Inspection on 27/01/06 for Hatt House

This inspection was carried out on 27th 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

Hatt House 24/01/07

Hatt House 26/07/05

Hatt House 26/01/05

Hatt House 21/09/04

Hatt House 04/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Hatt House Hatt House 14 Park Road Torquay Devon TQ1 4QR Lead Inspector Graham Thomas Unannounced Inspection 27th January 2006 09:30 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 Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 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. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hatt House Address Hatt House 14 Park Road Torquay Devon TQ1 4QR 01803 326316 01803 326316 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) Mr Michael John Oaten Mrs Patricia Anne Oaten Care Home 24 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (24), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (24), Old age, not falling within any other category (24) Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users with the category (DE) aged between 50-65 Date of last inspection 26th July 2005 Brief Description of the Service: Hatt House is a detached property in large grounds in a quiet residential area of Torquay. The home has easy access to the local facilities of St. Marychurch and nearby park. There are three double and eighteen single rooms with a lift available to the upper floor. The garden area is level and has good access for those with poor mobility. There is an enclosed courtyard for anyone who is unable to use the main garden area. The home provides care predominantly for older people with dementia. The home has aids including a mobile hoist and bath aids. The communal areas of the home consist of a sitting and dining room. There is a coach house attached by a covered corridor which provides accommodation for more able service users and which also contains a small sitting room. This is used as a quiet area and a private room for meeting visitors. The home has its own minibus which is used to take service users to local activities. There is a daily programme of activities in the home. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection was to complete the inspection of key standards for this inspection year and monitor progress regarding previous recommendations. During the inspection, the Inspector examined communal areas of the home and some service users’ rooms. Five service users were spoken with individually and time was spent with groups of service users in the home’s lounge. The Inspector spoke with five staff including Care Assistants, Senior Carers and Ancillary staff. A sample of care plans and other documents were examined. What the service does well: What has improved since the last inspection? What they could do better: Care plans should show more detail of an individual’s social needs. Skin creams must be clearly labelled to show the individual for whom they are intended. Privacy and security should be improved by the completion of a programme to fit locks to individual rooms and bathrooms / toilets. Where an individual’s room is not carpeted the reason should be identified in the care plan. Please contact the provider for advice of actions taken in response to this Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 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 Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 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): EVIDENCE: None of the above standards was inspected on this occasion Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 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 and 9 Service users healthcare needs are generally well met. Some unacceptable risk is posed to service users by practices concerning the labelling of skin creams EVIDENCE: The care plans examined contained detailed information of the physical and healthcare needs of service users and useful “personal profiles” which gave a rounded sense of the experiences and personality of the individual. Particular attention is paid to falls, continence and hydration issues in the care planning. Daily recording relates directly to the specific needs identified in the plans. Some of the plans inspected did not clearly identify social needs though these were being met. Service users confirmed that they had access to prompt medical attention when required. At the time of inspection two service users were ill and receiving treatment. Individual plans confirmed that both general and specialist health care needs are well catered for. Records were seen of routine appointments and checks as well as specialist interventions. Systems for the administration of medicines in the home were not fully inspected on this occasion. At the last inspection, it was recommended that all skin creams should be labelled with the service user’s name to minimise the risk of cross-infection. Most creams seen in service user’s rooms were labelled Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 10 but some were not and the labelling on some had degraded to the point that it could not be read. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 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): EVIDENCE: None of the above standards was inspected on this occasion Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 12 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 Service users, their relatives and friends can feel confident that complaints will be taken seriously and appropriate action taken. EVIDENCE: A record of complaints, showing details of the action taken, is available for inspection. There are policies and procedures concerning complaints, whistleblowing and the protection of vulnerable adults from abuse. These contain details of how to contact the Commission directly. Since the last inspection, staff disciplinary action has been taken following a complaint received by the home Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 13 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, 20, 21, 23, 24, 26 The home is adequately well maintained, safe and comfortable for service users. Privacy and security is not adequately safeguarded by the current door locking arrangements. EVIDENCE: All areas of the home inspected on this occasion were found to be clean and free from offensive odours. Cleaning was in progress during the inspection. Furnishings are of a comfortable and homely nature and meet service users’ individual needs. Various aids and adaptations were seen around the home such as hoists, grab rails and raised toilet seats. Call systems are available in each room. Individual needs for aids and adaptations are assessed by relevant professionals such as Physiotherapists and Occupational Therapists. Some signage is provided on the ground floor to assist orientation for service users with dementia. Individual rooms were found to be comfortably furnished and to contain service users’ possessions and individual aids and adaptations such as grab rails and hoists. At the last inspection it was recommended that where a carpet is not provided, this should be recorded in individual plans with the Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 14 reason (e.g. service users’ choice or indicated by risk assessment). This recommendation has not yet been followed. Some service users doors and bathroom doors have yet to be fitted with appropriate locking devices. The home has 6 rooms with en suite facilities, two communal bathrooms and a shower room. Toilet facilities throughout the home are accessible to service users. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 15 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, 30 Service users are supported by staff who receive adequate training and are competent to do their jobs. EVIDENCE: The home does not currently have 50 of its staff trained to NVQ level 2 or above. However, 5 staff are currently undertaking NVQ level 2 training and one other is waiting to start the course. Other training undertaken includes Fire Prevention, Moving and Handling, Food Hygiene, Incontinence and Dementia Awareness. At the time of inspection, one member of staff was waiting to meet an NVQ assessor. The staff with whom the Inspector spoke were aware of service users’ individual needs and of their roles in the home. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 16 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, 38 Service users at Hatt house benefit from living in a home which is generally well managed. EVIDENCE: The home is managed by Mr. And Mrs. Oaten, the Registered Providers. Care of service users is managed principally managed by Mrs. Oaten with the assistance of senior carers. She is a Registered Nurse, has substantial experience in this field and has undertaken the Registered Managers Award. Discussion with staff and service users indicated that lines of accountability within the home are clearly understood. The standards of maintenance and cleanliness in the home, the ethos of caring and the practices observed indicated that the home is generally well run. Health and safety issues in the home were not fully inspected on this occasion. However, a review of risk assessments for window restriction has been partially completed following a recommendation from the previous inspection. Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 17 Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 18 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 3 8 X 9 2 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 2 3 3 X 3 2 X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 19 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 OP9 Regulation 13 Requirement The home must ensure that all skin creams are labelled with the name of the service user for whom they are supplied and are used exclusively for that service user. Timescale for action 28/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP7 OP19 OP24 OP24 OP38 Good Practice Recommendations All plans should clearly identify the individual’s social needs All service users lavatories and bathrooms should have locks suited to the ability of service users and accessible in an emergency. The programme of fitting locks to service users rooms should be completed Where service users are not provided with carpeting in their own rooms, this should be recorded in the individual plan with the reason. The review of risk assessments concerning window restriction should be completed DS0000018367.V262482.R01.S.doc Version 5.1 Page 20 Hatt House Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Hatt House DS0000018367.V262482.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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