Inspection on 28/02/06 for Hazel Garth

This inspection was carried out on 28th February 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

Hazel Garth 29/08/07

Hazel Garth 12/09/06

Hazel Garth 24/08/05

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 Inspection 28th February 2006 10:30 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 Hazel Garth DS0000034421.V253851.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. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hazel Garth Address Hazel Road Warwick Estate Knottingley WF11 0LG 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) 01977 722405 01977 722408 Wakefield MDC Miss Janet Linwood Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The work required to meet the recommendations of the latest Fire Officer`s report is completed by 31 March 2004 or within an earlier timescale if this is stipulated by the Fire Service The care staffing hours are calculated by the provider using the Residential Forum staffing model and the number of full time equivalent staff appointed is in accordance with this calculation or otherwise as agreed in writing with the NCSC Respite provision for two service users. 2. 3. Date of last inspection 24th August 2005 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 DS0000034421.V253851.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection made on 28 February 2006. Time was spent talking to residents and staff, looking at some areas within the building, checking systems for medication and looking at documentation. Only 12 people are currently residing at the home and at the time of the visit some of these people were enjoying a trip out. The inspector would like to thank residents and staff at the home 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: Procedures for the safe administration of medication could be further developed to ensure a safe system. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hazel Garth DS0000034421.V253851.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 Hazel Garth DS0000034421.V253851.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. No residents are admitted to the home without having their needs assessed and confirmation given that these needs can be met at the home. Intermediate care is not provided at the home. EVIDENCE: No permanent admissions have been received by the home since the last inspection. This is due to the proposed change in the registration category of the home. Some people have been admitted for respite care but these are mainly people who have a long-standing respite care agreement at the home. Standard 6 is not applicable, as the home does not provide intermediate care. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 and 10. Residents are protected by the homes policies and procedures for dealing with medication. Residents feel that they are treated with respect. EVIDENCE: The systems for storage and administration of medication were examined and confirmed that a safe system is in place. Note was made that the chemist had, on one occasion, supplied more tablets than were indicated on the box. The member of staff checking in the medication had noted this but the information had not been transferred to the MAR (Medication Administration Record) sheet. Both of the residents spoken with said that staff treated them with respect and kindness. One person said that they felt that manners were extremely important and that all of the staff are very well mannered. They went on to say, “ The staff should be given the gold medal for the way they look after us”. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15. Residents are happy with the food they receive at the home and have choice in where they would they would like to eat. EVIDENCE: A three weekly menu is in operation and choices are indicated on these menus for each mealtime. Records of all food prepared and the ingredients used are made after each meal. Residents said that they enjoyed the food very much and were observed to be enjoying home made fish and chips with bread and butter followed by rice pudding. Some people had chosen to eat in the main dining room whilst others had chosen to take their meal at a dining table in the smaller lounge areas. Catering staff have received training and are taking advice from the dietician about menu planning for when the home’s category of registration changes in order to meet the needs the special dietary needs of people suffering from dementia. Since the last Inspection the home has received a gold award for healthy eating. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Systems and training are in place to protect residents from abuse. EVIDENCE: The manager said that all staff have received training in abuse awareness and systems in place for the protection of vulnerable adults. Since the last inspection one referral, which did not require any follow up, has been made through Wakefield’s adult protection procedures. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the above standards were fully inspected on this visit although previous concerns regarding the safety of window restrictors were discussed. The manager said that this issue had been discussed and risk assessments would be made. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30. Recruitment policies and procedures are in place to protect residents. Staff training is ongoing although the level of training in dementia care undertaken, particularly by the home’s manager may not be sufficient to meet the needs of prospective residents. EVIDENCE: Due to a problem with IT systems throughout Wakefield local authority it was not possible to assess the recruitment policies and procedures. The manager said that, to her knowledge the system was up to date. Training is continuing to prepare staff for the proposed change in registration category at the home. The home’s manager has also received training but has not yet been able to commence the diploma in dementia care course. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35. The home is run in the best interests of residents. Residents’ financial interests are safeguarded. EVIDENCE: A quality monitoring system is in place at the home whereby residents and their families are given questionnaires about the quality of care provision at the home. The manager said that she would be looking to develop the quality monitoring when the home’s refurbishment programme had been completed and admissions were being taken. Small amounts of resident’s personal allowances are kept, at the individuals’ request, in the home’s safe. Documentation relating to this was checked and found to be appropriate. All of the balances checked could be reconciled with the documentation made. Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 16 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. 1 Refer to Standard OP9 Good Practice Recommendations To further improve the safety of procedures in relation to receipt of medication into the home, where incorrect amounts of medication have been supplied by the chemist, note should be made of this on the relevant MAR sheet. The home’s manager should commence training relevant to managing a dedicated dementia care home. 2 OP30 Hazel Garth DS0000034421.V253851.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Brighouse Area Office 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 DS0000034421.V253851.R01.S.doc Version 5.1 Page 18 - 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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