Inspection on 09/07/07 for Heathcote

This inspection was carried out on 9th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Heathcote 05/07/06

Heathcote 08/11/05

Heathcote 17/06/05

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

CARE HOMES FOR OLDER PEOPLE Heathcote 6 Cecil Road Swanage Dorset BH19 1JJ Lead Inspector Gloria Ashwell Key Unannounced Inspection 9th July 2007 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 Heathcote DS0000062289.V344744.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. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathcote Address 6 Cecil Road Swanage Dorset BH19 1JJ 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) 01929 423778 01929 475869 heathcoterch@fsmail.net Mr Mark Charig Mrs Lisa Heather Charig Mr Mark Charig Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10) Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 4 persons (within the total of 10) under the age of 65 in the category of MD may be accommodated. 5th July 2006 Date of last inspection Brief Description of the Service: Heathcote is registered to provide personal care for up to 10 people over the age of 65 years, and has been granted a variation to this condition to enable up to 4 persons (within the total number of 10) below the age of 65 to be accommodated and cared for. The home is registered to Mr and Mrs Charig who live on the top floor of the premises with their family; Mr Charig is the registered manager and Mrs Charig also works within the home. Heathcote is an older style property, situated in a quiet residential road close to Swanage town centre where there are a number of shops, restaurants and other facilities including public transport buses. The home has a large garden to the rear and smaller garden with off road parking at the front of the home; additional unrestricted parking is available on the road. Resident’s accommodation is on the ground and first floors; the owners private accommodation is on the second floor. Access between the first and second floor is by a central stairway and passenger lift from the ground floor. Communal areas include a lounge and an adjoining dining room with patio doors providing access to the rear garden. The home has a laundry equipped with a washing machine and tumble drier. Arrangements can be made for a hairdresser, chiropodists, opticians and other health and social care professionals to visit individual residents. The fee range quoted in the service user guide at the time of inspection was £450 to £625 per person per week. Up to date fee information may be obtained from the service. Additional charges are made for hairdressing and chiropody. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place at the home over two days, comprising a total of five hours. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a plan for the inspection visit. The inspector arrived on 9 July 2007 and spoke to residents and staff and toured the premises. By arrangement with Mr Charig (the registered provider) she returned to the home at 10.00 on 19 July 2007 and assisted by Mr Charig discussed and examined documentation relating to the care provision and administration of the home. The care records of four people who live at the home were examined in detail. The inspector was able to meet and speak with most of the residents both individually and in small groups in the communal areas. Additional information used to inform the inspection process included the reports routinely sent to the Commission by the Registered Provider and the recently completed Annual Quality Assurance Assessment (AQAA). Since the previous key inspection a random inspection took place during January 2007 to monitor progress on meeting the requirements identified in the report of the key inspection. What the service does well: Heathcote is a small family run home where residents experience few staff changes and live in a cosily domestic environment. Relatives of residents hold the home in high regard. Comments received by the Commission in advance of this inspection included “I find it very good here, very happy…. this is my home”. The home provides good care to residents who are mainly of low and medium levels of dependency, and frequently experience mild degrees of dementia. Meals are appetising and of good quantity and quality. Staff are kind and helpful to residents. Residents are treated with respect and their privacy is protected. Residents feel safe and well cared for and the home provides a range of social and recreational activities. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 6 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. Heathcote DS0000062289.V344744.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 Heathcote DS0000062289.V344744.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care so Standard 6 does not apply. The service user guide provides relevant information about the home providing prospective residents and their representatives with an accurate understanding of the people for whom the service is intended. The service user guide is not provided in formats alternative to a standard typed document. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 9 EVIDENCE: The service user guide is made available to all residents and prospective residents. It contains general information about the home; it is intended to further improve it by including reference to the outcomes of the most recent user satisfaction questionnaire. The Statement of Purpose and service user guide are available in a standard format; it is recommended that this information be made available in alternative formats, appropriate to the needs and capacity of individual prospective residents or their representatives who might find the standard format difficult to read and fully understand. The records of a recently admitted resident included details of pre-admission assessment carried out by Mr Charig who visited the person at a previous address. The assessment records identified the needs of the prospective resident and enabled the staff to determine that Heathcote would be able to properly meet them. The person visited Heathcote in advance of admission and ate lunch in the home, thereby obtaining an impression of the service provided by the home and having the opportunity to meet residents and staff. The inspector spoke to the resident who confirmed unreserved satisfaction with all aspects of the home. Heathcote DS0000062289.V344744.