Inspection on 11/05/07 for Heathdale Rest Home

This inspection was carried out on 11th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heathdale Rest Home 16/06/08

Heathdale Rest Home 12/06/06

Heathdale Rest Home 30/01/06

Heathdale Rest Home 12/07/05

Heathdale Rest Home 12/10/04

Heathdale Rest Home 06/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Heathdale Rest Home 63-65 Marine Avenue Whitley Bay Tyne & Wear NE26 1NB Lead Inspector Karena M Reed Key Unannounced Inspection 11th May 2007 11:30 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 Heathdale Rest Home DS0000052621.V336575.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. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathdale Rest Home Address 63-65 Marine Avenue Whitley Bay Tyne & Wear NE26 1NB 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) 0191 297 0274 0191 297 0423 ellen@freenet.co.uk Heathdale Care Ltd Mrs Martha Ellen Brown Care Home 20 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (1) of places Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2006 Brief Description of the Service: Heathdale is a large, terraced property situated in a residential area in Whitley Bay. It is close to local shops, doctors and public houses. It is also very close to the Northumbrian coast and the sea front. It is registered to provide personal care to twenty residents, the categories of registration are for one older person and nineteen people with memory loss. The accommodation is provided over three floors and a passenger lift is available. Bedrooms are all for single occupancy, some are situated on the ground floor. There are two lounges, a dining room, conservatory and a small patio area to the rear of the premises. There are sufficient lavatories and bathrooms around the home to meet the needs of service users The bathrooms contain equipment that can be used to assist with getting in and out of the bath. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in May 2007 vary between £365 and £370. Additional charges are payable for hairdressing, private chiropody, personal toiletries and personal newspapers. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 26th January 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on May 11th 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. Comments from residents and relatives include: “Staff are always at hand and willing to help.” “Staff are supportive and caring.” “Staff are available when they’re needed.” Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 6 “If a doctor is needed they are called out as soon as possible.” “A little more stimulation would be nice.” “Occasional theatre visits are arranged as well as internal activities.” “Meals are very satisfactory, well cooked and presented.” “Normally I would speak to a carer if I was unhappy.” “Very homely atmosphere, comfortable and clean.” “Perhaps a little more entertainment would be nice.” “Generally everything is fine.” “Very happy with the home as very clean, the food is good.” What the service does well: What has improved since the last inspection? Some areas of the home have been decorated. The level of staff training continues to improve. The standard of record keeping continues to improve. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 7 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. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 8 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 Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 9 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): 1,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Interesting and useful information is given to prospective residents about the home. The home collects enough information about the needs of prospective residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. Residents and their relatives are very welcome to visit the home to assess its suitability. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. They provided detailed information in an interesting and friendly way. Records for four of the residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they are aware of some of the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, First Aid, training planned includes updating Safe Handling of Medication, Protection of Vulnerable Adults and National Vocational Qualifications at level 3. Staff have also received training about; memory loss, falls awareness, infection control and N.V.Qs at level 2. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 11 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 adequate. This judgement has been made using available evidence including a visit to this service. There are quite good arrangements in place to ensure that the health and social care needs of residents’ are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and most care plans show the amount of care and support that staff are providing to residents. There are full arrangements in place to ensure residents health care needs are met. Staff receive training before they are able to administer medication to residents. Residents are treated with respect and their right to privacy is upheld. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 12 EVIDENCE: There are detailed assessments in most of the residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. The care plans for residents with challenging behaviour do not give clear instructions to staff about how to support people with these needs that may be challenging to work with. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show district nurses visit the home as required and residents are helped to use chiropody and optical services at least annually or as often as required. “If a doctor is needed they are called out as soon as possible.” Training records showed senior staff members receive training about medication before they are able to administer it to residents. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents are respected. All of those residents spoken to said that they were treated well by the staff and are well cared for. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 13 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. Some activities and entertainment are available for residents. Residents maintain contact with family and friends as they wish. Staff help residents to exercise some choice and control over their lives. The diet of residents is wholesome. EVIDENCE: Activities are available for residents these include: newspapers, arts and crafts, board games, chair exercises, videos, sing-a-long, manicurist, hairdressing. Various parties are also arranged, which are well supported by relatives and families. Church and Communion services also take place within the home. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 14 Residents have the opportunity to visit the local community with relatives and staff. Outings take place to the local Playhouse, pubs, cafes, churches and tea dances. Staff support residents to keep in touch with relatives or to visit them where possible. Some residents also have the opportunity to visit the local community with relatives or with staff. Comment cards returned did show that residents would like more activities and entertainment provided. “A little more stimulation would be nice.” “Occasional theatre visits are arranged as well as internal activities.” “Perhaps a little more entertainment would be nice.” “Perhaps a little more entertainment would be nice.” Staff ask each resident about their wishes, interests and choices. The home’s menu is made up of the known likes and dislikes of the residents. Residents are also asked daily what they wish to eat from the menu selection. At least two hot meals are provided daily and an alternative is available Residents were very positive about the food: “Meals are very satisfactory, well cooked and presented.” On the day of inspection, the lunch served was fish battered or in a creamed sauce, chips or mashed potatoes and yoghurt. