Inspection on 12/06/06 for Heathdale Rest Home

This inspection was carried out on 12th June 2006.

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 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 Unannounced Inspection 12th June 2006 09:30 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.V290697.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.V290697.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.V290697.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 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 June 2006 vary between £356 and £360. Additional charges are payable for hairdressing, private chiropody and personal newspapers. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four hours. A partial tour of the premises took place and a sample of records were inspected which included: 4 care plans, the fire log, accident book, admission /discharge book, complaints record, 2 personal allowance records, staff communication book, staff meeting minutes and two staff files. The manager, domestic, one relative and seven residents were interviewed at the time of inspection. Comment cards were received from 16 relatives and residents. What the service does well: Each person said that they liked living at Heathdale. Comments included: “Excellent care.” “Very happy, hope it continues.” “Staff are always pleasant and obliging.” “ … feels they are amply provided for here.” “ Looks very well cared for and generally happy.” “ The standard of care is very good.” “Wonderful care , all staff very helpful.” “ We are more than content with our choice of home.” “Confident Mum is in a caring environment.” “Wonderful care , all staff very helpful.” “My room is well looked after. The general rooms are nice to use each day.” “Nice and homely here.” “Happy at the home.” “On the whole very happy here, gets on well with almost all the residents.” Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The new care planning documentation must be completed for all residents. A relevant programme of activities must be provided within the home using details from service users’ social care plans. Comments included: “ Perhaps there could be more activities arranged.” “ More activities such as bingo, music, jigsaws, dominoes, etc between residents could be encouraged.” “Staff seem reluctant to take the lead with entertainment.” To continue to ensure service users are consulted with and involved in daily living whatever their level of memory loss. An up to date staff photograph must be held on their file. The Admission/Discharge Register must record any resident’s overnight absence from the home. Care plans must be updated. Care reviews must be carried out at least annually Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 7 To continue the memory loss training for staff. More than one person to interview when appointing new staff members. More regular staff meetings to take place. 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. Heathdale Rest Home DS0000052621.V290697.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.V290697.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 at least once during a 12 month period. 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. Residents and their relatives are given information about the home to help them decide if they want to live there. They also have an opportunity to visit the home to see if it is suitable. The home collects enough information about the needs of 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. EVIDENCE: An up-to date Statement of Purpose and service user guide are available in the home. They record all the service and facilities provided by the home and give information about the home to help a new resident settle in. The records for a resident recently admitted to the home showed that an assessment of their care needs had been carried out before their admission. The resident and their family were involved in the initial assessment. This Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 10 information and the care manager’s assessment of the resident’s care needs was used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Two staffing files showed staff receive training so that they know how to meet the specialist needs of the residents. Staff have recently received training about dementia care, care of the dying, diabetes, infection control as well as statutory training. Residents’ feedback cards all showed their needs were met and they were happy with the care offered to them. Comments included: Residents 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 individual. “ My daughter viewed the homes, then chose a few which were visited by myself.” “ Visited twice prior to deciding this home was very suitable for mother’s needs. Staff helpful and accommodating on both occasions.” Heathdale Rest Home DS0000052621.V290697.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 at least once during a 12 month period. 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 the service. Basic care plans are in place. This helps staff provide the necessary levels of support and also involve other agencies if required. Staff receive training before they are able to administer medication to residents. There are good arrangements in place to ensure residents health care needs are met. Service users are treated with respect and their right to privacy is upheld. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 12 EVIDENCE: There are comprehensive assessments in the residents’ care records. Most of the care records looked at did not document well the personal care and support needs of residents and did not 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. A new care- planning format is being introduced from the sister home and this should be carried out quickly to ensure all the care needs of residents are documented. A system is also being introduced to give care staff working with particular residents the responsibility of rewriting the care plan with the resident and these would be overseen by the manager. Care plans looked at were not amended or reviewed on a regular basis. There was poor recording of the social and leisure needs and opportunities for residents. The new care planning format will address this. Residents maintain contact with family and friends as they wish. More effort is now being made by staff to help more dependent residents to exercise choice and control over their lives. The reviews of residents’ care and support needs, involving their relatives or representative were not up to date. 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 service users are assisted to access chiropody and optical services at least annually or as often as required. The records and daily communication book for one resident indicated the home required some advice and support in order to ensure they could meet the changing needs of this resident. Records showed the manager had tried to obtain some support from outside agencies , in view of the changing needs of the resident and distress caused to other residents. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 13 Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents is respected. All of those residents spoken to, who could comment, said that they were treated well by the staff and well cared for. “ Staff awareness of medical support is good. I’m always kept up to date with any medical concerns. They monitor thoroughly and explain why they do things.” Attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the home. 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. 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. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 15 A system should be introduced to help staff ensure that the social and cultural needs of residents are given as much attention as the resident’s health and personal care needs. This would make reminiscence more personal and help staff engage and retain the involvement of residents with memory loss. Staff ask each resident about their wishes, interests and choices. “ Mother’s communication is limited, but staff are patient and good at gentle prompts and repetitions and they can pick up on her body language too.” Staff have followed a twelve -week specialist course about memory loss. This training should help staff ensure residents are given choice in order to keep some control of their lives. The home’s menus are based on the known likes and dislikes of the residents. At least two hot meals are provided each day, cooked breakfast is also available daily. Lunch on the day of inspection was: Liver and bacon, onion gravy and mashed potato or sausage, egg and chips or vegetables followed by syrup sponge and custard, ice cream or yogurt. “Meals are one of mother’s chief pleasures-she is very complimentary. Brings smiles to her face.” Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Procedures are in place to protect residents from abuse or harm. A complaints procedure is available for the use of residents and relatives. 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 are to receive training about Protection of Vulnerable Adults and Prevention of Abuse. Some staff have recently 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.V290697.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. There are constant efforts being made to improve the environment. Residents live in a homely, comfortable and safe environment. There is a good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvement around the home. Since the last inspection a new dishwasher, carpet shampooer and bedding have been purchased. The home was clean, well decorated and well maintained. There is a good standard of hygiene. Staff receive training about infection control to reduce any spread of infection. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 18 The home has sufficient sitting and dining space. Residents can see visitors in private in their own rooms. Comment card: “ My room is well looked after. The general rooms are nice to use each day.” Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are protected by the home’s recruitment policy and practices. . Systems are in place to ensure residents are in safe hands at all times. 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: 8.00am- 8.00pm 8.00 pm –8.00am 3 care staff 2 care staff There is a senior staff member on each shift. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 20 Other staff members are employed for duties such as food preparation, cleaning and maintenance. The manager was advised as only one person was responsible for interviewing staff when recruiting new staff that another person should be involved in the interviewing process. 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. No staff photograph was available on individual staff files. 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. Comments include: “Wonderful care , all staff very helpful.” “Staff are pleasant and obliging.” “Staff very aware and sensitive to mother’s needs.” “Staff patient.” Staff receive Skills for Care induction previously TOPSS. Ten members of the care staff team have now achieved National Vocational Qualifications at level 2 and 3 . Staff and their records showed that they also receive advice and /or training in other areas. Staff are receiving training in dementia care, Protection of Vulnerable Adults. They have received training in health and safety, First Aid, Food Hygiene, Diabetes, Infection Control, Exercises, Medication and Loss and Bereavement. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 21 Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Good efforts are being made to improve the service provided and there is capacity for continual improvement. Residents are asked individually about their daily living requirements e.g. what to eat, when to get up and go to bed. 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 Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 23 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. Staff appraisals take place annually in order to review staff training needs and to ensure they are fulfilling their job description. The last staff meeting recorded was August 2005. These should take place more regularly to assist communication and involve staff in the running of the home. Staff files showed staff are supervised but it should take place at least every two months. All records required to be kept were `in order apart from the Admission/Discharge register did not record any absences overnight of residents away from the home. Documents detailing fire safety, risk assessments in the environment were all up to date. Staff training relating to health and safety was up to date and training being planned to renew any that required updating such as Moving and Handling training. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 24 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 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 2 3 Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 25 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 Standard OP7 Regulation 14(2)(a)( b) Requirement Care plans must be updated bimonthly or more frequently as required. Residents care reviews must be carried out at least annually. A relevant programme of activities must be provided within the home using details from service users’ social care plans. To record any absences overnight of the resident from the home in the Admission/Discharge register An up to date photograph must be retained on each staff member’s file. To ensure staff supervision is carried out every two months. Timescale for action 01/09/06 2 OP12 16(2)(m)( n) 31/08/06 3 OP37 17(1)(a)(f ) Schedule 2 7,9,19,(1) 18(2) 13/06/06 4 5 OP36 OP36 31/08/06 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 26 No. 1. Refer to Standard OP14 Good Practice Recommendations To continue to ensure service users are consulted with and involved in daily living whatever their level of memory loss. To continue the memory loss training for staff More than one person to interview when appointing new staff members. More regular staff meetings to take place . 2. 3 .4 OP14 OP29 OP32 Heathdale Rest Home DS0000052621.V290697.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria 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 DS0000052621.V290697.R01.S.doc Version 5.2 Page 28 - 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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