Inspection on 22/08/06 for Heathcotes Care (Sawley)

This inspection was carried out on 22nd August 2006.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Heathcotes Care (Sawley) 08/10/08

Heathcotes Care (Sawley) 23/04/08

Heathcotes Care (Sawley) 25/04/07

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 Heathcotes Care (Sawley) 1 Bradshaw Street Sawley Nottingham Nottinghamshire NG10 3GT Lead Inspector Nancy Bradley Unannounced key Inspection 22nd August 2006 10:00 Heathcotes Care (Sawley) DS0000064327.V307007.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 Heathcotes Care (Sawley) DS0000064327.V307007.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. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathcotes Care (Sawley) Address 1 Bradshaw Street Sawley Nottingham Nottinghamshire NG10 3GT 01159 636379 01246 220534 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 (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: Heathcote Care Home is situated in a quite residential area of Long Eaton and lies on the Derbyshire and Nottinghamshire boarder. The home is a purpose built provision for six adults with Learning Disabilities and Changing Behaviour. The home comprises of two floors with each floor having three spacious bedrooms with en-suite facilities. The communal areas include the dining area, lounge, kitchen, bathroom and two showers. The home is within a few minutes walk of local shops and amenities and within easy reach of the cities of Derby and Nottingham. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was unannounced and took place over five hours. The inspector spoke with the Care Director, and the Registered Manager. During the site visit the inspector made a tour of the home and spoke with service users. The inspector observed throughout the visit how the staff were meeting service user needs. The Registered Manager Ms Ward has transferred to another home with the Heathcote Care Ltd, and Ms Gemma Simpkins has been appointed but it was only her second day. Ms Ward was available for the inspection. Ms Scrimpton will need to apply for registration with the Commission for Social Care Inspection. Currently there are only three service users accessing this service. Records were examined relating to the service users’ and the running of the home. No family or relatives were present during this visit. The fees range from £1275.00 to £1994.00 with an additional charge of £8.50 for individual one too one work. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Heathcotes Care (Sawley) DS0000064327.V307007.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 Heathcotes Care (Sawley) DS0000064327.V307007.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Arrangements are in place to ensure that service users needs are fully assessed and met prior to admission. EVIDENCE: The individual records of two service users were checked. The majority of the service users who are admitted to the home have their needs assessed via social workers or through the care management system, which highlights their additional needs, and the need for additional staffing hours. The assessments then form part of the service user plan compiled by the home and had been signed by the service user’s. Service users spoken with during the visit confirmed they knew about the care plan, which staff had explained to them and they had signed it. These were comprehensive and up to date and reflected the involvement of service user and significant others. Heathcotes Care (Sawley) DS0000064327.V307007.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,9 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There is care planning and review systems in place, which ensure that service users individual needs are met. Service users are supported to achieve an independent lifestyle and participation in all aspects of life at the home is encouraged. EVIDENCE: During the visit care plans of two service users were examined. The care plans have been compiled by the staff on each service user and the review date needs to be made clearer. Care plans included services users individual lifestyle preferences and choices; the interventions prescribed by outside healthcare professionals were appropriate. Daily records are also maintained on each service user. Care plans were personalised and had been signed by the service user or their families. All service users have access to the Advocacy service should this be required. Risk assessments were in the process of being compiled on all service users and these should include actions to be taken by staff. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 10 Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 11 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): Standards 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships, and to participate in activities both in the home and outside in the wider community in accordance with their preferences and wishes. The home provides a well-balanced and nutritious diet. EVIDENCE: The relationships observed between care staff and service users were open and good-humoured. The service users are encouraged to take pride in their appearance and their preferred style of dress is respected. During the visit the inspector spoke with service users and care staff about the activities service users were engaged in and the arrangements for these. The care records of two service user’s provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 12 The service users personal goals, choices and preferences were identified and there were properly recorded risk assessments in place for each service user in relation to the activities they were engaged in. Service users have been on holiday to Skegness and are due to go camping in September. Holidays were being tailored to the individual needs and abilities of the service user. Information on service users’ records indicated that contact with family and friends is appropriate. Service users described the daily routine as flexible and that they were able to make their own decisions about how they spend the day. Service users are encouraged to remain as independent as possible subject to restrictions agreed in their care plan. Service users who wish can have a key to their bedroom. From examination of the menus the home is providing a healthy well-balanced and nutritious diet. However, the home needs to fully record all meals provided and this should include any variations to and when service users have a “free choice” Service user’s weight is being recorded. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 13 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): Standards 18,19,20 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The health needs of service users’ are well documented ensuring that individuals receive regular health checks. Service users receive personal support in a way, which promotes, their independence. EVIDENCE: From records examined and from discussions with staff, this showed that service users’ health and personal needs were being met Service users were generally healthy and records showed that staff promptly contacted the appropriate medical services. All service users attended services within the community including optical, podiatry, and dental. The home operates and monitors service users medication. None of the service users are able to administer their own medication. Not all staff have received training on medication procedures. The current policy is for team leaders to undertake training as they are designated to assist service users with medication. