Inspection on 12/09/05 for Heathfield

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Heathfield 17/07/08

Heathfield 04/12/06

Heathfield 05/05/05

Heathfield 02/12/04

Heathfield 13/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Heathfield 88 Hurst Road Horsham West Susex RH12 2DX Lead Inspector Jennifer Wright Unannounced 12 September 2005, 10:15 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 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. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heathfield Address 88 Hurst Road, Horsham, West Sussex, RH12 2DX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01403 254055 Heathfield (Horsham) Limited Ms Jennifer Mary Moone Care Home (CRH) only (PC) 36 Category(ies) of Old age, not falling within any other category registration, with number (OP), (36) of places Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5 May 2005 Brief Description of the Service: Heathfield is a care home providing personal care and accommodation for up to 36 older people, and is owned by Heathfield Horsham Ltd., a Charitable organisation The home is located in the outskirts of Horsham, close to shops and other local amenities. The home was opened in 1986 and consists of a two-storey building with well-maintained gardens. The home has 36 single bedrooms 12 of which offer ensuite facilities. There is a passenger lift, a large sun room, plus comfortable lounge and dining areas. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The Manager was on holiday at the time of the inspection, however the Assistant Care Manager, and the Administrator, Mrs. Worsell, very ably assisted the Inspector throughout the inspection. During this inspection the Inspector toured parts of the building, and joined the residents for lunch. As well as talking to the Assistant Care Manager and Mrs. Worsell, the Inspector spoke to many residents, plus two visitors, a GP and a District Nurse. The Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Heathfield were being taken care of. At this inspection Heathfield was audited against the National Minimum Standards for Older Persons. All of the elements in each of the standards assessed were met, two were exceeded. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: Heathfield offers the people who live in the home, good care, good food and the opportunity for a variety of activities. All the people who were spoken to on the day of this inspection spoke very highly of the care on offer at the home. The building is in good decorative order, and is well maintained. Many of the staff members have worked at Heathfield for some years, and the Committee members of the company who own Heathfield, (Heathfield (Horsham) Limited) play a very active part in the running of the home. A visiting District Nurse plus a GP spoke very highly of the care provided by the staff members at Heathfield, and visitors spoken to on the day of inspection said they were very happy with what they found each time they came to Heathfield. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 6 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. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 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 standard(s) 2 Each resident has a written contract / statement of terms and conditions with Heathfield. EVIDENCE: The Inspector was told that residents within the home have a contract that clearly states exactly what they can expect from Heathfield and what is expected from them. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 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 standard(s) 7 The resident’s health, personal and social care needs are set out in an individual plan of care. EVIDENCE: Resident care plans were examined and whilst they were well written, they do need to include a photograph of the resident and evidence that residents are weighed regularly, and are to be signed by the resident or their representative upon admission, and at each review. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12 and 15 People living at Heathfield are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of an extremely high standard, and offers a choice of menu, with people able to eat either with other residents or in their own room should they prefer. EVIDENCE: Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 11 There were a variety of activities on offer at Heathfield, and the people that the Inspector spoke to said that they felt that there was enough to do, should they wish it. One resident told the Inspector that she was going to see “Jesus Christ Superstar at the theatre shortly”. The Inspector was told of a young pianist from Christ’s Hospital School who comes to the home and plays the piano, in addition to other activities that go on in the home. Residents are offered a choice of meal daily. On the day of inspection the Inspector shared a meal with the residents, which was clearly enjoyed by everyone. The inspector noted that the meal was served on hot plates, and in a way to encourage appetites. One resident told the Inspector that “the food is lovely” and another said that she was “truly satisfactory ”. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. Where it was necessary, staff members were seen to help residents in a sensitive and unobtrusive manner. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse EVIDENCE: There is a complaint’s procedure in place and the Inspector was assured that all complaints are recorded. There were no complaints recorded at the time of the inspection. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 13 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 standard(s) 20 21 and 25 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence. EVIDENCE: Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities, and have the specialist equipment they require to maximise their independence. On the day of inspection, Heathfield was seen to be clean, and free from offensive odours. Residents told the inspection how much they liked their bedrooms, one resident told the Inspector that they liked having their ”bits and pieces” all about them”, whilst another said that they “loved the constant Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 14 bustle of the home, and the fact that there was always something going on”. There is a large sun lounge at Heathfield that opens onto a well-maintained garden, with new patio furniture. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 Heathfield is adequately staffed with employees who appear competent to care for older people, and ensure their safety at all times. EVIDENCE: Residents told the Inspector that there always appear to be enough people on duty to assist them when they need it, and that the staff members were extremely helpful at all times. A District Nurse told the Inspector that they had no concerns about Heathfield at all, and a GP also spoke very highly of the home. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 36 and 37 Residents are safeguarded by the accounting and financial procedures of the home. EVIDENCE: The inspector saw that insurance cover is in place to meet the National Minimum Standards. There is a business and financial plan for the home, which would be made available to the Commission for Social Care Inspection upon request. The Inspector was informed that Heathfield offers formal bi-monthly supervision to all care staff, in line with the National Minimum Standards. Non-care staff and volunteers are also offered supervision. Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4 COMPLAINTS AND PROTECTION x 3 3 x x x 3 x STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x 3 x 3 3 x Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 18 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. 1. Standard 7 Regulation 17 Requirement Photographs of residents are to be included in their file, each resident’s weight is to be recorded regularly, and residents are to sign their care plans . Timescale for action 31.10.05 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 Good Practice Recommendations Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 Heathfield H60-H11S14558 Heathfield V248856 120905 Stage 4.doc Version 1.40 Page 20 - 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. 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