Inspection on 16/09/05 for Heather House Nursing Home

This inspection was carried out on 16th September 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

Heather House Nursing Home 03/04/07

Heather House Nursing Home 17/01/06

Heather House Nursing Home 19/01/05

Heather House Nursing Home 30/07/04

Similar services:

Fairways

Fir Tree Lodge

Randell House Care Home

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

CARE HOME ADULTS 18-65 Heather House Nursing Home Heather Drive Tadley Basingstoke Hampshire RG26 4QR Lead Inspector Sue Maynard Unannounced 16 September 2005, 9:00 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heather HouseNursing Home Address Heather Drive, Tadley, Basingstoke, Hampshire RG26 4QR 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) 0118 981 7772 0118 981 7757 s.kenrick@seeability.org SeeAbility Miss Sarah Jane Kenrick Care Home 16 Category(ies) of Sensory impairment (16) registration, with number of places Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Young people with a visual impairment from 16 years upwards 2 a) with degenerative diseases 3 b with complex physical disabilities 4 c) associated learning disabilities 5 A maximum of ten day care service users may receive care at the home. Date of last inspection 19/01/2005 Brief Description of the Service: Heather House is one of the services provided by SeeAbility, a registered charity. The Home provides residential and nursing care for 16 young adults aged from 16 years upwards who have a visual impairment and additional physical disabilities. This is a purpose built nursing home on ground level, set in a wooded site on the outskirts of Tadley. The building is spacious and of a very high decorative standard. The varied facilities within the Home provide the young people with the opportunities to develop their level of independence and enhance their quality of life. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was the first of two statutory inspections for the year 2005/2006. The inspection was conducted by one inspector and lasted four and half-hours. The registered manager was on duty during the inspection. The inspector was able to speak with the Deputy manager who was available for part of the inspection. The inspector was able to observe staff interacting with the people in the home. She noted that there was an instant response from the young people to different staff members’ voices and each member of staff was greeted with a positive reaction. Two of the young people had recently returned from a session in the gym. The physiotherapist who had supervised this time was documenting this in the care diaries. The two people were very keen to confirm how much they had enjoyed themselves and how much they had achieved. During the inspection the inspector met the family of one of the young people who had come to take her home for the weekend. Families are supported to care for their son or daughter at home for short periods. The staff ensure that the families have support from local health care teams and are able to contact the staff at Heather House at any time for advice in an emergency. Building work has commenced within the grounds of the home to construct a six-bedded residential unit for young people with visual impairment and physical disabilities. The manager explained to the inspector that it is expected that four of the young people, currently resident in Heather House, will move into the new unit when it is complete early in 2006. What the service does well: The home provides a very standard of care that is centred on the individual needs of each young person. The care is planned in order to maintain, as far as is possible, each young person’s independence and individual needs. Activities are structured and managed to enable the young people to attain their personal goals. They are consulted about changes that may affect their daily lives and they are also included in the selection of staff to be employed in the home. The staff has in depth knowledge of the conditions and disabilities of the young people they care for and are aware of any changes in the physical and psychological in their condition that may affect their day to day care. The home provides facilities and equipment within the home to aid the independence and comfort of the people in the home. The manager and staff in the home undertake regular reviews of the care and facilities provided in the home to ensure that the quality of the lives of the young people is maintained. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Arrangements for a comprehensive assessment are in place to ensure that the needs of all young people admitted to the home are met. EVIDENCE: There have been no new admissions to the home since the last inspection. The manager confirmed the admission assessment will continue to be undertaken by her and other members of staff from the home including, a physiotherapist, a rehabilitation officer and a social worker. The admission process and assessment commences at least three months prior to the actual admission to the home. All aspects of the young person’s physical and psychological needs are addressed. The physiotherapist and rehabilitation officer will assess the person’s current use of equipment and possibly make recommendations for specialist adaptations that may be required on admission to the home. These may include changes to furniture and lighting in the room that the person will occupy in the home. The family of the young person are closely involved in the assessment and the social worker will work closely with them to provide emotional support not only for the young person coming to the home but to the parents and other siblings in the family. In the situation where the young person is unable to vocally express their needs the assessment team form Heather House is reliant on information from the family and other health care professionals who are currently providing the care in the young persons home. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 9 The assessment demonstrates that the home is able to provide the level of care needed by each service user. For all service user there is an annual assessment of the provision of care. This is a multi-disciplinary assessments to include the service user’s family, doctor, social worker, specialist consultant and representative from the funding authority. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 Systems for risk management ensure that the young people in the home are supported to achieve their personal goals and maintain their independence. EVIDENCE: The care diaries continue to be used as a comprehensive communication and documented care tool. Since the last inspection the format of the care diaries have again been reviewed. The language and style of the diary has been made more appropriate to the young people in the home. The diaries document: All personal information about the young person, including next of kin. An “introduction” to the young person themselves, how they like to be addressed and all their likes and dislikes. Specialist needs for nutrition, mobility and physiotherapy, communication and hearing and visual needs. