specifically training in rehabilitation. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 17 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) 31, 32, 33 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: Records of tests to fire safety equipment were in good order and health and safety issues were well documented. The Fire Risk Assessment was available and had been reviewed; generic risk assessments are in place, along with individual risk assessments for residents. A member of care staff spoken to stated that she receives a formal one to one supervision session with a member of the management team, these take place on a regular basis and are used to discuss training needs, changing needs of residents and any areas of concern. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 18 Quality Assurance questionnaires are sent to those who have accessed the services of the rehabilitation unit to establish their satisfaction with the service offered. All questionnaires completed evidenced a clear level of satisfaction with the service they had received. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 1 3 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x x x 3 Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 20 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 1 Regulation 4 Requirement The Registered Person to ensure that a copy of the Statement of Purpose is made available to service users and visitors. The Registered Person to ensure that medication adminsitration and records are handled appropirately by staff consistent with training received and the homes policies and procedures Timescale for action 30th June 2005 Immediate and ongoing 2. 9 13(2) 3. 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. Refer to Standard 1 3 Good Practice Recommendations It is recommended that a Statement of Purpose/Service Users Guide be produced for the reablement unit. It is recommended that a detailed life history be obtained for all service users, to include work life, family history, hobbies and interests etc. It is recommended that care staff are allocated dedicated areas within the home to which they are responsible for the answering of call bells. C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 21 3. 8 Harvey House 4. 9 It is recommended that discussions take place between the Registered Manager and the dispensing Pharmacist with a view to coordination the monitored dosage system and bubble packing of medicaiton to coincide week currently being dispensed. Harvey House C51 S32572 Harvey House V221457 200405.doc Version 1.20 Page 22 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 S32572 Harvey House V221457 200405.doc Version 1.20 Page 23 - 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!