Inspection on 16/06/08 for Heathdale Rest Home

This inspection was carried out on 16th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Heathdale Rest Home 11/05/07

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 28/09/2008.

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 16th June 2008 1:30 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.V367917.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.V367917.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.V367917.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2007 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. CSCI Inspection reports are also available at the home detailing the quality of care provided. Fees payable for living at the home at the time of inspection in June 2008 vary between £379 and £384. Additional charges are payable for hairdressing, private chiropody, personal toiletries and personal newspapers. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on May 11th 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. 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 that 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. 10 surveys were sent to residents and relatives, 4 were returned. 3 surveys were sent to care professionals, 2 were returned. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Care plans are being updated more regularly. A regular system of staff supervision is in place. Lounge and conservatory furniture have been replaced. New dining chairs have been purchased. Carpet has been replaced in the conservatory, hallway and dining room. Kitchen flooring has been replaced. New bedding and curtains have been obtained for some bedrooms. Some bedrooms and communal areas of the home have been decorated. Heathdale Rest Home DS0000052621.V367917.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.V367917.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.V367917.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 and 5. (Standard 6 is not applicable to this service) People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are good procedures in place to ensure that prospective residents are making an informed choice about the home and that the home can meet their needs. EVIDENCE: The Home’s Statement of Purpose and service user guide were examined. They contained the necessary information as required by the Care Homes Regulations 2001. In surveys received relatives felt that they got enough information from the home and other agencies to make a decision about whether to use this care Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 10 home. Comments include: “We are pleased with the choice of home we made a few years ago.” “Always a welcome open door attitude/policy. Easy access is a feature.” “It feels homely there is generally a good atmosphere.” Records for three people who live at the home showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The person living at the home 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. The information was transferred into care plans to help any new staff provide the correct amount of care and support to the people who use the service. Staff receive training so that they know how to meet the needs of the residents. Staff have received the necessary statutory training: Fire Training, Food Hygiene, Moving and assisting, First Aid and National Vocational Qualifications. Staff have also received training about; infection control , dementia awareness and diabetes. 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.V367917.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 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents have sufficient support to ensure that their personal and health care needs are met but they are not always treated with respect. EVIDENCE: After a resident has moved to the home a care plan is designed around their assessed needs so that staff know how to provide the right support. The sample of care plans examined clearly outlined each resident’s needs and how these should be supported. Care plans are written in a respectful way that promotes the individuality and dignity of each resident. Some staff meeting minutes however detailed some concerns when not all residents were treated with dignity and respect. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 12 The sample showed that care plans had been evaluated regularly. Health care records showed that residents are supported to have good access to health care services such as GPs, dentists and district nurses. In the surveys, relatives generally felt that they were kept well informed of any illness or change in health of the residents. Staff receive medication training before administering medication to residents. This is delivered to the home by a pharmacy in bottles and containers rather than individual blister packs containing a weekly supply of medication for each resident who may require it. Medication is securely stored. Administration of medication was carried out correctly, and medication records were in order. Residents are supported with their personal grooming and appearance. A weekly hairdressing service is available at the home, which several residents use. In surveys relatives had positive comments about the way that staff support the people who live here. Their comments include; ”Staff will make a point of notifying us of any important issues, change of medication.” “Very prompt in involving doctor etc if there is a change of health condition and imparting such information to interested parties.” Heathdale Rest Home DS0000052621.V367917.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 and 15. People who use the service experience good quality in this outcome area. We have made this judgement using a range of evidence including a visit to this service Overall, residents have sufficient opportunities to make choices about activities, daily routines and menus so that they lead a lifestyle that matches their social care needs. EVIDENCE: Residents are supported and encouraged to follow their own interests and hobbies. Some residents were watching television or listening to music in the communal areas. A programme of activities is in place for residents which includes: videos, sing-a-long, tea dances, chair aerobics, reminiscence, bowls, manicurist, dominoes, cards, bingo, quizzes and arts and crafts. Musical and theatrical entertainers also visit the home. Various seasonal parties are also arranged, which are well supported by relatives. Church services take place within the home. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 14 Comments include:” Without being in any way over critical there is always a possibility of continuing to strive to meet the needs of the individual in a group context.” Residents have the opportunity to go out with relatives or with staff into the local community however it was commented, “The home could provide more outside activities.” Staff support residents to keep in touch with relatives. Staff ask each resident about their wishes, interests and choices. Residents’ meetings also take place. Residents’ spoken to said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. All who could comment were complimentary about the staff and the support they receive. 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. A menu displays the daily choices available. Teatime menu included; pie ,chips and beans or sandwiches and chocolate cake. Heathdale Rest Home DS0000052621.V367917.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. The home has a good, clear, user-friendly complaints and protections system but residents are not all protected from abuse. EVIDENCE: The home’s complaints procedure is given to new residents as they move into the home. The procedure assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. There is a complaints procedure on display within the home for the use of residents and their relatives. The home keeps a record of complaints. There has been one informal complaint received by the home since the last inspection this has been addressed. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 16 The home has the Local Authorities Vulnerable Adults procedures. Staff training about Protection of Vulnerable adults still requires updating. Some staff have received training about behaviour that may be difficult to work with and studied a course about dementia. Heathdale Rest Home DS0000052621.V367917.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for those living there and all areas are well maintained, clean, tidy and free from offensive odours. EVIDENCE: The home was clean, well decorated and well maintained. The home is accessible and is placed in the centre of a local community surrounded by houses and shops. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 18 The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place, including a visitor’s lounge. Residents can also see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in good condition. Room sizes meet the minimum required. Residents have their own bedrooms. Bedrooms are personalized with small pieces of furniture, books, ornaments, photographs and pictures which give a personal feeling to the room. Comments include;” bedrooms could do with upgrading.” There was emergency lighting throughout the home. Laundry facilities appeared well organised. The washing machines have the specified programme to meet disinfection standards. Heathdale Rest Home DS0000052621.V367917.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. 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. There are enough staff, who are appropriately recruited and well trained, to meet the needs of the residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed the numbers of staff on each are as follows: 8.00 am- 8.00pm 8.00pm- 8. 00 am 3 staff 3 staff Monday and Tuesday there are 4 staff members all day. There is a senior staff member on each shift. All the staff were over 18 years of age and those left in charge were at least 21. Discussion took place about reviewing the staff roster so staff did not work 12 hour shifts even if it afforded Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 20 them three days off as work can be demanding and challenging. There are no staff vacancies currently. Other staff members are employed for duties such as food preparation, maintenance and cleaning. Staff stated that they enjoyed working in the home. A stable committed staff team has been created. 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. Staff receive Skills for Care induction. Training needs of staff are identified in supervision and appraisal sessions. 100 of the care staff team have now achieved National Vocational Qualifications at level 2 and some are now studying for level 3. Staff and their records showed that they also receive advice and /or training in other areas such as Fire Training, Moving & Assisting, Food Hygiene, Safe Handling of Medication, Infection Control, First Aid and National Vocational Qualifications. Staff have also received training about ; memory loss and diabetes. Comments include:” Opportunities do appear to be afforded to allow staff to develop their skills.” Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ live in a home that quite is well run and where the welfare of all is promoted but it is not always run in the best interests of residents. EVIDENCE: The manager has many years experience in management. She has the necessary skills and qualifications needed to manage the home. 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.V367917.R01.S.doc Version 5.2 Page 22 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 system for accounting any monies held on behalf of a resident. There was plenty of evidence of personal spending. Receipts are kept of any money spent on behalf of residents. All records as required by the Care Homes Regulations 2001 were well documented and completed. There is a health and safety policy and range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control). Servicing and maintenance agreements are in place for facilities and equipment. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. Accident reporting was suitably recorded. Staff files showed staff are supervised regularly. Staff meetings take place regularly. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 23 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 3 x x 3 3 3 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 2 x 3 3 3 3 Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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. Standard OP10 OP18 Regulation 12(4)(a) 13(6) Requirement All residents must be treated with respect and their dignity maintained. Staff must receive updated Protection of Vulnerable Adult training. THIS REQUIREMENT REMAINS OUTSTANDING. The home must be run in the best interests of residents at all times. Timescale for action 16/06/08 01/09/08 3 OP33 12(1)(a) 16/06/08 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 OP9 OP18 Good Practice Recommendations To review the current medication system. To review the staff roster to reduce the 12 hour shift for staff. Heathdale Rest Home DS0000052621.V367917.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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.V367917.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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