Inspection on 08/11/05 for Heathfield House Nursing Home

This inspection was carried out on 8th November 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 House Nursing Home 03/01/07

Heathfield House Nursing Home 16/08/06

Heathfield House Nursing Home 26/04/05

Heathfield House Nursing Home 07/01/05

Heathfield House Nursing Home 01/09/04

Heathfield House Nursing Home 10/02/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Heathfield House Nursing Home Bicester Road Bletchingdon Oxfordshire OX5 3DX Lead Inspector Kate Harrison Announced Inspection 8th November 2005 10:00 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 House Nursing Home DS0000027155.V251123.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 House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Heathfield House Nursing Home Address Bicester Road Bletchingdon Oxfordshire OX5 3DX 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) 01869 350940 01869 350251 Heathfield House Nursing Homes Limited Louise Hulme Care Home 40 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (40) of places Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission persons should be aged 60 years and over. The total number of persons that may be accommodated at any one time must not exceed 40. 26/04/05 Date of last inspection Brief Description of the Service: Heathfield House is a privately owned care home for older people registered with the Commission to provide nursing care for up to 40 people, including up to 20 with dementia. The home has been established since 1986 and is situated north east of Oxford City, surrounded by open countryside. Accommodation is provided in a mixture of single and double rooms over two floors, many with en-suite facilities. There is a sitting room, dining room and conservatory, with a patio area and grounds with seating and a walkway. Nurses and care assistants provide care, also there is a housekeeping and kitchen team. The homes proprietor also works as the administrator in the home. The home is currently being extended to provide single rooms for all residents. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This CSCI inspection was conducted at the home over one day. The inspector saw all areas of the home, spoke to residents, visitors and staff and discussed the management of the home with the registered manager and the proprietor. The CSCI pre-inspection questionnaire had been completed and returned before the inspection, giving details of all aspects of the running of the home. No completed CSCI comment cards were received from residents and only one was received from a relative, so the inspector spoke with as many relatives and residents as possible on the day of inspection. Two GPs completed comment cards showing that they experienced no difficulties in dealing with the home. Building works continue to one side of the home. What the service does well: What has improved since the last inspection? What they could do better: The home’s development plan includes the intention to provide adjustable beds throughout the home. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 6 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 House Nursing Home DS0000027155.V251123.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 House Nursing Home DS0000027155.V251123.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): Standard 6 does not apply. Standard 3 was assessed at the last EVIDENCE: Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 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 the following standard(s): 9 and 10. Medication is well managed at the home. Relatives feel that staff respect the rights of the residents. EVIDENCE: The inspector checked the medication systems and was satisfied that the recording and administration of medication is appropriately managed. The inspector spoke with residents and with several relatives about the attitudes of staff at Heathfield, and was told that carers treat residents with respect. One relative said that staff respect the privacy needs of the residents and another said that staff managed the move into the home by her relative very sensitively. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, and 15 Relatives said that residents are happy at the home, and involvement in a variety of activities is encouraged. Visitors are welcome at reasonable times. Residents receive a wholesome diet at appropriate times in pleasing surroundings. EVIDENCE: The inspector relied on the views of the relatives seen on the day to hear how the lifestyle at Heathfield House suited residents, and their views were very positive. The inspector also spoke to the home’s activities organiser who makes sure that individual preferences are known through life stories and discussion, so that individual as well as group activities are available regularly. The activities organiser has attended training on the care of individuals with dementia, to better understand how her work can improve life for the residents. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 11 Relatives said that they can visit at any reasonable time, and that the home communicates well with them. Two members of staff have responsibility for making sure that residents’ clothing is repaired as soon as possible. The inspector saw the home’s menus, discussed food issues with relatives and visited the dining room during lunchtime, and was satisfied that food and mealtimes are well managed. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 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 the following standard(s): 18. Residents are protected from abuse. EVIDENCE: The home has policies and procedures to address the protection of vulnerable adults, and staff receive appropriate training. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 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 the following standard(s): 19 and 26. Residents live in a safe well maintained home. Infection control is well managed. EVIDENCE: Residents are able to safely use all the communal space at the home. The proprietor and manager liaise with the fire service regularly, more recently to seek advice about keypad fire exits. Specialist equipment is provided to meet residents’ needs, and more adjustable beds have recently been provided. The home has a policy and procedures to keep the home free from infection, and the laundry service is well managed. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 14 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): 27 and 30. Skilled staff, in appropriate numbers, care for the residents. Staff training is comprehensive and well managed. EVIDENCE: The inspector saw the staff rota for the month of October showing appropriate staffing numbers and skill mix to meet the needs of the residents. Staff training is a mixture of external and in-house courses. Structured induction, mandatory training and programmed sessions on dementia care continue. Carers are encouraged to lead discussions on individual care, and training sessions on problem solving and communication are provided. Relatives commented favourably about the staff, one saying that the staff were ‘absolutely wonderful’, and another said that staff respond very positively to the residents. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 15 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): 35 and 38. Residents’ financial interests are safeguarded. Residents and staff are protected by the home’s health and safety policy and procedures. EVIDENCE: Relatives told the inspector that they had no concerns about how residents’ finances were managed at Heathfield. Many relatives have power of attorney, and individual lockable facilities are provided for personal items. The proprietor is the person responsible for health and safety, and there is a safe working practice policy explained to staff at induction. The inspector was satisfied that the fire procedures are followed appropriately, and that sufficient numbers of staff are trained in first aid and food hygiene. Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 16 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Heathfield House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 17 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 House Nursing Home DS0000027155.V251123.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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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