Inspection on 30/01/06 for Heath Mount Nursing & Residential Care Home

This inspection was carried out on 30th January 2006.

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

Heath Mount Nursing &... 23/08/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Heath Mount Nursing & Residential Care Home Rake Liss Hampshire GU33 7PG Lead Inspector Sue Maynard Unannounced Inspection 30th January 2006 09:30 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 Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 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. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heath Mount Nursing & Residential Care Home Address Rake Liss Hampshire GU33 7PG 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) 01730 894485 01730 891088 heathmount@ashbournehealthcare.uk Ashbourne (Eton) Limited To Be Confirmed Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability (31), Physical disability of places over 65 years of age (31) Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service user may be admitted under the age of 55 years. Date of last inspection 16th August 2005 Brief Description of the Service: The home provides nursing care for service users over the age of 55 years. It also registered to accommodate service users with a physical disability.Heath Mount is situated on a site with two other homes. They are all part of the Ashbourne Care Homes group. Accommodation is provided in 21 single and 5 shared rooms. 20 single and 5 shared rooms have en suite facilities. These are located on three levels of the home. Communal space comprises two lounges, an annexe and a large well appointed dining room. Main meals are cooked and transported from one of the other main homes. Heath Mount contains the laundry which is responsible for washing from all three homes.The home is situated in large grounds, in a rural area, near local amenities, shops and public transport in Liss. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second statutory unannounced inspection for 2005/2006. Since the last inspection the home has changed providers and is now part of the Southern Cross Healthcare group. The inspection was conducted by one inspector and lasted four hours. In the absence of a registered manager a senior manager from within the Southern Cross group, who is monitoring the day to day running of the home, was present throughout the inspection. A tour of the building was made and records were examined. The inspector spoke to six residents and three members of staff. What the service does well: What has improved since the last inspection? What they could do better: A staff-training programme has not been fully maintained for several months. This has now been addressed and a programme of training has been compiled Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 6 that will take place in February 2006. The staff have been made aware of the dates that the training will take place. 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. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 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 Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Arrangements for assessments are in place, prior to admission, which ensure that the needs of the resident can be met. Standard 6 is not applicable to this service. EVIDENCE: Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 9 The home does not have a manager at this time. The human resource department of the Southern Cross health care group are actively seeking to recruit a manager for the home. The pre-admission assessments are currently being undertaken by the manager for Copper Beeches or a senior manager from another home in the Southern Cross group. The assessment includes all aspects of personal care and well-being, their physical and psychological needs and personal safety. The information for this assessment is obtained from the prospective resident, their families and other health care professionals who may be currently caring for the resident. This assessment identifies the health care needs of the resident and forms the basis for care plans that will be written to address the care needs of the resident. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8 The care planning and communication systems that are in place in the home ensure that the health and care needs of the residents are met in a way that respects their privacy and dignity. EVIDENCE: The inspector examined records for four residents. All the records contained a comprehensive pre-admission assessment. On admission to the home a further assessment is undertaken to provide additional information allowing the staff to identify the individual care needs of each resident. Personal details documented, included the contact details for the service user’s next of kin, date of birth, the date that they were admitted to the home, and the doctor with whom they are registered. Care plans had been drawn up to address the individual care needs of the residents. The care plans identified the problem and clearly demonstrated the action plan and the outcome that was to be achieved; ensuring that the health care needs of the resident is met. The inspector did however note that some of the information was duplicated causing an excess of documents in the files. This was discussed with the senior Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 11 manager present during the inspection. She explained that all the residents’ records are to be transferred to the record format for the Southern Cross Health care group and this would eliminate the duplication and rationalise the residents’ files. The records were examined for a resident recently admitted to the home, which had used the new documentation format. The documents were found to be incomplete with no details of care plans or risk assessments. This was brought to the attention of the manager who stated that she would ensure they were brought up to date immediately. Residents in the home are able to choose their own doctor who visits the home on request. The home has access to domiciliary dental and optical care in the local area and where possible the residents are encouraged to visit these services when possible. Other health care professionals visit the home to provide advise and support to the staff in the home when requested. These include tissue viability nurses and dieticians. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14 The management of the social activities creates a positive, varied and interesting life for the residents, which meets their expectations for living in the home. The residents are encouraged and supported to exercise and control all aspects of their personal lives. EVIDENCE: The home has a very varied programme of social activities. On admission to the home a life history is obtained from the resident with special note taken of any interests or hobbies that they may have had prior to coming into the home. Where possible the resident is encouraged to continue with these interests and will be supported by the members of staff who are responsible for the social and recreational programme in the home. Daily activities to take place in the home are listed on a notice board, adjacent to the residents’ dining room. These include handicraft, movement to music and quizzes. The home maintains links with local churches and local clergy visit the home. Residents in the home are encouraged to make decisions about their daily lives and are free to get up and go to bed at the time of their choice. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 13 During a walk around the building it was noted that many of the residents have personalised their rooms with the addition of items of furniture and other possessions from their homes. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the inspection undertaken in August 2005. EVIDENCE: Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the inspection undertaken in August 2005. EVIDENCE: Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 The arrangements for the numbers of staff on duty at any one time are sufficient to meet the needs of the residents. The staff undertake training that is relevant to their work. Additional training will enhance their competency to do their job. The recruitment procedure for the home ensures the vulnerable people living in the home are protected at all times. EVIDENCE: Staff rotas provided the inspector with evidence that staff were on duty in sufficient numbers to meet the needs of the residents over a twenty-four hour period. The manager confirmed that the staff are always prepared to cover any shortfalls in staff numbers due to sickness or annual leave. Agency staff are rarely used in the home. Residents spoken to confirmed that the staff are attentive to their needs and are always respectful. At this time the number of staff who have achieved NVQ at level 2 is only 30 of the total number of the care staff. The inspector was informed that this area of training had not been addressed during the re-organisation of the ownership of the home. This is now being addressed and arrangements are in place for five members of staff to commence their training shortly. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 17 The inspector examined staff recruitment records. These were found to be in order. Written references had been obtained, proof of identity was documented and evidence was seen that checks with the Criminal Records Bureau and Protection of Vulnerable Adults register had been undertaken for all staff working in the home. Suitable application forms are completed and records of any interviews undertaken are kept. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 38 In the absence of a registered manager, the acting manager is providing strong leadership in the home and gives guidance and direction to the staff to ensure that standards within the home are maintained at all times. Close monitoring of practices within the home safeguard the health, safety and welfare of residents, staff and visitors to the home. EVIDENCE: Since the previous manager resigned the home has been without a registered manager. Responsibility for the running of the home has been the joint responsibility of a senior manager from another home within the Southern Cross group and the manager from Copper Beeches, another home on the same site as Heathmount. Southern Cross employs an operational manager for several homes in this area who also visits the home regularly. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 19 A suitable manager for the home is being actively sought by the human resource department of Southern Cross. A new clinical manager for the home has recently been recruited for the home who will be working supernumerary and will be taking responsibility for the home until a new manager is appointed. She will continue to be supported by those managers who have responsibility at this time. Residents spoken to all confirmed that they were satisfied with managerial arrangements and that they have been informed of any changes as they happen. They all spoke very highly of the senior manager and the manager from Copper Beeches who were always available to discuss any problems they may have. As part of the quality assurance system introduced by Southern Cross audits are undertaken each month. These monitor areas of care such as care planning, pressure sore management and general maintenance within the home. One such audit has identified that many of the rooms are in need of redecorating and that carpets and furniture in many areas of the home need to be replaced. An action plan has been submitted to Southern Cross and a budget has been approved for this work to be undertaken. Policies and procedures for the home are currently those from the previous owner of the home, Ashbourne Healthcare. These are very comprehensive but will shortly be replaced by the ones for the Southern Cross Healthcare group. Inspection of records indicated that regular tests are undertaken of all equipment and systems used in the home, including fire safety equipment, emergency lighting and extinguishers. The records also demonstrated that fire drills and instructions take place regularly. Staff members spoken to confirmed this. The senior manager who is taking responsibility for training in the home has arranged for all staff to have fire safety and manual handling training updates in February. Training records demonstrate that many of the staff have not had a recent update for these areas of training. Records did however demonstrate that many of the staff did attend a fire drill this month. Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 2 Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 21 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. 1 Standard OP38 Regulation 23(4)(d) Requirement The staff must receive regular training in fire prevention and the use of fire safety equipment. Timescale for action 01/03/06 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 Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Heath Mount Nursing & Residential Care Home DS0000065932.V281385.R01.S.doc Version 5.1 Page 23 - 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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