Inspection on 29/11/05 for Haydon View

This inspection was carried out on 29th 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 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

Haydon View 14/05/07

Haydon View 18/04/05

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 Northumberland NE47 6NA Lead Inspector Jim Lamb Announced Inspection 29th November 2005 09:45 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 Haydon View DS0000000534.V256311.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. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Haydon View Address North Bank Haydon Bridge Hexham Northumberland NE47 6NA 01434-684465 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) Kay Care Services Limited Ms Edna Eagleton Care Home 27 Category(ies) of Dementia - over 65 years of age (12), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (14) Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th April 2005 Brief Description of the Service: Haydon View is a residential care home providing personal care and accommodation for 27 older people. The home is located in a residential area of the village of Haydon Bridge, close to shops, pubs and other local amenities. The home is a detached property and there is lift access. The service users have access to landscaped gardens and an external sunroom that has superb views over the valley. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection lasted four hours and involved discussion with the manager the proprietor, six service users and three members of the care staff. Three service users care records were inspected together with other records relating to the running of the home. Two staff files were also seen. What the service does well: What has improved since the last inspection? Three lounge areas and the dining room have been decorated, new dining room furniture and some lounge chairs have been purchased. The laundry has been redecorated and the appliances have been raised from the floor. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 6 Two bedrooms have also been redecorated. A fixed grab rail has been fitted in one of the ground floor toilets. 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. Haydon View DS0000000534.V256311.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 Haydon View DS0000000534.V256311.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): 235 All service users receive a copy of the homes terms and conditions/contract. Service users have their care needs fully assessed before moving into the home. Intermediate care is not provided at Haydon View. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. Three service users’ files were checked and on each were a copy of a full needs community care assessment as well as a detailed pre-admission assessment completed by the registered manager. All service users and their relatives are invited to visit the home prior to admission. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 9 The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service users interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Intermediate care is not provided. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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 the following standard(s): 7 10 11 Each service users health, personal and social care needs are set out within an individual plan. Service users make decisions for themselves and assistance is provided as needed. Service users are supported to take risks as part of an individual lifestyle. The service users receive the personal support in the way they prefer and require. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care records. There is also a comprehensive risk assessment of service users, those who are able are encouraged to sign these. Any rights that are restricted are linked to risk assessments. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 11 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. The three plans examined clearly identified each individual’s personal, health and social care needs. All service users care needs are reviewed every six months, care managers and service users representatives are invited to attend. Each service user receives support to manage their finances. Service users’ all indicated that they are able to make decisions for themselves, they said that they were treated with dignity and respect at all times. Without exception the service users interviewed spoke highly of the staff and the care that they received. The home has very detailed procedures relating to illness, dying and death. The service user wishes following death are recorded and observed. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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 the following standard(s): 12 13 14 15 The service users maintain contact with their family, and the local community as they wish. All are supported to make choices and exercise control over their lives and take part in valued and fulfilling activities. EVIDENCE: There was evidence that each service user has the opportunity to participate in community-based activities within the village and regular outings are arranged particularly during the summer months. Professional entertainers visit the home on a regular basis. Community groups within the village provide very good support, they frequently hold fund raising events on behalf of the home. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 13 One service user said that she is involved in light housekeeping tasks, which she enjoys. The inspector observed staff interacting in a very sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Several staff has recently undertaken nutritional food training and as a result of this the homes menus have been reviewed. The service users confirmed that they are consulted about any changes to the homes menus. Nutritional assessments are routinely completed for all service users. The service users said that the food was very good; there only complaint was that portions are sometimes too large. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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 the following standard(s): 16 17 18 The service users are confident that their complaints will be listened to, taken seriously and acted upon. Procedures are in place to protect service users from harm. EVIDENCE: The home does have a complaints procedure; it contains details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. Three service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. The home does keep a record of complaints. During the last twelve months no complaints had been made. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 15 The home also has a copy of the D.H. “NO SECRETS” for further information. To date seven staff had received protection of vulnerable adult training. The Homes proprietor maintains detailed financial records on behalf of the service users; there was evidence of personal spending and receipts are kept, all purchase receipts have two staff signatures. An audit of the cash balance held was carried out, this was found to be correct. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed during this inspection. The requirements identified during the last inspection carried out on 18.4.05 had been addressed. EVIDENCE: Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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 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): 27 28 29 The staff team meets the service users needs. Appropriate recruitment procedures are in place to protect service users. The training for staff is appropriate to ensure that the needs of the service users are met. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 2 weeks’ rotas were checked and these stated the required numbers of staff were on duty: 4 staff between 8am and 5pm, 3 staff between 5pm – 9pm with 2 between 9pm and 8am. Staff spoken to and service users interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via regular supervision and appraisal sessions. Staff interviewed confirmed they had a wide range skills knowledge and experience; two have worked at the home for 10years and one for over 5 years. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 18 60 of the staff has a level 2 NVQ qualification, two staff have almost completed the NVQ assessor’s course. Seven staff had also attended a control of infection course and a nine-week dementia awareness course. Two staff files were examined, these demonstrated that robust procedures are in place for the recruitment and selection of staff. The inspector evidenced CRB records. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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 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 32 33 35 36 37 38 The service users are confident their views underpin review and development in the home. Service users financial interests are protected. The health, safety and welfare of the service users is promoted and protected. EVIDENCE: The registered manager is experience in senior management and has recently completed the registered managers award. (Awaiting her certificate) In the last year all of the staff team have continued to attend several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 20 Staff and service users interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. Service users are informed when inspections take place and have access to inspection reports. Copies are available for relatives/others to see The organisation has developed a range of new policies and procedures linked to the National Minimum Standards. The home has recently introduced a detailed quality assurance system based on seeking the views of service users, their representatives and professionals involed in the home. An annual development plan reflects the results of the surveys and outcomes for service users. The records inspected were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual, and there was information provided which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 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. 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 22 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. Refer to Standard Good Practice Recommendations Haydon View DS0000000534.V256311.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland 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. 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