Inspection on 23/09/08 for Havendene

This inspection was carried out on 23rd September 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Havendene 06/09/06

Havendene 31/01/06

Havendene 20/05/05

Havendene 23/11/04

Havendene 26/05/04

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 16/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Havendene 2 Front Street Prudhoe Northumberland NE42 5HH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Anne UrwinBrown     Date: 2 3 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Havendene 2 Front Street Prudhoe Northumberland NE42 5HH 01661835683 Telephone number: Fax number: Email address: Provider web address: noemail Name of registered provider(s): Name of registered manager (if applicable) Mrs Marion Westgarth Type of registration: Number of places registered: Mrs Marylynn Liddell,Mrs Elizabeth Ann McDine care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Havendene is situated in the centre of Prudhoe with easy access to its services. The home was a former vicarage that has been converted and extended to create a home that is registered to provide care for 25 older people, of which 18 may have dementia. The home is on two floors with passenger lift to all levels, there are a variety of aids to allow residents to move freely around the home. There is a car park at the front of the building and disabled access to the front door. The home does not provide nursing care. The current weekly fees are £424.52. 0 0 Over 65 18 7 Care Homes for Older People Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Summary: This is an overview of what the the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: Information we have received since the last visit on 7th September 2006. How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. Care Homes for Older People Page 5 of 24 The Visit: An unannounced visit was made on 23rd September 2008. During the visit we: Talked with people who use the service, relatives, staff, the deputy manager. Looked at information about the people who use the service & how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe & comfortable. Checked what improvements had been made since the last visit. We told the deputy manager what we found as the manager was not present during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: The recording of fire drills and fire training needs to be much clearer so that it is clear which staff are due training. Care Homes for Older People Page 7 of 24 More information about peoples social needs should be kept in individual records. Hand written entries in medicines records should be double signed. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and properly met at Havendene. Evidence: Each person has a pre-admission assessment completed by the manager or a senior member of staff before they are admitted to Havendene. This ensures that the service can meet their needs. Records showed that assessments provide good information that is used to inform the care planning process. Care management assessments were also available in each persons files. Staff said that they get enough information about peoples needs before they come to live in the home. Intermediate care is not provided at Havendene. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good recording of peoples’ health and personal care ensures that staff have up to date information about individual needs and how these are met. Evidence: Good information was available in individual care plans about peoples needs and how these are met. Records were up to date and in good order. There are regular reviews of care plans and evidence was available to show plans are updated to reflect changing needs. Health care needs were clearly identified and there was evidence of good multidisciplinary working with health care professionals. All visits by doctors, nurses and other health care professionals were recorded and any changes were reflected in care plans. Assessments and risk assessments were regularly reviewed and updated. Staff were well informed about peoples needs and how these were met. Good systems were in place for administering medicines. Records are kept of all Care Homes for Older People Page 11 of 24 Evidence: ordering and disposal of medicines. The pharmacist visits twice per year to offer advice on the homes systems. A monitored dosage system is in use and records associated with the system are used to record administration of medicines. Some hand written entries in the medication records had not been double signed. Staff training in handling medicines has been provided and records confirmed this. Arrangements for the storage of medicines were satisfactory. Peoples privacy and dignity is respected by staff working at the home. The staff were respectful towards people during the inspection and showed a good understanding of their individual needs. Staff induction training includes reference to respecting peoples individuality. There was information available to show that relatives are involved in assisting people to make decisions about their care if they are not able to make an informed choice. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good support is provided so that people are able to make choices about their lifestyle, routines and social activities. Evidence: People living at Havendene said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. An activity organiser is employed and a regular programme of activities is in place. Information in care plans about peoples interests is brief and more information would help staff to encourage greater involvement in arranged events. People said that they enjoyed the activities provided and there was a choice of music, videos and books available. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Information about arrangements for visiting is provided for people before they move in. A good rapport was observed between visitors and the staff. People are encouraged to continue to manage their finances for as long as they are Care Homes for Older People Page 13 of 24 Evidence: able and this was evident from care plans. Staff encourage people to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are able to follow their own religion and local ministers visit the home regularly. The menus show that a varied diet is provided that offers fresh foods preference to frozen or tinned. Peoples’ likes and dislikes are recorded and the staff ask for comments about the food. The current menu was drawn up after feedback from residents. The food was well presented and cooked at the mealtime during the inspection. Staff have completed Food Hygiene training. Records show that there are regular cleaning routines and temperature checks of food and fridges. Good food stocks were available. