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Inspection on 24/01/06 for Heatherlea Residential Home

Also see our care home review for Heatherlea Residential Home for more information

This inspection was carried out on 24th January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home has a relaxed atmosphere, where the staff team work well to offer individual care to each resident. The manager is competent to lead the staff and to organise all aspects of the home.

What has improved since the last inspection?

The home has had a number of the communal areas decorated including the reception hall, which improves the first impression of the home.

What the care home could do better:

There is only one recommendation made, this is that the care records include the details of the personal care given to each resident on a daily basis.

CARE HOMES FOR OLDER PEOPLE Heatherlea Residential Home Heatherlea House 109 Tor-o-Moor Road Woodhall Spa Lincs LN10 6SD Lead Inspector Kima Sutherland-Dee Unannounced Inspection 24th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heatherlea Residential Home DS0000002371.V279516.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heatherlea Residential Home Address Heatherlea House 109 Tor-o-Moor Road Woodhall Spa Lincs LN10 6SD 01526 353394 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 Lesley Anne Sutherland Mr Terry Sutherland Mrs Elizabeth Margaret Hunt Care Home 17 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (17) of places Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Heatherlea is a large converted house in the village of Woodhall Spa. Woodhall Spa offers local shops and other facilities and it is on a bus route for Lincoln and Horncastle. There is a local G.P surgery and the majority of residents do register with them. The home can care for up to 17 residents over 65 years old, who need help with their personal care, this can include up to 5 residents who have dementia. There are 2 double rooms that are currently only used by 1 resident in each, and the other rooms are singles. None of the rooms offer ensuite facilities, but there are bathrooms and toilets within easy reach of the private and communal rooms. The home is on two floors and there is a stair lift, there are both dining and lounge areas on each floor. The home has a statement of purpose, which describes the facilities and care that can be offered. Heatherlea Residential Home DS0000002371.V279516.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 between 9.45a.m and 12.20p.m and consisted of talking with the residents, the manager, two staff and a visitor. A process of care tracking was used where the care plans and assessments are seen and the details form the basis of the inspection. What the service does well: What has improved since the last inspection? What they could do better: There is only one recommendation made, this is that the care records include the details of the personal care given to each resident on a daily basis. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 6 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. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 The home does properly assess prospective residents and offers them terms and conditions, as well as confirming that their needs can be met. EVIDENCE: Two pre admission assessments were seen and they were comprehensive. They gathered enough information to confirm that residents needs can be met before they move in. Each resident had a terms and conditions document, which they or their representative had signed. Prospective residents have the opportunity to visit the home and spend time there before they commit to moving in and they are given the written information they need to make a choice. There is a statement of purpose available in the main reception and each resident gets a service users guide, which details the services that are offered. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 The home does meet the resident’s needs and each person is given appropriate care throughout their stay. EVIDENCE: The care plans are comprehensive and they cover all aspects of the residents needs, and how the staff will meet their needs. Informative details are written in the care plans in every section except personal care, where more should be recorded to show how the staff helped each resident with personal hygiene. There is good evidence that the home consults both the resident’s and their representatives, this is seen in the care plans where there are information sheets about various aspects of the care that have been signed. The staff confirmed that they know how to maintain the residents privacy while they carry out personal care. The residents were very positive about the staff and the care at the home, comments included ‘ We couldn’t wish for better staff they are lovely and very kind’ ‘ The staff are wonderful’. A visiting friend said that the ‘staff were very kind and always offered her a cup of tea’. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 10 The manager gave an example of how they care for residents at the end of their life. ‘ I will come in to be with this person because she asked me what would happen and I promised her I would be there so the staff will call me.’ Resident’s wishes are written in their care plans and the home has policies on dealing with any death of a resident. A staff member also explained that although the death of a resident is never easy they do know what to do. There have been improvements to the medication system since the last inspection and peoples allergies are recorded. The storage of medication has also improved and prescribed medication is kept together whether it is in the dosage system or not. The care plans record any medical intervention, appointment or treatment. The manager explained that they had called a G.P at the weekend and that residents have access to health care as appropriate. One resident who came to the home with a pressure sore had now healed well. The manager talked about the care of a resident during a telephone call with the owner and pressure area care was discussed. The manager also ordered packs of mouth care equipment so that they could ensure a poorly resident was kept comfortable. District nurses visit the home as required and there are regular chiropody appointments available. During a conversation with a staff member, they left to assist a colleague with a resident and they were overheard being kind, patient and respectful during this care. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15 The home does offer a lifestyle that meets the resident’s individual needs. The home provides a good standard of food that is based on the staffs knowledge of each residents preferences. EVIDENCE: The home makes efforts to provide meaningful activities for the residents and they try to encourage participation. However a discussion took place with the manager about how hard it is to get the residents to join these activities. As well as organised activities inside eth home people do have the opportunity to go out for walks or for staff to help them go out using wheelchairs. A list of activities is posted on the lounge doors and they included a residents meeting, armchair exercise, bingo, board games and entertainment. The staff also confirmed that very few of the residents attend these sessions despite their efforts. Some residents do use the large garden summerhouse in the good weather. A recent trip to a pantomime was organised after discussion at a residents meeting and tickets were purchased but none of the residents choose to attend. The manager odes recognise the importance of stimulation and social opportunity and they will continue to offer a programme of events. The kitchen staff had a list of the residents food dislikes and they had a good knowledge of peoples preferred portion size. The food is home cooked and the Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 12 pantry was well stocked with branded products. The residents confirmed that they liked the food and they can ask for alternatives if they wish. They are asked for their teatime choices every day. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The residents are confident that their views will be listened to and the staff and manager know how to deal with complaints. The home does protect the residents from abuse. EVIDENCE: The staff confirmed what they would do if they received any complaints. They also said they would have no hesitation approaching the manager if they didn’t like the way another member of staff dealt with the residents. Training courses in abuse awareness have taken place and more are booked. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection. However the home was clean, tidy and comfortable and the residents said they like their rooms. EVIDENCE: Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The home provides enough skilled and trained staff to meet the resident’s needs. EVIDENCE: The staff work well as a team and they are given the training they need to carry out their roles. Two staff are currently doing their N.V.Q 2 courses and one has just finished their N.V.Q 3 course. A training schedule is posted in the office and this covers both the statutory courses such as health and safety and specialist courses such as dementia care. The home currently has two part time staff vacancies and these hours are covered between the regular staff until recruitment takes place. The staff said they like working at the home. There are normally two staff on duty during the morning and the afternoon and the staff said this was enough to do their job without having to rush, but obviously there were times when things ‘ got more hectic’. The manager will help with the care of the residents if this is needed. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,36,38 The home is competently managed for the benefit of the resident’s. Staff are supervised and supported, and the residents are protected by the policies in the home including the comprehensive risk assessments. EVIDENCE: The registered manager is very capable and was praised by the staff for the formal and informal support that is given. The residents said that the manager is very approachable and the owner also goes to the home often and talks with each resident. The manager attends regular meetings with other home managers where they discuss practise and policies. This is useful for the manager to keep up to date and also for them to receive support. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 17 The care plans include risk assessments and these are also available throughout the home for staff to use. All the equipment is regularly tested and serviced and the staff attend health and safety, and food hygiene courses. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 X 3 Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 19 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. 1 Refer to Standard OP7 Good Practice Recommendations It is recommended that the staff maintain more detailed records of the care that is given, in the section dealing with personal care in the care plans. Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI Heatherlea Residential Home DS0000002371.V279516.R01.S.doc Version 5.1 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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