Inspection on 06/02/06 for Heatherdene

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heatherdene 09/02/09

Heatherdene 21/02/07

Heatherdene 11/07/05

Heatherdene 26/01/05

Heatherdene 10/06/04

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

CARE HOME ADULTS 18-65 Heatherdene Ltd 13-14 Southfields Road Eastbourne East Sussex BN21 1BU Lead Inspector Jon Wheeler Unannounced Inspection 6th February 2006 9:55 Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 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 Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 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. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heatherdene Ltd Address 13-14 Southfields Road Eastbourne East Sussex BN21 1BU 01323 642715 01323 647377 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) Mrs Janet Matthews Mrs Terry Blandford Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (23) Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is twenty three (23) 11th July 2005 Date of last inspection Brief Description of the Service: Heatherdene is registered to provide residential care to twenty-three people who have mental health problems. People are admitted to the home aged eighteen and above, with no upper age limit on admission. Most of the current residents are under sixty-five and therefore within the younger adult category. The home is a three-storey detached property in an attractive residential area close to Eastbourne town centre. The home is close to local transport links, shops and the towns facilities. There are twenty-three single bedrooms in the home, eight of which have en-suite facilities. There are a number of communal areas, some of which provide areas to smoke in. The home is well maintained throughout. There is a large secluded garden at the rear of the property. There is parking at the front of the building and a ramp to enable disabled access. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place 6 February 2006, starting at 9.55 am and lasting for about four and a half hours. The inspection involved talking to eight service users, four staff and the manager and deputy manager. The inspection included, a tour of the environment, reading care plans, policies and records and looking at the storage, administration and recording of medication and observation of staff working with service users. Those key standards not assessed at this inspection were looked at during the last inspection of 11 July 2005. What the service does well: What has improved since the last inspection? The service has begun to develop new systems for its care plans, to make the information more readily available. There are robust systems in place to ensure the accurate dispensing and recording of medication. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 6 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. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 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 the following standard(s): 4. Service users are encouraged to visit the home before deciding if they want to move in. EVIDENCE: The manager reported that prospective service users are encouraged to visit the home before making a decision about moving in. It was reported that a prospective user was in the process of visiting the home a number of times to meet the residents and the staff. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6, 7, 9. Individual care plans clearly reflect the needs of the service users and the support needed to enable them to have their needs met. A clear ethos of the home is based on enabling service users to make decisions about all aspects of their lives, including the running of the home. The service has a range of risk assessments to enable service users to take reasonable and managed risks in their lives. EVIDENCE: There was clear evidence that the service is in the process of reviewing and updating all the care plans, using a new format to present the information. The care plans contained comprehensive information, describing the individual needs of each service user and having clear guidelines to enable staff to meet those needs. There was evidence that service users are enables to make decisions about all aspects of their lives. Service users spoken with said they were consulted about any prospective changes in the home, as well as being able to choose their daily routines, activities and the food they eat. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 10 There was documentary evidence of risk assessments for a range of activities and opportunities being in place. The service encourages service users to take managed and acceptable risks in order to develop their skills and independence. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 11, 12, 13. Service users are supported to take part in a wide range of activities to meet their needs and ensure their personal development. Service users are supported to access facilities in the local community. EVIDENCE: Service users are supported to undertake a wide range of activities, which meet their individual needs and preferences. Activities undertaken by the service users include a range of vocational, educational and leisure opportunities. Service users spoken with said they were able to access local community facilities, either with staff support or going out on their own. One service user spoken with said he did some tidying and work around the home, whilst another said he went to college on a regular basis. Service users said they were able to access local shops, pubs, cinema and leisure facilities. Service users said they were able to choose whether or not to attend activities. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18, 19, 20. Service users receive sensitive and dignified support from staff, to meet their personal needs and preferences. Service users are supported to access a wide range of health services to meet their needs. Robust procedures for the administration and recording of medication ensure the health and safety of service users. EVIDENCE: Staff were observed providing dignified and skilled support. Staff spoken with were knowledgeable about the needs of the service users. Staff were able to describe the flexible support provided, including when service users get up, go to bed or eat their meals. Service users spoken with praised the quality and skills of the staff, whom they described as being supportive and helpful. There was documentary evidence of service users being able to access a range of health services to meet their individual needs. All service users are registered with a General Practitioner and, as well as, if needed, accessing support from Community Psychiatric Nursing and Psychiatry. There was also documentary evidence of service users attending outpatient appointments as needed. