Inspection on 31/01/06 for Harwood Court

This inspection was carried out on 31st January 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

Harwood Court 18/09/07

Harwood Court 12/09/06

Harwood Court 23/11/05

Harwood Court 02/09/04

Harwood Court 06/07/04

Harwood Court 26/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Harwood Court Highburn Cramlington Northumberland NE23 6AZ Lead Inspector Carole Mckay Unannounced Inspection 31 January 2006 10:00 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 DS0000000604.V269634.R01.S.doc Version 5.0 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. DS0000000604.V269634.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harwood Court Address Highburn Cramlington Northumberland NE23 6AZ 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) 01670-712492 01670-735626 home.cra@mha.org.uk Methodist Homes for the Aged Mrs Judith Moffat Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places DS0000000604.V269634.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Harwood Court is a well established home, which provides single room en suite accommodation and personal care to 35 persons. The premises are purpose built with large gardens and are well located for services and shops in the middle of Cramlington. Run by Methodist Homes for the Aged, a national voluntary organisation, the home has a Christian based ethos and welcomes applications from people of all faiths. The home benefits from the support of a small but committed group of volunteers and has a well-established staff team. The home has experienced two changes of manager in the last twelve months. Mrs Judith Moffat is the current registered manager. An emphasis is placed on social activity and independence. The home has a lively social activity programme and volunteers help support service users in maintaining links with the community. Service user involvement in the running of the home is also encouraged. DS0000000604.V269634.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The this The and arrangements for ensuring the safety of service users were focused on at inspection. inspector spoke briefly to the manager, one of the cleaning staff, the cook two of the service users. The records to do with assessment of risks, safety of medicines and food were examined, as well as contracts, certificates and records to do with safety of the premises. What the service does well: What has improved since the last inspection? No recommendations or requirements were made at the last inspection. Effective quality assurance processes are in place, for example the home has an annual health and safety audit. This year’s audit identified that the home needed an upgraded telephone system, so that the phone could be readily answered at times of the day when the administrator was not on duty in the main office. This has been provided. DS0000000604.V269634.R01.S.doc Version 5.0 Page 6 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. DS0000000604.V269634.R01.S.doc Version 5.0 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 DS0000000604.V269634.R01.S.doc Version 5.0 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): 0 Standards 1 and 3 were examined at the last inspection. The home does not provide intermediate care; standard 6 does not apply to this service. EVIDENCE: DS0000000604.V269634.R01.S.doc Version 5.0 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): 7,9 Risk assessments are carried out for the safe care of service users. The outcomes of these are not consistently described in the care plans. The service supports service users safely in managing medications. EVIDENCE: The care files contain risk assessments for falls, pressure sores. Where scores are high for risks these were not followed with an outcome in a plan of care, in every case. In one case the information in the single assessment of the service user’s needs was not reflected in the risk assessment for pressure sores. Three service users manage their own medications independently. Care files contain risk assessments where service users wish to continue to manage their own medications. Senior staff have responsibility for ordering, receiving, returning and auditing of the medication. A monthly audit, order and return is carried out and recorded by one of the senior staff. DS0000000604.V269634.R01.S.doc Version 5.0 Page 10 The medication records are up to date and well kept. Medication sensitivities and allergies are clearly recorded. Medications are securely stored under correct temperatures. Temperatures are monitored and recorded. Storage space for medicines is well organised. The medication trolley is safely stored. Previously senior staff have undertaken training in managing medications through a distance-learning course. The manager said that all staff are to receive accredited training under new contract with a local pharmacist. The Manager of the service said that she has plans to move the medication storage to a larger room nearby, in order that an office can be accommodated on the ground floor. The date for work to start on this has not yet been confirmed. DS0000000604.V269634.R01.S.doc Version 5.0 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): 15 A varied and balanced diet is offered. Mealtimes and snacks are provided for in a variety of locations. Food safety is promoted. EVIDENCE: Since the last unannounced inspection food safety training has been provided to staff. This is part of on going up dates to the training programme. The home employs two cooks and four kitchen assistants. The cooks are responsible for carrying out the food safety checks. These are recorded and up to date. Menus are planned on a five-week rotation. Three main meals per day are offered, the most substantial being the lunchtime meal, at which a choice of main course is always offered. A second cooked meal is available on some days in the evening, with a cold alternative. The menu shows that drinks with snacks are available between meals and at suppertime. This provides for a good opportunity for several small meals to be taken, should service users prefer this. Both of the service users who spoke to the inspector said that the food was good. The care staff serve snacks and drinks from a trolley. The trolley is taken around the home so that service users can have a drink in between meals wherever they may be. The drinks are made to each service users’ request. DS0000000604.V269634.R01.S.doc Version 5.0 Page 12 Cold drinks are included. The home also has small kitchen areas on each floor of the home. Service users’ visitors can use these for