Inspection on 03/04/07 for Heather House Nursing Home

This inspection was carried out on 3rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 17/01/06

Heather House Nursing Home 16/09/05

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 Marilyn Lewis Unannounced Inspection 3rd April 2007 10:00 Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 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 Heather House Nursing Home DS0000011653.V331674.R02.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 Adults 18-65. 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. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heather House Nursing Home Address Heather Drive Tadley Basingstoke Hampshire RG26 4QR 0118 981 7772 0118 981 7757 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) SeeAbility Miss Sarah Jane Kenrick Care Home 16 Category(ies) of Sensory impairment (16) registration, with number of places Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is able to accommodate young people from 16 years upwards with visual impairment. 17th January 2006 Date of last inspection 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. Information provided by the registered manager on the 19th March 2007 stated that fees for the home were £2430 per week. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. An unannounced visit to the home took place on the 3rd March 2007. The inspector toured the home, observed staff interaction with some of the young people and met with a support worker, the cook, a trained nurse, a deputy manager and the registered manager. Records seen included care plans, risk assessments, medication, staff recruitment and staff training. On the day of the visit the registered manager was extremely busy with reviews and visits from relatives of possible future residents and therefore the inspector was assisted by the deputy manager as well as the registered manager. Since the last inspection a new small home has been built in the grounds of Heather House and some of the young people moved into the new premises that was assessed as more suitable for their care needs. Five new young people have been admitted to Heather House in the last year. The home is currently full with sixteen young people resident. The home specialises in providing care for young people with Juvenile Batten’s Disease. What the service does well: The home has a warm, friendly and welcoming atmosphere and the young people looked very relaxed. Staff interacted with the young people in a friendly and caring manner. A very detailed care needs assessment is undertaken for all young people before a place at the home is offered. The assessment takes place over a few months and involves not only the young person, but also their families and all care and health personnel involved in the care of the young person. The young person and their families are able to visit the home and meet with staff and the resident young people before making a decision. Family members sometimes visit the home before the young person so that they can give their opinion about the suitability of the home. Care plans and care diaries are centred around and reflect the wishes of the young people and provide staff with very good information about their care needs and the support required to meet the young peoples’ needs and aspirations. The plans are reviewed frequently with involvement of the young people or their relatives. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 6 The home has clear procedures for dealing with medicines that are followed by staff and protect the health of the young people. The medication prescribed for the young people is reviewed frequently and for one young person this has meant a reduction in the amount of medication required. The young people are supported to participate in leisure activities both in the home and the community. Good risk management allows the young people the opportunity to maintain their independence and live a full life as possible. The home employs a physiotherapist who reviews the physical needs of the young people with the nursing and care staff to ensures the changing needs of the young people are met. Specialist equipment is provided as required including overhead hoists, individually moulded chairs and epilepsy monitor Alarms. The home was purpose built and provides a clean, bright and comfortable environment for the young people, their families, staff and visitors. The young people have access to the very good facilities provided at the home including a gym and hydrotherapy pool. Individual bedrooms are spacious and contained many personal items. The young people keep the same room throughout their stay and the facilities in the room are altered to meet the changing needs of the young person such as fitting overhead hoists when needed. One of the young people spoken with said that their room was ‘their own space’ and they liked it very much. Two flats situated in the grounds of the home provide accommodation for families, who wish to spend time with their young person. Staff are recruited using robust procedures including the completion of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults and Children (POVA and POCA) checks before the applicants start work at the home, to ensure they are suitable to be working with young people. Staff said that they had good opportunities to attend training sessions and the home has a very high percentage of care staff who hold or are in the process of obtaining National Vocational Qualifications (NVQ) level 2 or more in care. The registered manager runs the home very well and it was evident during the visit that the young people knew her and felt at ease talking with her. Staff said that they received very good support from the registered manager and also the deputies. The young people are involved in the running of the home and are given opportunities to discuss their views on the quality of care provided at the home. Letters and cards sent to the home by family members indicated that were very satisfied with the quality of care provided. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Clear information about life at the home is provided for prospective young residents and their families and they are able to visit and meet with staff and residents as they wish before making the decision to take a place there. No one is admitted to the home without a very full and detailed care needs assessment to ensure the home can meet their needs and aspirations. