Inspection on 24/08/05 for Hazel Garth

This inspection was carried out on 24th August 2005.

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

Hazel Garth 29/08/07

Hazel Garth 12/09/06

Hazel Garth 28/02/06

Hazel Garth 21/03/05

Hazel Garth 09/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Hazel Garth Hazel Road Warwick Estate Knottingley WF11 0LG Lead Inspector Gillian Walsh Unannounced 24 August 2005 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. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hazel Garth Address Hazel Road Warwick Estate Knottingley~ WF11 OLG 01977 722405 01977 722408 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) Wakefield MDC Miss Janet Linwood Care home - personal care only 28 Category(ies) of 28 x Older People (over 65 years) registration, with number of places Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 21.3.05 Brief Description of the Service: Hazel Garth is a care home currently providing personal care and accommodation for 28 Older people. It is owned by Wakefield MDC a local authority offering a wide range of services to vulnerable people. Plans are in place to develop Hazel Garth as a dedicated facility to provide care to older people with dementia. The home is situated on a residential estate on the outskirts of Knottingley a small town adjacent to the A1 & M62 motorways.The home was purpose built and was extensively refurbished in 2000. It is a two storey building with both personal and communal accommodation for residents being based on four potentially self-contained wings. All the bedrooms are single. There is a passenger lift. There are large gardens to the side and rear of the premises. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection made on the 24th August 2005 lasting approximately three hours. The inspection included a tour of the home, discussion with residents and staff and review of documentation. Discussion took place with residents and staff about the proposed refurbishment and plans to change the category of care at the home to enable them to become a home dedicated to the care of people with dementia. The home’s manager was not available on this occasion so discussion and feedback took place with the assistant manager. The inspector would like to thank residents and staff for their time and assistance during the visit. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 6 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 Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 7 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) 3 and 4. Although prospective residents are being assessed prior to admission, by a person qualified to do so, residents whose needs do not come within the registration category are inappropriately being accepted into the home. EVIDENCE: The assistant manager said that no permanent admissions are being accepted at the moment in preparation for the proposed change in the registration regarding categories of care. Admissions for people requiring interim care were continuing and the assistant manager said that one such admission was due that day. The pre admission assessment documentation for this person was examined and was seen to include that the prospective resident had a diagnosis of dementia. When staff were asked about this they said that they and the home’s manager, had expressed their concerns about this and similarly about a previous person who had been admitted with a diagnosis of dementia but they said that they had been told by an adult service manager within the council, that they should accept these admissions. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 8 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 and 9 Care plans do not fully cover residents identified needs. Resident’s healthcare needs are met through referral to the appropriate professional. Residents are not protected by current systems for administration of medication. EVIDENCE: A selection of care plans were seen and generally were found to cover resident’s health, social and personal care needs. One care plan file included information that the resident had an infectious condition although this condition and actions necessary to prevent the spread of the infection had not been detailed within a care plan. Care plans indicated that residents were encouraged to make decisions and some personal choices and preferences were detailed. Discussion with residents confirmed that they are able to make choices about their lives including how and where they wish to spend their time and that these choices are respected. Daily records were very brief, including statements such as “all cares given” and did not detail residents activities on a daily basis. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 9 Examination of records and discussion with residents confirmed that health needs are met appropriately through referral to district nurses, GP’s or other appropriate health care professionals. The systems for storage and administration of medication were examined. Storage systems were safe but an issue regarding administration arose on examination of MAR (Medication Administration Record) sheets. For a once a week medication the MAR sheet indicated that 3 tablets were available, however staff had signed that 4 tablets had been given. Staff thought that this may have occurred if the member of staff administering the medication had found that there was not a tablet available to give and had left the signature box blank, but another member of staff had later signed the blank box to indicate that the tablet had been given. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 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 standard(s) 12, 13 and 14. Residents are happy that their lifestyle within the home meets with their expectations and that they are supported to maintain contact with family and friends. Individual choice is promoted. EVIDENCE: Discussion took place with several residents who said that they are quite happy with their lifestyles within the home. One resident said that they preferred to spend their time in their room and another said that they preferred to spend most of their time reading in one of the quiet lounges. Activities are available for those who wish to join in. One person who was visiting their relative said that they were able to visit when they liked and were made to feel welcome. Residents said that they were able to make decisions and choices about how they spent their time, where and when they ate their meals and how they were supported with personal care. