Inspection on 24/02/08 for Healey House

This inspection was carried out on 24th February 2008.

CSCI found this care home to be providing an Good service.

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

Healey House 14/09/07

Healey House 27/03/07

Healey House 07/12/05

Healey House 06/07/05

Healey House 01/02/05

Healey House 03/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Healey House 3 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LQ Lead Inspector Ruth Burnham Unannounced Inspection 24 Februaru 2008 10:00 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 Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Healey House Address 3 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LQ 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) 01424 436359 01424 436359 Hastings and Rother Voluntary Association for the Blind Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twenty-eight (28) Residents on admission will be visually handicapped Service users will be older people aged sixty-five (65) years or over on admission. 14th September 2007 Date of last inspection Brief Description of the Service: Healey House is owned and managed by the Hastings and Rother Voluntary Association for the Blind, a registered charity. The Home is not purpose built but enjoys the advantages of being a detached property set in its own grounds some distance from the road. The Home provides twenty-six single bedrooms and one double room, currently used as a single. Twenty-four of the rooms have en-suite facilities. The Home has level access throughout the building, with a passenger lift to all floors. There are handrails to accommodate visually impaired residents. Two sitting rooms, a music room and dining room provide communal space. The Home has its own dedicated activity centre adjacent to it and structured weekly activities are organised in-house. Fees are £337 per week to £425.00 for residents and £450.00 for respite care residents. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 10:00 and was in the Service for five hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that CSCI has received about the Service since the last inspection. There are no Required Developments at the end of this Report. The new manager, with the support of the board of trustees and the service manager has worked hard to meet all the requirements from the last inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection surveys were sent out to residents, relatives, staff, social and healthcare professionals. A number of responses were received all of which were positive. During the visit to the service 2 residents were spoken to in private, a number of residents were spoken to at lunchtime in the dining room, 2 members of staff were also spoken to in private. A tour of the premises was made and a number of records were examined. Feedback was given to the manager and service manager at the end of the visit. The inspector would like to take this opportunity to thank the residents, staff and management for their hospitality during the visit. What the service does well: People who are considering moving into the home are provided with helpful information. People who live in the home can be confident their personal and healthcare needs are understood and their privacy and dignity will be promoted. They are protected from harm by good risk management processes. They can be sure their healthcare needs will be met and their confidentiality will be respected. People who live in the home benefit from being able to exercise choice over their daily lives. They have opportunity to engage in a variety of activities. Peoples’ religious and cultural needs are met; links with the community are good and enrich the peoples’ social lives. People enjoy a choice of fresh, home cooked food in pleasant surroundings. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 6 People who live in the home are free to offer comment or complaint. They are protected form abuse. 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. The summary of this inspection report can be made available in other formats on request. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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 Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1–3 People who use the service experience good outcomes in this area. People who are considering moving into the home are provided with helpful information, they are made aware of their rights and responsibilities. People can be confident their needs will be understood and can be met in line with their wishes and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving into the home are provided with helpful information to enable them to make a decision about whether the home will be suitable for them. The Statement of Purpose and Service User guide are available in audio format to assist residents who have a visual impairment. People who move into the home are aware of their rights and responsibilities and are provided with a statement of terms and conditions. This document Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 9 includes the number of the room they occupy and relevant information about fees and charges. People who are considering moving into the home can be confident their needs are understood and the home will be able to meet them. People are visited in their own homes by the manager who carries out and records a comprehensive pre-admission assessment, those seen had been completed in sufficient detail to give clear guidance about how to meet peoples needs in line with their wishes and aspirations. Pre-admission assessments include information relating to the prospective residents religious beliefs and their wishes in the event of their death. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 – 10 People who use the service experience good outcomes in this area. People who live in the home can be confident their personal and healthcare needs are understood and their privacy and dignity will be promoted. People are protected from harm by good risk management processes and the safe handling of medication. They can be sure their healthcare needs will be met and their confidentiality will be respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home can be confident their needs are understood and staff have good information in their care plans to be able to provide care in a way that promotes their privacy and dignity. Three care plans were examined. The home has is in the process of transferring information into a new Kardex system. Information was up to date and staff said they found care plans easy to understand. Care plans are drawn up by the head of care based on the pre admission assessment. The keyworker then goes through the contents of the care plan with the individual resident to ensure their understanding and agreement. Key workers review the care plan each month and the manager reviews them every six months. People who were spoken to said they Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 11 understood the care planning process and were very happy with the way their