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 11 A section is included to document daily what has taken place each day, such as any activity undertaken, any visits made outside the home or any significant event that the young person may wish to record to enable them to discuss with their family when they visit. If the young person is able to vocalise their needs these are documented to enable the staff to meet those needs. In the event that the young person is unable to express their needs then staff at the home will accept information from the young person’s family. The manager of the home explained to the inspector that the home has a policy of risk management rather than risk assessments. It is the philosophy of the home that staff of the home are there are there to make things happen for the young people in the home and to support to maintain a level of independence that will enable them to lead a full life. This applies especially to events outside the home within the community when visits are made to such places as the cinema, bowling alleys and any new activity such as sailing which was undertaken this summer. All possible risks are considered and evaluated by the care team for each young person including their key worker, senior nurses and other professionals. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 15 The range of activities offered by the home encourages and supports the young people to ensure their lifestyle matches their expectations and independence. EVIDENCE: The young people in the home are encouraged and supported to attend events in the local community and to undertake activities within the home. The young people are involved with a local church community group who assist to take people from the home to attend events with young people from other residential homes in the area. They have visited the local bowing alley, the cinema and enjoy visits to fast food outlets and the local public house. Some of the young people have expressed a wish to go horse riding but the manager explained that she has been unable to arrange this as there is no riding school in the area who can provide facilities for the disabled. The home is able to provide facilities for families to stay in the home. Two selfcontained flats are available and families have reserved these for Christmas already. Other families can be accommodated in other areas of the home. It has been planned that four of the young people will be returning to stay with their families for the Christmas period. The manager of the home ensures that Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 13 the family will be supported during this time by community care staff for the area that the person is staying in. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 Arrangements for personal and healthcare promote the well-being of the young people and upholds their dignity. EVIDENCE: Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 15 All personal choices made by the people living in the home regarding their individual preferences for their daily routines, are recorded in their personal care diaries. The young people are able to express a preference for which staff member attends to their personal care. The home has a policy for gender care, which states that a female member of staff must only give any intimate care for female service users. The home employs a physiotherapist and a physiotherapy assistant who are responsible for the ensuring that the physical needs of the people in the home are addressed. The home has a gymnasium and hydrotherapy pool. A rehabilitation officer is also employed to ensure that appropriate facilities and equipment are available for all the people living in the home. The staff member that they are closest to supports the young people living in the home emotionally. This may be their key worker or another staff member. The inspector witnessed staff supporting one person who had become quite distressed. Trained staff in the home administers all medications. The manager for the home is aware of the new guidelines for the disposal of unused medicines. Currently the pharmacy that supplies all medicines to the home has agreed to continue to collect and dispose of the medicines form the home, therefore the disposal of medication policy is unchanged. All personal choices made by the people living in the home regarding their individual preferences for their daily routines, are recorded in their personal care diaries. The young people are able to express a preference for which staff member attends to their personal care. The home has a policy for gender care, which states that a female member of staff must only give any intimate care for female service users. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Policies and procedures ensure that complaints are handled objectively and the young people in the home are confident that their concerns are listened to and acted upon promptly. Staff are aware of the procedure for the protection of vulnerable adults ensuring that any suspicion of or allegation of abuse is dealt with appropriately EVIDENCE: Since the last inspection the manager informed the inspector that one person has raised concerns with the home and representatives from Seeability under the home’s complaints procedure have addressed this. The home has a very robust adult protection procedure. All staff members receive training on abuse as part of their induction training. Further training regarding the awareness of abuse towards vulnerable adults is given regularly by the training department at Seeability and by a staff member in the home who has undertaken specific training for this. The policies and procedures for awareness of abuse is reviewed annually. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standards 24 and 30 were not assessed during this inspection. EVIDENCE: Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The comprehensive training undergone by the staff ensures that they are competent to provide a high standard of care to all the young people in the home. EVIDENCE: The home employs staff with specialist training to meet the needs of the young people in the home. The home has a training budget and development plan. The manager of the home is responsible for organising appropriate training programmes that are arranged by the training manager for Seeability. A copy of the current training plan was given to the inspector. The training includes: Health and safety: fire safety, safe moving and handling, first aid. Specialist training: dual sensory loss, challenging behaviour management, risk management and key worker training. All staff in the home receives regular supervision when any learning needs can be identified and training arranged to meet these needs. All new members of staff receive a structured induction-training programme. This includes Principals of care, safe practices and addressing the needs of the service users. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 All safety checks are undertaken on a regular basis to ensure the safety of residents and staff. EVIDENCE: Since the last inspection an external company has looked at all aspects of health and safety in the home and made some recommendations. The home has been advised to give staff members designated areas and roles of responsibility should a fire occur in the home. As a result of these changes the fire safety policy and procedure has been re-written and a fire drill has been arranged to test out the new procedure. Records showed that staff undertakes regular fire safety training and that the fire safety equipment is regularly maintained and tested. The weekly testing of the fire alarm system took place during the inspection. Regular training is also undertaken for safe moving and handling, first aid and food handling and hygiene. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 20 Recent training has not been given to staff for infection control. The manager is making enquires within the training department for Seeability and also at the local hospital to ensure that this training is provided for staff. Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Heather House Nursing Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 22 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Heather House Nursing Home H54 S11653 Heather House V238901 160905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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