Inspection on 21/11/08 for Heatherington House

This inspection was carried out on 21st November 2008.

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

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

Heatherington House 04/12/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Heatherington House 5 London Road Kettering Northants NN16 0EF     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins     Date: 2 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Heatherington House 5 London Road Kettering Northants NN16 0EF 01536411064 01536411065 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Consensus Community Support Ltd Name of registered manager (if applicable) Mrs Lisa Marie Keenan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No person falling within category MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Heatherington House unless that person falls within category LD, Learning Disability ie. Dual Disability The maximum number of persons accommodated within Heatherington House is 8 Date of last inspection Brief description of the care home Heatherington House is one of five registered homes in Kettering owned and run by the registered providers, Consensus Support Services Limited. These homes are collectively known as Gretton Homes, with the central office being located in Gretton House in the village of Gretton. Heatherington House continues to provide support for residents with Prader-Willi Syndrome. As with the other Gretton Homes, Heatherington House takes residents from all over the country as the staff team are Care Homes for Adults (18-65 years) Page 4 of 28 care home 8 Over 65 0 0 8 3 Brief description of the care home experienced in working with residents with Prader-Willi Syndrome. Heatherington House is close to the centre of Kettering and therefore the residents benefit from the proximity of community resources, such as the nearby swimming pool, shopping centre, etc. The People who live at Heatherington enjoy the use of two vehicles. This enables residents to benefit from access to a wider variety of resources located elsewhere in the county. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This home has 3 star rating and this means that the people using the service receive an Excellent service. This was an unannounced key inspection. We looked at all of the key standards and some additional standards. These are detailed in the report. The registered manager was present for the inspection which lasted for five hours. A limited tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Care Homes for Adults (18-65 years) Page 6 of 28 Case tracking is the method used during inspection where all aspects of peoples care and experiences was reviewed,including individual plans of care and associated documentation. Two people were case tracked during this inspection. A number of people who live at the home and some staff members were also spoken to as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who come to live in this home have their needs fully assessed so they can be confident their needs will be met. Evidence: The home has a comprehensive statement of purpose and service user guide. The service user guide is written in plain English and simple language to make it more accessible to the people who live at Heatherington House and to anyone who may wish to move there. Both contain good information to tell people what it is like to live there. Once people have moved in they are given a contract which they sign. This sets out the terms and conditions of their stay. Everyone who lives at the home at the moment is male although the registered manager stated that they may take a woman in the future as long as they could be certain that they could meet her needs and that it was the right move for her. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: People who live at Heatherington House confirmed that they were able to visit before they moved in so that everyone could be confident that the home would meet their needs. Records show that a detailed initial assessment is carried out and a new service user checklist ensures that people are registered with a general practitioner and dentist and that all the paperwork surrounding their move is completed. Nobody new has moved to the home recently as there have been no vacancies. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home have their needs well met and their choices and preferences respected. Evidence: Each person who lives at Heatherington House has an individual plan of care. These include a file that the person has put together themselves with help from staff. This file contains pictures, photographs and information that builds a good picture of the persons history and personality. Within each persons individual plan of care they have detailed care plans that cover all the areas that staff need to ensure that they support and care for people in the right way. The care plans are very individual and clearly reflected the personal needs of each person. Records show that people are involved in reviewing their own care plans on a regular basis and they sign to show that they agree with what has been written. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Peoples individual plans of care contained detailed information about their specific needs in relation to prader willi syndrome for example information about their dietary requirements and exercise. Any restrictions placed upon people, such as not having control of their own money, not going out without staff support and not having free access to the kitchen is assessed, discussed with the individual and documented to show that it is in their the best interests. Each person has goals that they are currently working on which are linked to their care plans. Records show that peoples individual preferences are considered for example, in relation to times of meals, choice of keyworker, gender of support staff and preferred name. Individual plans of care also contained detailed risk assessment which enable people to be as independent as possible without taking unacceptable risks. Some people who live at the home are able to go out without staff support. They had risk assessments covering areas such as using a cash machine (ATM) and road safety. There was evidence that these were reviewed on a regular basis, at least three monthly, and updated if peoples needs change. This is important to ensure that the assessments reflect each persons current needs. Each person has a conduct agreement that they have signed. These contained pictures and symbols to make them easier for people to understand. The agreement sets out what is expected of people who live at Heatherington House in terms of their conduct and behaviour. The people who we case tracked have signed a consent form requesting that the home manages their finances. A spot check of two people money showed that finances were managed well with all monies being accounted for and transactions signed by two staff members to ensure accountability. People are supported to develop a savings plan to save for larger items such as holidays. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy active and meaningful lives both at home and in the community Evidence: People who live at Heatherington House enjoy very active lives. They take regular exercise such as swimming, gym, cycle rides, walking and bowling. Some people attend college courses and two of the people we case tracked have part time jobs. People also enjoy a range of leisure activities such as having friends around, going to the pub or for coffee and going to discos. People told us that they enjoyed going on holiday and had been to Wales this year. One person described this as an excellent holiday. People explained that they participate in the running of the home and have a rota for Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: domestic duties such as setting and clearing the table, dusting, helping with the food shopping and cleaning their bedrooms. One person commented that the food is very good. People with prader willi syndrome have some specific needs in relation to their diet. Discussions with the cook show that she has a good understanding of the needs of the people living at Heatherington House such as the need to control portions and calorie intake. The cook explained that she has a list of the foods that people like and dislike so that they can be offered alternatives if they do not like something on the menu. Menus viewed were varied and included a good range of fresh fruit and vegetables. On the day of inspection lunch was seafood curry with rice followed by apple snow. Records show that people are given good support with establishing and maintaining relationships with families, friends and partners. The registered manager explained that all of the staff have recently had training on sexuality and relationships and were in the process of working with some of the people who live at the home and their partners to help them develop their understanding of consent. Records show that people are supported to follow a religion of their choice if they wish to do so. The registered manager told us that she was currently looking into the options for a group of people who live at Heatherington House and some of the other houses owned by Consensus to set up a small business making and selling crafts. