Inspection on 05/05/05 for Hazeldene Care Home

This inspection was carried out on 5th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hazeldene Care Home 25/07/07

Hazeldene Care Home 06/06/06

Hazeldene Care Home 18/10/05

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 Hazledene Care Home 49, Ribchester Road Clayton-Le-Dale Blackburn Lancashire BB1 9HU Lead Inspector Graham Oldham Announced 05 and 06 May 2005 10:00 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. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 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 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 Only Personal Care (PC) 59 Category(ies) of Old age, not falling within any other category registration, with number (OP) 38 of places Dementia- over 65 years if age (DE(E) 21 Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 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. 2 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. 3 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. Date of last inspection 08 and 09th September 2004 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 seperate dementia unit. There are a variety of lounges and most bedrooms are equipped with en-suite facilities. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 5th 2005. Much of the information was obtained from talking to service users, staff members and a two visitors. The views of residents were obtained on a variety of topics four service users were case tracked. Views have been reported collectively where the answers obtained were similar. Any specific or differing comments have been included in the body of the report. The inspector took detailed notes, which have been retained as evidence of the inspection. What the service does well: Prospective residents were assessed to ensure staff had the ability to care for each individual. Plans of care were developed from the assessment documentation and received regular review. One visitor gave many comments about the care given to her ill relative. Residents were treated with sensitivity when ill or dying. Many comments were received from residents about the quality and presentation of food. The service provided a good and varied menu to ensure residents received a good diet. The environment was being upgraded on a regular basis to provide good well furnished rooms. Residents said they were satisfied with their private and communal apace. The service had a homely atmosphere for residents to live in a comfortable manner. The recruitment of a new staff member had been completed correctly to ensure residents were protected from possible abuse. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: The home must inform, in writing, residents admitted into the home that their needs will be met. Plans of care were good and problems or needs identified, but more specific information for carers to address the problem would benefit new staff. Plans of care detailed in this manner would improve care given by new staff. Key workers must be identified for each resident in a manner suitable to each individual to ensure residents are aware of which member of staff to contact for help. More regular regulation visit reports should be forthcoming from the Responsible Person. The garden for residents with dementia must be completed to enable all residents to enjoy the outdoors when weather is good. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 8 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 Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 9 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) 3,4 and 5 Residents received appropriate assessments prior to admission to ensure the service to meet their needs. Residents (or if appropriate a family member) met staff, fellow residents and were shown the facilities of the home to enable each individual to make an informed choice to live at the home. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 10 EVIDENCE: The individual records that were inspected for residents included a preadmission assessment by the Local Authority and the Manager of the home. The Manager said that she always did a pre-admission visit and found this valuable as it enabled her to make a clear judgement about whether the home could meet the needs of the proposed resident. One family member was present during the inspection and gave the inspector a good verbal account of the assessment process for a resident admitted as an emergency. Good information was gathered from the family member and incorporated into the plan of care. The visitor said, “I was shown around the home and met with staff to discuss care”. The visitor confirmed the care planned was being given to her relative. The registered manager offered trial visits for prospective residents. One resident confirmed she had been offered a trial visit and choice of room. A letter was not sent to inform them or a family member that the home met their needs. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 11 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) 7,8,9,10 and 11 Resident’s healthcare needs were identified and met. Their personal care was delivered in a way that promoted their privacy and dignity. The control of medications was well managed, promoting good health. Residents were well cared for when ill or dying. EVIDENCE: Four plans of care were examined during the inspection and contained detailed information. The assessment of residents was ongoing. This enabled residents to receive the care that was planned. The inspector noted and discussed with the registered manager ways to improve the writing style of staff to benefit new employees. Residents told the inspector they attended specialists as necessary. One resident had just been to hospital. Five residents took a meal with the inspector and confirmed they accessed dentists and opticians. Policies regarding medication were in place, including those highlighted at the last inspection. One past complaint regarding medication administration had been resolved. Medication was given in a satisfactory way to protect the health and safety of residents. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 12 Residents spoken to singly, case tracked and in a group said staff preserved their dignity and privacy. One resident said “staff are very compassionate”. Other comments included, “they close the doors when they wash and dress us” and “they help us in a nice way”. One resident case tracked was very ill and had a family member in attendance and the inspector was given a glowing tribute at the way staff were handling the situation. Policies and procedures were in place for death and dying. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 13 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) 12,13,14 and 15 Residents dietary, social, cultural and religious needs were being met at the home. Residents were able to make choices about their life at the home so that their lifestyle met their preferences. Links with their family and friends were maintained. The meals offered at the home were good and ensured that the individual dietary needs of residents were met. EVIDENCE: Residents described their choices with regards to activities and routines. All 9 residents spoken to were satisfied there was enough activities and choices with routine. Residents told the inspector they “played bingo”, “read”, “attended church services”, “played dominoes”, and “had singalongs”. One resident was interested in gardening and the home was providing equipment. This ensured the service met lifestyle expectations. On the day of inspection activities were being held. Contact with family and friends was not restrictive. Unrestricted visiting was verified by two visitors and 9 residents. Staff were described as “very pleasant” and “welcoming”. One resident told the inspector he had waited too long for something he needed. He did not know whom his key worker was. This was identified as the problem and ways to avoid further repetition was discussed with the registered Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 14 manager to ensure better communication. In all other aspects of care the resident was happy and said, ”staff are quite good and capable” and described one carer in particular as “fantastic person, very devoted”. Food was always high on the list of resident’s positive comments. With “good choice”, “food is good”, and “I like the food here”. Tables were nicely set, drinks readily provided and those residents requiring feeding were observed to do so in a way that preserved the dignity of each resident. The cook said she was “going to talk to residents to choose the menu for summer” The home supplied residents with a good balanced menu. All environmental health checks had been carried out to help protect the health and safety of residents. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 15 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 and 18 Systems were in place to protect residents from abuse. Residents had access to the complaints procedure. EVIDENCE: One complaint had been received by the Commission for Social Care Inspection since the last inspection. This had been dealt with appropriately. One complaint had been received by the service and also dealt with appropriately. Residents said they were aware of the complaints procedure. The inspector noted however that there was no forms or books for residents to enter minor complaints. Overall the service handled complaints in a responsible manner. Four letters complimenting the service for care given was observed by the inspector. Policies and procedures were available for staff to follow for abuse issues. The home used the Blackburn with Darwen adult abuse procedures to follow a local initiative. Four members of staff were aware of abuse issues and described their response to abuse to the inspector. From the information given by staff and the documentation in place, residents protection from abuse was safeguarded. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 - 26 The home was warm, clean and comfortable. Furnishings and equipment met residents needs and individual tastes. EVIDENCE: The inspector conducted a tour of the building. Residents said they were happy with their personal and communal space. One resident described how she had “chosen the room she was in because it had a better view” than the alternative room offered. Residents said they had enough suitable furniture and were comfortable in their rooms. Many of the rooms visited had been personalised to resident’s tastes. Lighting was varied and domestic in character. A plan of routine maintenance had been completed. Residents were satisfied with their personal and private space. The gardens for residents in the residential unit were safe and accessible. The gardens for the dementia unit had not been completed to a satisfactory level. Early completion of the garden had been assured to the inspector during registration. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 17 Residents rooms were safe. Hot water outlets and radiators had devices fitted to reduce the risk of scalding. Windows had restricted openings. This helped protect the health and welfare of residents. Residents said clothes were washed and returned satisfactorily. Two of five residents said their relatives did their washing. There were policies and procedures in place for the control of infection. There was a variety of aids and adaptations suitable for service users needs at the home to promote safety and independence. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 28 and 29 Residents needs were met by the numbers and skill mix of staff. Staff were recruited using current guidelines and received training suitable to the resident groups at the home. EVIDENCE: Staffing was maintained at a level suitable to the numbers accommodated at the home. The registered person must ensure, when numbers rise in the dementia unit, the registered manager can employ sufficient staff to protect the health and welfare of residents. This should be conducted by need not numbers. 50 of staff had completed NVQ training and more were undertaking such training. Further training was being undertaken including dementia care, health and safety training, fire awareness training, first aid, medication training, infection control training and instruction in moving and handling. Staff said they were satisfied with the training on offer and all staff spoken to during the inspection had completed various aspects of training. Training undertaken was for the benefit of staff to provide better care for the residents of the home. Recruitment procedures were good. Two staff files examined contained all the information required for the Commission for Social Care Inspection. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 19 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) 31,33,35 and 36 The welfare of residents was sufficiently protected. The home was run in an open and transparent way with a good staff and management team. Staff were appropriately supervised. EVIDENCE: Staff spoken to were very satisfied with the level of support they received from the manager. Nearly every staff member was proud of their individual and collective achievements. “We get all the support we need” and “wonderful” was among the comments. Residents were also satisfied with management. There was a good homely atmosphere for residents to feel secure in. Quality assurance was ongoing. This was carried out to gain the views of residents for the manager to act upon. The Responsible Person had sent some reports of visits made to the home. This was not done on a monthly basis. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 20 Residents finances were managed and accounted in a manner that ensured residents did not suffer financial abuse. Pocket money only is handled at the service. Seven staff files contained evidence of supervision sessions. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x 3 x 3 2 x x Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 22 yes 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 OP4 Regulation 14(d) Requirement The registered manager must ensure residents written confirmation the home can meet their needs. 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 31/5/05 2. OP19 23(o) 15/6/05 3. OP36 26 31/5/05 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. 2. Refer to Standard OP16 Good Practice Recommendations The registered manager should ensure residents have some way to write comments and complaints within the home. Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 1st Floor Unit 4 Petre Road Clayton-Le-Moors, Accrington Lancashire 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 Hazledene Care Home F57 F07 S22480 Hazledene Care Home V215304 May 5th and 6th 2005 Stage 4.doc Version 1.20 Page 24 - 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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