Inspection on 01/06/05 for Heathland Court

This inspection was carried out on 1st June 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

Heathland Court 14/12/06

Heathland Court 15/02/06

Heathland Court 22/12/04

Heathland Court 05/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Heathland Court 56 Parkside Wimbledon London SW19 5NU Lead Inspector Janet Pitt Unannounced 01 June 2005 10:25 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. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Heathland Court Address 56 Parkside Wimbledon London SW19 5NJ 020 8944 9488 020 8944 1820 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) BUPA Care Homes (AKW) Ltd Mrs Avril Jones Care home with nursing (N) 82 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places Physical disability over 65 years of age (PD(E)) Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home can admit up to 3 named service users under the age of 65 years for respite care within the Nursing and Residential Units. Date of last inspection 6th January 2005 Brief Description of the Service: Heathland Court is registered to provide personal and nursing care for up to eighty-two residents. Accomodation is provided over five floors, with the nursing units on the lower floors of the home. There is a passenger lift to all floors. The home benefits from a well maintined garden which is accessible for residents. At the time of inspection the home aims to care for up to seven-two residents in single rooms with ensuite faciltites, but there is the option to offer shared rooms. Heathland Court has communal areas comprising of lounges and dining areas on each floor. The home is situated close to the main A3 road and is on local bus routes to Wimbledon and Putney. There is limited parking available on site. The home is within a short walking distance of Wimbledon Common. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took placed unannounced by one inspector. The inspection commenced at 10:25am and finished at 6:15pm. During the course of the inspection care files, staff files and a tour of the premises was undertaken. The inspector spoke with two residents and four members of staff. What the service does well: What has improved since the last inspection? What they could do better: The home have implemented a comprehensive assessment and care planning system, which care needs to be taken to ensure all sections are fully completed, in order that all care needs are identified and appropriate action taken. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 6 Daily records of care must reflect the actual care given and detail appropriate interventions if care needs change. This will evidence that residents’ care needs are appropriately identified and met. 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. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 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 Heathland Court G54-G04 S19098 Heathland Court V225947 010605 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) 2, 3, 4 and 5 Residents are provided with sufficient information to be able to make a choice about whether to live at Heathland Court. Assessments need to be fully completed to ensure that care needs are identified. EVIDENCE: Residents are provided with clear contracts, which state the terms, and conditions of residence and the service provide, which enables them to be fully informed of what to expect when living at Heathland Court. A sample contract was examined and seen to include details of trial periods, respite care and long-term care charges. The contract also included details of what is included in the fee and what extras are payable, e.g. if a resident wishes to have their hair done or personal purchases such as newspapers and toiletries. A booklet on ‘Lifestyle and Care at Heathland Court’ is also available to enable residents to be aware of food provided, visiting times, activities and what is provided in the rooms. Assessments are undertaken prior to and on admission. The documentation if completed fully would be Standard compliant. However, residents are at risk of not having care needs met, due to the forms not being completed fully. Only one of the six assessments examined did not have details of the Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 9 resident’s religion and how their religious needs were to be met, which is an improvement since the previous inspection, but requires further input. Some of the assessments had good information contact with relatives, types of behaviour and manual handling requirements. However, staff need to ensure that medical and health needs are fully documented and social histories are fully completed. Some sections of the assessments were not completed at all; one section identified was Section AA, which relates to Identification Information. The staff need to ensure that the assessments are completed fully, in order that care needs are identified and a care plan is triggered. There was sporadic input from residents and their representatives in the assessment process, the home need to evidence that this is occurring, to demonstrate that residents are consulted about their care needs. The manager said that prospective residents are able to visit prior to moving into the home. Care should be taken to ensure assessments are dated correctly and signed by the member of staff completing them. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 and 11 Care documentation requires improvements to ensure that specific details are given on how care is to be carried out and how care has been given. EVIDENCE: Residents care plans did not always follow from assessments made, possibly due to information not being fully completed. This potentially places residents at risk of not having their care needs met. There was some good evidence on the six care plans examined of detail and one in particular had specific information on dealing with a resident’s challenging behaviour. However, care should be taken when completing nutritional information, as some residents had lost weight and there were not records of interventions or food/fluid intake, which places residents at risk of being malnourished. One care plan relating to nutritional requirements contains specific detail of how food should be presented. One plan detailed managing a supra-pubic catheter. However, the daily records did not fully evidence that this care had been given and required more specific details apart from’ catheter draining well’ and ;helped with all care needs’. Medications were being audited by the local pharmacist on the day of inspection, a report has been received on the issues found and an additional visit will be made to ensure that the home have actioned recommendations. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 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 standard(s) 12 and 15 Residents are able to participate in activities of their choice and receive an appealing balanced diet, which they are able to enjoy in pleasant surroundings. EVIDENCE: Residents are able to participate in a variety of activities offered by Heathland Court. These include coffee mornings, films, potting plants, music and visits by outside entertainers. On Fridays the home has a cinema club and a poetry circle has just started, with readings from residents works and published poets. One resident was able to attend a rehearsal by the Royal Philharmonic Orchestra, and the activities co-ordinator said that the resident felt like ‘royalty’ as they were sitting close to the orchestra. The activities co-ordinator was seen chatting with two residents over a cup of coffee after lunch. One resident spoke to the inspector as they were choosing a book to read and said that they were able to join in activities if they wanted, or could spent time on their own. Activities that residents had taken part in were noted to be recorded. Residents are able to take meals in congenial settings and there is choice available at each need, which promotes residents being able to choose the food they wish to eat. Assistance is given by staff if required and meals were observed to be unhurried. Sample menus indicate that there is a choice of main course and dessert at lunch and a choice of main meals at supper. An alternative menu is also available. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 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 Residents can be confident that any concerns or complaints they have will be addressed. EVIDENCE: Residents are informed of the complaints procedure on admission; the information is in the form of a flow chart, which is detailed. The complaint log indicated that there have been three complaints in relation to clothing, all of these concerns were acted upon and outcomes were present in the records. The complaints were made verbally, which indicates that the home is responsive to concerns however they are raised. Heathland Court also keeps a file on compliments received regarding care at the home; this was examined and noted to include high levels of satisfaction. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 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) 19,21,23,and 25 Residents live in an environment, which is routinely maintained and provides a comfortable, homely atmosphere. EVIDENCE: Residents live in a well-maintained building, which is redecorated as part of an ongoing programme. Residents were noted to be able to bring in items to personalise their rooms. The manager reported that the corridors on the first floor and above are a priority for redecoration, as they are tired and worn looking. The carpeting on the ground floor corridor had been replaced since the previous inspection and provided a pleasant appearance when entering the home. One bathroom on the ground floor had cracked tiling. Residents are able to have their own telephone in their rooms. Residents are cared for in an environment, which is kept clean and tidy and is well ventilated. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 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 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) 29 Residents are protected from harm by the home adherence to recruitment policies and procedures. EVIDENCE: Residents are supported and protected by the home’s recruitment processes. Three staff files examined contained the necessary information and checks required in the Regulations. Contracts and job descriptions were in place for each member of staff, detailing their roles and responsibilities. The home requests information on previous cautions and convictions on application forms and applies for Criminal Records Bureau checks for new staff members. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 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 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) 31, 36 and 38 Residents live in a home where the manager is proactive and listens to residents’ views. Staff who care for residents are appropriately supervised. EVIDENCE: Supervision sessions for staff are planned in advance with the agreement of the staff member involved and each staff member is given a proforma to complete relating to subjects they wish to discuss at supervision sessions and a record is made. This indicates that residents are cared for by staff whose work is monitored. Residents live in a home, which is managed by a manager who is deemed ‘fit’ by the Commission for Social Care Inspection and has experience of caring for older people. A recent audit was carried out by the Health and Safety Executive this identified issues relating to windows, laundry chutes, lifting equipment, water temperatures and clinical waste. Recommendations made affected residents safety within the home, such as water temperatures being too high and windows being able to be opened more than 10cm. The home has indicated Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 16 that these recommendations have been carried out. This will be checked at the additional visit. Heathland Court G54-G04 S19098 Heathland Court V225947 010605 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 x 3 2 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 3 x 3 x 3 x STAFFING Standard No Score 27 x 28 x 29 3 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 3 x x x x 3 x 2 Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 18 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 (1) (a) & (2) Requirement The registered person must ensure that assessments are completed fully in order that care needs are identified and all relevant information is gathered on residents. The registered person msut ensure that there is resident/representative involvement in the assessment process and assessments are dated and signed by staff members. The registered person must ensure that care plans provide specific details of care to be given and daily records must reflect the actual care given. The registered person must ensure that appropriate advice is sought from other health professioansl and records, if a residents condition changes. The registered person must ensure that minor repairs are carried out in a timely manner, separate from the main redecoration programme. Timescale for action 30th August 2005 2. 3 14 (1) (c) 30th August 2005 3. 7 15 & Schedule 3 (3) (k) 12 (1) (a) 30th August 2005 30th August 2005 30th August 2005 4. 7 5. 19 23 (2) (b) Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 19 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 Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Heathland Court G54-G04 S19098 Heathland Court V225947 010605 Stage 4.doc Version 1.30 Page 21 - 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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