Inspection on 06/07/05 for Healey House

This inspection was carried out on 6th July 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

Healey House 24/02/08

Healey House 14/09/07

Healey House 27/03/07

Healey House 07/12/05

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 Liz Daniels Unannounced 6 July 2005 09:00 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. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Healey House Address 3 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LQ 01424 436359 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) Hastings and Rother Voluntary Association for the Blind Mrs Beryl Quigley Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (OP) 28 of places Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is twenty eight (28) 2. Residents on admission will be visually handicapped Date of last inspection 1 February 2005 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 clients. 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. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of several hours, beginning at 10.15am and finishing at 5.45pm. The Inspector met with a senior carer, the Deputy Manager and another member of staff. The Manager was on Annual Leave. The Inspector also had a tour of the Home, met with two clients and chatted informally with other staff before inspecting a range of key records. What the service does well: 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. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 6 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 Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 7 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) 1, 2, 3, 4 and 5 The Home provides opportunities for prospective clients and their relatives to be involved, prior to admission. Progress has been made towards ensuring prospective clients receive the Service User guide and Terms and Conditions. A copy of the Service User guide must also be given to those clients currently at the Home. The documentation for pre-admission assessment needs formalising and following an assessment of a prospective client, the Home should confirm in writing that they could meet their needs in respect of health and welfare. EVIDENCE: The Home has a Statement of Purpose, which is currently being updated onto a talking tape. Their Service User guide is now given to all prospective clients but has not yet been distributed within the Home. However, the previous Inspection report is now on display in the reception area. Three Care Plans viewed during the Inspection contained copies of the Terms & Conditions, two of which had been signed by the clients. A copy of an assessment from Social Services, completed prior to the client being admitted to the Home, was viewed in one Care Plan. The Manager or Head of Care assess clients prior to admission, and the Deputy Manager who is a Registered Nurse, is also soon to undertake this role. Formal assessment documentation is still to be developed. Prospective clients are told verbally during their assessment whether or not the Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 8 Home can meet their needs. They are offered the opportunity to visit and the management team endeavours to involve the prospective client’s relatives as much as is possible prior to admission. One client spoken with had visited prior to her admission. Another had not, but relatives had been on her behalf. Both are pleased with the Home. A team of care workers staff the Home and the environment and care is focussed on the individual care needs of clients. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, and 10. The Care Plans reflect the health, personal and social care needs of the clients in general, and a good programme of review is being put in place whereby the care needs appear to be met well. However clients or their representatives should be involved in Care Planning. The Home has good contact with local health services. EVIDENCE: New files have been developed for clients and the Inspector viewed three. All contain a Needs Assessment with a Long Term Plan, which had been reviewed at least annually. The key worker for each client has re-written the Care Plan to include goals and is responsible for monitoring it on a monthly basis. The Deputy Manager oversees the Care Plans and will review and update them six monthly, noting any changes on the monthly review form. The Care Plans reflect client’s religious and cultural practices. Although the Home is working hard to include clients or their relatives in Care Plans and Risk Assessments, some are not signed as a demonstration that they have been shared with them. The Home enables clients to have access to external health professionals, including chiropodists, dentists, district nurses, and opticians. Staff accompany them to health appointments as needed. During the Inspection, staff were observed to be attentive and considerate. Staff confirmed the importance of promoting privacy and respect when clients are undergoing examinations or personal care. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 15 The staff at Healey House recognise the importance of ensuring individual needs and beliefs are met and promote alternative activities for the clients. The menus provided are varied to provide a balanced diet. Specific dietary requests are accommodated. EVIDENCE: The Inspector found the ethos of the Home to be one of encouragement for clients to pursue interests, by attending community clubs, the Day Centre nearby and activities within the Home. There is a music room and second lounge, which provide a quiet and more private communal area for clients to sit with their visitors if they wish. Staff confirmed that visitors are welcome at any time but are asked to ring first if they anticipate visiting after 8pm. The Home receives a weekly copy of the talking newspaper, in line with the local weekly paper for Bexhill & Hastings residents. A varied, nutritious menu is offered, rotated every four weeks, with two main choices for lunch and supper and the option of a cooked breakfast. The chef confirmed that clients can choose an alternative of their choice and that special diets can be accommodated. The Inspector met with two clients who described the food as good and confirmed that although they tend to enjoy the main meal, they are given the opportunity to choose alternatives if they wish. The food preparation area was found to be clean and meals are taken in the Dining Room, or clients can choose to eat in their rooms. Food and drinks are available throughout the 24-hour period. