CARE HOMES FOR OLDER PEOPLE
Heathermount Mount Avenue Heswall Wirral CH60 4RH Lead Inspector
Inger Moynihan Unannounced Inspection 18th November 2005 02:30p 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 Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Heathermount Address Mount Avenue Heswall Wirral CH60 4RH 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) 0151 342 1102 Abbeyfield Heswall Society Limited Mrs Lorraine Mary Quinn Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 5th May 2005 Brief Description of the Service: Heathermount is registered to provide accommodation for twelve older people. The home is a detached three storey house set in its own grounds. The gardens are mature with a level footing which provides a safe environment for the service users. Patio furniture is also provided. There is a small car park with parking space for four cars at the front of the building. Accommodation for service users is provided on three floors with a passenger lift to all floors. Service users bedrooms have en-suite facilities which comprise of a toilet and washbasin. Specialised bathing facilities are provided on each floor. The communal facilities comprise of a lounge / dining room which has access to a small patio area and the garden. The standard of decoration throughout the home is very high. Heathermount is within walking distance of Heswall town centre which has a selection of shops, banks and restaurants. The town also has a bus station which gives easy access to Liverpool and other parts of the Wirral. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over four hours and was the statutory unannounced inspection for 2005 / 2006. During the last three inspections all of the documentation required for the management of this service has been examined and was kept in good order. In the light of this, this inspection concentrated on speaking to the service users and finding out their views on the standard of care they receive while living at Heathermount. What the service does well:
Service users are only admitted into the home on the basis of a full assessment, which ensures staff can provide the appropriate package of care. The service users discussed some of their particular care requirements with the inspector and outlined how the staff met these needs. One service user stated the staff are excellent, they are patient and kind and care for me in the way I want. Efficient systems were in place to ensure service users good health. The service users spoken to during inspection confirmed they had access to relevant health care professionals when necessary. They confirmed they could speak freely to staff about any concerns they had and that these concerns were acted upon appropriately. Efficient medication administration procedures were in place to ensure service users good health. All of the service users spoken to during the inspection confirmed they always received their medication as prescribed by their GP. A varied and nutritious diet was provided to ensure service users interest and good health. The service users commented how much they enjoyed the meals and confirmed they always had enough to eat and drink. One service user commented I enjoy the mealtimes because it gives me an opportunity to chat to the other service users. The service users confirmed a range of activities take place during the week which they are free to participate in if they wish. The service users spoken to during the inspection said they were aware they could make a complaint about any aspect of the service and who they should contact in the event of them wishing to do so. One service user commented the staff are very kind and caring and I have no complaints to make about the way I am looked after. A member of staff spoken to during the inspection confirmed she had completed training in relation to the protection of vulnerable adults from abuse
Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 6 and stated that an ongoing programme of training in relation to this aspect of care was in place. All of the service users spoken to during the inspection confirmed they were treated with respect and courtesy at all times and had never experienced anything other than kindness from the staff team. The standard of the decor at Heathermount remains very high and provides a comfortable and pleasant environment for service users to live. Heathermount has a full complement of staff who are evenly deployed across the week to ensure service users’ care needs are met at all times and to ensure their safety and well-being. Staff have completed appropriate training to ensure service users receive the correct level of care. The leadership, guidance and direction offered to staff ensures service users receive a high standard of care and the home is run for service users best interest. The service users spoke highly of the registered manager and said she was always available for help and assistance. The health, safety and welfare of the service users was well promoted. 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. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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): Service users are only admitted into the home on the basis of a full assessment, which ensures staff can provide the appropriate package of care. EVIDENCE: All of the service users spoken to during the inspection confirmed their needs were met in every way. One service user stated the staff are excellent, they are patient and kind and care for me in the way I want. The service users discussed some of their particular care requirements with the inspector and outlined how the staff met these needs. It is the inspectors opinion the service users are receiving a high standard of care which is in line with good practice. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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): 8 and 9 Efficient systems were in place to ensure service users good health. Efficient medication administration procedures were users good health. EVIDENCE: The service users spoken to during the inspection confirmed they had access to relevant health care professionals when necessary. They confirmed they could speak freely to staff about any concerns they had and that these concerns were acted upon appropriately. All of the service users spoken to during inspection confirmed the staff treated them with respect and dignity at all times and particularly when carrying out personal care. One service user commented the staff are very discreet when helping me with my personal care which is very important to me. When service users are unwell or become vulnerable in anyway, they must rely on the staff to care for them properly. It is clear from the service users comments that staff are providing a high standard of care which is in line with good practice.
Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 10 in place to ensure service Efficient systems were in place for the safekeeping and handling of service users’ medication and only trained staff are allowed to administer medication. All of the service users spoken to during the inspection confirmed they received their medication as prescribed by their GP. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 and 15 A varied and nutritious diet was provided to ensure service users interest and good health. A range of social activities were provided to ensure service users interest and mental stimulation. EVIDENCE: The service users confirmed a range of social activities take place during the week which they are free to participate in if they wish. Some of the service users stated they did not wish to become involved in these activities and were happy the staff respected their decision. One service user commented I enjoy the social activities because it gives me a chance to chat with the other service users. A number of service users confirmed they had their own routines with regard to social activities and where free to go about their day as they wished. All of the service users spoken to during the inspection confirmed they enjoyed the meals and confirmed an alternative meal was always provided. One service user commented the food is lovely and I always have enough to eat. Another service user commented I enjoy mealtimes because I can chat to the other service users. The dining room is a pleasant and comfortable area for service users to have their meals and staff had taken steps to ensure service users could enjoy their meals at their leisure.
Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 12 The service users confirmed their friends and relatives could visit Heathermount at any time; this was also confirmed by a relative spoken to during the inspection. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 and 18 Service users were aware of who to contact if they wished to make a complaint. Procedures were in place to ensure server users were protected from abuse. EVIDENCE: The service users spoken to during inspection said they were aware they could make a complaint about any aspect of the service and who they should contact in the event of them wishing to do so. One service user commented the staff are very kind and caring and I have no complaints to make about the way I am looked after. Another service user stated the girls are great, nothing is ever any trouble, I only have to ask and its done. A member of staff spoken to during the inspection confirmed she had completed training in relation to the protection of vulnerable adults from abuse and stated that an ongoing programme of training in relation to this aspect of care was in place. All of the service users spoken to during the inspection confirmed they were treated with respect and courtesy at all times and had never experienced anything other than kindness from the staff team. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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): 19 and 26 The standard of the decor at Heathermount remains very high and provides a comfortable and pleasant environment for service users to live. EVIDENCE: The standard of furnishing throughout the home remains very high and the grounds are well kept. On the day of the inspection the home was clean and tidy throughout. Sufficient laundry facilities were in place along with systems to ensure the prevention of cross infection. It is clear the staff are working very hard to ensure a high standard of cleanliness is maintained. All of the service users spoken to commented on the high standards of cleanliness throughout the building as did a relative spoken to during inspection. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 and 28 Service users needs were met by the number and skill mix of staff. Staff have completed appropriate training to ensure service users receive the correct level of care. EVIDENCE: Heathermount has a full complement of staff who were evenly deployed across the week to ensure service users’ care needs were met at all times and to ensure their safety and well-being. A member of staff confirmed a rolling programme of training was in place to ensure the staff were up to date on current good practice and to ensure service userswelfare and safety while living at Heathermount. This training is provided by way of National Vocational Qualification training and in house and external training courses. The Abbeyfield Heswall Society has a positive approach towards training and development which ensures service users are being cared for properly and their needs are being met in accordance with current good practice. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 and 38 The leadership, guidance and direction offered to staff ensures service users receive a high standard of care and the home is run for their best interest. The health, safety and welfare of the service users was well promoted. EVIDENCE: The registered manager was not available on the day of the inspection as she was attending a training course. Discussion with service users confirmed that Heathermount is run and managed for service users best interest. The service users spoke highly of the registered manager and stated she was always available for support and help when necessary. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 17 Safe working practices have been developed and staff have been provided with appropriate training to ensure service users safety and welfare. All service users have recently been issued with an information booklet on the different aspects of the care provided at Heathermount. This information booklet also gives service users advice on how to keep themselves safe within the home. This is in line with good practice and ensures service users safety and welfare. For service users further safety and welfare, the registered person is advised to keep up-to-date with all of the information provided on the Health and Safety Executive and Medical Devices Agency Web Sites. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 4 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x x x x x x 4 Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? na 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 OP38 Good Practice Recommendations It is recommended that the registered person keeps up to date with the information provided on the Health and Safety Executive and Medical Devices Agency Web Sites. Heathermount DS0000018893.V267486.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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