Inspection on 20/09/05 for Hawkhills

This inspection was carried out on 20th September 2005.

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

Hawkhills 29/05/07

Hawkhills 24/02/06

Hawkhills 02/11/04

Hawkhills 19/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Braeburn House - North Yorkshire County Council

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hawkhills 11 Stanwood Road Sheffield South Yorkshire S6 5JE Lead Inspector Carol Ann Makin Unannounced Inspection 20th September 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawkhills DS0000002971.V251029.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. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hawkhills Address 11 Stanwood Road Sheffield South Yorkshire S6 5JE 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) 0114 234 5469 0114 233 6863 Sheffcare Limited Mrs Ann Cullen Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2004 Brief Description of the Service: Hawkhills is a purpose built property and they provide personal care. Accommodation is provided for 40 residents over the age of 65 years. The home is operated by Sheffcare Ltd and is situated in the residential area of Stannington. Various shops and a public house are located nearby and the Hillsborough shopping centre is easily accessible. The grounds are tidy and there is an extensive patio area that is well kept, this is enclosed to ensure privacy as well as security is maintained. There is car parking available. The accommodation is provided on three floors with a lift for easy access. All rooms are for single occupancy. Easy access is available to all facilities for residents who use wheelchairs, or have other disabilities. On each floor there are lounges, dining areas, bathrooms and toilets. There are lounges for smoking and non-smoking. There is a function room that is available for group activities or private use to entertain family or friends. Regular social events are organised inside and outside of the home. The organisation has the use of a mini-coach so can offer regular trips and outings. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a period of four hours. Two staff were interviewed, one relative spoken to and also six residents. General observations were made of the environment and staff interaction with residents. The manager took a positive approach towards the inspection and the inspector wishes to thank the residents, staff and manager for their input to the inspection process. What the service does well: What has improved since the last inspection? The manager stated that since the last inspection there had been some developments at the home. The three tea bars have been refurbished and eight bedrooms and a corridor decorated. All new residents are offered an advocacy service as part of the admission process. There is a new communication system in place to give information on the home and outside professional services. There are stands holding various information leaflets displayed in the entrance hall. A letter has been sent to relatives to informing them of plans to set up a carers group. Unfortunately the manager said the response had been poor. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 6 Vacant staff posts have been recruited to ensure the home has a consistent staff group. Six staff are to be congratulated on achieving their NVQ level 2 award this year. 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. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5. The admission process is well managed and residents are given clear information regarding the service. This ensures that they are aware of the services and facilities provided by the home will meet their needs. Residents are given the opportunity to visit the home and stay for a trial period to assist them in the decision making process before they decided to move there permanently. EVIDENCE: Two of the residents spoken to said they used to visit the day centre at the home before they move there to live. They felt confident that they were making the right decision, as they felt comfortable within the home and with the staff. Another resident said that they visit regularly for two weeks stay they were also a day centre client and they said it was like coming home and it gave them a lift which enabled them to continue living as independent as possible at their own home. They all felt that they were given sufficient information about the home. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 9 All residents and a relative spoken to said that they visited the home and had a short stay before they made the choice to live there. The relative said they had visited a few homes but that Hawkhills was recommended to her and she was highly satisfied with the choice they made. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 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 the following standard(s): 8, 9, 10. Resident’s health needs are met to maintain their health and wellbeing. Specialist health professionals are consulted where health needs have deteriorated. The medication administration recording system is well managed ensuring the health and wellbeing of the residents is maintained. Residents are treated with respect by the staff and their privacy and dignity is maintained. EVIDENCE: All residents spoken to said their health needs were met by the home. Staff said that they consulted with the district nurses and continence advisors when needed. Staff interviewed knew what constitutes good care practices and were able to demonstrate by examples how they achieved this. Resident’s spoken to said they did not administer their own medication. All said that they preferred the staff to administer the medication for them. Safe systems are in place for the storage and administration of medication. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 11 Three residents said that the staff treat them with respect all said that the staff were wonderful to them and that their privacy and dignity was maintained. Staff interviewed could all state good practices for maintaining resident’s privacy and dignity. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15. Residents are encouraged to maintain contacts with friends and relations in the community. A variety of social events are arranged to ensure that different residents expectations and interests are catered for. Residents are consulted and given choices about all aspects of their daily lives to maintain their independence. The residents receive an excellent diet; the residents are consulted with on their likes and dislikes and menu’s take into account their preferences. EVIDENCE: Residents are encouraged to maintain contacts with friends and relations in the community. One relative spoken to said they were satisfied with the care provided. They said their observations in the home were that staff are wonderful with the residents and treat them as if they were their own relatives. A variety of social events are arranged to ensure that they cater for different residents expectations and interests. Some residents said that they often go for a drive out into Derbyshire when the weather is nice. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 13 One resident said that the home looks after their finances for them and they were quite satisfied how they were handled. Another said that their relative deals with their finances for them. All residents spoken to said that the food was excellent, they were given a choice and the portions were sufficient. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 14 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, 17, 18. Arrangements for protecting residents and responding to their concerns are satisfactory. Arrangements are made for the residents to receive postal votes ensuring that their legal rights are maintained. Staff had received training on adult protection issues, therefore the promotion and protection of residents is protected. EVIDENCE: From residents and staff comments it was evident that people feel very comfortable discussing any concerns with the homes management. Residents said that they had nothing to complain about but knew who to speak to if they had any concerns and were sure that things would be sorted out. One resident said that they had been able to take part in the recent election by using a postal vote. Staff had received training in adult protection. All staff interviewed could say what action they would take if they suspected or witnessed any abuse. The home has policies and procedure on adult protection, which are reviewed regularly. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 15 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, 23, 24, 26. A comfortable and safe standard of accommodation is provided for the residents. Residents like their rooms all said they were comfortable and they had their own personal possessions around them that made them feel settled and at home. The home is clean and in the main pleasant however the odour emanating from the corridor carpets spoils the atmosphere for the residents and visitors. EVIDENCE: A brief tour was carried out of the building; all rooms seen were clean and well furnished. Residents spoken to said that they liked their rooms, they were comfortable and had their own personal possessions to make them feel at home. They said the home was always kept clean and tidy. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 16 There was an unpleasant odour on the corridors. The manager said that the carpets were cleaned regularly however due to the corridors being internally situated in the building it seems that they are not able to dry out thoroughly before they are cleaned again resulting in the odour. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 17 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): 27, 28, 29, 30. Sufficient staff were on duty to meet the needs of the residents. NVQ qualifications training is provided for staff and 66 of the staff team have completed this ensuring that a well-trained and competent staff group cares for residents. Robust recruitment procedures are in place to ensure the protection of the residents. Training is well planned and opportunities are provided for staff for their development to give them the skills and knowledge to meet residents diverse needs. EVIDENCE: Residents spoken to said that they felt the staff were competent to care for them and they thought there was sufficient staff on duty to meet their needs. The manager stated that twelve out of the eighteen staff had completed NVQ level 2 and 3 qualifications and more were in the process of completing this. Staff interviewed confirmed that they had to provide documentation sufficient to prove that they were suitable before being employed as a carer. They had also undergone a Criminal Records Bureau check. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 18 They received induction training and initially they worked with other staff until they had become familiar with the home and its residents. Training is well planned and supports the staff in providing for the varied needs of the residents. Staff said they were provided with sufficient training opportunities to enable them to do the work they do. Eight staff including the manager have recently been awarded the Stancliffe Collage Award in Infection Control. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 19 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, 32, 33, 36, 38. The manager has the experience and skills to manage the home effectively to provide a quality service to the residents. The management of the home is open and transparent. Residents and staff can rely on the manager who is approachable, which enables them to get support and advice where needed. The providers make monthly-unannounced visits to the home and a thorough detailed report is produced. Residents are consulted and their views are acknowledged. Staff receives supervision, which provides them with a support framework for their development and promotes good working practices. The environment is maintained to a standard that ensures the safety of the residents and staff. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 20 EVIDENCE: Although the manager has not been in post long at Hawkhills she has many years experience in the management of residential care settings. She has sufficient qualifications to manage and regularly updates her skills and knowledge through further training. Staff and residents stated that the manager was approachable. Staff said that the manager keeps them informed of all developments within the home. Two residents spoken to said that they had completed questionnaires about the home which is part of the quality assurance system in place. The provider carries out regular unannounced visits to the home to monitor the standard of care at the home. A report is produced on the findings of these visits and a copy is provided to the CSCI. Staff interview said they receive regular supervision to discuss their working practices, resident care and their development needs. The environment is maintained to a standard that ensures the safety of the residents. Staff have received mandatory training in health and safety and could demonstrated their knowledge by examples when interviewed. On a tour of the building fire exits were clear and no safety issues were noted. Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 21 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 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x 3 3 x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 x x 3 x 3 Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 22 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 OP26 Regulation 16 Requirement Action must be taken to eradicate the unpleasant odour in the corridor carpets identified. Timescale for action 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 0 Refer to Standard 0 Good Practice Recommendations None Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Hawkhills DS0000002971.V251029.R01.S.doc Version 5.0 Page 24 - 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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