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are protected by the robust systems for dealing with complaints and safeguarding issues. Evidence: Each resident is supplied with information about how to make a complaint. Staff were aware of the complaints procedure and how to assist a person who wished to make a complaint. Good systems were in place for recording complaints. One complaint has been made since the last inspection and this matter was satisfactorily resolved. One resident said that she knew how to make a complaint and felt satisfied that she could raise issues with staff and they would take them seriously. Staff guidance is in place for dealing with allegations of abuse. The deputy manager and other staff were aware of the procedure to be followed in the event of an allegation being made. Staff training in safeguarding has been provided. No safeguarding issues have been reported. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Havendene is comfortable, safe and well-maintained so that it meets the needs of the people living there. Evidence: The home is well maintained, clean and safe and provides a comfortable environment for people who there. Regular checks and servicing of equipment is recorded. An ongoing programme is in place for redecoration. There is private parking area and a small seating area to the side of the building. The area is not enclosed and can only be used when staff are present. The sitting and dining areas are comfortably furnished and the decor is homely. Appropriate aids and equipment is available to meet the needs of the people living at Havendene. There are enough bathrooms, shower facilities and toilets near to all communal areas and residents bedrooms. The residents have been encouraged and supported to bring personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. Those parts of the home that were seen were clean and hygienic with no obvious smells or odours. There was good domestic support and care staff manage the laundry, residents were complimentary about the cleanliness of the home and Care Homes for Older People Page 16 of 24 Evidence: laundering of their clothes. The laundry was inspected and was clean, tidy and well organised. Two machines were out of order and staff said that parts have been ordered for repairs to be completed. Staff had a good knowledge of safe hygiene practices. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of appropriately trained staff to meet the needs of the people living at Havendene. Recruitment procedures are robust and effective in protecting people. Evidence: Staffing rotas showed that there are enough staff on duty throughout the day and night. Staff absences for holiday and sickness are covered by other staff working additional hours. At the time of this inspection there was evidence that this had been happening regularly. The deputy manager said that sickness and holidays had affected the rota for a couple of weeks. Most staff spoken with said there are generally enough staff, but sometimes if there is sickness then they need to work extra hours. There is a low turnover of staff and there are good communication systems in place. Staff have completed training appropriate to their job. 55 of staff have completed national qualifications in care. Staff confirmed that new staff complete induction training that equips them with the skills they need to provide good care to the people living in the home. Staff spoke knowledgably about residents needs and showed a good understanding of their role and responsibilities. Recruitment policies underpin practice for appointing new staff. Records show that Care Homes for Older People Page 18 of 24 Evidence: appropriate reference, Criminal Records Bureau and other checks are made before new appointments are made. Evidence was available to confirm that staff training needs are identified and a programme of training is in place. All staff said that they had access to enough training opportunities and that they are able to identify their training needs during supervision sessions. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are consulted and protected by the good management systems at Havendene. Evidence: The manager is experienced and qualified in providing care to elderly people. There are clear lines of accountability in the home. The manager has completed the Registered Managers award since the last inspection. Residents and staff spoke positively about the manager and said that they felt able to talk to her at any time. There are regular staff briefings held by the manager to ensure that staff are kept up to date and that any issues or changes can be discussed. The manager has an open style of management encouraging people living in the home, relatives and staff to put forward their views. Systems are in place to check on the quality of the service. The manager and deputy manager monitor the records and systems regularly. Questionnaires are used to get the views of the residents, relatives and others who visit the home on a regular basis. Care Homes for Older People Page 20 of 24 Evidence: Accidents are recorded effectively and systems are in place for regular management reviews so that risk assessments can be updated. Records of maintenance and testing of equipment were in place. Mandatory training is in place, however there were some gaps in fire training for staff because of the poor systems used to track the training. Good records are kept of money held with transactions recorded and receipts kept to evidence any spending. Some of the records were checked and these balanced with the money held. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 12 16(2)(m) The Registered Manager must consult with, and record, resident?s social interests within the care plan. 01/12/2006 2 38 23(4)(e) The Registered Manager 01/12/2006 must ensure that satisfactory staff fire training must be in place, staff must undertake fire drills at the timescales of three monthly for night staff and six monthly all others The Registered Provider must 01/12/2006 provide evidence of Portable Electrical Appliance Testing Landlords Gas safety certificate 3 38 23(2)(c) Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 9 12 Hand written entries on the medicines records should be double signed. More information about peoples preferences and interests in social activities would help staff to meet individual aspirations and expectations. Better recording systems are needed to ensure that regular fire training can be evidenced. 3 38 Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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