Inspection on 18/10/05 for Hazel House Nursing Home

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House Nursing Home 30/05/07

Hazel House Nursing Home 27/03/06

Hazel House Nursing Home 16/03/05

Hazel House Nursing Home 13/07/04

Hazel House Nursing Home 29/03/04

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 Hazel House Nursing Home Hazel House Nursing Home 30 Paradise Lane Moss Side Leyland Preston Lancashire PR26 7ST Lead Inspector Anne Taylor Announced Inspection 18th October 2005 09:30 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 House Nursing Home DS0000025562.V251954.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. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hazel House Nursing Home Address Hazel House Nursing Home 30 Paradise Lane Moss Side Leyland Preston Lancashire PR26 7ST 01772 452750 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) Hazel House Nursing Home Limited Mrs Lynn Cosgrove Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability (10) of places Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home is registered for a maximum of 43 service users to include: Up to 43 service users in the category of OP. Up to 10 service users in the category of PD aged 60-64. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the National Care Standards Commission regarding staffing levels in care homes. 16th March 2005 5. Date of last inspection Brief Description of the Service: Hazel House Care Home provides 24 hour nursing and personal care for up to forty-three people of either sex over the age of sixty-five. At the time of inspection forty-two people were living at the home. Hazel House is situated in a quiet cul-de-sac in Leyland close to local amenities. The home provides accommodation mainly in single rooms, although shared rooms are available for married couples, friends or people who prefer to share facilities. Accommodation is provided over two floors and a passenger lift enables wheelchair users and the less mobile access to all areas. There are three separate lounge/quiet areas for residents to join in activities or sit quietly enjoying more solitary pursuits. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over one full day in October 2005. The inspection involved discussion with the people who lived and worked at the home and visitors, examination of records, policies and procedures and a tour of the premises. Comment cards received from residents, relatives and other health care professionals have also been used in the production of this report. As part of the inspection process the inspector used “case tracking” as a means of assessing some of the National Minimum Standards. This process allows the inspector to focus on a small group of people living at the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people living at the home. What the service does well: The procedures and management processes in place to assess and address health care needs were well developed and individual needs were met in a supportive and caring environment. Recruitment procedures were thorough and took into account the need to protect residents. The staff team worked well together and showed a good understanding of the needs of the people living at the home. The staff team received appropriate training and guidance that provided them with the knowledge and experience needed to care for this client group. This care home put the needs of residents first and made sure residents were supported to live an independent lifestyle whenever possible. People living at the home benefited from the happy relaxed atmosphere and good relationships have been established between residents and staff. The management team keep up to date with changing legislation and current best practice and continue to provide a well managed and organised service that takes into account the needs of the people they care for. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 6 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 House Nursing Home DS0000025562.V251954.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 Hazel House Nursing Home DS0000025562.V251954.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): Standard 3 was not assessed at this inspection and standard six is not applicable, as Hazel House does not provide intermediate care. EVIDENCE: Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 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): 7, 8 The care planning process was very thorough and made sure that the needs of residents were properly identified and managed. The provision of basic nursing care and management of health care needs was of a good standard and made sure the health and welfare of clients was effectively managed. EVIDENCE: Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 10 Care records seen showed that each resident had a plan of care based on a pre admission assessment so that individual needs were identified and instructions for staff as to how those needs would be met were clear. The plans were detailed, well structured and easy to follow. The manager said that residents and their relatives were consulted about the care planning process and the care plans seen had been signed by residents who were able to do so or by their relative. Discussion with the manager and other members of staff showed that care plans were drawn up and reviewed by trained nurses who had experience of this process. Risk assessments that enabled health care to be provided safely were in place so staff were confident about this part of their job and residents able to feel safe when being assisted with personal care needs or receiving nursing care. Staff were able to discuss the individual needs of the people they cared for and how they organised their workload to ensure those needs were met. They made reference to way they used the care plans and attended regular handovers when there was a change of shift, so that they knew about any changes to the care residents needed. When asked about the care they received residents said, “The care I get is perfect, I have seen the Doctor, had my eyes tested and seen the chiropodist” and “I get help when I need it. If I want a bath the girls (care staff) do it and they come to the hospital with me for appointments ”. Comment cards completed by relatives showed that they were satisfied with the care their relative received. Comments included, “I am pleased that my mother is very well cared for here” and “ I am very satisfied with the care and attention here”. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 11 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): 13, 14 The management arrangements in place at the home, underpinned by organisational policies and procedures, supported residents to maintain contact with family and friends. Residents were helped to exercise choice so that they had some control over their lives. EVIDENCE: The statement of purpose outlined the home’s visiting policy and included a statement about residents being able to exercise choice in relation to visitors. This meant that residents and relatives knew what the home’s approach to visiting was and could comply with any policies operated by the home. Residents spoken to confirmed that they were able to see visitors in their own room or in one of the communal areas of the home so the meetings could be private if they wished. One visitor present at the inspection said, “I can visit anytime really and I’m made to feel welcome”. During conversations with residents and staff it was evident that residents who were able could make choices about the way they lived within the home and in particular within the privacy of their own room. Rooms had been personalised Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 12 by residents bringing in some of their own possessions so that they had familiar and treasured items around them. A record of all items brought into the home by residents was kept so that staff knew which items belonged to each resident. Residents not able to exercise full control over their financial affairs were mainly helped by a family member. The management team knew how and when to access an advocate to act on behalf of a resident without a representative to ensure that any decisions made were in the best interests of that resident. Information about advocacy services and how to access them was available to residents so they could do this independently of the home if they wished. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 13 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 Management processes in relation to abuse were thorough enough to make sure people living at the home were protected. EVIDENCE: The home had an adult abuse policy and whistle blowing policy, in addition to a copy of guidance issued by the department of health. Discussion with staff showed that they were aware of the above documentation and were quite clear about what they would do if an allegation or suspicion of abuse came to their attention. The manager was aware of her responsibilities in relation to protecting people living at the home and making sure staff were appropriately trained to recognise and act upon any signs of possible abuse. Induction training records for new staff included information and guidance about abuse so that all new staff were familiar with the subject and how to respond to any allegation or suspicion of abuse. Staff confirmed that they received regular updates so that they continued to be made aware of the need to protect the people they care for. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 14 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): The environmental standards were not assessed at this inspection. EVIDENCE: Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 15 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): 28,29,30 The recruitment process was very well organised and thorough enough to ensure the continued protection of residents Training was provided for new and existing staff that helped make sure they were competent do their jobs and able to practice safely. EVIDENCE: A recruitment checklist was in place to assist the recruitment process. Records showed that the recruitment process was thorough and took into account the need to protect residents. Discussion with the manager and the administrator showed that they were aware of their responsibility to appoint suitable staff that would be able to provide good care and the continuing need to protect people living at the home. Staff talked about how they had been recruited and confirmed that they had received a statement of terms and conditions of employment and a job description so that they knew what their responsibilities were and what was expected of them. Training records showed that new staff received induction and ongoing training that provided them with the basic skills needed to carry out tasks allocated to Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 16 them. Staff spoken to said that training opportunities were good and that regular training courses were held for fire safety, moving and handling and other health and safety topics so that they were kept up to date about safe working practices. National vocational training (NVQ) was available to care staff and a significant number of care staff had already achieved level two or three so that the home exceeded the fifty per cent needed to meet the national minimum standard. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 17 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 Residents lived in a well run home, managed by a responsible person who was able to make sure the home met its stated purpose, aims and objectives. The home was managed and organised in a way that helped make sure the service was run in the best interests of residents. The arrangements for handling money on behalf of residents were thorough enough to ensure their financial interests were safeguarded. EVIDENCE: Records showed that the registered manager is a first level registered nurse who has extensive experience of running and managing a care home for this client group. Discussion with staff showed that the manager provided leadership and direction so that every one knew what their role was and what Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 18 was expected of them. The home was able to meet its stated purpose as demonstrated by comments from residents, relatives and other health care professionals that attend the home. Residents comments included, “I like living here I wouldn’t want to go anywhere else, I don’t want to leave” and “ This is my home now I chose to come back here, I am looked after and wouldn’t have asked to come back otherwise”. Comments from relatives included, “ I feel this is a well run home and am pleased that my mother gets the care she needs”. Comments from Doctors that attend residents in Hazel House included, “ I have always been very impressed when dealing with Hazel House, staff are caring and professional and the clients appear happy”. A system was in place to monitor the quality of service delivered so that the home could be made aware of their strengths, weaknesses and whether residents were satisfied with the service they received or not. This was achieved by sending out satisfaction questionnaires twice a year. Discussion with the management team showed that feedback from the survey was used as a means of improving and developing the service. The results of the surveys were made available to residents so that they could be reassured that their views were acknowledged and contributed to the running of the home. Residents spoken to say that they remembered completing questionnaires about the care they received and felt they were listened to if they had any concerns or requests. The home had been accredited with a two nationally recognised quality assurance awards that were reviewed regularly. The management team carried out a quality audit of the operational systems in place at the home. Both systems made sure that the home was complying with company policies and procedures, current legislation and best practice. The home handled few personal allowances for residents. Any personal allowances and money brought in by relatives for residents was stored in a safe that only two members of staff had access to. This meant that residents’ money was appropriately safe guarded. Records were kept of any money handed in for safekeeping and receipts kept for any purchases made on behalf of residents so a clear audit trail of income and expenditure was available if needed. When asked about access to their money residents said, “my daughter looks after my money” and “I have some money in the safe here at the home, my family look after everything else”. Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 19 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X X Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 20 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 Hazel House Nursing Home DS0000025562.V251954.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Chorley Local Office Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW 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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