Inspection on 15/08/06 for Heatherside Rest Home

This inspection was carried out on 15th August 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

Heatherside Rest Home 23/08/05

Heatherside Rest Home 07/06/05

Heatherside Rest Home 09/09/04

Heatherside Rest Home 17/05/04

Heatherside Rest Home 18/12/03

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Heatherside Rest Home Scures Hill Nately Scures Basingstoke Hampshire RG27 9JR Lead Inspector Debbie Oliver Unannounced Inspection 15th August 2006 10:00 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 Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heatherside Rest Home Address Scures Hill Nately Scures Basingstoke Hampshire RG27 9JR 01256 762233 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) Pearl Care (Norwich) Ltd Miss Siobhan Mary Phillips Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd August 2005 Brief Description of the Service: Heatherside provides care for up to thirty-four male and female residents over the age of 65 with associated needs of older people. The home is situated on the A30, in the small village of Nately Scures, about 5 miles from Basingstoke. The building is a large modernised Edwardian two-storey property, set in 2 acres of gardens. The gardens are extensive, well maintained and laid mainly to lawn and ample car parking is available at the front of the premises. Heatherside offers thirty-two single bedrooms, of which twenty-eight have an en-suite facility, and one double bedroom without en-suite. A passenger lift provides easy access to the first floor. The homes communal space comprises of one quiet comfortable lounge, separate dining areas and a large conservatory lounge. On the 18th August 2006 the fees for the home were approximately £319 to £473 per week. Information about the service provided at the home would be made available to potential residents by providing a copy of the home’s service users guide and statement of purpose. A copy of the last inspection report is available in the home. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was unannounced and took place over five hours. During the visit, records and documents were examined, an opportunity was taken to tour the premises and staff working practices were observed. The inspector met and talked to eight residents. Observation enabled the inspector to gain a better understanding of how the needs of residents were being met. There were one resident from an ethnic minority group. What the service does well: What has improved since the last inspection? What they could do better: When there are changes made to an assessment this needs to be dated so everyone is aware that a change has happened. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 6 A bit more work is needed within the care plans to ensure all the information available enables staff to support residents in the very best way possible. Additionally any information in the plans that is out of date or not being used must be archived or removed. This ensures the information available is current. A running total of ‘as required’ medication must be kept so an audit is available on how much medication has been given. The bath for the upstairs bathroom must be purchased and fitted. The risk assessment for the resident who keeps their door wedged open requires their signature to ensure their agreement has been reached. 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. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 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 Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home’s systems and procedures ensure the needs of existing and prospective residents are identified. EVIDENCE: Two new assessments were viewed and included information relating to mobility, care, eating, personality, sight, hearing, continence, medical problems, weight, foot care and oral care. A morning and night routine is also written. The information is clearly written and this information is then used to complete the care plans. It was discussed with the manager that when amendments are made on the admission form a date is required to indicate there has been a change. The manager also confirmed that each prospective resident visits the home before moving in and are able to bring families and friends. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 9 On observation throughout the day it was evident staff can meet residents’ needs. None of the residents were assessed and referred solely for intermediate care. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal, physical and health care needs of residents are well met and the procedure for the receiving and administering of medication is robust ensuring a safe system for residents. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Four residents were case tracked and each plan detailed what support an individual requires. One resident in particular was very independent and this is captured in the care plan. It was discussed with the manager that more information is sometimes needed rather than just stating ‘needs assistance’. All care plans showed reviews were taking place. It was also discussed with the manager that the plans should only have current information, all other information should be archived or taken out. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 11 Staff spoken to said the plans give detailed information to ensure they support residents appropriately. One resident is Polish and due to their older age can on occasions revert to their native language. The family has helped to give some background information to the home but there is also a Lay Preacher who is fluent in Polish and can be contacted to speak with the resident if they can’t make their needs known. Staff spoken to confirmed residents have positive input from opticians, general practitioners, dentists and chiropodists and there was evidence in the daily notes to show this happens. Residents also said they see their Doctor as they need to. The manager confirmed the resident who was suffering with leg ulcers during the last visit no longer lives at the home. Risk assessments are in place with review dates The medication is kept in a locked cupboard and the home uses the NOMAD system. The procedure for the receipt, administration and disposal of medication is satisfactory. It was discussed with the manager that a running total of ‘as required medication’ needs to be kept to ensure there is an audit as to what medication is being administered. Staff spoken to said residents would tell staff if they were in pain and needed pain relief or the staff would contact the manager or senior staff member for advice. All staff have received training in administering medication and the two staff members spoken to confirmed this. The inspector also saw the certificates. Controlled medication should be stored in a locked cupboard within a locked cupboard both of which are attached to the wall. The manager agreed to implement this. Residents spoken to said they felt well cared for and that staff treat them wonderfully with one resident saying ‘staff are fabulous’. During the visit staff were seen knocking on bedroom doors before entering and using residents’ preferred names. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 12 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents have opportunities to engage in suitable activities and are part of the local community, so promoting independence and choice. Contact with families is well supported, and nutritional needs of residents are well managed. EVIDENCE: Residents spoken to said they enjoyed the activities they take part in and on the day of the visit the inspector was able to join in with a quiz that was taken place. Residents were seen interacting with each other with much laughing. There are two people that come in twice a week to undertake activities including reminiscence, dancing and gentle exercises. Contact with families is very positive. Most residents have regular contact with their families and residents spoken to confirmed this. On the day of the visit one resident was celebrating their birthday and had many visitors. Residents were seen accessing most parts of the home and staff were seen using appropriate language for residents and asking rather than demanding Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 13 things of residents. There was gentleness in the way staff supported individuals. A menu is kept on the notice board in the hallway and the food seen offered a varied and nutritious diet. The manager confirmed residents have alternatives if they wish. All residents spoken to said the food was lovely with one saying ‘the food is excellent, I can’t fault it’. The inspector joined residents for lunch and there was a nice relaxed atmosphere with appropriate support being given as needed. There is a regular chef and all staff have received training in food hygiene. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Arrangements for protecting residents and responding to concerns are satisfactory. EVIDENCE: The complaints procedure is available and is kept on the table in the hallway as you walk in. All residents spoken to said they would have no problem making a complaint if they had a worry or concern and are aware of the complaints procedure. There have however been no complaints. Since the last visit all residents now get two baths a week. The home has the relevant procedures and policies in relation to adult protection and all staff have received training. The manager did agree to check the Hampshire Adult Protection policy in place is the most up to date one. One member of staff spoken to demonstrated a good understanding of adult protection issues and the action to be taken in the event of an allegation of abuse and said the training gave them confidence to deal with situations if they arise. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A comfortable, safe and hygienic standard of accommodation is provided for the residents, which meet their needs. EVIDENCE: The inspector toured the home and it is well maintained and suited to the residents’ needs. It is decorated to a standard that creates a comfortable and homely ambience. The home is well furnished with good quality domestic fixtures and fittings. Since the last visit the hot water pipe outside Room 29 has been covered and the woodwork in the corridor areas have been redecorated. The manager is still waiting for the fire officer to visit in relation to the one resident who chooses to have their bedroom door wedged open day and night. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 16 A risk assessment has been completed and it was agreed the resident should sign the risk assessment to show their agreement. One of the bathrooms upstairs is having a new bath and the Stuart wing has recently been redecorated. The home was clean and hygienic throughout and infection control procedures were in place. Protective clothing is available to staff and these are kept in the laundry room. There is a separate laundry room with all the necessary equipment available and the home employs a laundress. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 17 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): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has procedures and systems in place that ensure staff are properly recruited and that there is always enough staff on duty. The training in place shows staff have the necessary skills and knowledge to meet the complex needs of residents accommodated in the home. Regular supervision for staff ensures they are well supported. EVIDENCE: From observation and discussion with staff members, they have built good relationships with residents and have a good understanding of their needs. Two staff were spoken to and they indicated that they have received good training since starting in the home. The manager confirmed staff receive all the relevant training including first aid, moving and handling, health and safety and fire and the inspector saw the records. Additional training included loss and bereavement and communication. Dementia training is currently trying to be accessed. The manager confirmed that for each new member of staff an induction is completed and some were sampled. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 18 Some staff have achieved a National Vocational Qualification and five others are about to start. Staff spoken to confirmed they receive regular supervision and that the manager is approachable and easy to talk to. There was adequate staff on duty at the time of the visit and this was confirmed on the rota. The inspector sampled three staff files and they contained all the necessary information relating to recruitment. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 19 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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from a well organised home and the quality assurance system ensures residents and their families are able to contribute their views for the development of the home. The system for maintaining the health, safety and welfare of residents is satisfactory, including residents’ financial interests. EVIDENCE: Staff spoken to said the manager is approachable and easy to talk to. They can go to her with ideas and she will listen. The manager is working to achieve her National Vocational Qualification level 4 in care and has completed her Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 20 registered managers award. She gains support from the provider and the area manager. The area manager visits the home every month to assess the service being provided. A copy of this report is then sent to the Commission. Families are fully involved and questionnaires for them and the residents are being sent out. The manager confirmed if there were particular views from families or residents these would be acted upon. Staff discuss their views through supervision and team meetings, the minutes for these were seen by the inspector. Resident meetings are also held and issues such as activities and the menu are discussed. One resident asked to have a barbeque and as a result a fete was held at the home last weekend. The manager confirmed the home has nothing to do with any of the residents’ finances and residents or their families have control of any money. The manager confirmed that all the relevant checks in relation to health and safety have been undertaken and the handy man also confirmed this. The inspector saw the records showing staff have received fire safety training. The home also has the relevant health and safety policies in place. Accident books were also seen and any accidents are filed and locked away and room numbers are put in the accident book so the information can be easily accessed. Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 21 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 Heatherside Rest Home DS0000049984.V303059.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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