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to be satisfactory. There was a clear audit trail of all medication used at the home. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 14 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): Standards22and 23 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Arrangements are in place to safeguard service users welfare and ensure that their concerns are listened to and acted upon. EVIDENCE: Their key worker makes service users aware of the complaints procedure through the service user guide. The complaints policy is in an easy to read format and is easily accessible to service users. Service users stated that they knew who to make a compliant to and how to make a complaint. Records seen indicated that no complaints had been made about the home since registration. The home has information regarding Derbyshire’s Safeguarding of Adults, however the homes’ policy on the Safeguarding of Adults was not available for inspection. The policy must include the procedures for the handling of service users’ personal finances. The Registered Manager stated that all staff have received training on the safeguarding of adults. Staff have also undertaken accredited physical intervention training in the event of this being required. There has been one safeguarding of adults issue raised in the home since registration and this was dealt with appropriately. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 15 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): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The general standard of the home and the environment are good providing service users with an attractive and comfortable place in which to live. EVIDENCE: A tour of the building was conducted and a service user accompanied the inspector for part of the tour. All communal areas were inspected together with the staff facilities. Service users rooms were personalised, well decorated and furnished. All areas of the home were inspected and found to be clean, well ventilated and free from unpleasant odours. The general standard in the home is good providing an attractive and warm environment. All areas of the home were seen to be well maintained and clean. The premises were decorated and furnished to a high standard and properly equipped. However, the home needs to develop effective infection control procedures for the food preparation area. Sufficient space was provided in all communal areas. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 16 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): Standards 32,34, 35,and 36 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home has robust recruitment procedures and practices in place which ensure the safety and protect the service users. Importance is given to staff’s developmental needs. EVIDENCE: The home operates a key-worker system and the staff spoken with during the visit were aware of the individual needs of the service users. From records examined during the visit 90 of the staff have attained a National Vocational Qualification at level 2 and 3. Heathcote Care Ltd have recruitment policy and procedures in place and from records examined all staff are required to have a current and valid Criminal Records Bureau check, two references and a medical clearance. All recruitment records were available for inspection. However applicants are not providing full six-figures dates when recording their employment history. A clear staff induction programme is in place with staff completing a six months probationary period. All staff have an individual training development record. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 17 From records seen supervision was within the standard 36.4. Although the Registered Manager did state that the frequency is once a month. This should be seen as good practice. The home conducts annual appraisals and all staff have a Personal Development Plan. Staff job descriptions are in place. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 18 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): Standard37, 39, and 42 Quality in this out come area is good. This judgement has been made using the available evidence including a visit to this service. Systems are in place to ensure that service users have a voice and their views are listened to. EVIDENCE: The Registered Manager is currently Ms Keeley Ward however, she has now transferred to another home and Ms Gemma Simpkins has been appointed and will require registration with the Commission for Social Care Inspection. The Commission for Social Care Inspection were informed of the appointment. The new manager is currently on her induction. Currently the home is not operating any formal quality assurance of service users or their families. The Registered Manager stated that monthly monitoring of the home is undertaken. The home has a business plan for the forth-coming year. Service users spoken with confirmed that they talk about things they like and dislike about living at the home. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 19 A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. Evidence of Portable Appliance Testing was requested. Systems were in place for the monitoring and maintaining the hot water temperatures. Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 20 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 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 Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA30 Regulation 16 Requirement The home must make suitable arrangements for maintaining satisfactory standards of hygiene in the care home. The home must have a policy and procedures on how they will safeguard service users from harm or abuse. System must be in place to review the quality of care provided by the home. This must included service users and their representatives. Timescale for action 30/09/06 2 YA23 13 30/09/06 3 YA39 24 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA6 YA9 YA17 Good Practice Recommendations The review date on service user‘s care plan should be a six-figure date. Risk assessments must be compiled on all service users and should include any action to be taken by the staff. All meals provided should be recorded. This should include variations and the service users’ “free choice.” DS0000064327.V307007.R01.S.doc Version 5.2 Page 22 Heathcotes Care (Sawley) 4 5 YA34 YA42 All applicants should provide a full employment history which includes the days, date, month and year of employment Evidence of Portable Appliance Testing should be sent to the Commission for Social Care Inspection Heathcotes Care (Sawley) DS0000064327.V307007.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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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