Inspection on 19/07/06 for Haylands

This inspection was carried out on 19th July 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

Haylands 15/03/10

Haylands 26/08/09

Haylands 12/06/09

Haylands 19/06/08

Haylands 22/02/06

Haylands 29/09/05

Haylands 18/01/05

Haylands 06/07/04

Haylands 23/02/04

Haylands 23/10/03

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Haylands 93 Crofts Bank Road Urmston Manchester M41 0US Lead Inspector Sue Jennings Key Unannounced Inspection 19th July 2006 10:00 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 Haylands DS0000005610.V297986.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. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Haylands Address 93 Crofts Bank Road Urmston Manchester M41 0US 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) 0161 748 3185 Haylands Mrs Alicia Leigh Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. All service users fall within the category of old age. The maximum number of service users requiring personal care shall be 24. All service users accommodated are male. The home must at all times employ a manager who is registered with the Commission for Social Care Inspection. 29th September 2005 Date of last inspection Brief Description of the Service: Haylands home for retired gentlemen is registered to accommodate a maximum of twenty-four residents who require personal care by reason of old age. The home is situated within walking distance of Urmston town centre. Public transport routes are close by. The building is a large detached Victorian house with well-maintained enclosed gardens. There is off road parking at the front of the property. There are fourteen single rooms and five twin bedded rooms. Two of the single rooms have en-suite facilities and there are an adequate number of toilets and bathrooms on each floor. A stairlift provides access to all floors and there are additional toilet facilities on the ground floor with disabled access. The fees for accommodation are £250.00 per week and for those residents who are privately funded their attendance allowance of £58.20 is paid towards their fees. The fees include all meals, laundry, domiciliary chiropody and entertainment. Additional costs include hairdressing, dry cleaning and telephone calls. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 5.5 hours on Wednesday 19th July 2006. During the course of the site visit time was spent talking to the manager, 4 of the residents and 2 members of staff to find out their views of the home. A number of the Commission for Social Care Inspection’s survey forms were sent to relatives by the home. The survey forms received from residents gave positive feedback about the home, meals and level of care provided. Time was also spent examining records and the residents and staff files. A tour of the building was also conducted. The requirements from the previous inspection had been addressed and there was evidence that the home was continuing to work hard to develop the service. During this inspection the key National Minimum Standards were assessed What the service does well: What has improved since the last inspection? Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 6 A risk assessment had been carried out for each resident including selfmedication. Where PRN (when required) medication is prescribed residents care plans gave details of why the medication is prescribed and for what condition. Fire safety checks were being recorded and included the checks on fire escapes and emergency lighting. 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. Haylands DS0000005610.V297986.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 Haylands DS0000005610.V297986.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were given good information about the home in order for them to make an informed choice about admission and their care needs are identified and met. EVIDENCE: Case tracking provided evidence that the home was undertaking a preadmission assessment of residents prior to admission. The written information contained in the assessment gave basic information about the persons care needs and was used to develop a care plan. The manager or one of the deputy managers visited the prospective resident in their own home or in hospital. Discussions with residents confirmed that they or their relatives were able to come and look around the home before making any decisions about moving in. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 9 The manager said that all referrals would be welcomed from minority groups and that the home would research the cultural and religious needs, for example the home would take advice about how to meet dietary needs. One resident spoken to said They gave me a booklet about the home. The Statement of Purpose and Function was available for visitors to read and a copy was seen on a table in the extension along with a photograph album. A service user guide was seen in all bedrooms. There was evidence of care management assessments where residents were funded by the local authority. This home does not provide intermediate care facilities. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 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, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was meeting the health and personal care needs of residents. Care plans were detailed and identified residents’ needs. EVIDENCE: A social worker spoken to on the telephone at the time of the site visit said I have been a social worker for 22 years and I cannot rate this home highly enough. The staff have been wonderful. The improvements in the residents I am involved with have been amazing. The staff are committed and they work well with the residents. The social worker also said I have been able to visit the home on a number of occaisions without making an appointment and the standard of care is always high, another resident I did not think would settle has settled in well thanks to the staff and managers. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 11 Medication is dispensed in a monitored dosage system (NOMAD) none of the residents administer their own medication. Care plans include risk assessments, a past history of the persons life, work, social, and family details and were linked to the initial assessments. Care plans included oral health care, nutrition, continence, mobility and history of falls, religious and cultural needs. The home demonstrated a good understanding of equality and diversity by addressing religious and cultural needs and care plans were reviewed on a monthly basis. Nutritional assessments ensured the health and safety of residents with poor dietary intake and records were kept to monitor diets. Residents at the home were registered with a local GP practice. There was evidence that district nurses visisted the home on a regular basis this was usually via a GP referral. The manager and staff at the home had a good understanding of the care needs of older people. One resident spoken to said “The staff are very caring and always pleasant.” Another said “The manager is always available if we need to speak to her.” Haylands DS0000005610.V297986.R01.S.doc Version 5.1 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided a good environment with some activities available. Meals served at the home were nutritious, well balanced and offered a healthy and varied diet for residents. EVIDENCE: The home was displaying a collage of photographs from various social events held at the home. The manager stated that there was a party planned with a country and western theme. Staff were very supportive in relation to social activities in the home and many volunteered to help with preparation for parties. The home has a schedule of activities ranging from bingo to Yoga and relaxation classes and once a month the home has music for health classes. The residents also visit local attractions and have recently visited Knowlsley Safari Park, a day trip to Llandudno, a trip to the Lake District and a trip to Smithills Coach House for a meal. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 13 One resident spoken to said “I go out every day for a paper, I like to go for a walk”. Another resident said “If they have any spare time, the girls will take me out to the shops.” The main meal was provided at teatime and a lighter meal was provided at lunchtime. The lunch meal on the day of the site visit was a choice of pancakes with various fillings, chicken soup with bread and butter or salad with cheese or cooked meats with scones for dessert. The main meal was cheese and onion pasty and chips or salad with fruit and cream or cheese and biscuits for dessert. All meals were served with a choice of hot and cold drinks. Residents spoken to said that there were no restrictions on visiting and their relatives and or friends could visit at any time. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had policies and procedures that served to protect the residents from abuse. A complaint procedure was available and was known to residents. EVIDENCE: The commission for social care inspection have not received any complaints or comcerns regarding this home. During the site visit the manager reported that there have been no complaints made. A log of any concerns raised by residents was held. There were a number of cards displayed expressing thanks to the staff for their care and attention. The home had a complaint procedure and residents were aware that if they had a complaint they would speak to the manager or any of the homes staff. The home has a suggestion box in the hallway, residents and visitors were encouraged to contribute any ideas or suggestions that may improve the quality of life for residents at the home. The manager reported that there had been a suggestion put forward that electronic gates be fitted to the front of the building to protect residents. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 15 This suggestion was being considered and was to be further discussed at the next board meeting. It was felt that this may have implications for residents who independantly use the community facilities and for access to the home by emergency services, there is also a question of the cost of maintaining the electronic gates. Copies of the homes complaint procedure were seen in residents bedrooms. the home had a copy of the Trafford Borough Council Adult Protection Policy and Procedure and the manager and staff were aware of the procedure to be followed in the event of an allegation of abuse being made. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for residents with specialist equipment available as required by individual residents. The standard of hygiene, was well maintained both internally and externally. EVIDENCE: The home was found to be clean and tidy with no unpleasant odours. Furniture was domestic in nature and of a good standard. The grounds were landscaped and well maintained. The manager reported that a new chair lift had been fitted since the last inspection and a new bath chair had been provided to assist residents to get into and out of the bath. There had been no redecoration since the last inspection but the manager reported that there are plans to replace carpets in the extension. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 17 There was a bar in the extension and this area was used for parties and when entertainers visited the home. During the site visit a heating engineer was on site assessing the homes central heating system. Residents spoken to said that It is quite comfortable here. Another said The place is always clean and tidy. Another resident said It is vary pleasant here “They do what they can for you. Residents were seen sitting in various lounges listening to music or reading the newspaper. Bedroom accomodation was provided in 12 single and 5 double rooms, two of the single bedrooms were fitted with en-suite facilities. Bedrooms were personalised with items brought from residents homes. Some had a television and radio. One resident said I like to sit here and watch TV in the afternoons. Privacy screens were provided in all double rooms. Communal areas, bedrooms and toilets were fitted with an emergency call system so that residents could summon help if needed. A social worker was spoken to during the site visit and commented on the standard of the environment stating that One of my clients asks me when I am taking him to the rest home because he cannot afford to stay in this hotel for much longer. Aids and adaptations to assist residents with bathing and mobility were available. Any identified need for aids was assessed and provided for on an individual basis. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 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 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employed staff in sufficient numbers and with the necessary skills and experience to meet the needs of residents. EVIDENCE: The numbers and experience of staff deployed to work at the home was sufficient to meet residents needs. The home employed two cooks and a kitchen assistant, as a minimum there are 2 members of care staff and a manager on duty between 08.00 and 23.00 and two night staff from 23.00 until 08.00. In addition there are two domestic staff on each weekday morning. The manager stated that if it was felt necessary staffing levels would be increased to meet residents needs. Residents spoken to said The staff work really hard. It is not an easy job but they are always friendly. Another resident said If I need help there is always someone who will help me. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 19 A sample of staff files were examined and contained an application form, proof of identity, a contract of employment, a job description and references. There was evidence that staff undergo an induction and receive supervision at three monthly intervals with on the job supervision ongoing. Evidence of training was seen on staff files and included mandatory training such as Infection Control, Dibetes Care, Moving and Handling, Basic Food Hygiene, First Aid and Health and Safety. Each member of staff had a training record and refresher training was undertaken annually. The deputy manager is an acredited assessor. Eleven of the staff at the home have achieved the NVQ level II qualification and two have achieved the NVQ level III qualification. One of the deputy managers holds the NVQ level III and the other holds the NVQ level IV. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 20 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, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had systems and procedures in place, which safeguard and protect resident’s financial interests and a quality monitoring system that promoted residents best interests. EVIDENCE: Staff spoken to were aware of the action to be taken on hearing the fire alam sound. One member of staff said We would evacuate the bedrooms if it was safe and get everyone behind a fire door as we are told in fire drills. The home carries out a quality survey twice a year. A sample of the responses were examined and comments like It felt right on the first visit and I have not regretted my decision were made. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 21 A relative commented that I have always found them to go the extra mile and staff manage to overcome difficultuies and maintain dignity. There was documentary evidence to show that fire drills were being carried out at regular intervals. One of the bedroom doors was held open to enable the resident to access the room easily. The room was located in a small landing area with two other bedrooms and a bathroom situated close by but within the confines of the nearest fire door. The manager was advised to contact the local fire officer for advice regarding the most appropriate means of holding the door open to allow easy access for the resident but also ensuring the safety of the resident and the residents in adjacent bedrooms in the event of a fire. Fixed Gas and Electricty appliances had been regularly maintained and a periodic test of portable appliences and lifting equipment had been carried out. Hot food temperatures were recorded as were fridge and freezer temperatures. Fly screens were fitted to the kitchen windows. The manager said that in general residents families assisted with finances although they do hold the personal allowances for some residents. The home is not appointee for any of the residents. Residents spoken to were happy with the financial arrangements one resident said “they take care of all that side for me.” The home has petty cash for residents’ use and receipts were held for all transactions made on behalf of residents. Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 23 No 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 OP38 Regulation 13 Requirement The responsible person must liaise with the local fire officer with regard to holding open fire doors. Timescale for action 30/09/06 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 Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Haylands DS0000005610.V297986.R01.S.doc Version 5.1 Page 25 - 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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