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their personal and health care needs will be thoroughly addressed. Evidence: Records show that people are supported to maintain good health and personal care. People with prader willi syndrome have some specific health needs and there is clear evidence that these needs are addressed. A protocol has been developed with Kettering General Hospital to ensure that people receive the appropriate care if they require hospital treatment. The registered manager explained that a good relationship had been established with the general practitioners practice. Records show that staff share information about relevant research into prader willi syndrome with the general practitioner. People have regular appointments with a range of health and social care professionals such as consultant psychiatrists, dentists, opticians and podiatrists. People have annual health checks and medication reviews and preventative health care such as flu vaccinations. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The administration of medication appears to be well managed. A spot check was conducted on the medication of the people who were case tracked. This showed that entries on the medication record were appropriately signed, medication is all accounted for and the storage of medication is in line with the latest guidance from the Royal Pharmaceutical Society of Great Britain. People are all assessed for there ability to self administer their medication. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment Evidence: People said that they were able to speak to their key worker or to the registered manager if they had any concerns. They were also aware of how to contact an advocate should they need one. The registered manager explained that the complaints procedure had recently been updated to make it more accessible to the people who live at Heatherington House. The procedure is written in plain English and has pictures in it to make the information easier to understand. The home has had one complaint since the last inspection where one person who lives at the home complained about the behaiviour of another person who lives at the home. This complaint was investigated by the home and resolved to everyones satisfaction. Staff spoken to had a good understanding of how to keep people safe and what to do if someone had concerns. Care Homes for Adults (18-65 years) Page 19 of 28 Care Homes for Adults (18-65 years) Page 20 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy living in a comfortable, well maintained and homely environment. Evidence: Heatherington House provides comfortable and spacious accommodation for the people who live there. The property is clean and well maintained throughout and the communal areas are made homely with pictures and ornaments. One person said that it was a good place to live...one of best homes Everybody who lives at Heatherington House has their own bedroom. People are able to make their bedrooms personal with their own possessions, choice of decor and personal effects such as photographs and posters. All of the bedrooms except one have an ensuite shower room. The person who does not have an ensuite has sole use of a bathroom across the corridor from his bedroom. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a well trained and competent staff team. Evidence: Heatherington House provides comfortable and spacious accommodation for the people who live there. The property is clean and well maintained throughout and the communal areas are made homely with pictures and ornaments. One person said that it was a good place to live...one of best homes Everybody who lives at Heatherington House has their own bedroom. People are able to make their bedrooms personal with their own possessions, choice of decor and personal effects such as photographs and posters. All of the bedrooms except one have an ensuite shower room. The person who does not have an ensuite has sole use of a bathroom across the corridor from his bedroom. One person who lives at the home said that the staff are .. helpful as can be. Records show that staff have a comprehensive induction programme when they first start work at Heatherington House. This comprises of two weeks spent at Gretton House completing training courses including health and safety, moving and handling, Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: prader willi syndrome, fire safety and safeguarding of vulnerable adults. New staff are then given a buddy to work alongside while they gain the necessary experience and to help them put the theoretical knowledge they have gained into practice. One member of staff described the induction as amazing. Staff receive ongoing training including conflict management , sexuality and relationships, administration of medication and National Vocational Qualifications (NVQs). One staff member told us that Heatherington House is one of best for training, cannot criticise. The registered manager spoke highly of the staff saying that she feels that they get a better quality of service if we invest in our staff Records show that staff recruitment is well managed and that all of the necessary pre employment checks are completed prior to staff starting to work at Heatherington House. This is important to ensure that staff are safe to work with people with learning disabilities. People who live at Heatherington House are involved in recruiting the staff who support them. People were consulted on what they want in a support worker, this information was considered by the interview panel. Candidates visit home for informal interview with the people who live there prior to their formal interviews. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. The registered manager seeks to further develop and improve the service. Evidence: A staff member described the registered manager as excellent saying that she could not ask for someone to be more supportive. The registered manager explained the extensive quality assurance measures that the home has in place. A health and safety audit is carried out every six months. The registered provider conducts an annual audit of the home against all of the national standards, Heatherington House scored 96 in their most recent audit. The registered manager explained that she had been involved in reviewing the how this audit is conducted to ensure that it takes account of the specific issues relating to the Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: support needs of people with prader willi syndrome. The results of questionnaires given to the people who live at the home and their families were viewed. These were generally very positive. The questionnaires were made easier for people to read with pictures and symbols. The registered manager explained that an action plan is drawn up from the results of the questionnaires to make sure that all of the issues raised are addressed. The registered manager is the leader of a quality group for a number of homes within the Consensus group. The quality group looks in detail at peoples lives and how they could be improved. Records show that all the necessary health and safety checks are carried out on the property. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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