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 15 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 adequate. This judgement has been made using available evidence including a visit to this service. A complaints procedure is available for the use of residents and relatives. Systems to protect service users from abuse are out of date. EVIDENCE: There is a complaints procedure, if complainants are not happy with the homes investigation and response. The home’s complaints procedure contains details of how to contact CSCI to make a complaint. The home keeps a record of complaints. Residents and their families are also asked if they have any complaints. Staff training about Protection of Vulnerable Adults and Prevention of Abuse is out of date. Staff have not received training about working with behaviour that may be challenging. Some staff have completed a twelve- week Dementia Care course which has given them more insight into the needs of people with memory loss. Heathdale Rest Home DS0000052621.V336575.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 poor. This judgement has been made using available evidence including a visit to this service. Residents live in quite a homely, comfortable and safe environment. There is a poor standard of hygiene in some areas of the home. EVIDENCE: A programme of redecoration and improvement around the home is required. Since the last inspection the hallways have been decorated. The dining room, conservatory and office have been decorated and some bedrooms. The dining room and conservatory are to be re-carpeted. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 17 The hallway carpets are soiled and stained. An odour of incontinence was apparent in some bedrooms. More effective ventilation is required in the smoking area as the smell of smoke was apparent in non-smoking areas of the home. Many of the lounge chairs were frayed and stained. The carpet in the bedroom and en suite of the Brentwood suite was stained and rucked, the décor was worn and damaged. In the kitchen it was apparent there was no regular cleaning programme in place. The tiles on the kitchen walls were grubby and marked. The floor was dirty and damaged and under the kitchen benches there was debris and dirt. A storage container on the floor was filled was dust and debris and old items. Food items and dishes and cooking utensils were stored under open work surfaces and were left open to the air rather than being stored in enclosed cupboards. The home has enough sitting and dining space. Residents can see visitors in private in their own rooms. Heathdale Rest Home DS0000052621.V336575.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. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. There are sound recruitment policy and practices in place to protect residents. Staff are trained to meet the care needs of residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8.00 am - 8.00 pm 8.00 pm - 8.00 am 3 care staff 2 care staff Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 19 There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, cleaning and maintenance. The necessary checks are being carried out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. There is a stable committed staff team and there is a low turnover of staff. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. “Staff are always at hand and willing to help.” “Staff are supportive and caring.” “Staff are available when they’re needed.” 95 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Staff training carried out includes: Fire Training, Moving & Assisting, Food Hygiene, First Aid, training planned includes updating Safe Handling of Medication, Protection of Vulnerable Adults and National Vocational Qualifications at level 3. Staff have also received training about; memory loss, falls awareness ad infection control. Heathdale Rest Home DS0000052621.V336575.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): 31,32,33,35,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a home that is quite well run and managed for the benefit of residents. Residents’ financial interests are safe guarded. The standard of record keeping is good. The health, safety and welfare of residents and staff are promoted and protected. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has many years experience of working with older people. A sample of records were inspected which included: the Home’s Statement of Purpose and service user guide, the home’s maintenance contracts, 4 care plans, 2 personal allowance records, the fire log, accident book, admission /discharge book, complaints record, staff communication book, staff meeting minutes and three staff files. All records as required by the Care Homes Regulations 2001 were well documented and completed as required apart from: Not all incidents which effect the well being of residents were reported to CSCI. Staff meetings do not take place very often approximately two per year and residents and relatives meetings do not take place on a regular basis. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a suitable system for accounting any monies held on behalf of a resident. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment were all up to date. Heathdale Rest Home DS0000052621.V336575.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 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x 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 2 2 x x x x x x 2 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 3 3 x 3 x 2 3 Heathdale Rest Home DS0000052621.V336575.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. 1 2 3 4 5 6 7 8 Standard OP7 OP18 OP18 OP19 OP25 OP26 OP26 OP37 Regulation 15(1) 13(6) 18(1)(i) 23(2)(d) 23(2)(p) 16(2)(g) 16(2)(k) 37(1)(a)( b)(c)(d)(e )(f)(g) Requirement Care plans for working with challenging behaviour must be more detailed. Staff must receive updated Protection of Vulnerable Adult training. Staff must receive training about working with challenging behaviour. A programme of decoration and refurbishment must be provided Better ventilation must be provided in the smoking area. The kitchen must be refurbished and a programme of regular cleaning must be carried out. More effective odour control must be provided in the identified bedrooms. Any event that effects the well being of a resident must be notified to CSCI. Timescale for action 15/06/07 01/09/07 01/10/07 01/10/07 16/06/07 01/07/07 15/06/07 15/06/07 Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 24 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 OP14 OP32 Good Practice Recommendations To continue to ensure service users are consulted with and involved in daily living whatever their level of memory loss. More regular staff meetings to take place. Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Heathdale Rest Home DS0000052621.V336575.R01.S.doc Version 5.2 Page 26 - 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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