Inspection on 07/06/05 for Hatch Mill

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Hatch Mill 18/06/07

Hatch Mill 30/01/06

Hatch Mill 23/09/04

Hatch Mill 26/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Hatch Mill Mike Hawthorn Drive Farnham Surrey GU9 8AS Lead Inspector Catherine Campbell-Ace Unannounced 07 June 2005 10:00 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. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hatch Mill Address Mike Hawthorn Drive, Farnham. Surrey, GU9 8AS 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) 01252 712021 Abbeyfield Wey Valley Society Limited Tracey Jane Scurr CRH Care Home 36 Category(ies) of DE(E) Dementia - Over 65, 5 registration, with number MD (E) Mental Disorder - Over 65, 5 of places OP Old Age, 36 PD Physical Disability, 1 PD(E) Physical Disability - Over 65, 2 Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of the persons to be accommodated will be: Over 65 years. 2. The gender of those accommodated will be: Male & Female. 3. Up to 20 older people may be admitted for Nursing Care. 4. Up to 5 older people accommodated may have a Mental Disorder and/or Dementia. 5. Up to 2 people accommodated may have a Physical Disability. 6. Additionally one named person in the category Physical Disability aged 60 years of age may be accommodated. Date of last inspection 23 September 2004 Brief Description of the Service: Hatchmill is owned and managed by the Abbeyfield Wey Valley Society Ltd. The service is registered to provide Personal and Nursing care for up to 36 older people over the age of 65 years. The Care Home was designed to comply with the Care Standards Act 2000 and the Care Homes Regulations 2001. The building was completed in 2001 and incorporates the remains of the old mill that had been built on the river Wey. There is ample car parking space available. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted 5 hours. The inspector was assisted by the General Manager, Deputy Manager, service users and staff. The service users and staff were very welcoming. The inspector wishes to extend her gratitude to the General Manager, Deputy Manager, Service users and staff for their hospitality during the inspection process. Daily records, care plans, employment files and training records were written clearly and are updated as and when necessary. One service user said: ‘ It’s wonderful to see what the staff do with such responsibility’ Service users live in a spacious homely environment, with access to gardens and a courtyard in which service users are able to sit. What the service does well: The service users looked well cared for and content. Some of the service users were unable to voice opinions of the home due to their medical condition. It was pleasing to see that service users had photographs on their bedroom walls depicting work that they did during the war. Service users were complimentary about the home and one said the home was ‘terrific’ with an excellent laundry. One of the service users had visits from her husband two or three times a day, and usually ate lunch with his wife. It was noted that this visitor was welcomed and allowed to join his wife for meals on a regular basis, visiting without restriction. One thank you card to the home stated; ‘With all my heart I thank you for all the wonderful care and love you all showed to mum during her year with you.’ Activities are varied and include visits to garden centres, church services, and lunch with Joe and Hazel. The service users had access to a sensory room, aromatherapy, outings to Southsea and picnics. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 6 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. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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 Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 1,3,4,5 The homes Statement of Purpose and Service User Guide are good, providing service users and prospective service users with details of the services the home provides, enabling an informed decision about admission to the home. EVIDENCE: Care plans inspected were detailed covering all aspects of service user’s assessed needs and stated clearly where support was required and that support was evidenced. The Service User Guide was evidenced and contained information for service users that included staffing, social activities and religious services. It also contained the complaints policy, aims and objectives of the home, and service users rights. A brochure was available to prospective service users which contained information regarding Hatchmill, equipment available, for example special Parker Baths, information about the rooms the service users could expect to live in and what the room contained, for example, a bed, wardrobe, carpets and curtains and what the service user could bring with them i.e. small items Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 9 of furniture, photographs and ornaments to make their rooms homely, Telephone sockets were fitted in each bedroom. The brochure informed the service users that the home had a lift. Social activities were included in the brochure and informed the service users that they could take part in themed lunches, film shows and exercise classes. There was information on power of attorney and the assessment process. It was evidenced that service users were assessed before admission to Hatchmill and were able to visit the home and that families can take part in choosing the home. One relative had written: When we decided on Hatchmill we made an excellent choice.’ And another had written: ‘I too felt that it was a home from home. T and her team were superb.’ Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 7,8,10, Care plans were evidenced to be comprehensive and clear, setting out the care needs of service users. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans were examined and included personal details, mobility, eating and drinking likes and dislikes for example one service user liked a vegetarian diet. Oral hygiene needs were included together with eyesight, hearing and likes during the day. One service user liked to listen to opera and watch sport on the TV. Another liked to have visitors for lunch and then put his feet up. Risk assessments were written clearly and were evidenced to be detailed and appropriate. They included manual handling, falls, aspiration when eating and drinking, medication, nutrition, room hazards and risk assessments of service users when confused. All had action plans and were up to date. Daily records were examined and daily care written clearly. All care plans sampled were signed by service user or family. Service users that spoke to the inspector said that they enjoyed living in Hatchmill and could see the General Practitioner in their rooms in private. They Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 11 said that the staff treated them very well, with respect. Service users have locks on their doors. