Inspection on 18/04/05 for Haydon View

This inspection was carried out on 18th April 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

Haydon View 14/05/07

Haydon View 29/11/05

Haydon View 25/02/05

Haydon View 24/08/04

Haydon View 19/03/04

Similar services:

Middlesbrough Intermediate Care Centre

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

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

CARE HOMES FOR OLDER PEOPLE Haydon View North Bank Haydon Bridge Hexham NE47 6NA Lead Inspector Jim Lamb Unannounced 18 April 2005 09:30 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. Haydon View Version 1.10 Page 3 SERVICE INFORMATION Name of service Haydon View Address North Bank Haydon Bridge Hexham Northumberland NE47 6NE 01434 684465 N/A N/A Kay Care Services Limited 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) Ms Edna Eagleton CRH 27 Category(ies) of DE(E) Dementia - over 65 (12) registration, with number LD(E) Learning disability - over 65 (1) of places OP Old age (14) Haydon View Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25.2.05 Brief Description of the Service: Haydon View is a residential care home providing personal care and accommdation for older people. The home is registered to provide care for frail elderly and for older people with dementia. The home is a detached property located on the outskirts of the village of Haydon Bridge. The second floor has lift access. The service users have access to landscaped gardens and an external sun room that has superb views over the valley. Haydon View Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the inspection, the inspector met with the homes proprietor and the homes registered manager. Several service users care records were inspected as well as policies and procedures and other documentation that the home is required to have in place. The inspector toured the home and spoke to nine service users and several members of staff. What the service does well: What has improved since the last inspection? What they could do better: Haydon View Version 1.10 Page 6 Devise a quality assurance system that will enhance the overall care and demonstrate even further that the home is run in the best interests of the service users. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haydon View Version 1.10 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 Haydon View Version 1.10 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) 1 3 4 The service users are provided with a detailed statement of purpose and service users guide. All service users had detailed pre admission assessments completed. All service users have the opportunity to visit the home prior to admission, and are provided with clear information about how the home will meet their needs. EVIDENCE: The homes statement of purpose and the service users guide contained the full range of information required. Both are available in large print. The manager intends to provide information on audiotape. Two service users interviewed confirmed that they had been given a copy of the homes statement of purpose, guide and their individual contract. Three service users files were checked and on each were a copy of a full needs assessment. Haydon View Version 1.10 Page 9 Appropriately trained people carried these out; the referring care manager and for those self-funding by the homes registered manager. Nine service users said that their needs were fully met and that they were happy with the care offered to them. Three service users confirmed that they had visited the home prior to admission. The care plans were checked and staff on duty interviewed. These confirmed that a range of specialist services was provided for service users. The staff interviewed had a range of relevant training and experience. Haydon View Version 1.10 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 9 The service users personal and social care needs are identified in their individual care records. The home continues to ensure that the health care needs of the service users are identified and met. Administration, ordering and disposal of medication are fully met. Medication storage needs to be improved. EVIDENCE: There was evidence of comprehensive assessments in the service users care records. There is also comprehensive risk assessments of service users, these should be agreed and signed by the service users representatives. Each service user has an allocated key worker. Care plans are drawn up with service users and these are reviewed and evaluated on a regular basis. The service users confirmed that they are consulted about the management of the home and are able to make decisions for themselves. They said that they are treated with dignity and respect. Haydon View Version 1.10 Page 11 There was clear evidence that the service users health care needs are fully met. The records for the administration, ordering and disposal for medications were found to be well maintained and appropriately recorded. The dispensing pharmacist offers good support and advice. All senior staff has undertaken accredited training. The home requires an additional large metal cabinet to store medications and controlled drugs. The cabinet must comply with the Misuse of Drugs Act 1973. Haydon View Version 1.10 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 15 Social activities and meals are both very well managed. Very creative activities are available on a daily basis as well as community based recreational interests. Varied and nutritional meals are provided. EVIDENCE: The service users said that the home supports them to maintain their social, religious, and recreational interests both inside the home and within the local community. All confirmed that they are facilitated to maintain family / friends contacts, they confirmed that they are able to see who they wish and when. Several community groups visit the home and organise fund raising events in the home and local community, all those interviewed welcomed their support. External entertainers visit the home on a regular basis, and there are regular trips arranged to local places of interest. The service users enjoyed a recent outing to Gretna Green. Without exception the service users said that the food was very good, that a choice was always available and that the meals were always well presented. Haydon View Version 1.10 Page 13 The menus examined appeared to be well balanced and nutritional, a fourweek cycle operates. Currently no service users require a special diet. All service users care records demonstrate that a nutritional assessment is carried out following admission to the home. Haydon View Version 1.10 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 18 Complaints are handled objectively and the service users are confident that their concerns will be listened to and acted upon. The home has appropriately