Inspection on 08/12/05 for Heathfield Care Home

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 27/06/05

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 Mrs V Gay Unannounced Inspection 8th December 2005 09:55 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 Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 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. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Heathfield Care Home Address Main Road West Wittering Nr Chichester West Sussex PO20 8QA 01243 511040 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) heathfield@tesco.net Intercare Orthopaedic Services Limited Mrs Jacqueline Anne Ovington Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (1) of places Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One person in the category Physical Disability (PD) over the age of 50 years may be accomodated. Only persons over the age of 65 may be admitted Date of last inspection 27th June 2005 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 Individual on behalf of the company is Dr Nita Gupta. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second 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 unannounced inspection, made at 9-55 am and lasted three hours. 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 reader is advised to look at the reports of both inspections for a fuller picture of the home. Where standards have not changed the report remains the same. During this inspection the Inspector toured the building, visited several rooms, and joined the residents in the lounge. As well as talking to the Manager and four of the staff members, the Inspector spoke at length to eight of the seventeen residents. 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. Residents spoke highly of the home saying the staff were kind, attentive and caring. Comments from residents included the following” They are very accommodating… whenever my visitors come they ensure a table is prepared for our supper”…Staff are wonderful…we are taken out to shows and evening entertainment which I really enjoy…Food is good and fresh…It’s a lovely home no complaints whatsoever” During this inspection, the Provider/Manager Mrs. Ovington and her Deputy Mrs.Lintott assisted the inspector. 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, comfortable accommodation, good care, good food and the opportunity to engage in range activities. Everyone spoke very highly of the care provided 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 70 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 DS0000033230.V265178.R01.S.doc Version 5.0 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 DS0000033230.V265178.R01.S.doc Version 5.0 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 Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 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): 2,4, & 5 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. Each resident has a written contract/ statement of terms and conditions with the home. EVIDENCE: There have been five new residents admitted since the previous inspection each resident, or their representative, is issued with a Statement of Purpose and Service Users Guide, before agreeing to stay in the home. All residents said their needs were being met “wonderful place” said one residents. The inspector saw samples of assessments and all contained information with regard to their health, personal preferences and social contacts. Details of residents’ individual daily needs are also kept which includes any district nurse input. The manager assured the Inspector that all residents and their representatives receive a statement of the terms and conditions, which Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 9 contains all the requirements of the National Minimum Standards. Copies of these are kept on file in the home. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion, however they were met in full at the previous inspection. EVIDENCE: Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 11 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, &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 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: 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. A resident told the inspector that he particularly enjoyed a recent visit to the theatre. On arrival at the home the atmosphere was warm and welcoming and residents were enjoying coffee in the lounge. Bingo and a quiz were held later in the morning, which was well attended. Residents were provided with a pre dinner drink with savoury nibbles, which they said they enjoyed. The inspector noted that the meal was presented in a way to encourage appetites. One resident told the Inspector that “the food was fresh, nothing fancy but good ” and another said that she was able to have a friend for Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 12 supper ” From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. A menu board is on display and staff consult daily with each resident in order that they can choose what they want to eat from the menu. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 13 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): 16,18 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 and abuse. EVIDENCE: The Commission has received no complaints about the home. 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. Several residents said, “ There is nothing whatsoever 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. The current West Sussex Multi-Agency Policy and Procedure for Protecting Vulnerable Adults from abuse was seen to be available in the home. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 14 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): 20,21 22, 23, 24, 25 Residents live in a safe, well-maintained environment Standards of hygiene and cleanliness are high throughout the home. EVIDENCE: Heathfiled provides sufficient communal space for the residents, which consists of an attractively presented lounge /dining area. There are sufficient washing facilities available in the home, with accessible toilets close to the communal sitting areas and the dining room. Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents and residents told the Inspector how pleased they were with their bedrooms. The manager confirmed that fire bells and hot that water temperatures are tested at appropriate intervals to ensure that residents are not put at risk. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 15 All residents said they enjoy the “setting “ of the home, which provides an opportunity to watch variety of wildlife. A resident said, “ I enjoy watching the birds and pheasants …another 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 requirements of the local Fire Service would be completed by January, and confirmation to this effect would be sent to the Commission for Social Care Inspection. Radiator guards have been fitted throughout the home following a risk assessment. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 16 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): 29 Residents are supported and protected by the home’s recruitment policy and practices. 70 of the care staff are trained to National Vocational Qualification level 2. EVIDENCE: From the records seen, it would appear that Heathfield operates a recruitment procedure, in which appropriate checks are made. Samples of two newly appointed staff records were examined. Those seen demonstrated that those procedures were followed in practice. All staff members are subject to a satisfactory Criminal Records Bureau check. The manager ensures mandatory training is provided in all relevant topics. Several of the care staff are trained nurses from abroad, who are working in the home as health care assistants. The staff were seen to get on well with the residents. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 17 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): 32,34,37 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. Residents are safeguarded by the accounting and financial procedures of the home. Staff members receive regular supervision, which is recorded, and the home’s record keeping and policies and procedures safeguard resident’s rights and interests. EVIDENCE: Mrs Ovington the Registered Provider/ Manager is a State Registered nurse. She has several years experience working with older people, 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 National Vocational Qualification assessors and therefore ensure staff receive good training. Mrs Ovington has recently obtained the Registered Manager’s Award. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 18 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 upon request. Residents are encouraged to manage their own affairs with the help of relatives or advocates. Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 19 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 3 X 4 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X 3 X X 4 X Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 20 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 Heathfield Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Worthing LO 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 Care Home DS0000033230.V265178.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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