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, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of health and social care is good and care documentation ensures that staff have sufficient information upon which to base their care practice and to ensure that residents are all treated with respect and their rights are upheld. Medicines prescribed by doctors are safely stored and correctly administered by staff trained in this work. EVIDENCE: Care records of four residents were examined and found to contain risk assessments forming the basis for care plans and daily records describing the care of each person. There was evidence that individual residents or their representatives are routinely involved in the development and review of planned care provision. To further improve the usefulness of care plans this report contains a recommendation for additional ‘all risks’ assessment to Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 11 ensure that separately, for each resident, there is comprehensive risk assessment of all aspects of daily living. Mr Charig stated his intention to become familiar with provisions of the recently enacted Mental Capacity Act and to develop and implement associated policies and procedures. Medicine handling is carried out by staff trained in this work and medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts. Residents wishing to do so can manage their own medicines; at present none have chosen to do so. There are suitable facilities for storing medicines and for transporting them through the home. Residents are treated with respect and their privacy and dignity is protected at all times. Residents believe they are properly cared for; comments received during the inspection included “it’s just what I want it to be… if I feel rough, they get the doctor in immediately…. (can you go to bed when you want to?) Yes, I’ve never been told otherwise…most mornings I’m up by 8, but if I’m not up by 9 nobody complains…this is my home”. Heathcote DS0000062289.V344744.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, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. On the ground floor there is a well-appointed dining room; residents may also take meals in their bedrooms. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 13 EVIDENCE: Residents are very satisfied with all aspects of the home, including the range of activities, meal provision, staff and premises. Mr Charig and care staff arrange local excursions, one-to-one and small group social and recreational activities. When questioned about the standard of meal provision a resident said “if there’s anything you want you can speak about it and invariably it comes along…” and indicated that the standard of meal provision was very good. Visitors are welcome at any time and the one present during the inspection said he is always made to feel welcome and placed at ease by the staff. Heathcote DS0000062289.V344744.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint; all complaints are recorded and investigated and the home has implemented an adult protection procedure. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is provided to each resident and displayed in the main lounge. Residents and visiting relatives know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated. Since the last inspection no complaints against the home have been received or investigated. Residents enjoy living in Heathcote and feel safe there; a resident said “any problems you’ve only got to speak to (Mr & Mrs Charig, or care staff) and it would get sorted…no problems whatsoever…”. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 15 The home has written policy/procedures for whistle-blowing and safeguarding adults and all staff receive associated training to ensure they understand the importance of protecting the people in their care, and know how to report any allegation or suspicion of abuse. Heathcote DS0000062289.V344744.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The premises are comfortable and clean. EVIDENCE: Residents’ bedrooms are on the ground and first floors of the home. A passenger lift provides smooth access to all parts of the registered premises. Rooms are attractively decorated and appropriately furnished and the home has a cosy and relaxed atmosphere. The home is clean, well ordered and properly maintained. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 17 Since the last inspection a previously underused ground floor room has been redecorated and refurbished to provide a comfort and homely small lounge, as a useful addition to the pre-existing and retained large lounge. Heathcote DS0000062289.V344744.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, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management and training provision. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 19 The records of two recently employed staff members were examined and found to contain all essential information including written references, an interview assessment, health details and evidence of identity. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. The home has developed and implemented a comprehensive induction process for all staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. The home uses an external training provider and Mr Charig is a ‘basic life support’ trainer. Staff receive training in appropriate subjects including moving and handling, infection control, understanding dementia, food hygiene and health and safety promotion. At present at least 50 of the care staff hold National Vocational Qualification in care, or an equivalent qualification; the home thereby meets the associated standard. Heathcote DS0000062289.V344744.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good; the home is well managed and suitably staffed, much liked by residents and their representatives and well maintained. The home does not manage the finances of residents. The premises and equipment are properly maintained in good condition. EVIDENCE: Mr Mark Charig is the registered manager of the home; he has extensive experience in the care of older persons and the care of people with mental health needs. Mr Charig is supported by his wife Lisa who is also suitably Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 21 experienced; Mrs Charig is at present studying for the Registered Managers Award. The home has ongoing systems for quality assurance; satisfaction surveys are periodically issued and the results audited by an external consultancy employed by the home. Recently completed forms included the comments “a lovely friendly home with excellent care” and “home from home”. To ensure continuity of approach the home operates in accord with an extensive selection of policy and procedure documents. With the exception of safe keeping some amounts of cash (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. Staff trained in First Aid are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. The premises are well maintained and there are regular checks/tests of all equipment. The inspector examined some records to verify this information including those for the passenger lift, water testing, electrical installation, gas safety, waste disposal and fire safety. Heathcote DS0000062289.V344744.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Heathcote DS0000062289.V344744.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. 1. 2. Refer to Standard OP1 OP7 Good Practice Recommendations The statement of purpose and service user guide should be made available in alternative formats. For each resident there should be recorded comprehensive risk assessment of all aspects of daily living. Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Heathcote DS0000062289.V344744.R01.S.doc Version 5.2 Page 25 - 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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