CARE HOMES FOR OLDER PEOPLE
Haunton Hall Nursing Home Haunton Tamworth Staffordshire B79 9HW Lead Inspector
Mr David Cowser Announced Inspection 15th November 2005 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 Haunton Hall Nursing Home DS0000022333.V259152.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. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Haunton Hall Nursing Home Address Haunton Tamworth Staffordshire B79 9HW 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) 01827 373644 01827 373696 Ashbourne Homes Limited Ms Mandy Mae Amos Care Home 105 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (105), of places Physical disability over 65 years of age (44) Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The number of persons received into the Home requiring nursing care shall not exceed 44 Category PD minimum age 60 years Date of last inspection Brief Description of the Service: Haunton Hall Nursing Home is privately owned and situated in the hamlet of Haunton Nr Tamworth. The premises, formerly a converted Georgian farmhouse and a convent school, are in a rural setting amongst open countryside in seven acres of well-maintained grounds. The nearest centre for local services, shops, and entertainment is Tamworth. The local bus serving the home operates four times a day. The home is currently registered to provide care for 105 elderly people. Nursing care is provided for up to a maximum of 44 patients, and personal care is delivered to 61 residents. Up to 39 residents may receive care for dementia related conditions, and other residents may have needs associated with old age. Care is provided by teams of care assistants, and nurses deliver care to service users with specific nursing needs. Doctors from a GP practice in Tamworth service the home along with district nurses, community psychiatric nurses and a pharmacist. Other NHS services and facilities are accessed as required. Transport is provided by the home to enable service users to access services. Within the home, which is on four floors, there are six separate units corresponding to the differing needs of service users. Facilities comprise the following; six dining rooms and nine lounges, 75 single bedrooms (72 ) and 15 shared rooms, smoking room, and hairdressing facility. Service facilities, including kitchens and laundry, are adequate to meet the needs of the home. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 15 November 2005 at 09.15hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 10hrs (excluding time spent on producing/processing the report). The registered care managers (nursing RGN and general manager) were in charge of the home accompanied by a 1st level registered nurse and fourteen care assistants. The ancillary staff on duty included; housekeeper, three domestic workers, two-maintenance personnel, two cooks and three catering assistants. Two administrative support staff was also on duty. These staffing levels were adequate to meet the needs of current 87 service users in the home. The regional operations manager was present for a short period of the inspection. The total of 87 elderly residents included; 24 receiving nursing care for physical and mental health needs, 29 people receiving personal care for needs associate with old age, and 36 had dementia related conditions. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with residents and relatives, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing, quality assurance and health & safety. During the past 12 months there had been no changes to the local management of the home. However the company has recently been incorporated within the Southern Cross group, and further correspondence to CSCI is awaited. One formal complaint had been received during the past 12 months, which was not substantiated, and no additional visits had been necessitated. What the service does well:
Residents and/or their representatives had been able to choose the home, following an assessment and an invitation to visit, prior to admission. Speaking to residents and visitors, and inspecting the admission documentation, confirmed this. Residents and visitors asked said that they had been made aware of the terms and conditions of a stay in the home. The statement of purpose along with the service user guide seen reflected the current status of the home. The above aspects had ensured that each resident
Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 6 had been suitably placed, and that the home had the ability to meet their assessed needs. It was evident, from discussions with residents and staff and an inspection of the relevant documentation, that the provision of health and social care had been addressed well. Service user plans seen had been well written and were meaningful. The plans were based on the community care plans completed by social workers, and agreed by residents/representatives. There was a good safe system in place for the receipt, storage, administration and disposal of medicines. No errors were noted concerning medicines, and residents asked said that they had their right medicines on time. Privacy, dignity and choice aspects for residents were seen being upheld during the caring process. When asked several residents and relatives said that they were very happy with the