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 13 Medication is stored securely within the home. The home has a thorough and robust system for administering and medication, with all medication records checked at each shift handover. Staff were observed administering and checking medication in line with the home’s policy and procedure. All staff who administer medication have received appropriate training. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 22, 23. A transparent and robust complaints procedure enables service users to raise concerns and have them investigated thoroughly. The home’s policy and adult protection training for staff provide protection for the service users. EVIDENCE: There was documentary evidence of service users being able to raise concerns or complaints, which are then investigated swiftly and thoroughly. Service users spoken with said they felt able to raise concerns, which they felt were treated seriously by the management team and staff. One service users described a complaint he had raised, and said he was happy with the investigation by the manager and the outcome. There was documentary evidence that all staff had completed training in adult protection, or were about to complete a course. The manager and deputy have recently completed a ‘Training the Trainer’ course, so they are now able to provide adult protection training to their staff team. It was reported that adult protection is now part of the induction training for new staff. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24, 27, 30. Service users live in a clean and tidy home which provides a friendly and relaxed environment. There are sufficient en-suite, bathroom and toilet facilities that meet the needs of the service users. There is a clean, tidy and hygienic environment. EVIDENCE: Service users live in a comfortable and clean environment, which provides individual bedrooms and sufficient communal space to meet the needs of the service users. There was evidence of an on-going maintenance plan to ensure the home is safe and attractively decorated. There was documentary evidence that as part of the on-going cleaning and maintenance work, the kitchen had recently been steam cleaned. There was evidence of regular cleaning to ensure the home is clean and hygienic. There are sufficient en-suite and bathing facilities in the home to meet the needs of the service users. The home has recently had a walk-in bath installed, which the manager reported is used regularly. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36. A knowledgeable and well-trained staff team provide caring and skilled support to meet the needs of the service users. The staff team provide consistent care and have good communication systems, effectively supported by regular supervision and team meetings. EVIDENCE: Staff spoken with demonstrated a clear understanding of their own roles and responsibilities and those of their colleagues. They were able to describe in detail the individual needs of the service users and how the staff team work to consistently to meet those needs. There is an effective and efficient staff team, with sufficient staff on duty on each shift. Staff work flexibly to ensure service users are able to undertake activities, attend appointments and have their needs met. There was documentary evidence of comprehensive training available for all staff. There was evidence of induction and foundation training for new staff as well as on-going training for existing staff. The service has more than half its staff team with relevant NVQ in Care qualifications, or suitable equivalents. In addition, four staff are currently working towards completing NVQ courses. There was evidence that staff receive regular supervision as well as attending weekly team meetings and having handover time at the change of each shift. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 17 Staff spoken with said they felt well supported by the management team, as well as being able to seek advice, guidance and support at any time. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42, 43. The home is well run by a skilled, experienced and professional management team. The ethos of the home promotes the rights, choices and interests of the service users. Robust quality monitoring systems enable service users to have a say in the running and development of the home. A range of regular health and safety checks ensures the protection of service users and staff. Effective business planning and accounting procedures ensure the financial viability of the service. EVIDENCE: There was a wide range of evidence that the home is well run by a skilled, experienced and dedicated manager and deputy. Both have worked in the home for many years. The manager has the Registered Managers Award and is completing the NVQ level 4 in care. Staff and service users spoken with all said that the manager and deputy are open, approachable and supportive. The management team were able to demonstrate their continuing commitment to equality of opportunities for service users and for staff. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 19 There was documentary evidence of a range of quality monitoring systems within the home. It was reported that the service has had the Investors in People award for ten years. In addition, there was documentary evidence of a recent service users survey and monitoring visits by the registered provider. Service users spoken with said they were regularly consulted about issues and changes affecting the home. There was documentary evidence of the service having a range of health and safety policies and procedures. The service has fire safety lectures for staff twice a year, in addition to weekly checks of the fire safety systems. The home has policies and procedures for the safe storage and use of chemicals. There was documentary evidence of the water systems being tested for Legionella at the end of 2005. There service has a clear business plan to demonstrate its financial viability and make clear plans for future expenditure. The manager confirmed that she is able to have input in the financial planning and sees the accounts every month. Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 20 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 X 2 X 3 X 4 3 5 X 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 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 3 Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 21 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 Heatherdene Ltd DS0000021132.V261508.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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