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Inspection on 21/02/06 for Heathcotes Care (Hucknall and Watnall)

Also see our care home review for Heathcotes Care (Hucknall and Watnall) for more information

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The manager had obtained references for all members of staff and was following the homes recruitment procedures. The premises had been improved by the addition of a shower room on the ground floor and the work to level the laundry floor and provide it with an impervious covering was nearing completion.

What the care home could do better:

No requirements were set following this inspection.

CARE HOME ADULTS 18-65 Heathcotes Care Home 220 Watnall Road Hucknall Nottingham Nottinghamshire NG15 6EU Lead Inspector Dee Shelvey Unannounced Inspection 21st February 2006 10:45 Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 Heathcotes Care Home DS0000062904.V285535.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 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. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathcotes Care Home Address 220 Watnall Road Hucknall Nottingham Nottinghamshire NG15 6EU 0115 9636379 0115 9638222 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) Heathcotes Care Ltd Keeley Ward Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users shall be within category LD A further bathing facility must be provided within 2 months (56 days) of registration. 20th September 2005 Date of last inspection Brief Description of the Service: Heathcote is a large detached house situated in an established residential area of Hucknall on the outskirts of Nottingham. The home was within a few minutes of local amenities including a garage, shop and public house. The building had been converted inside to provide accommodation for 6 people with a learning disability in single rooms with ensuite lavatories and washbasins. The home also had shared bathing, dining, laundry and lounge facilities. There was a large garden accessible to residents. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours and consisted of reading policy documents and records, conversations with the service users, discussions with the manager and a tour of the building. What the service does well: The manager ensures, prior to admission, that the home will be able to meet the needs of a service user. The assessment of needs seen was fully completed and covered all aspects of care. The service users were also involved throughout and expressed satisfaction with the home. The support plans were clearly based on the needs identified during assessment and were designed not only to provide assistance where necessary but also to enable the service users to develop and increase their skills. This had resulted in an enormous improvement in the quality of life for the most recently admitted person. Since admission this service user had regained mobility and reduced socially disabling behaviour to such an extent that she can now, with staff support, attend a local college. All the documentation used for recording purposes was in clear easy to use formats using plain English. This will ensure that members of staff understand what they must do to help service users meet their goals. In addition the home uses work books in differing formats to assist service users understanding of various issues. One in use was “How to Make Choices about Taking Medication”. The interaction observed between staff and the service users indicated a relaxed relationship of mutual respect. The building was clean, tidy without being clinical. All rooms not yet allocated for a service user were sparsely furnished and painted magnolia. This was so that new service users could choose their own décor and determine the layout of the room. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Service users have a written statement of terms and conditions with the home. EVIDENCE: The case file of the service user most recently admitted contained evidence of a clear statement of terms and conditions being discussed with her and her family. All parties would understand what services were included in the fees. The manager said that the terms and conditions were also explained verbally to the service user. In addition there was a planned admission to the home involving introductions to staff, the other service user and introductory visits. All of which would enable the service user and her family to make an informed choice about moving in. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are given every opportunity to make informed decisions. EVIDENCE: Care plans contained identified needs and instructions on how staff were to meet them. Additionally service users were setting goals and the plans indicated the best methods of support to assist individuals in achieving them. All the documentation used for recording purposes was in clear easy to use formats using plain English. This ensures that members of staff understand what they must do to help service users meet their goals. In addition the home uses work books in differing formats to assist service users understanding of various issues. One in use was “How to Make Choices about Taking Medication”. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 16. Service users rights are respected and they have a fulfilling lifestyle. EVIDENCE: Both service users require support when using local amenities and the staff ensure that this does not curtail activities. Residents use local shops, pubs, swimming bath and colleges. The home operates as a domestic household. The residents make shopping lists and go to the supermarket with the assistance of staff. Household chores are shared with the staff and service users have keys to their own rooms. The service users and staff displayed relationships of mutual respect during the inspection and the service users said they liked the staff. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19. Service users determine how personal support is received. EVIDENCE: The care plans reflect a service users wishes on how personal support is to be given and instructions to staff is that all personal hygiene care is given in private. Risk assessments are carried out when a service users wishes to undertake their own care in some aspect and if at all possible they are encouraged to be independent. The support plans were clearly based on the needs identified during assessment and were designed not only to provide assistance where necessary but also to enable the service users to develop and increase their skills. This had resulted in an enormous improvement in the quality of life for the most recently admitted person. Since admission this service user had regained mobility and reduced socially disabling behaviour to such an extent that she can now, with staff support, attend a local college. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were met at the last inspection. EVIDENCE: Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 and 27. Service users have an excellent standard of accommodation with sufficient toilets and bathrooms to meet their needs. EVIDENCE: The home offers a very good standard of accommodation and it had been well furnished and decorated. The current service users did not require any adaptations or equipment to maximise independence. The home was clean, tidy and free of any observable health and safety hazard. It offered a safe and comfortable environment for service users. The service users expressed satisfaction with the home and said how much they liked their own rooms. All rooms not yet allocated to a service user were sparsely furnished and painted magnolia. This was so that new service users could choose their own décor and determine the layout of the room. A new shower room had been provided on the ground floor and the home now has sufficient bathing facilities. Work to level the laundry floor and provide it with an impervious covering was nearing completion and this will assist in control of infection. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 14 The garden was tidy and the out buildings at the rear of the land had been converted into workshops for the use of residents. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Service users are protected by the homes recruitment policy and are supported by trained staff. EVIDENCE: The home had a satisfactory recruitment policy and it was being followed. The files of the 2 most recently employed members of staff contained all the information required by statute. When staff begin working at the home they undergo a 10 shift induction period when they do not work alone. People then do basic training courses e.g. first aid, food hygiene and fire safety. Staff are then expected to obtain NVQs based upon the Learning Disability Framework. This provision of training ensures that staff have an understanding of learning disability and can improve their skills in assisting service users to overcome their problems. The improvement in the quality of life for the last resident admitted to the home is a testament to the staff teams skills. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 Service users benefit from a well run home. EVIDENCE: The best evidence for this statement is that it doesn’t feel as if the home is being run. There’s a very domestic atmosphere and the residents were central to the inspection, taking the responsibility to show the inspector around. The service users were chatty and eager to talk about their lives and interests, they were proud of their rooms and of the home in general. All the records examined were up to date and accurate and the administration of the home was efficient without intruding upon the relaxed atmosphere. Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 17 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 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 X X 3 X X X X X X Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 18 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heathcotes Care Home DS0000062904.V285535.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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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