Inspection on 27/06/05 for Heathfield Care Home

This inspection was carried out on 27th June 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 Care Home 11/05/10

Heathfield Care Home 20/10/09

Heathfield Care Home 16/11/08

Heathfield Care Home 26/07/06

Heathfield Care Home 08/12/05

Heathfield Care Home 02/11/04

Heathfield Care Home 22/05/04

Heathfield Care Home 10/10/02

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Care Home Main Road, West Wittering, Nr Chichester West Sussex PO20 8QA Lead Inspector Veronica Gay Announced 27 June 2005 09:30 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Heathfield Care Home Address Main Road, West Wittering, Nr Chichester, West Sussex, PO20 8QA 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) 01243 511040 01243 511047 Heathfield@Tesco.Net Intercare Orthopaetic Services Limited Mrs Jaqueline Anne Ovington Care Home (CRH) 20 Category(ies) of Old age, not falling within any other category registration, with number (OP),(20) of places Physical disability (PD),(1) Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 One person in the category Physical Disability (PD) over the age of 50 years may be accommodated. 2 Only persons over the age of 65 may be admitted. Date of last inspection 2 November 2004 Brief Description of the Service: Heathfield is a privately owned establishment registered with the Commission for Social Care Standards to accommodate up to twenty service users in the category of old age (OP).There is also a variation for one named person in the category of PD Physical Disablement.The establishment is a detached property set in its own attractive grounds. Situated six miles from Chichester and two miles from West Wittering village. The registered provider is Intercare Orthopaedic Services Ltd. Mrs J Ovington is a director and registered manager responsible for the day-to-day management of the home.The responsible person on behalf of the company is Dr Nita Gupta. Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. This was an announced inspection, made at 9-15am and lasted five and a half hours. During this inspection the Inspector toured the building, visited every room, and joined the residents for lunch. As well as talking to the Manager and seven of the staff members, the Inspector spoke at length to 10 of the 19 residents, plus two visitors. The Inspector examined records about care being provided to residents; as well as records of any accidents, or concerns or complaints, to make sure that the residents at Heathfield are being taken care of. Prior to this inspection “comment cards” were circulated in order that people could make their views known to the Commission for Social Care Inspection. The comments made will be incorporated in this report. During the course of the day the Inspector was very ably assisted by the Provider/Manager Mrs. Ovington and her deputy Mrs.Lintott, and the inspector would like to thank both them, and everyone else who cooperated with her at this inspection. What the service does well: Heathfield offers the residents who live there, good care, good food and the opportunity to engage in range activities. Everyone spoke very highly of the care on offer at Heathfield. The building is maintained safely, and is nicely decorated, with all relevant records in place to ensure the safety of the people living there. The staff members are to be commended on reaching a ratio of 50 trained in National Vocational Qualification level 2 or 3. Residents said the home met their varying needs and that all staff members were “wonderfully kind” Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 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 Prior to moving into Heathfield people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from Heathfield and what is expected from them. EVIDENCE: A recently admitted resident showed the inspector a Statement of Purpose and Service Users Guide, which she was provided with before agreeing to stay in the home. All residents said their needs were being met “couldn’t fault the place” said two residents. The inspector saw samples of assessments, and all contained information with regard to their health, personal preferences and social contacts. Details of resident’s individual daily needs are also kept which includes any district nurse input. Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 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 Residents health, personal and social cares needs are recorded in an individual plan of care. Medication was being safely stored and suitably recorded. Residents said staff members treat them with respect at all times. EVIDENCE: Samples of care plans were seen by the inspector all of which were detailed and reviewed monthly with the resident. Residents said they could see the GP when they wished and the district nurse called as required to attend to dressings. One resident looks after his own medication and this was safely stored and records were kept. Comments from residents included “ I like everything about the home… staff are wonderfully kind and caring…the home has spirit. Staff are really charming… I couldn’t fault it in anyway” Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 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) 14,15 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 a good high, 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 11 There is a programme of activities on offer, which seem to meet with the resident’s approval. The majority of residents told the Inspector that they felt they were free to choose, no restrictions were placed upon them. One resident said she enjoyed playing Bingo, another resident said she preferred the privacy of her room. Some residents were planning to go on a boat trip later in the week and another resident said the manager took him out monthly to the local shopping centre in Chichester or the Witterings. Residents were provided with a pre dinner drink with savoury nibbles, which they said they enjoyed. 