Inspection on 01/11/05 for Hawthorne Court Nursing Home

This inspection was carried out on 1st November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hawthorne Court Nursing Home 26/06/07

Hawthorne Court Nursing Home 17/10/06

Hawthorne Court Nursing Home 07/06/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Hawthorne Court Nursing Home Hawthorn Court Nursing Home Coldeast Way Sarisbury Green Southampton Hampshire SO31 7LX Lead Inspector Mr Roy Bega Unannounced Inspection 1st November 2005 10:15 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 Hawthorne Court Nursing Home DS0000062645.V261377.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. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hawthorne Court Nursing Home Address Hawthorn Court Nursing Home Coldeast Way Sarisbury Green Southampton Hampshire SO31 7LX 01489 556720 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) Hampshire County Council Mrs Victoria Ann Biggs Care Home 80 Category(ies) of Dementia - over 65 years of age (50), Old age, registration, with number not falling within any other category (30) of places Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Hawthawn Court is a purpose built nursing home for 80 older persons managed by Hampshire County Council Social Services Department. It was registered 24 February 2005 and commenced admitting residents on 5 March 2005. The home is located within the former grounds of Coldeast hospital Fareham. There are ghood good parking facilities and a large enclosed garden. Accommodation is provided on two floors serviced by two passenger lifts. There are 8 units each comprising of a lounge/dining room, kitchenette and ten single bedrooms with en-suite toilet facilites. Other facilities include a visitors lounge, activities lounge, hairdressing salon, smoking lounge and medical rooms. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People were being met at the time of the inspection. This visit was the home’s second insepction subsequent to registration February 2005. The inspection took place over one day, a total of four and a quarter hours between 10-15 a.m. and 2-30 p.m. Opportunity was taken to look around the home, view records and talk with, the registered manager 7 residents 6 care staff and two administration staff. Mrs Biggs, the Registered Manager informed the inspector that staffing level requirements have been revised to enable admissions to increase to sixty by the end of November. It is planned to reach full capacity early part of 2006. At the time of this inspection, forty-eight residents were accommodated. Standards not inspected on this occasion will be assessed during future visits. Four of the five requirements raised resulting from the previous inspection of 7 June 2005 have been met. The outstanding requirement regarding the ventilation in staff working stations is also raised in the main body of this report. One new requirement was raised resulting from this inspection. What the service does well: Residents spoken with stated staff were so kind and helpful before and after they had moved in. They and their family had opportunities to visit the home before making a decision. Positive working relationships were evident between residents and staff on duty. Residents spoken with had nothing but positive remarks regarding how well staff look after them. Identifying training needs through one to one supervision and providing it accordingly. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Hawthorne Court Nursing Home DS0000062645.V261377.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 Hawthorne Court Nursing Home DS0000062645.V261377.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. Prospective residents have the information they need to make an informed choice with regards to moving into Hawthorn Court. EVIDENCE: An informative and well-presented statement of purpose was seen. Residents spoken with stated staff were so kind and helpful before and after they had moved in. They and their family had opportunities to visit the home before making a decision. A sample of four detailed pre admission assessments were seen. Hawthorne Court Nursing Home DS0000062645.V261377.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): 7 and 11. Residents’ are assured their health, personal and social care needs will be met. Residents are assured that at the time of their death they and their family will be treated with care, sensitivity and respect. EVIDENCE: Two requirements were raised resulting from the previous inspection regarding residents care plans. Information within the care plans required to be more detailed and include information where regular checks need to be made regarding frail residents unable to use the call bell system. It was assessed that they have been met. The home has an appropriate policy and procedure to assure residents at the time of their death, that they and their family will be treated with care, sensitivity and respect. It was noted that residents’ cultural/requirements/ wishes upon death are in the process of being recorded in care plans. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 10 Records were seen to indicate that training in managing death and bereavement has been arranged. Staff spoken with portrayed a sense of sensitivity when approached with regards to this matter. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: None of the standards in this section were assessed on this occasion. Hawthorne Court Nursing Home DS0000062645.V261377.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Hawthorne Court Nursing Home DS0000062645.V261377.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): 20, 21, 25 and 26. The location and layout of the home is suitable for its stated purpose. It is accessible, safe, clean and well maintained. It meets residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: Hawthorn Court opened February 2005. Living areas are divided into eight separate units each accommodating ten residents. Each unit has a lounge/ dining room. In addition there are three quiet lounges, a smoking lounge and activitiy rooms. Furniture and soft furnishings are in good order. Every bedroom has en-suit toilet and wash hand facilities appropriate to meet residents needs. There are also sufficient communal bathing and toilet facilities to meet residents needs. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 14 The enclosed garden area is landscaped with level walking areas and appropriate seating. Bedrooms are individually and naturally ventilated with windows conforming to recognised standards. Central heating is under floor with residents having the ability to control the temperature. At the time of the visit the premises were clean, hygienic and free from offensive odours throughout. Systems are in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored or prepared. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: None of the standards in this section were assessed on this occasion. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 16 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): 33, 34, 35, 36, and 38. Residents live in a home, which is well run and managed with an ethos of being open and honest. Residents are assured that their financial interests are safeguarded. Staff benefit from regular one to one supervision. Effective quality assurance systems based on seeking the views of residents and relatives are in place. Residents benefit from an effectively and efficiently run home. EVIDENCE: Staff spoken with readily informed the inspector that the working environment has become more positive as the team has settled. This was evident during the inspection. Positive working relationships were evident between residents and staff on duty. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 17 Residents spoken with had nothing but good things to say about staff. For example, “They are so kind” and “They always take time to talk with you.” A relatives group and a league of friends have been set up as part of the home’s audit system. Hampshire County Council have recently developed a new quality control audit system that is to be put in place by April 2005. Hampshire County Council manages accounting and financial procedures centrally. The manager and unit’s administrator maintain records of all financial transactions within the home. Discussions indicated that relatives manage residents’ financial interests. The home was however in the process of setting up an account for one resident’s finances in line with Hampshire County Council’s procedures. Discussions indicated that one to one staff supervision has been implemented on a bi-monthly basis. This was a requirement raised resulting from the previous inspection of 7 June 2005. The home’s health and safety file was available. Staff are provided with a copy and advised of it’s content as part of the induction process. No unsafe practices were observed during the inspection. Certificates were available for required checks of systems and equipment. Risk assessments where necessary have been completed. Staff have received training in first aid and moving and handling. A requirement was raised resulting from the previous inspection to improve the ventilation in the nurse station areas. The inspector was informed that Hampshire County Council have assessed the temperature levels but no work has been carried out. The situation is compounded in that doors to the nursing stations are not fitted with automatic closing devices linked to the alarm system. These doors were found to be wedged open which compromises fire safety precautions. This practice must stop. Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 18 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X 3 3 X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 3 3 X 2 Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 23 (3 a) Requirement Ventilation in nurse stations is poor. This issue was raised as a result of the previous inspection of 7 June 2005. Fire doors must not be held open other than by an approved device linked to the alarm system. Timescale for action 08/12/05 2 OP38 23 (4 a) 01/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Hawthorne Court Nursing Home DS0000062645.V261377.R01.S.doc Version 5.0 Page 21 - 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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