Inspection on 24/02/06 for Hawkhills

This inspection was carried out on 24th February 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

Hawkhills 29/05/07

Hawkhills 20/09/05

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 Mr Rob Curr Unannounced Inspection 24th February 2006 03:00 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.V271950.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.V271950.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.V271950.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 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.V271950.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 3.00 p.m. and lasted 3 hours. All but one of the key standards were met during the last inspection therefore the progress of only one requirement was made during this visit. Many of the home’s residents had good communication abilities and the main inspection method was observation of routines and the quality of interaction between staff and residents. The Manager escorted the inspector on a partial tour of the home. A Team Leader was present during the inspection and the inspector also discussed practice at the home with her and a member of the ‘bank’ staff. The residents were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 6 residents and 3 staff members were spoken to. The Manager and Team Leader were extremely helpful and assisted the inspector throughout the visit. What the service does well: What has improved since the last inspection? The team as a whole have worked hard to maintain and enhance the service delivery. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 6 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.V271950.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.V271950.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): 1,4 and 5. Residents and their relatives were fully involved in the assessment process, so this ensured that the home was able to meet their needs. EVIDENCE: Residents said that they had been invited to view the home and attend a variety of meetings prior to moving into the home. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 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): 8 and 10. A range of health care professionals worked within the home to assist in meeting the needs of the residents. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. EVIDENCE: All the residents said that their health needs were met. Four residents said that they were ‘very satisfied’ with the care they received and that they had a named ‘key-worker’. The same four residents were able to name their ‘keyworker’. They described the role of the ‘key workers’ and appreciated that individual staff had been allocated to highlight their needs. This gives a clear indication that the ‘key working’ system is of benefit to the residents. Staff were observed respecting residents privacy by knocking on bedroom doors before entering and closing bathroom and toilet doors when in use. During the teatime meal, staff were seen and heard treating residents kindly and respectfully. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 10 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 and 15. The home creates a varied programme of social and recreational activities. The routines at the home were flexible. The home had an open visiting policy in order to develop and maintain good relationships with resident’s friends and relatives. Residents were enabled to make choices. Some residents use the postal voting system during local and national elections, enabling them to exercise their civil rights. Phone calls can be made without permission. All the residents were happy with their personal bedroom. The residents had a clear choice of menu. EVIDENCE: Residents were seen to walk freely around the home. One resident said that her daughter was ‘always made to feel welcome’ and that she could ‘make herself a drink and feel at home’. There was a programme of activities on display, which had been developed with the residents. This programme also included trips out. The residents said that they had enjoyed days out and that they had ‘enjoyed a lovely meal out’. During the teatime meal, staff were heard encouraging residents to make choices. The staff ensured that the mealtime was unhurried. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 11 One resident invited the inspector to see her bedroom, where she could have visitors in private or spend time alone. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 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 and 18. Residents were aware of how to make a complaint and were confident that they would be listened to. An adult protection procedure was in place to ensure people’s safety was promoted. EVIDENCE: The complaints procedure was on display in the foyer, which contained relevant information and provided the reader with details of who to contact outside the home, to ensure complaints were taken seriously. The home kept a record of complaints. One resident said that she had recently had a positive outcome to a complaint. Staff training in adult abuse had been identified within the training plan and staff had already undertaking this training. The residents and staff all stated that they had confidence in the homes manager. They said that she would listen and respond to any concerns they raised. One resident said that she was positively encouraged to speak out at residents meetings. All the residents spoken to said they felt safe at the home. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 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): 19,20,21,23,24,25 and 26. The home was clean and generally well maintained. Communal areas were homely, and were well decorated. Sufficient bathing facilities were provided. The bedrooms seen were personalised by residents and their relatives. None of the bedrooms were en-suite. The home was free of any offensive odours. Systems for the control of infection were in place. A call system was available in all rooms used by the residents so that they could summon assistance at all times. EVIDENCE: The inspector carried out a partial tour of the home. All of the residents spoken with were happy with their bedrooms and the furniture provided. The home was well decorated and well maintained, to provide a comfortable environment for the residents. It was evident from care plans that a number of people needed support with continence difficulties. New carpets had been ordered for one section of the corridor. The invoice and order was seen by the inspector and the manager was hoping to have the carpet fitted in the very near future. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 14 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 and 28. Sufficient staff were provided to meet the needs of the residents. The manager could identify the training needs of the staff group. EVIDENCE: All the residents felt that there were enough staff on duty during the day and night to care for their needs. Three residents said that the staff were ‘very good’ and ‘nothing was too much trouble’. Residents were heard reminiscing about staff that had left the home and were remembering them with affection. They also stated that there had been a number of ‘bank staff’ that did not always understand them. Bank staff have been used whose first language is not English. Two residents said that they have made requests of these staff members and they have not responded appropriately. A group of staff were currently undertaking National Vocation Qualification (NVQ level 2 and 3) in direct care. Staff spoken to confirmed that they received more than 3 days paid training each year. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 15 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): 31,32,33,35, and 38. There was a very positive style of management in the home and staff moral was good. The resident’s finances and personal monies were well managed. There was a quality assurance system in place, which gave residents and visitors an opportunity to express their views and suggest ways in which the service may be improved. Staff supervision systems were in place to ensure best practice was maintained. All records were securely stored. Health and safety checks were in place to ensure residents were safe. EVIDENCE: Staff said that the manager was approachable, supportive and was a ‘good listener’. This clearly benefits the residents, their relatives, and representatives. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 16 One resident said that there were questionnaires that she could complete to express her level of satisfaction of the care she received. All staff spoken to confirmed that they had undertaken a fire drill practice. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 17 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 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 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 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP27 Good Practice Recommendations Resident’s experience of communication difficulties with staff whose first language is not English should be monitored. Hawkhills DS0000002971.V271950.R01.S.doc Version 5.0 Page 19 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.V271950.R01.S.doc Version 5.0 Page 20 - 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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