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 was good” and another said that she “enjoyed the mixture of vegetables that were available” From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. The Cook has worked at the home for sometime and therefore knew the likes and dislikes of the residents. A menu board is on display and staff consults daily with each resident in order that they can choose what they want to eat from the menu. Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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) 16,18 Residents said the management team listens to them. Training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Heathfield are protected from bad practice. EVIDENCE: The Commission has received no complaints since the previous inspection. Resident told the inspector that they knew who was in charge and that they would not hesitate to approach them if they had any concerns. Residents meetings are held where residents are encouraged to voice their opinions either in person or collectively. Relatives are also invited to attend these meetings. The complaints book showed that any sign of dissatisfaction is not only addressed, but also acted on promptly and practices reviewed. Several residents said, “ There is nothing to complain about” The manager confirmed her understanding of Protection Of Vulnerable Adults and how necessary it was to ensure staff working in the home, were suitable to work with vulnerable people. Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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) 19,26 Residents live in a safe, well-maintained environment Standards of hygiene and cleanliness are high throughout the home. EVIDENCE: The inspector toured the building and spoke to staff and residents to gain an insight into what it was like to live in the home. All residents said they enjoy the “setting “ of the home, which provides an opportunity to watch variety of wildlife. A resident said, “ I appreciate the quietness of the home and the peaceful surroundings”. Another resident said, “I am a keen photographer and am delighted to be able to watch fox’s, birds and a fawn in the garden from my bedroom window”. One resident said, “ I like being able to watch the comings and goings to the country club next door”. It was evident that residents felt the position of the home added to their quality of life. The manager confirmed that the home meets the requirements of the local Fire Service and Environmental Health Officer department. Radiator guards are b being fitted throughout the home following a risk assessment .A programme of Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 14 improvements has been ongoing since the registered providers took over the home in 2002. Furnishing and decoration are in keeping with the building Policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. One resident said, “ The home’s well run and spotless that’s what I like about it” Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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) 27,28,30 Heathfield is adequately staffed with employees who appear competent to care for older people. National Vocational Qualification is on going and further development training is expected. All training is recorded on staff member’s files. EVIDENCE: The manager and her deputy are progressive in their outlook towards staff training. Several of the care staff are qualified nurses from abroad who work in the home as health care assistants. The duty rota seen showed which staff members are on duty during the day and night. Domestic staff are employed in sufficient numbers to ensure that the standards relating to good food and cleanliness id adhered to. Seven staff, members were spoken with in private and all said that they enjoyed caring for the residents. Comments included” I feel supported by the manager and I have no complaints”. A new care assistant said, “ I have received induction training “. Staff are currently being supervised on a daily basis to ensure the policies and procedures are being followed and that the respect and dignity of resident is maintained. The manager said this enabled her to plan a programme of training based on the assessed needs of staff. Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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) 32,33,38 Residents live in a home, which is managed and run by a person who is fit to be in charge. The manager communicates a clear sense of direction and her approach creates an open and inclusive atmosphere. EVIDENCE: Mrs Ovington the registered provider/ manager is a state registered nurse and therefore has the necessary skills and knowledge to carry out her duties in the best interest of residents. The manager and her deputy are qualified assessors and therefore are able to ensure staff receive good training. Mrs Ovington has almost finished National Vocational Qualification level 4 in Care Management and the Registered Manager’s Award. Residents and staff spoke positively of the manager/deputy and said they found them both approachable and supportive. Several resident said they thought the home was well run and two visitors supported this statement. The Responsible Individual visits the home monthly but does not regularly submit reports as required to the Commission for Social Care Inspection. A requirement has been made to this effect, Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 1 3 x x x x 3 Heathfield Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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 OP33 Regulation 26 Requirement The Responsible Individual shall visit the home once a month. Inspect the premises, interview staff , and residents in private and check the records.A copy of this report must be sent monthly to the Commission . Timescale for action June 30 2005 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex OPBN11 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 Care Home v223027 h60-h11s33230 heathfield care home v223027 270605 stage 4.doc Version 1.30 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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