Inspection on 14/11/07 for Heartwell House

This inspection was carried out on 14th November 2007.

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

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Heartwell House 32 Shaftesbury Avenue Leicester Leicestershire LE4 5DQ Lead Inspector Martin Hefferman Key Unannounced Inspection 14th November 2007 09:45 Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 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 Heartwell House DS0000069832.V345603.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 Adults 18-65. 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. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heartwell House Address 32 Shaftesbury Avenue Leicester Leicestershire LE4 5DQ 0116 2665484 0116 2232564 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) Heartwell Care Limited Mr Ridzwan Ahmad Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Mental Disorder - Code MD of the following age range 18 years and over. Learning Disability - Code LD of the following age range 18 years and over. The maximum number of service users to be admitted to the home is 10. 11th January 2007 2. Date of last inspection Brief Description of the Service: Heartwell House provides care for up to ten people with mental health problems and associated learning disabilities. The home consists of two double fronted Victorian style houses situated in a street of similar houses. It is located off the Belgrave Road on the northeast side of Leicester offering easy access to the immediate local community and the city centre. The home is made up of eight single bedrooms and one shared room. Residents confirmed that they are happy with the way in which the home is decorated. The home has one large lounge, a dining area and a long galley kitchen. At the time of the inspection, weekly accommodation charges ranged from £287 to £389. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 14th November 2007, lasting approximately four and a quarter hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who live at the home and tracking the care they receive through review of their records, discussion with them & staff and observation of care practices. Three residents were spoken to during the course of the visit. The inspection also took account of all information received since the date of the last visit, including the owner’s selfassessment. Comment cards were received from eight residents. What the service does well: What has improved since the last inspection? What they could do better: The findings from surveys should be made available to residents and other interested parties. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 6 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. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Individual needs are assessed before residents move to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the people who were chosen for the purposes of case tracking had moved to the home since the date of the last inspection. The home had obtained a copy of a Care Programme Approach assessment completed by health & social care professionals. Staff from the home had also completed their own assessment of his needs. The resident stated that he had visited the home on a number of occasions before moving in. The people who completed comment cards indicated that they had received enough information about the home so that they could decide it was the right place for them. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. Staff members have access to the information they require to meet individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. The plans that were inspected were clear and comprehensive, covering areas such as mental & physical health, psychological needs, personal care & hygiene, social & community contacts, medication and dietary requirements. Records indicated that the plans are kept under review. Each person had signed their plan to indicate that they were in agreement. The residents who completed comment cards indicated that they could decide what to do each day. The people who were spoken to during the course of the visit confirmed this. One person stated that residents are discouraged from lying in each morning but reported that he understood the reasons for this. One of the people who were chosen for the purposes of case tracking is encouraged to use the kitchen to prepare her own meals. Risk assessments have been completed detailing the action to be taken to minimise any risks that have been identified. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. Residents are able to participate in a lifestyle, which meets their individual expectations and needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the people who were chosen for the purposes of case tracking stated that she attends a nearby day centre along with a number of other residents. The second person stated that he did not wish to attend daytime activities. The registered manager stated that residents are able to access college courses through the day centre. Residents had recently celebrated both Diwali and Eid. The deputy manager stated that preparations were now underway for Christmas. A number of residents watched a Hindu religious programme during the morning of the visit. The people who were spoken to during the course of the visit stated that they make use of a range of local facilities including shops, banks and the post office. Records indicate that residents are in regular contact with their families and friends, wherever possible. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 11 Residents stated that they enjoy the meals that are provided. Two of them reported that they particularly enjoy the Asian meals. The deputy manager stated that the home has also introduced an English meal to the weekly menu as a result of requests from some residents. Everyone is asked each evening what he or she would like to eat the following day. Residents stated that an alternative meal is provided when required. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. Residents’ personal and healthcare needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who were spoken to during the course of the visit stated that they were happy with the support they receive from staff members. Individual plans detail any personal care required by each person. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records of appointments attended by residents indicate that they have access to a range of healthcare professionals. None of the residents managed their own medication at the time of the visit. Records of the medicines received into the home and administered to residents met relevant requirements. Staff members have received training on the safe handling of medication. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Residents are protected by the home’s arrangements for handing complaints and responding to allegations of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents who completed comment cards indicated that they knew who to speak to if they were not happy about anything. Information received prior to the visit indicates that no complaints have been received since the date of the last inspection. The registered manager agreed to amend the home’s complaints procedure to reflect revised guidance from the Commission. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. Staff members have received training on safeguarding adults. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. Residents live in a comfortable and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. The people who were spoken to during the course of the visit indicated that they were happy with the environment in which they live. All of the residents who completed comment cards indicated that the home is always fresh and clean. One of the rooms that were inspected contained a number of religious pictures. A second person had chosen not to personalise his room. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. Residents are protected and their needs met by the home’s arrangements for the recruitment and training of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records relating to a member of staff who had been appointed since the date of the last visit were inspected. They indicated that appropriate preemployment checks had been carried out. New members of staff complete induction training before moving on to National Vocational Qualifications. Information provided prior to the visit indicates that three of the nine members of staff have obtained National Vocational Qualification level 3 or above and that two are working towards such an award. Records indicate that staff members have received regular supervision (a recommendation from the last inspection). Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. Residents benefit from a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has over seven years experience of managing a care home. Both he and the deputy manager have completed a level 4 National Vocational Qualification in management & care and the Registered Managers’ Award. The home has completed a survey of the views of residents and visitors. Returned forms indicated that people were satisfied with the services provided by the home. The registered manager stated that he had not published the findings. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 17 Staff members have received training on a number of safe working practices. Records indicate that fire tests & drills have taken place at the required frequency. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? N/a 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. 1 Refer to Standard YA39 Good Practice Recommendations The findings from surveys should be made available to residents and other interested parties. Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Extracts may not be used or reproduced without the express permission of CSCI Heartwell House DS0000069832.V345603.R01.S.doc Version 5.2 Page 21 - 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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