making drinks and snacks at any time. The dining room is a large and pleasant airy room next to the kitchen. Food is served across a serving area direct from the kitchen and is plated as service users request it. Service users said that meals could be taken in their rooms, if they wish. There is a notice stating that a sherry morning takes place one morning per week. DS0000000604.V269634.R01.S.doc Version 5.0 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): 0 Standards 16 and 18 were examined at the last inspection. EVIDENCE: DS0000000604.V269634.R01.S.doc Version 5.0 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): 26 The premises are clean and pleasant. Laundry arrangements ensure that the spread of infection is controlled. EVIDENCE: There has been one outbreak of vomiting and diarrhoea in the past twelve months. A virus, not a bacteria, caused this. The home followed the necessary procedures to contain the virus. There are no malodours in the home. The communal rooms and those belonging to individual people living at the home are clean. The home employs four cleaners and two laundry staff. The cleaner on duty said that she had enough time to carry out the tasks expected of her and she had received training in handling cleaning materials and equipment. The laundry room is a well-equipped room sited away from areas where food is prepared and served. It is fully equipped with specialist commercial size washing machines and dryers. Systems are in place for the safe disposal of DS0000000604.V269634.R01.S.doc Version 5.0 Page 15 clinical waste under contract. Information and risk assessments to do with the safe control of dangerous materials and liquids are in place in the laundry room for the attention of staff that work in this area. DS0000000604.V269634.R01.S.doc Version 5.0 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): 28 Trained staff care for Service users. Staff are supported in caring for service users through good introductory training and ongoing opportunities for further training. EVIDENCE: New employees undertake a planned induction training programme. At the current time 78 of care staff hold certificates for NVQ training at level 2 or above. Certificates of recent specialised training, such as dementia care and handling medication and updated training for staff in mandatory subjects; moving and handling, food hygiene, fire safety, first aid are in staff files. The staff said that training in health and safety, challenging behaviour and handling medication was planned for the near future. There is a system in place for the recording of training received and for future planning of training. The service users said that the staff understood their needs DS0000000604.V269634.R01.S.doc Version 5.0 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 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): 31,35 and 38 The home has a qualified registered manager. The financial interests of service users are safeguarded. The health and safety of service users and staff are promoted. EVIDENCE: The manager of the home, Judith Moffat, has been in post for less than a year. Judith is qualified and experienced and has been successful in her application to the Commission to be registered, but has not yet taken on training towards a management qualification. The monies and valuables of some service users are securely stored in the home. The records and receipts for these monies are kept properly and up to date. DS0000000604.V269634.R01.S.doc Version 5.0 Page 18 Contracts are kept in the office for the servicing of lifting equipment. The current certificates for servicing of lifting equipment are available, dated 15/08/06. This equipment includes: fixed hoists at assisted baths, mobile hoists and the shaft lift. Electrical safety checks are carried out. Certificates of safety checks on minor installations are available, dated 07/11/05. The handyman once per year carries out tests of portable appliances. The last recorded test was carried out in November 2005. The calibration of the testing equipment was carried out on 01/07/05. A certificate of safety for the gas supply and appliances was dated, 08/04/05. Contracts are in place for the testing and servicing of the fire alarm system and fire fighting equipment. Detailed records of the following safety checks are maintained up to date: weekly tests of the fire alarm, weekly inspections of fire extinguishers, fire doors, fire escape routes. Staff fire instruction last took place on 17/08/05 and included 17 staff. The last fire drill took place on 26/01/06.One of the staff has undertaken the competent person fire training. Up to date records of water temperature and legionnaires checks are available. An internal system of recording and reporting accidents, injuries and incidents is in place. Methodist Homes has a system for auditing the rate of accidents in its services. Memos are issued to the home concerning the rate of injuries as part of the quality assurance process. Methodist Homes for the Aged have produced a corporate Health and Safety Manual, a copy of which was available in the home at the time of the inspection. Policies and procedures have been devised, which cover: moving and handling; fire safety; first aid; food hygiene; infection control; safe storage and disposal of hazardous substances. One of the staff at the home carried out a health and safety audit of the premises on 24/06/05.This is recorded. The audit identified that the home needed an upgraded telephone system. This has been provided. DS0000000604.V269634.R01.S.doc Version 5.0 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. 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 4 DS0000000604.V269634.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 14 Requirement Where risk assessments are carried out for safety and well being of service users, these should take account of the single assessment findings. The risks identified should be reflected in the service user plan in every case. The registered manager to give notice in writing of changes to the premises to do with office accommodation and medicines storage. The registered manager to begin training in a management qualification in care, at least equivalent to NVQ level 4. Timescale for action 31/05/06 2 OP9 39(h) 30/04/06 3 OP31 9 30/09/06 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 DS0000000604.V269634.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000000604.V269634.R01.S.doc Version 5.0 Page 22 - 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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