health and personal care being delivered by the home. During the past 12 months the number of accidents and reportable events in the home was low and this also reflected the good standards of care being delivered. Activities and entertainment had taken place and a designated member of staff, who had coordinated and recorded these events, was employed. Residents told the inspector that they had appreciated and enjoyed the events and activities, and that they were able to choose whether or not to take part. Visitors confirmed that links had been maintained with them and links had also been maintained with the local community. Catering aspects were good and records seen showed that individual dietary requirements had been met. Residents spoke of choices and said that they were pleased with the food provided. The inspector observed the main meal of the day, which was well presented and met all requirements. Assistance was seen being given to people with mental health or dementia care needs to help them to make a choice, by staff who had knowledge of the residents likes and dislikes. All of the above had assisted the residents in their daily living and social activities. No incidents or reports of abuse of any kind had been received since the last inspection and policies and procedures seen covered these issues. Residents confirmed that they had the opportunity to vote, and the manager stated that an advocacy service would be provided if legal or other advice were required. These aspects had contributed to the protection of service users. The home was fit for purpose, well maintained, and provided a safe environment for the residents, staff and visitors. A homely atmosphere had been created, and the premised were very clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities including catering and laundry were adequately provided. All residents asked stated that they were happy with the facilities and that they were comfortable with their surroundings. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 7 Qualified nurses and teams of care staff provided care. A good working relationship was evident with the local GP practices and pharmacist. NHS facilities and both community and hospital health professionals had been accessed when required. Community Psychiatric Nurses were accessed to meet the mental health needs of service users. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good. Staff training had been given a high priority, with induction training being followed by NVQ training. In house training in relevant subjects had been on going. These aspects had contributed to the high standards of care being provided by the home. The home appeared to be managed well by a general manager and a nursing manager, both were qualified and competent. General management aspects were seen to be good. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures were adopted. Health and safety aspects had been given a high priority and no shortfalls were noted. The documentation seen evidenced that the premises were adequately maintained. The current insurance certificate was seen. Records were seen correctly and securely stored. There was a safe system of accounting for residents day to day monies and the ledger reconciled with the money held. All the above had contributed to the protection and well being of residents in the home. Throughout the inspection the people who use, or have contact with, the home expressed only positive views. Many thank you cards and complimentary letters were seen from appreciative relatives. What has improved since the last inspection? What they could do better:
Staff had received supervision, but this must be subject to a more formal approach and documented six times each year. Training should continue to ensure that 50 care staff achieve NVQ level2 qualifications. The general manager is currently studying for the Registered Manager’s award. It is understood that the nursing manager will undertake studies for a management qualification within the coming 12 months. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 8 The further recommendations from the Fire Prevention officer are nearing completion, but must now be completed as agreed. A record of complaints or grumbles should be centrally held, as agreed. The whole quality assurance process, which includes a development plan for the home, should be shared with the home manager. The paper quality of the medicines administration sheets (MAR sheets) should be improved, as agreed, to prevent tearing. 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.
Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 9 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 Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 10 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): Standards 1,2,3,4,5 Residents had been correctly placed in a home of their choice, following assessment of their needs and the provision of information on the service. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been able to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Four residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. A full assessment of each residents needs had taken place before admission and this was seen documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments.
Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 11 Residents and relatives asked were also aware of the service users guide. The guides and the statement of purpose for the home were seen available, and were up to date and correct. All of the above had contributed to residents being able to make an informed choice about their stay in the home. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 12 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): Standards 7,8,9,10,11 Individual health, personal and social care needs, as documented within care plans had been adequately addressed, with privacy and dignity afforded during the caring process. EVIDENCE: Eight service users, and five relatives spoken to, all commented positively about the care being provided. Visitors told the inspector of the high standards being delivered compared to NHS facilities and other care homes recently accessed by their relatives. The service user plans and associated documentation seen was well written, meaningful and reflected the current condition of residents. Discussions with both residents and staff members evidenced that health and personal care needs were being well met. A total of eight care plans were examined in greater depth, with a check on all aspects of care starting at the pre admission assessment stage. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 13 NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. Local GP practices and a pharmacy service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Currently only one patient had a pressure area (acquired elsewhere), and correct wound care treatment was being provided. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The paper quality of the medicines administration sheets should be improved to prevent tearing, as agreed. The documentation seen evidenced that only trained nurses administered medicines. No resident was ‘self medicating’, but locked facilities were available. Controlled drugs were checked and the stock reconciled with the accurate records seen. The new system of drug disposal, including controlled drugs, had recently been introduced. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Four residents told the inspector that they were treated with respect, and that the staff were very kind. The records and policy documentation seen, along with a discussion with the staff, evidenced that death and dying aspects had been dealt with correctly and in a sympathetic manner. There had been 37 deaths in the home during the previous 12 months, which is not a low number for this size of home. However during this period the home had nursed very poorly patients, and this had reflected in the total number of deaths recorded. All of the above evidence satisfied the inspector that the individual health, personal and social care needs of patients and residents had been addressed in the correct manner. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 14 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): Standards 12,13,14,15 Social contact had been maintained and daily activities, along with autonomy and choice, had contributed to the resident’s lifestyle experiences meeting their expectations. Catering aspects were good and met individual needs and preferences. EVIDENCE: Several residents told the inspector that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Visitors attending the home during this inspection, told the inspector of the good links and communication with them. Trips out to the community had previously been organised and transport provided. A designated person is employed to coordinate and record the activities and entertainment provided. Several residents commented that this work is appreciated. A discussion took place with the ladies having their hair
Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 15 and nails done, and they were happy and said that they all enjoy this on a regular basis. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that residents’ needs with diabetes, and special diets, had been met. The two cooks when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The mid day meal seen was well presented and met all nutritional requirements. The care staff spoke with each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. The inspector observed the mid day meal and it was well cooked and presented, meeting all requirements. Several residents were unable to make a decision regarding choice of meal, due to their current condition, and the inspector saw them being assisted by staff who were knowledgeable of their likes and dislikes. Residents and patients were seen being discretely assisted to eat in an unhurried manner. People not using the dining room tables to eat expressed their choice to eat from a lounge chair. It was established that all residents are encouraged to eat at the table and this was documented. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 16 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): Standards 16,17,18 An open culture existed where complaints are listened to and acted upon, residents are protected from all forms of abuse, and their legal rights are also protected. EVIDENCE: An examination of the complaints individual records, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with. However it was recommended that all complaints should be entered into a central register, as agreed (currently kept in individual files). Since the last inspection one complaint had been recorded, which had not been upheld. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. There was no evidence to indicate that any incidents of neglect or abuse of any kind had taken place. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. A discussion with the staff and residents evidenced that all residents had been afforded the opportunity to exercise their vote in past elections. The manager confirmed that an advocate would be facilitated if required by a resident. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 17 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): Standards 19,23,26 The home was clean, pleasant and hygienic, and provided a suitable and safe environment for the provision of care. EVIDENCE: A tour of the buildings, and a check on the maintenance documentation, evidenced that the premises were fit for purpose, clean warm and tidy, and were being well maintained. The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked had knowledge on infection control, and referred to the relevant documentation. Adequate hand washing facilities, including hand gel, were available throughout the home. The laundry and sluice facilities were seen to be fully compliant. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 18 The records evidence that maintenance of the premises was being given a high priority. The grounds and gardens were seen to be well maintained and were appreciated by residents spoken to. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. The recommendations made in the Fire Prevention officers report, dated 2 February 2004, must be completed as agreed. This work is currently being progressed and nearing completion. There are no further outstanding issues known from the Fire Prevention or Environmental Health departments. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 19 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): Standards 27,28,29,30 Adequate numbers of suitably trained and experienced staff are correctly employed to meet the assessed needs of residents. EVIDENCE: The records seen and a discussion with the staff evidenced that, individually and collectively, they had the necessary experience and skills to meet the assessed needs of the current service users. The registered care managers (nursing manager RGN, and general manager) were in charge of the home accompanied by a 1st level registered nurse and fourteen care assistants. The ancillary staff on duty included; housekeeper, three domestic workers, two-maintenance personnel, two cooks and three catering assistants. Two administrative support staff was also on duty. The regional operations manager was present for a short period of the inspection. These staffing levels were adequate to meet the needs of current 87 service users in the home. The total of 87 elderly residents included; 24 receiving nursing care for physical and mental health needs, 29 people receiving personal care for needs associate with old age, and 36 had dementia related conditions. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 20 The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. The following care staff had been on duty or exceeded for the 87 service users; a.m. 2 RGN 14 Care assistants ( Care manager RGN for 5 days), p.m. 1 RGN 13 Care assistants, nights 1RGN 9 Care assistants. (all awake on duty) Adequate ancillary staff had been provided each week. Ten residents asked stated that staff were available when they wanted them, and that the staff were capable The records seen evidenced that in addition to the registered nurses the home employed 50 care assistants, of which 13 (26 ) were trained to NVQ level 2 or above. The records evidenced that induction and NVQ training had now been given a high priority. This training should continue to ensure that 50 care staff achieve NVQ level 2 qualifications. General training had also been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client groups. Staff asked said that they had been afforded the time off and encouraged to study. The training had included dementia awareness and management, and also management of aggression. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 21 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): Standards 31,33,35,38 Competent care managers are managing the home, in the best interests of service users, and in an open an inclusive atmosphere. The home is being run well, is on a sound financial footing, and has safeguards for the health and well being of residents’ staff and visitors. EVIDENCE: The registered care managers are well experienced and competent. The general manager is currently studying for the Registered Manager’s award. It is understood that he nursing manager will undertake studies for a management qualification within the coming 12 months. An open, positive and inclusive atmosphere was observed during the visit and confirmed to the inspector by service users, staff and relatives. Staff when asked also said the managers portrayed a clear sense of leadership and direction which enabled them to relate to the aims and objectives of the home.
Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 22 From observations made, discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. However the documentation for the nursing and care staff supervision sessions, six times per year were seen completed and up to date. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and residents and families had chosen to do so. Day to day monies of residents were checked, and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date and included; fire precautions, fire equipment, gas testing, boiler servicing, wheelchairs, equipment, hoists, lifting equipment, shaft lift servicing and tests, electrical installation tests, portable electrical appliances, water treatment, water temperatures. The maintenance person and other staff spoken to confirmed that health and safety issues are given a high priority. The care manager and a committee member gave assurances that the home was viable and that the association adopted suitable accountancy and budgeting procedures. The current public liability insurance certificate was seen up to date and correct. The whole quality assurance process, including the annual development plan, should be documented within the home as agreed (currently not shared with home). Formal care staff supervision sessions must take place a minimum of six times per year, and be documented as agreed. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 23 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 4 2 x 3 Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP19 Regulation 23(4)(a) Requirement The recommendations made in the Fire Prevention officers report, dated 2 February 2004, must be completed as agreed. This work is currently being progressed and nearing completion. Formal care staff supervision sessions must take place a minimum of six times per year, and be documented as agreed. Timescale for action 31/03/05 2 OP36 18(2) 15/01/06 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 Refer to Standard OP16 OP33 OP9 Good Practice Recommendations All complaints should be entered into a central register, as agreed (currently kept in individual files). The whole quality assurance process, including the annual development plan, should be documented within the home as agreed (currently not shared with home). The paper quality of the medicines administration sheets should be improved to prevent tearing, as agreed.
DS0000022333.V259152.R01.S.doc Version 5.0 Page 25 Haunton Hall Nursing Home 4 5 OP28 OP31 Training should continue to ensure that 50 care staff achieve NVQ level 2 qualifications. Training should continue to ensure that the managers achieve appropriate NVQ level 4 qualifications within the next 12 months, as agreed. Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Haunton Hall Nursing Home DS0000022333.V259152.R01.S.doc Version 5.0 Page 27 - 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!
