Inspection on 18/10/05 for Hazeldene Care 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 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

Hazeldene Care Home 25/07/07

Hazeldene Care Home 06/06/06

Hazeldene Care Home 05/05/05

Hazeldene Care Home 08/09/04

Hazeldene Care Home 26/05/04

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 Hazeldene Care Home 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU Lead Inspector Mr Graham Oldham Unannounced Inspection 09:30 18 and 19 October 2005 th th 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 Hazeldene Care Home DS0000022480.V254874.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. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hazeldene Care Home Address 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU 01254 340360 01254 240360 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) Sage Care Homes (Hazeldene) Limited Mrs Teresa Maria France Care Home 59 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (38) of places Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The manager must gain qualifications in dementia care. Five of the dementia care beds have registration witheld until the Commission for Social Care Inspection have received written confirmation that the relevant fire and building authorities have inspected the rooms and they meet current specifications of health and safety. The home is registered for a maximum of 59 users to include: Up to a total of 38 elderly service users in the category of OP over 65 years of age. Up to a total of 16 elderly service users who have dementia DE(E) over 65 years of age. 5th May 2005 2. 3. Date of last inspection Brief Description of the Service: The home is a traditional detached building with a purpose built extension to provide upgraded facilities. The home is set within its own grounds with garden areas available for residents to utilise. The service is located in the semi-rural village of Wilpshire approximately three miles from Blackburn. The home provides care for residents who are elderly. There is a separate dementia unit. There are a variety of lounges, dining rooms and most bedrooms are equipped with en-suite facilities. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 18th October 2005. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Four residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Three staff members were talked to about care issues. The registered manager conducted the inspection and the financial administrator discussed areas of the inspection relevant to her role. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. What the service does well: Residents held staff in high regard for the service they provided. Comments included, “staff are very nice and some are marvellous” and “staff are excellent”. One visitor said, “I am quite impressed with care”. Both residents case tracked were happy the home was “well run”. One resident particularly mentioned the financial administrator and said, “I think she is my key worker. You can go to her for anything”. The staff team as a whole provided an open and transparent caring service to residents. Food was again rated highly and many compliments paid to the cook including the visitor who said, “I know the food is good here”. Both residents said food was good. Residents who were observed taking a meal were very satisfied with the meals provided. Residents appreciated the quality and choice of food provided by the home. NVQ and other relevant training gave staff the knowledge to look after residents competently. Plans of care were sufficiently detailed to enable staff to have the knowledge to meet the needs of residents. Hazeldene Care Home DS0000022480.V254874.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. Hazeldene Care Home DS0000022480.V254874.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 Hazeldene Care Home DS0000022480.V254874.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): 3, 4 and 5 A pre-admission assessment was carried out prior to admission to ensure resident’s needs were met. Written confirmation was given to each resident that the home met their needs. Residents were offered a look around the home to meet residents and staff. EVIDENCE: Four plans of care were examined during the case tracking process. Plans of care contained the homes own assessment and an assessment from social services or the local health authority. Information was also gained from relevant professionals. The assessment of residents ensured they were correctly placed. A letter was sent to each resident confirming the home met their needs. One resident remembered, “I saw an advert in the paper, was shown around the home and liked it. I was shown a larger room but picked this one for its view. We discussed care and I thought I would give the home a try. They have decorated my room and fitted a new carpet and I helped choose it with the Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 9 financial administrator”. Residents were offered a look around the home to meet staff, fellow residents and view the facilities. A visitor was present during the inspection and provided information on the admission process. “We looked around and was very impressed. Mother has been in other homes for respite care. They gave us the details of the home (statement of purpose and service user guide). We decided to try the home on a short term basis but she is beginning to settle well”. Residents were offered a trial to ensure they had an informed choice of home. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Plans of care were sufficiently detailed to enable staff to deliver care. Resident’s health care needs were met. Residents were treated with privacy and dignity. EVIDENCE: Four plans of care were examined during the case tracking process. Plans of care were detailed and included risk assessments for pressure areas, nutritional needs and for falls. Two residents were not able to discuss care. A member of staff was questioned in detail to discuss the care given to the two residents. The member of staff gave a good account of the care given which matched the plans of care. Two residents were able to discuss care issues and were satisfied they were receiving the care they had agreed within the plans. A member of staff also gave a good account of the care delivered which matched resident’s preferences and the plans of care. One resident said, “I am not interested in the care plan but am happy with the support I get”. The plans of care enabled staff to meet the needs of residents. Plans of care contained evidence residents had attended specialists and appointments. Two residents were able to tell the inspector they had attended Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 11 “chiropodists”, “opticians” and “district nurses”. Risk assessments had been obtained for pressure area or nutritional problems. Specialist equipment was provided where risk assessments indicated. Resident’s health care needs were met. Two residents were able to talk to the inspector about privacy and dignity issues. Comments included, “I have my own key and lock my door” and “they care for me very well and don’t talk about other residents. They treat me privately”. One member of staff who was employed on the dementia unit described the adequate ways staff helped maintain the dignity of residents. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Resident’s lifestyle experiences met their expectations. Contact was maintained with family and friends. Residents had control over their lives. Residents were happy with the quality and choice of food. EVIDENCE: During the tour of the building the inspector noted all the arts and crafts work residents had completed on the dementia unit. Work was ongoing to decorate the home for Halloween and residents were being involved in making different objects using various mediums. One member of staff said, “we help residents to join in activities and they enjoy making things and our music and sherry afternoons”. Two residents on the residential unit said, “They have bought me equipment and plants for gardening. I like to continue with my gardening when I can. I go for a walk most days. I am trying to finish my tapestry, help in the kitchen and like to watch television” and “I like to talk with my friends and watch television. My eyesight is not very good and I don’t like to attend the planned activities” Leisure activities were suitable for residents needs. Visiting was open and unrestricted. One resident’s said, “my sister and daughter visit regularly. I can see them in my room”. One resident said, “My daughter comes and goes when she likes and we can meet in private”. A visitor said, “we visit when we like and can meet in her room if we wish. Staff are Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 13 very pleasant”. Visiting was open and allowed residents to socialise with their families. Residents were offered choices. One member of staff questioned about the dementia unit said, “Residents are asked what they want such as what clothes for the day. We feed the residents who need feeding but encourage self-help. Where possible choice is offered. Comments from residents were, “I want to be up and enjoy myself. I go out walking a lot and nobody bothers with anything I do. I just let them know as common courtesy what I am doing”. Residents were offered choice within the routine of the home to help retain independence. The inspector has visited the home for the last three years. One of the most positive aspects is the choice and quality of food. Comments from residents were again positive. Tables were well presented and one dining room has waitress service. Food served on the day of the inspection was home made and warm and tasteful. The cook made her own soups and said, “I try different things to see how they go. Yesterday we had leek and tarragon soup for a starter which went down very well”. Environmental health checks were up to date and the kitchen was clean and tidy. The inspector observed a meal and noted that residents who did not want the main choice were offered a hot alternative. Food served was satisfactory to resident’s tastes. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 There was a complaints procedure for residents or their families to voice any concerns. EVIDENCE: Residents were aware they had the right to complain. Residents said, “I would talk to the financial administrator or the manager. They have always listened to me” and “I would tell any of the girls or the manager if I had any problems”. There was an incident and complaints book for residents or their families to make comments and complaints. There was an open atmosphere for residents to voice their concerns. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 15 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 - 25 Residents lived in a pleasant environment. Communal and private space was homely and met current requirements. The home was clean and hygienic. Aids and equipment met resident’s needs. EVIDENCE: The inspector toured the building and found the home to be warm, clean and free from offensive odours. All communal areas and a sample of bedrooms were visited and found to be well decorated and furnished in a domestic style. Rooms had been personalised to resident’s tastes. Both residents case tracked were happy with the equipment and space provided and said, “I have everything I need here, even my own telephone. My room has been decorated and I have had a new carpet fitted. I helped choose them” and “I have my own room, it’s not small and I have all I need”. Equipment such as mobility aids and adaptations was observed as well as specialised aids such as pressure relieving devices. There was a planned maintenance programme. The environment of the home met resident’s needs. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 16 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 and 30 50 of care staff had attained NVQ qualifications. Staff were trained and competent to do their jobs. EVIDENCE: The registered manager said, “70 of our staff have now attained NVQ2 or above in care. More staff are undertaking training”. Two staff members spoken to said they had completed NVQ training. Staff had completed NVQ training to help equip them to care better for residents. The registered manager said, “all staff complete our familiarisation induction and a NTO recognised learning direct induction. Staff are then enrolled on NVQ courses. Staff spoken to had undertaken training for “first aid”, “food hygiene”, “dementia care”, Fire awareness”, “moving and handling” etc. Training equipped staff to care for the resident groups accommodated at the home. Hazeldene Care Home DS0000022480.V254874.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, 35, 37 and 38 The registered manager had completed a relevant management course and had undertaken further training to meet resident’s needs. The financial interests of residents were protected. The responsible person was not submitting regular reports. Health and safety issues were suitably addressed at the home and helped protect the health and welfare of staff and residents. EVIDENCE: The registered manager had completed management training. The registered manager had also completed training in dementia care. The registered manager was also completing a NVQ assessor’s course. The registered manager updated her training to help provide a better service for residents and staff. The financial administrator said, “We do not handle any residents finances. The resident or their families control this. We do hold some pocket monies”. The Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 18 system used was financially secure and protected residents from possible financial abuse. Electrical and gas equipment and installations had been maintained. Certification was observed. There was a waste removal contract. There were copies of health and safety legislation for staff to follow. Staff had been trained in health and safety training such as food hygiene, first aid etc. Health and safety policies and procedures protected staff and service users from possible harm. Hazeldene Care Home DS0000022480.V254874.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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X 2 3 Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 20 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 OP19 Regulation 23(o) Requirement The registered person must ensure outdoor facilities are provided which are suitable and safe for the residents accommodated at the home. The registered person must supply the commission with a written report as detailed within Regulation 26 Timescale for action 15/06/05 2. OP36 26 31/05/05 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 OP19 Good Practice Recommendations The responsible person should ensure that advice be taken on the correct type of garden and plants for the dementia unit. Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Hazeldene Care Home DS0000022480.V254874.R01.S.doc Version 5.0 Page 22 - 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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