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide clear information about life at the home including the admission process, specialist support and the staffing levels. The documents provided as a Handbook and are available in print, tape, Braille or disk. The registered manager said that following a referral she meets with the family of the young person to discuss the services provided at the home before going to complete an initial assessment of the young persons needs. The full assessment takes place over a period of months when information is gathered from the young person and all involved in their care including family members, doctors, specialists and current care staff. The registered manager said that the young person is able to visit the home before taking a place there. The number of visits depends on the needs of the Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 10 young person and varies from visits that are just a couple of hours to those that include overnight stays. Family members are also able to stay at the home in the relatives’ accommodation if they wish. Assessments seen for two young people who had been admitted to the home since the last inspection were very detailed and indicated that the assessment process continues following admission, with input from staff members, including the home’s physiotherapist and social worker. Each of the young people is provided with a contract giving them the terms and conditions for residency. The contracts state what services are included in the fees and those available at additional cost such as private telephone calls, toiletries and some leisure activities. The registered manager said that the contracts are usually discussed with the families as well as the young people. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good care planning and risk management ensure that the young people are supported to enable them to make decisions about their lives and maintain their independence. EVIDENCE: The care needs assessment forms the basis for the young peoples’ individual care plans. A care diary is also used as a communication and documentation care tool. Staff members spoken with, said that they liked this system as it gave clear guidance on the young person’s needs and wishes in a format that was easy to follow. Care plans seen indicated that the wishes of the young person were the driving force behind the support given. The reactions of the young person to their participation in daily living and leisure activities were documented and changes made to the methods of support given if needed. The care plans contained assessments for all care needs including health, nutrition, emotional and personal care. One care plan gave guidance to staff on Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 12 how to identify the young person’s arm movements as a communication tool as they were inclined to move their arm in a certain way when not happy. The care plans showed evidence of frequent review and involvement of the young person or their relatives. During the visit to the home staff were observed taking time communicating with the young people to identify their wishes and supporting them to make their own decisions. The young people looked relaxed and at ease with staff. A trained nurse spoken with explained the methods used to identify the wishes of the young people for whom communication was difficult such as body language and facial expressions. The trained nurse said that there was also frequent contact with family members to obtain their views. The home has a policy of risk management to support the young people to maintain a level of independence that will enable them to participate in activities of their choosing, such as visiting local restaurants and going bowling. Records seen contained assessments for the risks involved for participation all daily living and leisure activities. The assessments were being reviewed at least monthly and more frequently as necessary. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The young people are supported to take part in appropriate activities both in the home and the community, have close contact with family and enjoy a choice of meals that meet their dietary needs. EVIDENCE: The registered manager said that the home had become ‘part of the local community’ with the young people going for walks to the shops and for some chatting with people they met. Care diaries seen recorded the young person’s participation in activities both in the home and the community such as playing musical instruments, drama workshops, visiting fast food restaurants and going for walks. The young peoples’ interests were recorded in their care plans and records seen indicated that their programme of activities reflected their wishes. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 14 Comments made by the young people were documented such as ‘had a really good swim’. The registered manager said that close contact is maintained with the young peoples’ families and they are able to visit as they wish. Telephone calls are made to relatives on a monthly basis to keep them up to date with their young person’s care needs. Some families chose to stay at the home at times in the accommodation provided for relatives. The registered manager said that the families are able to spend time with their young ones and if they wish this can include joining them in the Jacuzzi bath. The registered manager said that the young people also form friendships and the last year has been difficult for some as one young person died and three moved to another care home built in the grounds of Heather House. Five new residents have moved in and so new friendships have needed to be formed. The young people seen during the visit appeared to get on well with each other and looked happy and relaxed. Records seen indicated that the young people were able to choose whether to lock the door to their room when they were not in there and staff asked if they could enter rooms before walking in. One young person, when asked if their room could be seen during the inspection, said no and this was respected. Good interaction was observed between staff and the young people and between the young people themselves. The home has a no smoking policy and this is documented in the Service User Guide. Staff who wish to smoke during their breaks are able to sit in a covered area in the grounds. Nutritional assessments were contained in the care plans, along with weight charts and fluid/food intake records for those who needed them. The cook on the day of the visit had information regarding the young peoples’ likes and dislikes and also whether they were overweight or underweight so that the menus could meet all their dietary needs. The lunch meals offered were pork casserole or stuffed peppers with potato wedges and mixed vegetables. All the vegetables used were fresh. Rice pudding, yoghurt or fruit followed. The meals served were well presented and the young people spoken with said that they enjoyed them. Staff supporting young people who needed assistance did so in a very caring and sensitive manner. Each of the residential units have a kitchenette and staff are able to provide the young people with drinks and snacks as they wish them. The registered manager said that at weekends when there is no cook on duty easier meals that have been already prepared such as pasta is provided by staff and the young people also enjoy takeaway meals. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Systems in place for personal and healthcare support, promotes the well-being of the young people and ensures their needs are met. Staff provide good support for young people and their families at a time of illness and death. EVIDENCE: The young peoples’ preferences regarding their daily routines are recorded in their care diaries. Care diaries seen indicated that they were able to make their own decisions, as demonstrated in one diary seen, when the young person had been supported with a wash, which he preferred to a bath at that time. During the visit staff were seen to ask the young person they were supporting for their views on what they would like to do and when carrying out a care task asked if the methods they were using were what the young person wished. The home employs a physiotherapist who works with staff to ensure the physical needs of the young people are met. Records seen and observations made during the visit to the home indicated that the gym and hydrotherapy pool are well used. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 16 Specialist equipment such as hoists and epilepsy alarms are provided as needed and the registered manager said that all the wheelchairs used by the young people had been individually moulded to meet their own needs. The amount and type of equipment used for each person was continually under review and changed as necessary. Records seen indicated that the young peoples’ health care needs were being met with visits to or from GPs and specialist doctors recorded in their care diaries. One of the trained nurses on duty described the homes’ clear procedures for dealing with medication to the inspector. A locked medicine cabinet is fitted in each of the young peoples rooms and their medication records are also kept there. Individual medication records seen had been completed appropriately. At the time of the visit no controlled drugs were prescribed but past records seen indicated that procedures had been followed and two staff members has signed the records as needed. Only the trained nurses administer medication. No young people were responsible for their own medication at the time of the visit. Many of the young people living at the home have degenerative conditions. The registered manager said that families and the young people are supported during the death of a young person at the home. Some of the families have built close friendships with other families while their young people have been resident at the home and the registered manager said that they also provided each other with support at times of bereavement. The homes’ social worker also plays a major role in supporting families. Following the death of a young person during the last six months, the home put up a memory board in the main reception area, so that the young people could put mementos on the board, such as a poem, to remember them by. The registered manager said that board was left in position for about a month, which provided time for the young people to decide what they would like to put on the board and also gave the young people the added opportunity to talk about the person who had died. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All complaints are taken seriously and acted upon quickly and the young people are protected by staff awareness for the prevention of abuse. EVIDENCE: Records seen for complaints indicated that the home takes all complaints seriously and acts quickly to investigate and resolve the issue. The homes’ complaints procedures are provided for the young people and their relatives in the Service User Guide Handbook given to them on admission. The home has clear procedures for the prevention of abuse and records seen confirmed that staff received training during induction and on an annual basis. Two members of staff spoken with were aware of the procedures to follow should abuse be suspected. The home keeps small amounts of money for the young people. The money is kept in individual containers in a safe place in the residential units. Receipts are kept for all transactions and records seen for two young people matched the amount of money held. Records seen showed that Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks are completed before new staff are able to take up their post in the home to protect the safety of the young people. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Heather House provides a safe, clean and comfortable home for the young people living there and their visiting families. EVIDENCE: Heather House is a purpose built nursing home for sixteen young people with visual impairment and additional disabilities. The establishment is on one level. The large reception area leads to offices, quiet rooms, gym, hydrotherapy pool, craft room, cookery room and sensory room. A day centre room is also situated in this area. There are two residential units, each providing single accommodation with ensuites for eight young people. On each of the units there are two bathrooms one with a Jacuzzi bath and the other a Hydro bath. These baths are large and allow for staff or family members to join the young person and support them Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 19 while in the bath. Separate toilets are also provided. The units each have a communal kitchenette, and lounge. The single rooms are spacious and are fitted with a varying amount of specialist equipment such as overhead hoists, dependant on the assessed needs of the young person occupying the room. Each room has a call alarm, telephone and television sockets and patio doors that lead out into the gardens. The registered manager said that the young people kept the same room throughout their stay at the home and rooms contained many personal items such as media systems, computer equipment, pictures and posters. Each room looked individual and was decorated in colours chosen by the young person. Three young people, asked about their rooms, said that they liked them. The home also has a core services area where the main kitchen, laundry, treatment room and staff office is situated. Accommodation is provided for visiting family members. Two flats with en suite facilities and equipment such as microwaves are situated in the grounds of the home. The registered manager said that occasionally one of the young people would stay in the family accommodation for a night with their relatives. All areas of the home looked clean, bright and well maintained. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 20 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The young people are supported by staff who are recruited through a robust procedure, are competent, trained and supervised. EVIDENCE: The home employs the registered manager, two deputy managers, six senior care officers who are trained nurses, two care officers who are also trained nurses, four senior support workers and thirteen support workers. The home also employs a social worker and physiotherapist. Separate staff are employed for catering, laundry and domestic duties and also a handyman for maintenance work. The registered manager said although current staffing levels are sufficient, funding had been agreed for staffing levels to be raised from four staff members per shift per unit to five. This will allow staff additional time for interaction with the young people and will also minimise the need to employ agency staff during times when cover is required for sickness and holidays. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 21 When the registered manager or deputy managers are not on duty one of them is always on call to support and advise staff members. During the visit staff spoken with were aware of their roles and responsibilities and one staff member commented that they worked ‘as a team’. New staff received a job description when they applied for a post at the home. The home has a very high percentage of staff involved in National Vocational Qualifications (NVQ). Fifteen of the seventeen senior support workers and support workers hold or are in the process of obtaining (NVQ) level 2 or above in care. Records seen indicated that new staff members completed an induction programme that included all aspects of care provision and was in line with the Skills for Care training programme. Training records showed that staff had received training in mandatory topics including first aid, food hygiene and infection control. The registered manager was addressing the issues regarding the moving and handling training for staff. Currently staff need to wait for a training session to be arranged by the organisation and this sometimes results in a delay in them receiving training at the start of their employment or as a refresher on an annual basis. The registered manager has arranged for two of the senior nurses to train as trainers in moving and handling and they were due to attend courses in the next week. This will allow a rolling programme of moving and handling training to be run. New staff members are currently shown moving and handling techniques for use of equipment such as hoists, by the physiotherapist. Staff also received training in specific topics relevant to the service group including visual impairment, learning disabilities and values and a positive lifestyle. The registered manager said that staff are gaining more knowledge of Juvenile Batten’s Disease, an area that the home specialises in. Sarah travels around the UK and Europe giving lectures and advising on care provision for young people with Juvenile Batten’s Disease. The home follows robust procedures when recruiting staff. Records seen for four new staff members contained all the information required including a full past employment history, two written references and proof of identity. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults and Children (POVA and POCA) checks had been completed before staff commenced work at the home to ensure the applicants were suitable people to be working in the home. Checks had been made with the Nursing and Midwifery Council for trained nurses employed to ensure they were on the register to practice. Staff spoken with said that they received regular supervision and records seen confirmed this. One staff member who had recently commenced work at the home said that she had received very good support from all the staff. She Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 22 commented that she was encouraged to ask questions and seek advice and that she was working alongside experienced support workers during her induction period. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Heather House is run very well and in the best interests of the young people and their families. The safe working practices operated in the home protects and promotes the health, safety and welfare of the young people living there. EVIDENCE: The registered manager Sarah Kenrick has managed the home since it opened. Sarah is a trained nurse specialising in learning disabilities and she holds the Registered Managers Award and NVQ level 4 in management. Since managing the home Sarah has studied Juvenile Batten’s Disease and provides advice for families and services around the UK and in Europe. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 24 Sarah has overall responsibility for the home and is supported by two deputy managers who are responsible for the day-to-day running of the residential units. During the visit it was evident that Sarah was very committed to providing the best care possible for the young people in the home and also to providing support for their families. A very good rapport was noted between Sarah and the young people and staff members. Staff said that they received very good support from Sarah and felt able to talk at ease with her. The home had just completed a survey on the quality of care provided at the home. The young people and their families had completed questionnaires, which unfortunately were not available during the visit, as they had been forwarded to the organisation’s headquarters. However letters and cards from relatives were available and indicated that families thought highly of the care provided. Family members are asked to attend two reviews during the year one which is specifically for family members and the young person and the other a multidisciplinary team review. Families are also contacted by telephone each month so that they are kept up to date with the care being provided for their young person and this also gives staff the opportunity to gain their views on the service. Group meetings are held for the young people on a monthly basis and they are also involved in their own personal review monthly. Records seen for these meetings indicated that the young people were actively involved in the running of the home and were kept up to date with any changes that occurred such as new staff members being recruited. Staff meetings were held monthly and on alternate months a joint meeting was held with staff from the day centre. Minutes were taken at the meetings and these were given to all staff members so that those who had not been able to be present were made aware of the topics discussed. A staff member said that the meetings were very helpful and that it was good to have time together to discuss the care provided at the home. A senior management team meeting is held weekly and information is cascaded down to other staff members. During the visit hazardous substances such as cleaning fluids were stored safely. The kitchen looked clean and in good order with food stored appropriately. Staff had received training in health and safety, food hygiene and infection control and protective clothing such as disposable gloves and aprons were available for staff as needed. Fire records seen indicated that staff had received fire safety training and were attending fire drills. The deputy manager was arranging for the recording of staff attendance at fire drills to put into a different format so that it was clear Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 25 when staff members attended drills as the present system required sifting through staff rotas for the names of people on duty at that time. Records seen indicated that the servicing and maintenance of utilities such as the electrical systems and equipment were undertaken as necessary. Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 26 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 Standard No Score 1 3 2 4 3 x 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 4 32 4 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 4 4 4 4 x x 3 x Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 27 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. 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. Refer to Standard Good Practice Recommendations Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Heather House Nursing Home DS0000011653.V331674.R02.S.doc Version 5.2 Page 29 - 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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