detailed complaint procedures. EVIDENCE: The home does have a complaints procedure; it contains details of how to contact the CSCI. Five service users interviewed said that they had been given copies of the procedure and that staff always listened to their concerns and dealt with them fairly. Since the last inspection visit there have been no complaints received. The home does keep a record of complaints. The home has a Whistle Blowing policy and a copy of the Local Authorities Vulnerable Adult procedures and a copy of the D.H. NO SECRETS for further information. Senior staff has undertaken POVA training, and there are plans to for all staff to attend in the coming year. The home maintains detailed financial records on-behalf of service users, there was evidence of personal spending and receipts are kept. The cash balance held for two service users was checked, both were correct. Haydon View Version 1.10 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 20 21 22 23 24 25 26 Progress has been made to address the building matters previously identified, the plans to refurbish and extend the home will enhance the environment by creating comfortable and safe surroundings. The laundry area must be made safe and workable; an action plan was agreed with the proprietor. EVIDENCE: On the day of the inspection the home was clean, well decorated and generally well maintained. There are plans to refurbish and extend the building; this will create additional lounge and dining space and 4 additional en-suite bedrooms. The service users interviewed did say it was homely and comfortable. The grounds were tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirement made by these organisations were reported to have been actioned. Haydon View Version 1.10 Page 16 The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. The dining areas are large enough to cater for all service users. There is a smoke-free sitting room. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design, a programme to re-new some of these in the communal areas is about to commence. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Repairs identified during the last inspection have commenced; fixed grab rails will be fitted where necessary in toilets. Doors were labelled and had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. As previously agreed fixed grab rails will be fitted in WCs. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users sharing rooms were interviewed, they had made a positive choice to share with each other. When a place becomes vacant in a double room, the remaining occupant does have the right to choose not to share. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. A few bedrooms do not have locks with an override; the proprietor will phase these in during the next year. The laundry facilities are not ideal, the proprietor has agreed to raise the appliances on plinths, remove the floor tiles, make the concrete floor good with a waterproof paint, and fully decorate. Haydon View Version 1.10 Page 17 The washing machine has the specified programme to meet disinfection standards. Haydon View Version 1.10 Page 18 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 30 There is sufficient care staff employed to meet the needs of the service users. The staff team have a good range of qualifications and experience. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Staff spoken to and service users interviewed said that staffing levels were appropriate and that there were additional staff on duty at peak times of the day. All the staff were over 18 years of age and those left in charge were at least 21. The inspector was informed that 50 of the home’s staff is expected to qualify to NVQ level 3 by December 2005. As previously reported the home has a thorough recruitment process which includes obtaining two written references, obtaining full employment histories and checking gaps in these, a criminal records check, medical checks, obtaining proof of ID and of any qualifications. Training needs of staff are identified via supervision and appraisal sessions. Haydon View Version 1.10 Page 19 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) 32 33 34 35 36 37 38 The home has good leadership, guidance and direction to ensure that service users receive high standards of care. There are appropriate systems in place to promote the wellbeing and welfare of service users; this will be enhanced further with the introduction of a systematic quality assurance system. EVIDENCE: The registered manager has experience in senior management and is working towards a level 4 National Vocational Qualification in management and care. In the last year all of the staff team have attended several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities. Haydon View Version 1.10 Page 20 Service users and staff interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. The home does not at present have a quality assurance system, which seeks the views of service users, visiting professionals or relatives, these issues were discussed with the manager, she agreed to devise a range of questionnaires and produce an annual development plan. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are on display for relatives/others to see The Company has developed a range of new policies and procedures which have to some degree been linked to the National Care Standards. The records inspected were found to be appropriately completed, these included the fire log book, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks are checked annually. Finance records are available to verify that the home is viable. Haydon View Version 1.10 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 1 3 3 3 3 3 Haydon View Version 1.10 Page 22 yes 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 op9 Regulation 13 Requirement Provide a suitable metal medication storage cabinet for controlled drugs that complies with the Misuse of Drugs Act Regulations 1273 The laundry facilities to be refurbished and raise the appliances onto plinths. Implement a quality assurance system based on the views of the service users, relatives and other professionals involved in the home, implement an annual development plan based on information and feedback of the overall service provided. Review the grab rails in the toilets and replace with fixed grab rails as necessary. Timescale for action 1.9.05. 2. 3. op26 op33 23 (b) 24 1.9.05. 1.10.05 4. op22 23 (2) (n) 1.6.05. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations No recommendations were identified. Haydon View Version 1.10 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington NE23 6UR 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 Haydon View Version 1.10 Page 24 - 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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