Inspection on 06/03/06 for Hawthorn House

This inspection was carried out on 6th March 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

Hawthorn House 21/08/07

Hawthorn House 05/09/06

Hawthorn House 20/04/05

Hawthorn House 13/01/05

Hawthorn House 03/08/04

Hawthorn House 27/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hawthorn House 19 Ketwell Lane Hedon East Yorkshire HU12 8BW Lead Inspector Lynne Busby Unannounced Inspection 6th March 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hawthorn House Address 19 Ketwell Lane Hedon East Yorkshire HU12 8BW 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) 01482 898425 01482 898425 Claire Louise Johnson Charles William Johnson Claire Louise Johnson Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Hawthorn House is a privately run residential home. It is close to the town centre of Hedon. The home is close to the main road and access to public transport. The home has a minibus available to take service users on days out. The home is registered for 22 people over the age of sixty-five of either sex. It also provides for those service users who may have dementia. The home has recently had an extension built to the rear of home. The accommodation provided is now in 1 shared room and 20 single rooms, 17 having ensuite facilities. There are two communal lounges, a separate dining room and a new conservatory. All areas of the home are accessible to service users via the provision of a stair lift and a passenger lift. The latter was installed at the same time the extension was built. The home is well maintained there is a car park at the front of the building and a garden to the rear. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed as part of the programme of inspections for the year. It was an unannounced inspection undertaken by one inspector. The inspection day lasted from 9.30 am to 2.00 pm with a previous 2 hours preparation also being completed. During the inspection a tour of some of the premises was completed, and a review of the documentation including care plans and recording systems. Time was also spent with residents in the communal areas. The inspector spoke to six of the twenty-two residents and discussions were held with staff and the manager. What the service does well: What has improved since the last inspection? What they could do better: The home need to risk assess the access to the call bell system in one service users room. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 6 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 House DS0000036095.V262283.R01.S.doc Version 5.1 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 Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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): 6 EVIDENCE: The home does not offer intermediate care. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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): 10 Service users are respected and privacy is upheld. EVIDENCE: The service users advised that the staff treat them with respect and their privacy is upheld. It was observed that staff knock on service users doors before entering and service users get their mail unopened. Privacy and dignity of service users is covered in the staff induction process. Many service users have their own telephone. Service users are called by their preferred form of address and this is recorded on their files. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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): 14,15 The meals in the home offer choice and variety to the service users. Service users are encouraged to exercise choice over their daily lives. EVIDENCE: Service users have control over their lives and can make choices. The manager encourages service users to handle their own financial affairs for as long as possible. In the service users guide there is information for service users and families on how to contact advocates. It was observed that service users can bring in their own possessions and one service user said, “My room is my home”. The meals provided are varied and are presented in an appealing way. The home has two sittings for lunch and those service users who required assistance were helped by staff in a discreet and sensitive manner. The dining room is well laid out with flowers and napkins on the tables. There are menus available and the cooks prepare meals using fresh seasonal ingredients. The service user informed the inspector that they could have a breakfast tray in their rooms if they wish. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: None of these standards were assessed at this inspection. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 12 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): 19,22 The standard of the environment within the home is good providing service users with an attractive place to live. EVIDENCE: The home is located close to the town centre and in easy reach of shops and a bus route. The home is well maintained and is accessible and safe for service users. There is a programme of routine maintenance available and the home completes monthly audits. The larger projects are part of the yearly financial plan. The grounds are tidy and safe and service users they can access these easily especially in the summer months. Service users have access to all parts of the home via a stair lift and a passenger lift. There is a range of aids, hoists and assisted toilets and baths to meet the needs of the service users presently accommodated. It was noted that one service user has chosen to have her bed at a different side to the call Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 13 bell system. The service user has extended the call bell system to reach her bed. This should be risk assessed and if required, accessibility to the call bell should be reviewed. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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): 28,30 Service users are supported by well trained staff. EVIDENCE: The staff have achieved NVQ Level 2 and have regular training. The cooks have also been offered the opportunity to do an NVQ in catering. The cook had attended a recent course on diet and nutrition for people with dementia. This is commended. The home does not employ agency staff or staff under 18 years old. All new staff have an induction that is to TOPSS specifications. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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): 31,33 The home is managed well and run efficiently and in the best interests of the service users. EVIDENCE: The registered manager is also the provider and holds an NVQ Level 4 in care and management. There are clear lines of accountability within the home. There is a job description available for the manager covering the role and responsibilities of the post. The registered manager advised that they, along with senior staff, had attended periodic training to keep up to date. The manager explained that the policies and procedures are updated yearly in line with any new legislation. The home have a quality assurance system in place and have been awarded Parts 1 and 2 the East Riding of Yorkshire Social Services Quality Development Scheme. The home seeks service users views Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 16 through service user meetings, quality questionnaires and reviews. The home utilise the service user meetings to plan, act upon and review the outcomes for the service users. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X 2 X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X X Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 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 OP25 Good Practice Recommendations The extension to the call bell system in one service users room that runs along the side of the bed should be risk assessed and if required accessibility to the call bell should be reviewed. Hawthorn House DS0000036095.V262283.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 House DS0000036095.V262283.R01.S.doc Version 5.1 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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