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 12,13,14,15 The home offers service users opportunities to choose their lifestyles and encourages visits from relatives. The home offers choice within a well balanced diet. EVIDENCE: Service users were observed to receive visitors without restriction. One relative visits two to three times a day and joins his wife for lunch daily. The home is to be commended on the freedom from restrictions for visits for this family, and inclusion in the social aspect of the family enjoying a regular meal together. Service users are able to choose the activities they wish to attend and are included in the plan of care. They have a choice of meal daily, and the staff were observed to ask service users what they wanted for lunch that day. The monthly menu plan showed that the service users receive a well-balanced nutritious diet. Service users said that the food was excellent- always a choice of food and visitors were able to eat in the home. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 16,18 The home has a satisfactory complaints system and service users know who to complain to if they had a problem. EVIDENCE: The complaints policy was evidenced, and the service users knoew, when asked, to whom they could complain. No complaints had been reported since 2003. Staff attended Protection of Vulnerable Adults training and the whistle blowing policy was evidenced. Service users said that they have their own bank accounts, which are easily accessible, or family members had Power of Attorney over their affairs. It was noted during the inspection that when the staff files were examined, one staff member did not have a CRB clearance. An immediate requirement was made in this respect. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 19,20,23,24,25,26 The standard of the environment is very high, providing service users with an attractive homely and safe place to live. EVIDENCE: Hatchmill was found to be a very comfortable home for the service users to live in. The dining rooms and lounges were homely and inviting. The inspector observed that the service users were sitting very comfortably in recliner chairs in one of the lounges. Service users rooms suited their needs and they could display photographs of their past lives and families on the walls of their rooms. Rooms were centrally heated with guards covering the radiators. The premises were clean, hygienic and free from unpleasant odours. The house was well decorated with a comfortable homely atmosphere. One of the service users said that the home was; ‘lovely’ and another: ‘Terrific’ Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 15 Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 29,30 Since the last inspection the standard of vetting practices has declined with appropriate checks not being carried out, potentially leaving service users at risk. EVIDENCE: It was evidenced that when the employment files were examined, one of the staff files sampled did not contain a Criminal Record clearance. An immediate requirement was made to apply for the CRB clearance. The management must ensure this staff member is supervised at all times. The NVQ achievements in this home exceeded the standard required, with the Deputy Manager undertaking NVQ level 3 award, Registered Manager undertaking the Registered Manager’s Award, 4 staff had completed NVQ level 2 awards, 5 had completed NVQ level 3 awards, 2 were awaiting certification for NVQ level 2 awards and one person awaiting the certificate for NVQ level 3 award. 4 others were undertaking NVQ level 3 awards at the time of the inspection. Other training included Food Hygiene, Manual Handling and First Aid. Fire Safety Training had not been carried out since September 2004. A requirement was made for Fire Training to be arranged by 7/7/05. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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) 35,36,38 Service users financial interests are safeguarded by the homes policies and procedures, and efficient record keeping, however there were shortcomings in formal staff supervision. EVIDENCE: Service users said that they were in charge of their bank accounts and secure facilities were provided for the safekeeping of money and valuables on their behalf. Care plans, risk assessments, pre admission assessments, recruitment records, Statement of Purpose and training records were evidenced, together with staff supervision records. Staff supervision did not meet the minimum standard. A requirement was made for staff to receive formal supervision at least 6 times a year. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 18 Care plans were evidenced to contain very comprehensive risk assessments, including falls and hazards in resident’s rooms. Staff received training in Manual Handling, Infection Control and Health and Safety. It was evidenced that safety checks had been made regularly on lift maintenance, fire risk assessment and PAT testing. Accidents and injuries were recorded and reported appropriately. Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x x 3 3 2 x 2 Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 20 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 36 Regulation 18(2)a Requirement The Registered Person must ensure that Care Staff receive formal supervision at least 6 times a year. The Registered person must apply for a Criminal Record bureau check on all employees. The Registered Person must arrange Fire Safety Training for all staff Timescale for action 7/8/05 2. 3. 18.4 38 19(10) 4(d)(e)) immediate 7/6/05 7/7/05 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 Good Practice Recommendations Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Hatch Mill H58_s13663_Hatch Mill_v223655_140605_stage 4.doc Version 1.30 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. 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. 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