Inspection on 04/05/05 for Heathfield

This inspection was carried out on 4th May 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

Heathfield 18/06/09

Heathfield 13/02/07

Heathfield 19/10/05

Heathfield 14/03/05

Heathfield 20/09/04

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 1 Canterbury Road Ashford Kent TN24 8QG Lead Inspector Sue Gaskell Unannounced Inspection 4th May 2005 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 H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Heathfield Address Canterbury Road, Ashford, Kent Tn24 8QG 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) 01233 610010 Mr Jason Prior Mrs Shelagh Lewis OP & PD 29 and 1 Category(ies) of PC - 30 registration, with number of places Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/03/05 Brief Description of the Service: Heathfield provides long term and respite accommodation, care and support to up to 29 older people and 1 person with a physical disability. The Home comprises detached premises located in a residential area of Ashfords within level walking distance of shops, medical centres, churches, a library and other local amenities. Further facilities are within a short drive. There are bedroom facilities on the ground floor as well as the first floor. Some bedrooms have ensuite facilities. The Home, which is accessed from within a housing development, has a well maintained garden available for residents use, and adequate car parking space within the grounds. Staffing comprises a registered manager, care manager, care, catering and domestic staff. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Heathfield provides a comfortable, homely environment where residents rights and choices are respected. Residents said that the care and services provided by the home are good, and that the staff are helpful, kind and cheerful. Staffing numbers were appropriate for the number and needs of residents and staff had a good knowledge of sound care practices and of individual residents’ likes, dislikes and needs. Although there is a need for clearly dated and signed pre-admission assessments, more detailed risk assessments, and an updated system of recording certain medication, the care planning and record keeping is consistent and appropriate. The home is clean, well maintained and decorated, and generally there is a high regard and awareness of health and safety issues. Staff employment, training and supervision were not inspected on this occasion as the Registered Manager was not present, but other administration procedures inspected were satisfactory. What the service does well: What has improved since the last inspection? The home is continuing to improve its facilities, eg assisted bathing equipment, and the introduction of new activities for residents. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 6 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 H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 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 H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 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) 1, 3, 4, 5, 6 Prospective residents have an opportunity to visit the home prior to admission and are provided with comprehensive information regarding the home. It was difficult to judge whether all residents have been assessed by the home prior to admission and they are not assured in writing that their needs can be met. EVIDENCE: Residents and one relative confirmed visiting the home and being provided with written and verbal information. The same format is used for preadmission and on going assessments and some were not dated prior to admission. The Manager acknowledged that residents had not been sent letters of confirmation that the home is able to meet their needs Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 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, 8,9, &10 The care planning system is not sufficiently detailed to ensure that all residents’ needs will be met. Medication policies and procedures are sound, and adhered to. Personal support is offered in a manner which respects residents’ rights to choice, respect and dignity. EVIDENCE: Whilst there are care plans in place for all residents, some of them lack sufficient detail to ensure that all health, personal and social care needs are met. Two care plans lacked sufficient detail in the risk assessments and lacked clear guidelines on how to minimise any risk. Whilst controlled medication was seen to be appropriately recorded it was recorded in loose pages and not in a bound and numbered paged book. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 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) 12,13,14,15 Residents’ experiences of life in the home meets and satisfies their needs and expectations and they are helped to exercise choice and control over their lives and daily activities. Residents are assisted with maintaining contact with their previous way of life, and their families and friends are made welcome. Residents’ tastes, choices and dietary needs are well catered for, with a varied selection of food and drinks available during the day and evening. EVIDENCE: All of the residents spoken to, and one relative who visits the home on a daily basis, confirmed that residents are frequently encouraged to say what they would like, in terms of personal care, activities, menus etc., and that any suggestions are acted upon. Residents and one visitor confirmed that visitors are always made welcome and offered hospitality. The meal served during the inspection was seen to be appetising and nutritious and residents confirmed that the food is generally of a high standard. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 11 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) 16,17,18 The home’s complaints process is satisfactory and there is evidence to show that residents’, or others’ concerns are taken seriously and responded to appropriately. Staff have a good understanding of adult abuse issues and of the home’s procedures to protect residents from abuse. EVIDENCE: The home has a complaints form to record complaints, together with a book for day to day issues. There was correspondence on file showing how complaints had been investigated and the subsequent outcome. This included a complaint made last year which was found to be unsubstantiated. Residents confirmed that they would feel comfortable in mentioning anything to the Managers or staff and confident that any concerns would be resolved. The care Manager and other staff referred to procedures and ongoing training in adult protection and showed a willingness to consult with local authority care managers and adult protection co-ordinators. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 12 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) 19,20,21,22,23,24,25,26 The home provides a clean, safe, well maintained indoor and outdoor environment. Residents live in comfortable, well-decorated bedrooms with their possessions around them. Specialist equipment is provided, including adequate and appropriate washing and toilet facilities. EVIDENCE: All parts of the building were seen to be clean, well maintained, and furnished and decorated to a high standard. Several residents referred to items of furniture in their bedrooms, or other possessions, which they had been able to bring with them. The home has an assisted bathing facility and is in the process of installing further equipment. The Manager and staff showed a good awareness of general health and safety issues. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 13 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) 27, 30 Staffing, in terms of both numbers and competency, is appropriate to the current needs of the residents. Staff are well trained and supported, and staff morale is high EVIDENCE: Staffing at the time of the inspection comprised a Manager, 4 care staff and domestic staff. Although recruitment, training and supervision records were not available for inspection, staff confirmed that there is a good level of induction and further training and that all necessary checks on staff are undertaken prior to employment. All of the residents spoken to confirmed that day staff and night staff are kind, sensitive, helpful and cheerful. Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 14 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) 33, 37, 38 Residents benefit from a well managed home where there are appropriate procedures in place to safeguard their general well-being. EVIDENCE: Residents confirmed that they are consulted and kept informed of any developments affecting themselves or the home in general. Records are generally well maintained, and systems and procedures are regularly reviewed Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 15 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 2 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 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 3 3 x 3 3 x x x 3 2 Heathfield H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 16 no 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 3 Regulation 14 Requirement Ensure that pre-admission assessments are clearly dated and signed and that residents are provided with writen confirmation that their needs can be met. Ensure that clear and comprehensive risk assessments are prepared and that staff are advised of what action to take to safeguard all residents. Record administration and quantity of controlled medication in a bound and numbered-paged book. Prepare risk assessments for use of mobile screens and any radiators which are unguarded. Timescale for action 15 May 2005 2. 7 15 15 May 2005 3. 9 13 15 May 2005 15 May 2005 4. 38 23 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 H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Ashford local office 11th Floor, International House Dover Place Ashford, Kent . TN23 1HU 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 H56-H05 S23432 Heathfield V223740 040505 Stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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