needs are being met. People are protected from harm by good risk management processes. Care plans contain individual risk assessments; those seen were up to date and are regularly reviewed. People can be sure their healthcare needs will be met. The home has a good relationship with local healthcare professionals, those who returned surveys sent out before the inspection visit were positive in their responses about the homes. The home ensures people receive appropriate specialist services as required. Care plans clearly show when a resident has contact with any health care professional, and there was evidence that residents have access to a variety of specialists such as anti-coagulant clinics, ophthalmologists, physiotherapists, chiropodists, dentists, continence advisers and the Alzheimer’s society. An optician visits the home every year; residents can also choose to use their own optician if they wish to do so. People are protected through the safe handling of medication. There are clear medication policies and procedures, staff training has been provided through the pharmacist and the manager is arranging further training for staff who handle medication. There is an up to date list of staff names and initials with the medication records. Records seen were well maintained and up to date.. Eye drops and ointments are dated on the bottle/tube on the day they are opened. All medication is stored and administered in line with current good practice recommendations. Controlled drugs are well managed; a thorough audit of controlled drugs was carried out at the last inspection. People who were spoken to during the visit and those who responded to surveys sent out before the visit were full of praise for the staff who care for them. Observation during the visit confirmed staff treat the residents with respect and ensure that their privacy and dignity is promoted. Personal information is stored securely and handled discreetly, people’s personal care is discussed quietly and out of hearing of the other residents. People are able to have telephones in their own rooms if they wish to. There is a call box phone provided in the main hallway, which residents can use if they choose. Since the last visit laundry services have improved. There were 2 staff working in the laundry on the day of the visit. The manager has ensured people’s clothes are ironed properly and all items are labelled clearly to avoid confusion and loss. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People who use the service experience good outcomes in this area. People who live in the home benefit from being able to exercise choice over their daily lives. They have opportunity to engage in a variety of activities. Peoples’ religious and cultural needs are met, links with the community are good and enrich the peoples’ social lives. People enjoy a choice of fresh, home cooked food in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People benefit from being able to exercise choice over their daily lives. Routines in the home are flexible and relevant. There is a varied activities programme, which includes daily armchair exercises from Monday to Friday, Bingo, Quizzes, Sing-alongs to tapes and afternoon poetry reading. People are able to attend the John Taplin Day Centre, which is attached to the home. Some people choose to go there everyday, others go on particular days and some choose to attend occasionally. A number of people attend outside clubs where they enjoy talks and play board games or dominoes or go bowling. Some people are involved with local churches and attend services, ministers of Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 13 religion also visit the home to administer communion or conduct short services. People who were spoken to enjoyed the activities on offer. The visiting policy has been reviewed and up dated and specifically states that should visitors wish to visit after 8.00 p.m. in the evening then they must ring the home first, this is to ensure security for the residents in the home. People are supported to maintain links with family and friends. People are encouraged to bring their own personal items into the home with them – pictures, photographs, ornaments, televisions, radios, and small items of furniture. One person has been moved to a larger room to accommodate more of her personal possessions. People who were spoken to all said how much they enjoyed the food provided. Mealtimes are relaxed and people who need additional support are helped discreetly. The dining room is decorated and furnished attractively. Menus were examined at the previous inspection when it was noted that meals are varied and nutritious. Food is well presented with a variety of choices on offer. On the day of the visit people were able to choose chicken casserole or poached fish for lunch with a variety of vegetables, there was also a choice of pudding. The home caters for diabetic diets at the present time, and would also cater for other specialised diets should they be requested to do so. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good outcomes in this area. People who live in the home are free to offer comment or complaint. They are protected form abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who were spoken to and those who responded to the survey felt free to offer comment or complaint, they knew who to speak to if they were unhappy with any aspect of life in the home. The complaints policy and procedures have recently been reviewed and include timescales in which a complaint will be investigated and dealt with. Each person is provided with a copy of the complaints procedure and a copy is also displayed in the home. There have been no complaints since the last inspection. People who live in the home are protected from abuse. An incident that occurred following the last inspection resulted in an Adult Protection investigation by the Local Authorities Social Services department. The manager confirmed the subsequent restrictions on admitting people to the home have been lifted and the home awaits the final conclusions of the investigation. The manager has kept us fully informed in line with regulatory requirements and is clear about her responsibilities in notifying the commission of events which adversely affect people who live in the home. There are clear policies and Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 15 procedures in place for the protection of vulnerable adults, staff are aware of these and have receive appropriate training. The home also has policies and procedures in place relating to whistle blowing, residents finances and gifts to staff. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 – 26 People who use the service experience good outcomes in this area. People who live in the home are benefiting from improvements in décor, furnishings and facilities, which are creating a pleasant and homely environment to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are benefiting from improvements in the environment. There is a programme of maintenance and renewal that is ongoing. The manager confirmed all areas for improvement identified in this and previous reports will be addressed by June 2008. The dining room has already been redecorated and refurbished and now provides a very pleasant room for people to have their meals. The entrance hall has also been redecorated. The main lounge is currently in process of being refurbished, Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 17 redecoration is complete and the manager said the new carpet is due to be fitted in the next few days. Whilst this room is out of use residents are using the ‘music’ room as a lounge. The grounds of the home are neat, colourful, tidy and well cared for. Access to the garden is via a rear patio area with a ramp leading off. All areas of the home are clean and tidy and free from unpleasant odours. People who were spoken to said they were satisfied with their surroundings. People who live in the home have access to sufficient numbers of bathrooms and toilets. A new hoist has been fitted in the first floor bathroom and upgrading of the other bathrooms is planned in the next few months. The manager agreed to ensure that a damaged bath panel is repaired or replaced as soon as possible. The communal toilets in the home are clean and are in close proximity to communal areas and bedrooms, the manager agreed to seek advice from the environment health officer in relation to the dual use of one toilet as an area where commode pans are cleaned to ensure best practice in protecting residents from risk of infection. All communal toilets and bathrooms have paper hand towels and liquid soap in place Call bell cords in all bedrooms are now easily accessible and the manager agreed to ensure those in bathrooms are more readily accessible from the bath in case of emergency. The manager confirmed bedrooms are refurbished before new residents move in; they are consulted about colours of décor and carpeting. One resident recently chose lilac paint for their walls. Another resident chose a blue carpet. People benefit from good laundry systems. The laundry room is well equipped and is situated in the basement of the home. On the day of the inspection this room was clean and well organised. Clinical waste in the home is managed appropriately. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People who use the service experience good outcomes in this area. People who live in the home are benefiting from significant improvements in staff morale, training and numbers since the last inspection. People are protected through sound recruitment and selection procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are benefiting form the improvement in staff morale, numbers and training since the last inspection. There were 5 cares staff, 1 head of care, 2 laundry assistants, a handyman, a cook and a kitchen assistant on duty on the day of the unannounced visit. At the last inspection six out of the twenty-one of care staff had NVQ level 2 and above, More staff have now enrolled on NVQ courses. It is envisaged that in the next year at least 50 of staff will have achieved there NVQ level 2 or above. The inspector viewed the staff personnel files in detail at the last inspection and found people who live in the home are protected through sound recruitment policies and procedures. All staff complete a detailed application form with a full employment history, Criminal Records Bureau checks are carried out and two written references are taken up before new staff begin Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 19 working in the home. Overseas staff provide Home Office work permits. Two forms of identification are also seen. People who live in the home can be confident staff understand how to care for them competently. New staff complete a thorough induction programme using the Skills for Care induction package. All staff have now received specialist training in caring for people with a visual impairment. Additional training has been provided in dealing with challenging behaviour and caring for people with dementia. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 – 33, 35,36 & 38 People who use the service experience good outcomes in this area. People who live in the home can be confident that shortfalls in the management of the home identified in previous reports are being addressed. They can be confident the home is being run in their best interests. People are protected through safe working practices, they can be confident staff are well supervised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home can be confident that shortfalls in the management of the home identified in previous reports are being addressed. Senior staff who were spoken to expressed confidence in the new manager and were very happy with changes and improvements in the way in which the home is run since her appointment. All staff spoken to said they have a good working relationship with the new manager and found her to be approachable Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 21 and open in the running of the home. The new manager is now registered with the Commission and is undertaking the Registered Managers Award with the full support of the board of Trustees and the Service Manager. The quality assurance system for the home is being further developed to include an annual development plan. There is an effective system in place based on monthly audits of the home. These audits review action taken on issues identified the previous month, they identify where further improvement is needed and include a plan of action for the coming month. The views of people who live in the home are sought as part of the monthly audit, their views are taken into account in future planning. Annual questionnaires are given to residents and visitors and are sent out to G.P.’s. The results of these questionnaires have been evaluated as part of the quality assurance review. People are protected from financial abuse through good systems for recording and accounting where the home handles personal allowances. The home handles personal allowances for a number of residents. These systems were examined in depth at the last inspection. People can be confident staff are well supervised. Formal supervision of staff is carried out and recorded and there are regular staff meetings. People are protected through safe working practices. Staff have received training in fire safety, food hygiene, first aid, health and safety and moving and handling. Safety certificates showing installations and equipment are regularly serviced and maintained were seen at the last inspection. There are safe systems in place for managing the supply of hot water. The home has up to date policies and procedures relating to health and safety issues. All accidents are recorded appropriately into an accident book. Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 22 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 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 23 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 Healey House DS0000021131.V359356.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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