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There is a complaints procedure in the Home which the Clients and staff have confidence in. The policy for the protection of Vulnerable Adults needs to be amended to include Social Services as the lead agency for investigation. EVIDENCE: There have been no complaints forwarded to the Commission, since the last Inspection. The Home has a complaints procedure which staff, when asked, said they were aware of and knew how to access. All Complaints and the action taken are recorded and the outcomes fed back to the complainant. Two clients stated that they could discuss any concerns they have with the Nursein-charge for the shift, or the Manager. They had confidence that their concerns would be listened to and acted upon. The Manager and Head of Care have recently completed training in Adult Protection and there is a policy in place which staff, when interviewed, were aware of. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The Home is comfortable and well adapted to ensure safety but allow independence as far as is possible. EVIDENCE: A full tour of the building was undertaken. The entrance into the Home is level and a passenger lift enables easy access to all floors. The Home although not purpose built has been adapted to suit the clients it caters for, with a range of equipment in place including handrails, stair gates and alarms to all the exit doors. Where support is required for individuals, specialist advice from Occupational Therapists is sought. A nurse call system is available in each room. All areas seen were clean and free from odour. The bedrooms have been personalised and each client has a lockable drawer. There is a communal lounge, a second smaller lounge that is used as a quiet area and a music room on the ground floor. The dining room is on the lower ground: the lighting is fluorescent but provides better visibility for the visually impaired. The Home also has a Holiday room, a single room that is kept for clients staying for respite, or for relatives. There is an Annual Development Plan for the Home: since the last inspection new equipment has been installed in the kitchen and the windows have been repaired with new weights being fitted. Weekly water Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 13 checks still demonstrate a wide variance in water temperature, apparently dependant on the time of day. Some of the outlets are over the safe limit at times but none of the outlets are assessed as scalding. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 14 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) None of these standards were assessed. EVIDENCE: Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 15 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 and 38 The Manager and Deputy Manager demonstrate a commitment to promoting the health and safety of clients and staff. There is now a structured approach to training in Manual Handling, but staff still need to have this information formally cascaded. Overall the equipment and environment are well maintained and are safe for clients. EVIDENCE: As the Manager was on Annual Leave, there was no opportunity for the Inspector to talk with her. However, the Inspector found that both the staff and clients demonstrated that the Home is managed in a motivated and professional way. Staff and clients stated that the Manager is accessible and very approachable for help and support. A questionnaire has now been introduced to ascertain feedback from clients and their relatives about the Home. The aim is that comments will then be included in the Service User guide. Records to promote and protect clients were inspected and there were no checks or inspections found to be outstanding. The fire alarm system is checked weekly and was last inspected on 3rd May 2005. The last fire drill was on 14th June 2005. The emergency lighting is tested every six weeks and was Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 16 last inspected on 25th April 2005. The fire extinguishers were checked on 17th January 2005. During the inspection, appropriate equipment for the safe movement and handling of residents was evident. The Deputy Manager has now had formal training in Manual Handling and is aiming to train as an Assessor enabling her to formally train other staff. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x 3 Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 18 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 2 Regulation 5(1)(2) Requirement The Home must provide each client with a statement of the Terms & Conditions when they move into the Home. Those clients currently without copies of their contract must be given a copy. (Requirement of last two Inspections). Documentation for pre-admission assessments must be formalised. Following an assessment of a prospective client, the Home should confirm in writing that they could meet their needs in respect of health and welfare. Clients or their representatives must sign the care plan to demonstrate involvement. (Requirement of last three Inspections). Timescale for action 30 Sept. 05 2. 3 14 30 Sept. 05 3. 7 15(1) 30 Sept. 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. Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 19 Refer to Standard Good Practice Recommendations Healey House H59-H10 S21131 Healey House V232658 060705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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