Inspection on 08/02/06 for Hawthorns Residential Home

This inspection was carried out on 8th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Hawthorns Residential Home 11/03/08

Hawthorns Residential Home 13/02/07

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Hawthorns Residential Home High Street Loftus Saltburn-by-Sea TS13 4HW Lead Inspector Derek Stow Unannounced Inspection 12:30 8 February 2006 th 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 Hawthorns Residential Home DS0000064898.V272459.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. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hawthorns Residential Home Address High Street Loftus Saltburn-by-Sea TS13 4HW 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) 01287 641508 01287 641508 Mr Justin Ignatius Lawrence Russi Mrs Karen Masding Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: The Hawthorns is a detached, two storey stone built house, set back from the road behind a pleasant garden with trees, lawns and borders containing shrubs and flowers. The home is situated close to community facilities. Accommodation for the 15 service users is provided in 11 single bedrooms and two double bedrooms. There are no ensuite facilities in this home. The rooms are appropriately decorated to the service users taste and they are furnished with their personal belongings.The home has two lounge/dining areas, which overlook the garden. One of the rooms has a television whilst the other is a quiet lounge. The kitchen is commercial in design and not accessible to service users although drinks/snacks are made for service users and visitors on request. A stair lift is available for those service users requiring assistance to access first floor facilities. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours, with the inspector examining a number of records; speaking to three residents, two relatives, the manager and a member of the Care staff. A tour of the building was carried out and requirements identified at the last inspection were re-visited. This inspection looked at those key standards, which were not examined at the last inspection in April 2005. Any issues identified as requiring action are to be found at the back of this report. What the service does well: What has improved since the last inspection? What they could do better: The manager and proprietor must address those issues requiring action which are detailed at the back of this report including continuing to develop the activity programme and training in Adult protection. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 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. Hawthorns Residential Home DS0000064898.V272459.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 Hawthorns Residential Home DS0000064898.V272459.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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in August 2005. EVIDENCE: Hawthorns Residential Home DS0000064898.V272459.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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in August 2005. EVIDENCE: Hawthorns Residential Home DS0000064898.V272459.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 and 14. Although there are some activities for residents these should be further developed. Staff encouraged and supported residents to maintain links with family and friends. Residents were able to exercise control over their lives. EVIDENCE: It was apparent from observation and conversation with staff, residents and two visitors that there was a relaxed and friendly atmosphere in the home. However a number of people said that there should be more opportunities for activities and particularly trips outside of the home. This should be driven by resident and staff consultation and supported by a programme of internal and outside activities. Routines were flexible and allowed residents to exercise personal choice and maintain control over their lives, subject to their individual plan. All rooms had an information book and this contains information, which encourages contact with family, friends and the local community. The manager explained that the local Vicar visits monthly and the Catholic Church visits weekly; also staff take residents to the local shops and library when staffing allows. Residents and visitors were seen to be freely coming and going to their own rooms as they wished and rooms were personalised with individual possessions. Only two residents have monies that are held safe by the Home on their behalf with the remaining residents either holding their own money or relatives hold it. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 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): 18 Appropriate policies and procedures are in place in relation to the protection of vulnerable adults and residents feel safe at The Hawthorns. Not all staff have yet received training/instruction in adult protection. EVIDENCE: The Manager said that eight of the fifteen care staff had undertaken Adult protection training. Whistle Blowing and adult protection policies are in place together with an Adult Abuse incident procedure; however the manager must ensure that all staff including ancillary staff receive an appropriate level of training/instruction. No incidents of adult abuse have been reported and residents and relatives spoken to on the day of inspection all said that they feel safe and protected by the staff at The Hawthorns. The money held safe on behalf of two residents is appropriately kept, with a recorded final balance, however it is recommended that this would be better protected from abuse if it was only released on two signatures. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 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): Although the environment was not the focus of this inspection and the home was observed to be generally clean, well decorated and maintained there were areas of worn carpet, which need replacing. The provision of place mats and serviettes at the dining table would enhance the expected image as well as the resident’s comfort and convenience. EVIDENCE: Worn carpet, which must be replaced, was observed at the emergency entrance and on the stairs. It was observed that at lunchtime there were no place mats or serviettes on the dining table. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 13 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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in August 2005. EVIDENCE: Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 14 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): 35 and 38 Service users financial interests are safeguarded and the health, safety and welfare of residents is protected. However these areas would be strengthened with two signatures to release residents monies and bath water should not only be safe but also comfortable. EVIDENCE: Money is kept safe on behalf of only two residents with the remainder either handling their own or it is managed on their behalf relatives. The records and cash balances checked were found to be correct. The safeguarding of residents and staff would be strengthened if money was only released on two signatures. A number of health and safety records were examined to confirm that up to date maintenance/checks were in place relating to the gas safety certificate, portable electrical appliance and hot water temperatures. Two bath outlets were checked which recorded temperatures of 39 and 40 degrees which although safe may not be comfortable for all residents. Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 15 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X x 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 X X 3 X X 3 Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Worn armchairs need replacing or reupholstering and screens in double rooms must afford privacy. Outstanding from previous inspection. The manager must arrange for an activities programme and records to be developed relating to in-house and outside activities and consult with residents regarding proposed activities. All staff including ancillary staff must receive Training/instruction in Adult abuse and the newly developed adult protection procedure. Areas of worn carpet must be replaced. Timescale for action 31/03/06 1 OP19 4,23 2 OP12 16 31/03/06 3 OP18 13 31/03/06 4 OP19 23 30/06/06 Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 17 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 OP15 Good Practice Recommendations It is recommended that the use of place mats and serviettes at meal times would enhance the expected image as well as the comfort and convenience of residents. It is recommended that the practice of two signatures to release residents’ monies would strengthen the safeguards for both residents and staff. The manager should consider both the comfort and the safety of residents in regard to bath water temperatures. 2 3 OP35 OP38 Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Hawthorns Residential Home DS0000064898.V272459.R01.S.doc Version 5.0 Page 19 - 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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