Inspection on 22/12/05 for Heatherstones

This inspection was carried out on 22nd December 2005.

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

Heatherstones 08/10/09

Heatherstones 15/05/07

Heatherstones 18/07/05

Heatherstones 05/10/04

Heatherstones 20/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Heatherstones 1a/1b Heatherstones Queensgate Halifax West Yorkshire HX3 0DH Lead Inspector Lynda Jones Unannounced Inspection 22nd December 2005 10:00 Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heatherstones Address 1a/1b Heatherstones Queensgate Halifax West Yorkshire HX3 0DH 01422 369724 01422 369724 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) St Anne`s Community Services Mrs Julie Elizabeth Banks Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2005 Brief Description of the Service: Heatherstones is a stone, purpose built bungalow, offering 24 hour nursing and social care to 7 service users with severe learning and physical disabilities. The interior of the building comprises; 7 single bedrooms, 2 bathrooms/ wcs. 2 separate wcs, 1 shower and toilet, 2 kitchen/ dining rooms, 2 lounges, 1 staff room and a laundry. The church and local shops are within walking distance and it takes approximately 5 minutes when travelling by car to the town of Halifax, and 10 to 15 minutes on foot. The home is also on a bus route. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk The last inspection of the home was unannounced and took place on 18 July 2005. There have been no further visits until this unannounced inspection. This was an unannounced inspection carried out by one inspector over a 3.5 hour period. The main purpose of the inspection was to make sure that the home continues to provide a good standard of care for the people who live there. The methods used at this inspection included looking at care records and talking to the manager about the service provided at Heatherstones. What the service does well: Heatherstones is a well managed home with a team of staff who are dedicated to providing good care to service users. The records show that there is a detailed individual care plan and risk assessment in place for every service user which helps the staff to meet individual needs and keep service users safe. Relatives are very much involved in the way the home is run, providing care and support is viewed very much as a partnership with families. The staff know individual service users very well and they treat service users with respect. All members of the team support service users to make decisions and choices about their lives. Staff are good at ensuring that service users health and personal care needs met Staff support and supervisions systems are in place and St Anne’s offers a comprehensive training programme for all staff. The St Anne’s Service Manager for the Calderdale area regularly visits the home to provide additional support and advice. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 6 Staff recruitment procedures are thorough and appropriate checks are carried out to make sure that staff are suitable to take up employment. The home is well maintained and the accommodation is pleasant and homely throughout. 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. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Care planning and risk management are good at Heatherstones. Service users and their families are involved in the care planning process. EVIDENCE: Individual care plans contained excellent detail of how service users’ needs should be met. These were easy to follow and gave clear guidance to staff. The records included details of specialist assessments and evidence that other health care providers are consulted and involved in the person centred planning process. Service users are consulted by staff who know each person very well, the staff enable people to make decisions about their lives. Evidence in the records also showed that relatives are very much involved in the planning process and are always invited to the meetings when plans are reviewed. A visiting relative confirmed that this was the case. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 10 The personal objectives set out in the plans are easy to follow. The day-to-day recording showing how each person is progressing towards their objectives is clear and detailed. Examination of the records showed that regular reviews take place. Records showed evidence that action plans were implemented and if they had not been there were clear records to indicate the reasons why not. Service users are supported to take reasonable risks. Detailed risk assessments are in place describing the actions to be taken to minimize identified risks. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Service users take part in a range of valued and appropriate activities both in the home and in the community on a regular basis. Everyone is supported to keep in touch with family and friends. Staff are very good at supporting service users to be as independent as possible and make choices in their daily lives. EVIDENCE: In the past, service users have been supported to go out and take part in leisure and educational activities by staff from social Services. The manager reported that this was about to change. In future, additional staff hours will be allocated to Heatherstones to enable staff from the house to accompany people on activities. At the time of the inspection the transition was not complete but the manager expected additional staff to be recruited in the very near future. Everyone at the home has a personal programme outlining how they wish to spend their time. Chosen activities are incorporated into each person’s individual plan. Individual staff time is allocated to each person so that they Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 12 can pursue their interests outside and within the home. Details are recorded of all activities that take place. The manager said that relatives and friends were always very welcome at the home. Relatives are positively encouraged to say if they have any worries or concerns about the service provided. Providing care and support is viewed very much as a partnership with families. A visiting relative said she was absolutely satisfied with all of the care provided at Heatherstones, she said nothing was ever too much trouble for staff, communication with all members of the team was excellent and she was always made to feel welcome whatever time of day she called at the home. She described the staff and the service they provide as “first class”. Each day everyone has breakfast whenever they are ready to eat. Everyone has an individual lunchtime menu based on their personal likes/dislikes and dietary needs. How people have their meals is based on their individual needs. Relatives are always very welcome to join people for meals. Menus are planned in advance and then weekly shopping takes place accordingly. The manager said one of the service users usually accompanies two staff to do the shopping for the house. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this inspection. See last report. EVIDENCE: Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. The home has appropriate systems in place to ensure that service users are safeguarded from abuse and that complaints are dealt with promptly. EVIDENCE: All staff at the home have taken part in training on adult protection issues. This is mandatory training for all St Anne’s employees and training is regularly updated. The manager said that all staff are informed about the St Anne’s whistle blowing policy as part of their induction programme. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 Not all of these standards were assessed on this inspection. See last report. EVIDENCE: Since the last inspection the home is preparing to increase the number of people that can be accommodated from seven up to eight. The office has been moved to another part of the house and the former office will become a bedroom. The room has been redecorated and it will be equipped to the same standard as the rest of the bedrooms. The bedroom is spacious and has en suite facilities. Although there is sufficient shared space in the house to accommodate another service user, the management team and staff felt that adding a conservatory to the home would increase the amount of space available and give people more choice of comfortable sitting areas. Although not quite finished at the time of this inspection, the conservatory will be equipped with heating, ventilation and adequate protection from the summer sun. It will be an added bonus to the rest of the accommodation and will allow direct access out to the garden. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 There is a robust recruitment process and detailed checks are carried out before new staff start work at the home. A range of training is available to all staff. Staff support and supervision systems are in place EVIDENCE: St Anne’s operates a thorough recruitment process. References are always taken up and CRB checks are carried out for all new staff before employment commences. St Anne’s offers a comprehensive training programme for staff, which is published annually and shows the dates and details of training that is available throughout the year. All staff undertake a range of mandatory training. The records show that training needs are identified through staff supervision Regular staff supervision is planned in advance and takes place approximately six times during the year. Annual staff appraisals are also conducted. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. The home is well managed; the interests of service users are important to all staff and are safeguarded. Service users and their families are involved in decisions about the home. Health and safety in the home is regularly audited and monitored by management. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She is a qualified nurse and also has an NVQ level 4 in management. The manager attends regular training in order to maintain and update her skills and knowledge. The findings of the inspection confirm that service users benefit from a well managed home. There is evidence to show that service users and their families are consulted about the way the home is run. They are consulted and involved in decisions about any changes to the home, this was confirmed in discussions with a relative of a service user on the day of inspection. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 18 The records show that regular health and safety checks take place in order to minimise the risk of accidents and to ensure that all equipment is in working order. Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heatherstones DS0000001056.V275002.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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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