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 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 standard(s) 16 Residents are confident that their complaints will be listened to and acted upon appropriately. EVIDENCE: A comprehensive and clear complaints procedure is available to residents. No complaints have been received at the home in the last 12 months. Some residents said that they are confident that staff will act on any concerns they may have. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 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 standard(s) 19 and 26. Due to the problem with window restrictors, resident’s safety could be put at risk. Standards of hygiene within the home provide residents with a very pleasant living environment, although sluicing procedures need to be reviewed. EVIDENCE: The home is about to undergo refurbishment and alteration as part of the proposed change of registration categories. In the meantime general maintenance and renewal is being continued on an as required basis. All of the windows are on restrictors, which can easily be disengaged by either pressing a button or pulling a small lever. In one of the first floor bedrooms, the restrictor had been disengaged, staff said the resident had done this as they chose to have their window wide open. Another window in a communal area of the first floor was also found to be unrestricted and staff were unable to engage the restrictor. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 13 Sluice rooms were seen to be very clean but the only facility for bedpan washing is a manual hose over a large sink. This type of facility could pose a risk to infection control as dirty water is splashed onto the user and within the room. This is a particular risk downstairs as the sluicing facility is in the laundry room situated next to the washing machine. Standards of cleanliness and tidiness within resident’s rooms and in all communal areas were very high. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 14 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, 29 and 30. Residents are supported by a caring staff group, available in sufficient numbers to meet the needs of those in their care. Systems were not in place to enable the inspector to assess recruitment practices. Staff training is appropriate to meet the current needs of residents. EVIDENCE: The assistant manager said that staffing levels are calculated on the number of residents and their assessed needs. These were felt to be appropriate at the time of the visit. The staffing rota showed that there was a suitable number of staff on shift taking into account the assessed needs of residents, the size, layout and purpose of the home. The staff recruitment and training files, which are held centrally on computer, could not be inspected due to password problems, and a lack of staff IT ability. These will be checked at the next inspection. The assistant manager said that the staff team is currently undertaking dementia awareness; communication and person centered awareness training, so that they are better skilled to work with older people with dementia. The workbooks relating to this training were found to in depth, appropriate and pertinent to the training needs of the staff group. Some staff said that although they were receiving training relating to dementia care, they still had some concerns about the proposed changes and felt that more practical training, such as work experience within a dementia care unit, would be beneficial Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 15 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) 38 Although systems and procedures are in place at the home to promote the health and welfare of the residents the staff team and any visitors to the home, the problem with window restriction poses a potential risk to safety. EVIDENCE: The assistant manager said that health, safety and welfare of residents and staff is maintained by way of staff training, fire safety system testing, risk assessment and safety system monitoring. The records relating to these areas of management and administration were found to be in good order. The problems with window restrictors identified within the environment section of this report could present a risk to the safety of residents. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 1 1 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 1 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 1 Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 17 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 OP3 OP4 Regulation Section 24 Care Standards Act. 13(2) Requirement The responsible individual must ensure that the home does not accept service users who do not fall within the homes categories of registration. The registered person must make arrangements for the safe recording and storage of medications received into the care home. The window restrictor identified during the inspection must be repaired or replaced to ensure service users safety. A review of all windows must be conducted to ensure that residents would not be able to easily disengage the restrictors. Systems must be put in place to ensure that staff files are at all times available for inspection by the Commission. Timescale for action From 24th August 2005 From 24th August 2005 From 24th August 2005 2. OP9 3. OP19 OP38 13(4) 4. OP29 17(3)(b) Schedule 4 From 24th August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Hazel Garth Refer to Good Practice Recommendations 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 18 1. 2. Standard OP7 OP26 3. OP30 Care plans should cover all areas of residents needs. Daily records should include detail of how residents have spent their day and how their needs have been met. As part of the planned refurbishment programme the registered person should consider the fitting of mechanical bedpan sluicing and steralising machines and creating some division between the sluice facility and the washing machine in the laundry room. The registered person may wish to discuss with staff their percieved training needs in relation to caring for people with dementia. Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Hazel Garth 20050824 Hazel Garth UI OP J51 v245817 s34421.doc Version 1.40 Page 20 - 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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