Inspection on 12/07/05 for Heathdale Rest Home

This inspection was carried out on 12th July 2005.

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 11/05/07

Heathdale Rest Home 12/06/06

Heathdale Rest Home 30/01/06

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 Unannounced 12 July 2005 11:00 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Heathdale Rest Home Address 63-65 Marine Avenue Whitley Bay Tyne & Wear NE26 1NB 0191 297 0274 0191 297 0423 sartoria@freenet.co.uk Heathdale Care Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Martha Ellen Brown CRH 20 Category(ies) of DE(E) Dementia - over 65 (19) registration, with number OP Old age (1) of places Heathdale Rest Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12-10-2004 Brief Description of the Service: Heathdale is a home registered to provide care to twenty older people, including memory loss, and other problems relating to old age. Nursing care is not provided. The home is situated in a residential area of Whitley Bay and is in close proximity to the local shopping centre and the sea front. The accommodation is provided over three floors and a passenger lift is available. There are two lounges, a dining room, conservatory and a small patio area to the rear of the premises. There are sufficient lavatories and assisted baths around the home to meet the needs of service users. Heathdale Rest Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 4 care plans, 2 staff files, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records. The manager, two carers and the cook were spoken to during the inspection. Time was also spent with ten service users and two relatives during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Methods should be explored to consult with service users and so choice may be provided eg with regard to food, activities, outings. Thought could be given to establishing a reminiscence table due to some of the needs of service users with memory loss. A substantial alternative should be publicized and made available at each meal for the benefit of service users. Staff breaks should be staggered so service users are not left unattended. A programme of developmental training should be established to ensure staff are meeting the needs of service users as individually as possible. Heathdale Rest Home Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heathdale Rest Home Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Heathdale Rest Home Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5 The home ensures that potential service users are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. The home receives comprehensive information when a referral is made. The information assists the home to carry out their detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. Staff are given training to help ensure they are equipped with the necessary skills in order to meet the needs of the service users. EVIDENCE: A Statement of Purpose is made available to each service user before their admission to the home. The service user guide details information to tell people who may be coming to live in the home about services available. Copies are available in each bedroom. This guide is also available in large print. Inspection of records for four service users showed that full assessments had been carried out prior to their admission. A relative of a service user said that they had visited the home and received information verbally and in writing about the way it was run before their relative had moved in for a trial stay. Heathdale Rest Home Version 1.10 Page 9 If a service user cannot visit the Home prior to admission, a representative from the Home will visit the service user to gather the necessary information e.g visiting them in hospital or the person’s own home. Two service users spoken to stated they were happy with the care and attention received. Service users have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve tea- time visits, day and overnight stays and can be adjusted to the pace of the service user. Heathdale Rest Home Version 1.10 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8, There are good arrangements in place to ensure that service users’ health needs are met. Health care needs are clearly addressed and the staff team are fully informed. EVIDENCE: Records showed that assessments were carried out prior to the admission of service users. This was combined with information received from the care manager’s assessment of the resident’s care needs. The resulting care plan recorded detailed information about the health and medical needs of the service user and the amount of staff intervention required in order to provide support. The staff communication book contained some information about the care given to service users. This information should be transferred into the daily entries in the case records of service users in order to show the care provided. All information about the care given to service users should be contained within their individual care records. Service users have a choice of General Practitioner if they are unable to retain their own when they move into the Home. There was evidence that GPs and Community Nurses were regularly consulted for advice and treatment. Records Heathdale Rest Home Version 1.10 Page 11 were available to show district nurses visit the home as required and service users are assisted to access chiropody and optical services at least annually or as often as required. Staff receive training about medication before they are given the responsibility of administering it to service users. The medication system was not examined at this inspection. All of those residents spoken to, who could comment, said that they were treated well by the staff and well cared for. It was apparent during the inspection, that attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Heathdale Rest Home Version 1.10 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Service users can access and use community facilities for health and spiritual needs and social and leisure needs. Social activities do not provide daily variation and interest for service users. Meals are managed creatively and provide daily variation for people living in the home. Visitors are made welcome and staff support service users to maintain contact with family and friends as they wish. EVIDENCE: There is a limited programme of activities in place including: videos, armchair