Inspection on 01/06/05 for Hawthorn Drive 218

This inspection was carried out on 1st June 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

Hawthorn Drive 218 23/06/09

Hawthorn Drive 218 12/09/07

Hawthorn Drive 218 24/05/06

Hawthorn Drive 218 04/01/06

Hawthorn Drive 218 18/01/05

Hawthorn Drive 218 07/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Hawthorn Drive, 218 218 Hawthorn Drive Ipswich Suffolk IP2 0RG Lead Inspector Jane Higham Announced 1 June 2005 st 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 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. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hawthorn Drive 218 Address 218 Hawthorn Drive, Ipswich, Suffolk, IP2 0RG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01473 685772 01473 686490 beverly.gilbert@socserv.suffolkccv.gov.uk Suffolk County Council Mrs Beverly Gilbert CRH 29 Category(ies) of DE (E) - 11, OP - 18 registration, with number of places Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 January 2005 Brief Description of the Service: 218 Hawthorn Drive is a purpose built residential care home designed by the local authority and has provided care and accommodation to older people since 1966. In 1995 the home was extensively refurbished to improve environmental standards and provide accommodation to twenty nine residents. The home is located in the centre of the Chantry Housing Estate to the south of the town of Ipswich. There is a regular bus service into Ipswich town centre and a good range of shops located just accross the road, including the post office, bank, newsagents, public house and health centre.218 Hawthorn Drive is registered to provide accommodation for twenty-nine older people, eleven of whom have a diagnosis of dementia. The home also offers a respite care service and provides a fifteen place day centre, which has its own access, staffing and accommodation. The homes kitchen also provides a community meals service on a daily basis. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Announced Inspection of 218 Hawthorn Drive, a 29 bedded residential home for older people, situated in a residential area of Ipswich and owned and administered by Suffolk County Council. This was the first inspection in the inspection year 2005/2006. The inspection covered a period of 6 hours. Information contained within this report has been gathered from the pre-inspection questionnaire, discussions with the Manager, staff, residents and visitors to the home. Prior to the inspection, the home was provided with resident and relative feedback cards, five of which were returned. During the inspection resident care plans and pre-admission information were examined as were staffing rotas, accident records and meal menus. An environmental tour of the building was undertaken. What the service does well: What has improved since the last inspection? Since the previous inspection the home has continued with its programme of redecoration and renewal. Areas recently redecorated have included corridors, the coffee shop, conference room and offices, various bedrooms and one of the kitchen/diners located on a first floor living unit. All original windows have been replaced with double glazed units. The home has recently been awarded an innovations grant which is going to be spent on improving and enhancing the existing garden areas. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 standard(s) 3, 4 and 5 The home continues to operate a detailed pre-admission and assessment procedure which helps to ensure that the needs of individual residents can be met by existing services and facilities. The home offers prospective residents an opportunity to “sample” the services on offer before making any firm decision on whether they wish to become a permanent resident. EVIDENCE: Pre-admission assessments for two residents were examined as part of the inspection process. All admissions to the home are accessed via the Social Care Services Department. A Community Care Assessment is completed by the allocated social worker and forwarded to the home for consideration. The Manager of the home will also carry out her own assessment of the prospective residents care needs and will form a judgement as to whether these needs can be met at the home. Completed pre-admission assessments were found to be very detailed and provided a clear breakdown of individual care needs on which a working care plan could be based. The home was able to evidence that it has a clear admissions procedure which includes a pre-admission planning meeting with the prospective resident (where appropriate) and family members. All placements at the home are subject to a six week trial basis. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 9 Records seen at the time of the inspection, evidenced that the individual care needs of residents are met on a long term basis and clinical guidance is sought from community health services and in the case of those residents with special needs, from the psychiatry of old age medical and social care services. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 9 Residents accommodated at the home can expect to be provided with a detailed care plan which provides clear information on how their identified care needs will be met. Procedures for the administration and storage of resident medication were found to be both appropriate and secure and residents can expect to receive input from community health services. EVIDENCE: During the inspection the care plans of the two most recently admitted residents were examined. These documents provided a detailed and clear picture of the individual care needs of each person. Care plans included assessed needs in areas such as communication, eyesight, medication and self care etc and set out the interventions required to ensure that these needs were met. Moving and handling and nutritional assessments had also been carried out as part of the care planning process. It was noted that in some instances there was no evidence to show that care plans had been reviewed on a monthly basis. Records seen clearly evidenced that residents are enabled to access local community health services such as the district nurse and general practitioner. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 11 All visits by external services are documented as part of the individual care plans. Systems used for the safekeeping and administration of resident medication were examined as part of the inspection process. Residents medication is held in their own rooms in a locked drawer or special purpose cabinet. During the inspection, a senior member of staff was observed administering medication to residents. This was completed appropriately and relevant documentation completed. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 standard(s) 12,13 and 15 Social activities provided are varied and residents also have the opportunity for one to one support to carry out interests or other leisure opportunities. Visitors to the home can expect a warm welcome and various areas of the home have been created to provide a warm and relaxed atmosphere in which residents can socialise with each other or with their visitors. The range of meals available are both varied and nutritious and enjoyed by residents in a congenial setting. EVIDENCE: Discussions with both residents and staff identified that the home provides a range of activities to suit individual needs and abilities. In addition to activities provided by care staff the home employs a “Life and Leisure” worker for six hours per day from Monday to Friday. On the day of the inspection the “Life and Leisure” worker explained how each permanent resident is allocated a particular day when they are provided with a one to one service and assisted to carry out activities such as shopping or enjoying a pub lunch. A digital photograph had just been taken of a resident to be used in their application for a bus pass. A resident spoken to at the time of the inspection, reported that they had just celebrated a birthday and were able to organise their own party for which they sent out invitations to family and friends. On the day of the inspection a group of residents were playing a game of bingo in the home’s Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 13 garden and several others were making the most of the nice weather, sitting in the garden and chatting with colleagues. The home has an open visiting policy and family members seen on the day of the inspection commented on how they are always made to feel welcome and are offered a drink on arrival. The home has also created a “Café” which is located on the ground floor of the building where residents can meet together or with family members to enjoy a coffee or soft drink. The café also has a licensed bar. On the day of the inspection, the home was able to evidence that it provides a very extensive meal menu. Menus are displayed on the dining tables on each living unit. Menus are also available in picture form to assist residents with limited communication to select meal options. There is a very extensive breakfast menu which includes a choice of either continental breakfast or full English. In addition to the main options available at each meal, the home provides an extensive range of alternatives on a daily basis these include dishes such as omelettes, fish, jacket potatoes and ploughman’s lunch. Meals are served in the pleasant dining rooms on each unit from a hot trolley. Vegetables are served in dishes so that residents can help themselves to as much or as little as they want. All resident spoken with on the day of the inspection were very satisfied with the meals provided and commended the varied menu available on a daily basis. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 standard(s) 16 Residents living at the home can expect to be provided with adequate information to enable them to raise concerns or make more formal complaints in relation to the quality of the service they receive. EVIDENCE: Suffolk County Council produces its own complaints information leaflet entitled “Having your Say”. Copies of this leaflet were available in the home and accessible to all residents, staff, related professionals and visitors. The leaflet provides the required information in relation to contacting the Commission for Social Care Inspection. In addition to this leaflet, all newly admitted residents are provided with a welcome pack which also contains a copy of the home’s complaints procedure. Since the previous inspection, no complaints have been received by the Commission in relation to this service. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 standard(s) 19-26 The home provides a high standard of both private and communal accommodation to residents. There is a continued programme of redecoration and renewal and residents have the benefit of living in smaller units in a relaxed and comfortable environment. EVIDENCE: Accommodation at the home is situated on two floors, linked by a stairway or shaft lift. There are 29 bedrooms, all for single occupancy, 27 of which have ensuite toilet facilities. The remaining two bedrooms, used for respite care have communal bathroom and toilet facilities close by. The home is divided into four living units, each with its own lounge and kitchen/dining areas. Each unit kitchen is well equipped with a cooker, microwave, fridge and dishwasher. There are an adequate number of communal bathroom facilities each fitted with appropriate aids and adaptations. In addition to the unit communal accommodation, there is a well-furnished and equipped coffee shop where larger functions can be held. There is a centrally sited kitchen where all meals are prepared and from where a community meals service is offered. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 16 Accommodation provided is of a high standard and since the previous inspection in January 2005, several areas of the building have benefited from redecoration. Resident bedrooms seen on the day of the inspection were well furnished and good use had been made of attractive soft furnishings. In many cases residents had added their own personal belongings such as paintings, photographs and small items of furniture in order to give their rooms a more “homely” feel. All windows have recently been replaced with UPVC double glazed units and a window on one of the living units has been replaced by a door which now leads out into the garden via a ramped area. All communal areas seen on the day of the inspection were very comfortably furnished, equipped with televisions and music centres and maintained to a high standard of decorative order and repair. The home has recently been awarded an Innovations Grant, which is to be spent on the garden, providing a water feature, new pathways, replacement fencing and the purchase of a pergola and sensory plants. On the day of the inspection all areas of the home were maintained to a good standard of cleanliness and hygiene and no unpleasant odours were detected. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The home provides appropriate numbers of staff on each shift to meet the individual needs of residents. A staffing structure is in place and staff are clear about their roles and responsibilities. Staff interact with residents in a warm and caring manner. EVIDENCE: On the day of the inspection, the home was staffed to an appropriate level to meet the needs of the residents accommodated. The special needs unit was staffed by two carers and one carer was allocated to each of the other three units. Staff rostered on each shift include a Team Leader and during the day staff are supported by a Senior Team Leader and the home’s Manager. This level of staffing is maintained throughout the waking day. During the night period a Team Leader and two members of the care staff are on duty on an “awake” basis. During the inspection several members of the staff group were spoken to. The home has a stable and long standing staffing team who, on the day of the inspection were well informed about the needs and preferences of each resident and interacted with residents in a warm and companiable manner. One member of care staff reported that they really enjoyed working at the home and that that the training provided was very comprehensive. One resident who was being visited by a friend on the day of the inspection reported that they were well looked after and that staff were extremely helpful. The resident and visitor were both enjoying a cup of tea together which had been made by a member of the care staff. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 37 and 38 Residents can expect to live in a home which is effectively managed and promotes a safe environment for both residents and staff. EVIDENCE: The home is managed effectively by the registered manager who has been in post for many years and has an NVQ Level 4 in both Management and Care. The Manager ensures that standards within the home remain at a high level and that the best interests of residents are served. A formal staffing structure is in place with clear lines of accountability. On the day of the inspection, the system used for the reporting of accidents occurring in the home was examined. Accidents recorded reflected the age and frailty of the current resident group. On the day of the inspection a new sluicing facility was being fitted in the laundry room. It was noted that appropriate moving and handling assessment were completed in the case of all residents. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 19 During the inspection records required by regulation were referred to and available. On relative reported in the comment card that they were very pleased that their family member was in such a well run and friendly home. Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 x 15 4 COMPLAINTS AND PROTECTION 3 4 3 3 3 4 3 4 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 x x x x 3 3 Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 21 No Are there any outstanding requirements from the last inspection? 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 7 Regulation 15(2)(b) Requirement The Registered Persons must ensure that evidence is available to comfirm that resident care plans are reviewed at a frequency as detailed under Standard 7.4 of the National Minimum Standards Timescale for action Immediate 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 Good Practice Recommendations None applicable Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 5th Floor, St Vincent House 1 Cutler Street Ipswich Suffolk, IP1 1UQ 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 Hawthorn Drive, 218 I54-I04 S37656 218 Hawthorn Drive V224268 050601 Stage 4.doc Version 1.40 Page 23 - 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. 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