exercises, hairdressing, manicures. On the day of inspection there was no evidence of any activity or time spent by staff with service users. Service users were not aware of the activities that were offered by the home, although a basic programme was available for people to take part in if they wished. Service users visit the local town centre in small groups supported by staff approximately two weekly. The manager is building up a fund in order to ensure that service users will benefit from planned entertainment and excursions both inside and out of the home. People living in the home were spoken to and those who commented on the food said how good it was. On the day of inspection, the lunch comprised Heathdale Rest Home Version 1.10 Page 13 sausages and onions, new potatoes, cabbage and turnip followed by fruit crumble and custard. A substantial alternative to this meal was not publicized although the manager did state salad or another option could be provided. A visitor said that they were welcomed and that there were no restrictions on visiting. Written evidence showed that visitors were offered tea, coffee or a meal. Heathdale Rest Home Version 1.10 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. Staff have some knowledge and understanding of Adult Protection issues which protects service users from abuse. EVIDENCE: The home has a complaints procedure. There have been no complaints about the home since the last inspection. The relatives spoken to stated that they would raise any issues of concern with the staff team. A procedure for responding to allegations of abuse is available. The manager informed me that staff were to update their training in Adult Protection. Heathdale Rest Home Version 1.10 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The home was well maintained and decorated which creates a pleasant and homely environment for those living there. There is a good standard of hygiene around the home. Systems are in place to provide a safe environment for service users and staff. EVIDENCE: The home is well maintained and there is an on going programme of decoration and refurbishment. There are two lounges and a dining room and conservatory. Service users bedrooms are personalized to their own tastes. There are an adequate number of bathrooms with equipment to help those with physical disabilities and some separate lavatories around the home. Heathdale Rest Home Version 1.10 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Adequate staffing levels are maintained which means that there are enough staff on duty to meet the needs of service users, however service users are not left not in safe hands at all times. The staff have some understanding of the service users support needs. Staff have a grounding in the areas they need to know to provide good care but this needs to be expanded. EVIDENCE: The home is staffed as follows: 8.00am- 8.00pm 4 8.00pm-8.00am 2 These numbers include the manager who works supernumary hours. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation and cleaning. On the day of inspection it was evident service users were left unsupervised whilst staff took their morning break together. The necessary checks are being carried out prior to the workers being appointed. There are vacancies for a full time carer and a part time domestic. Staff were observed to be kind, caring and respectful to residents. Staff stated that they receive induction training. Where new inexperienced staff are employed, they work as an extra member of the shift , which is good practice. Heathdale Rest Home Version 1.10 Page 17 The care staff team are studying for National Vocational Qualifications at levels 2 and 3. Staff also receive the necessary statutory training to maintain the health and safety of service users. There was no evidence of developmental training to ensure staff are meeting the needs of service users as individually as possible and enhancing their own personal development, although the manager is studying about aspects of memory loss to cascade the information to staff. Heathdale Rest Home Version 1.10 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,37,38 The home is being managed to ensure the welfare and safety of service users. The home is run for the most part in the best interests of service users. There are systems in place to aid communication within the home. EVIDENCE: The registered manager, has recently been appointed to manage the home. She is studying for the Registered Manager’s award and hopes to achieve it this year. She has ideas which she wishes to introduce to involve service users in maintaining some control of their own lives whatever the degree of memory loss in order to empower them. Service users are consulted individually, staff focus groups are held regularly and also relatives meetings. There is a system in place to ensure that the staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene. Heathdale Rest Home Version 1.10 Page 19 The fire log book indicated that fire safety checks are carried out routinely. The hot water temperature to the upstairs bathrooms was higher than 43 degrees centigrade. Heathdale Rest Home Version 1.10 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 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 2 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 x 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 3 3 3 3 2 Heathdale Rest Home Version 1.10 Page 21 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. 1 Standard 38 Regulation 13(4)(c) Requirement The hot water temperature must be reduced to no more than 43 degrees centigrade. Timescale for action July 12th 2005 2. 28 13(4)c Staff breaks to be staggered to ensure staff are available at all times for the protection and stimulation of service users. July 12th 2005 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. Refer to Standard 14 Good Practice Recommendations To find methods to consult with service users and involve them in the running of their lives , to provide reality orientation aids around the home to maintain the independence of service users. To provide and publish a substantial alternative at each main meal. Version 1.10 Page 22 2 15 Heathdale Rest Home Commission for Social Care Inspection Northumbra House Manor Walks Cramlington, Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Heathdale Rest Home Version 1.10 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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