Inspection on 28/12/05 for Heathlands

This inspection was carried out on 28th December 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

Heathlands 12/01/10

Heathlands 10/11/09

Heathlands 06/10/09

Heathlands 05/05/09

Heathlands 22/08/07

Heathlands 06/06/06

Heathlands 16/08/05

Heathlands 04/01/05

Heathlands 09/06/04

Heathlands 09/02/04

Similar services:

Maple Lodge

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Heathlands Station Road Pershore Worcs WR10 1NG Lead Inspector Mrs Yvonne South Unannounced Inspection 28th December 2005 11:00 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 Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathlands Address Station Road Pershore Worcs WR10 1NG 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) 01386 562220 01386 550409 Heart of England Housing and Care Limited Candida Aloha Baker Care Home 60 Category(ies) of Dementia - over 65 years of age (60), Old age, registration, with number not falling within any other category (60), of places Physical disability over 65 years of age (60) Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The property is not used for any purpose other than that of a care home, without appropriate consultation and agreement from the CSCI. The service is able to accommodate one named service user who has learning disabilities and associated mental disorder. The home may accommodate three named people under the age of 65. 16th August 2005 Date of last inspection Brief Description of the Service: Heathlands is a purpose built home situated close to the town centre of Pershore. It is located within walking distance of the town centre where there are shops, restaurants, public houses, churches and good pubic transport. The home is built on two floors with a passenger lift to each floor. Handrails are provided throughout the home. The home is arranged in units. All bedrooms are single and with en-suite toilets and showers. Adapted bathrooms are available on each floor. Each unit has a communal lounge, dining and kitchenette facilities. The home is registered to provide a residential care and respite service for up to sixty older people who may have physical disabilities and/or mental health needs. A separate eight-bedded unit provides a service to older people with dementia type illnesses. A separate day care unit provides a service to older people living in the community five days each week. Twelve places are available each day for frail, older people who are living in their own homes in the local community. The stated aim of the residential service is to provide care for frail, older people who are unable to live independently in their own home because of their frailty, physical, mental or social needs. The registered providers are Heart of England Housing and Care Ltd and the registered manager is Mrs Candida Baker. Mrs Baker is currently on maternity leave and her duties are being undertaken by the Senior Lead Care staff in the home with support from the manager of another of the provider’s homes. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over approximately two and a half hours from 11:00am until 1:30pm. The focus was on the requirements and recommendation that had arisen out of the previous inspection and key standards that had not previously been assessed this year. Audrey Burtenshaw Senior Lead Carer, and Mavis Broadfield Senior Lead Carer assisted the inspector. A tour of the home was undertaken and the inspector spoke to residents and staff. A range of records were assessed. A service questionnaire was sent to the manager prior to this inspection, which was completed and returned to the Commission for Social Care Inspection. The manager was also asked to distribute other questionnaires regarding the service to residents, relatives and health care professionals. The completion of these is voluntary but proves useful in assessing the various views that are held. Twenty responses had been received prior to this inspection. Where possible negative comments will be followed up. What the service does well: This home provides a warm welcome and a good standard of care for the residents that live there. The staff relate well to the residents and assist them with courtesy and respect. The senior staff are managing the home well during the temporary absence of the registered manager and they appreciate the support they receive from colleagues and other registered persons. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 6 Positive comments received in questionnaire responses that were returned to the Commission for Social Care Inspection were; • “Staff are excellent without exception – caring, fun, hugs, patience and understanding. I could not be happier with the care my relative receives.” • “ My relative is well cared for and quite happy. The staff are always at hand and very pleasant and helpful.” • “I am very happy with the care and help my relative receives.” • “Meals are good and well planned. Laundry is good. Rooms are generally clean and well maintained.” • I am very impressed by the personal quality of care at Heathlands. My relative is very well looked after and always clean, comfortable and cared for. • “Excellent care I feel fully involved.” • The senior staff are generally well informed about the residents and the home usually has a happy caring atmosphere.” What has improved since the last inspection? What they could do better: Staff need to be careful that they date all documents they complete. An activities co-ordinator has recently been appointed so it is expected that an activities programme will be devised and all residents will have the opportunity to contribute and participate according to their wishes. A handyman has also recently been appointed so it is expected that the damaged decoration in some corridors can now be repaired. In the questionnaire responses that were returned to the Commission for Social Care Inspection it was commented that some times there is a wait until the front door is answered. This can occur during the evenings and at weekends when the receptionist is not on duty. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 7 There were two negative comments regarding the food. These will be followed up by the Commission for Social Care Inspection. There were two negative comments regarding activities, stimulation and outings. It is hoped that with the successful appointment of an activities coordinator these concerns will be resolved. A medication issue identified by a doctor has been addressed. 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. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 8 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 Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 9 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): 3 EVIDENCE: These standards were assessed in full during the previous inspection. At that time it was noted that a resident’s assessment document was neither dated nor signed. The assessment document checked today was signed but not dated. The document was a poorly photocopied form. The presentation could be improved. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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): 7 Staff have information available to guide them to meet residents’ individual needs. EVIDENCE: These standard were assessed in full during the previous inspection after which it was required that all aspects of residents’ care needs must be recorded, and recommended that daily care records should contain more information about how residents emotional needs are addressed by staff. The care plan and daily records assessed during this inspection were acceptable. Although the amount if information available in the care plan was brief this was being expanded as the staff learned further of the new resident’s needs and how to meet them effectively. It must be remembered that care plans should inform and guide staff in their duties, so detail is necessary. The daily records were well maintained. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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, 14 Residents have limited access to activities and stimulation. However other staff are providing some opportunities until the vacant activities co-ordinator post is successfully filled. Residents are enabled to lead the style of life they choose and make choices through each day. EVIDENCE: Standard 12 was assessed during the previous inspection following which it was recommended that an activities programme should be displayed. The post of activities co-ordinator has not been successfully filled since the previous inspection, despite three appointments. A new appointee was now about to commence her duties. An activities programme will then be drawn up and implemented with the assistance of the residents who wish to be involved. The Christmas decorations were most imaginative. Residents had contributed with ideas in some areas and observed with enthusiasm. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 12 During this inspection staff were seen talking with the residents and assisting them with their care needs. Some people were reading their daily newspapers others were watching television. There had been an increase in the number of visitors and several residents said that they had been out with their families over Christmas time. Residents said that they were content and considered that they were well looked after and well fed. They had enjoyed their Christmas and had no complaints or grumbles. Residents were able to choose their own daily routines and move between the communal areas and their own bedrooms as they wished. Most of the residents had personal money held for them in safekeeping and managed by the senior staff. However approximately six people were more able and independent. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed during this inspection. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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): 26 The home is conducted in a manner that addresses the risks of cross infection. EVIDENCE: A tour of the building was undertaken. The laundry was clean and well arranged. However it was observed that access to the hand basin was obstructed and clothes were soaking in a bucket. Both of these are contrary to good infection control practice. All toilets and bathrooms were supplied with liquid soap, disposable towels and personal protective equipment for staff. The home was clean, odour free and well maintained. However some areas in corridors had suffered damage from trolleys knocking the walls. Now that a handyman has been appointed repairs will need to be effected. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 15 Policies and procedures were readily available in the reception area and in the staff station on each floor, and staff confirmed that they had received training in infection control. This was renewed each year. New staff were undertaking video training during this inspection. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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): 30 Training is well managed to ensure staff are able to provide the service the residents require. EVIDENCE: A training matrix was displayed on the office wall and individual staff training records were being maintained. Information was provided to the Commission for Social Care Inspection in the service questionnaire prior to this inspection. All staff had received training during the year Training plans for the coming year were already being formed. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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): 38 The home is managed in a manner that protects the people in it from identified health and safety risks. EVIDENCE: Staff have received appropriate health and safety training. It was recommended that a monitoring tool be developed and implemented to over see the quarterly fire safety training requirement. This is particularly necessary with a large staff team. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 18 COSHH storage and information was acceptable as was the maintenance and servicing of the systems and equipment in the home. Water temperatures and legionella protection was continuously monitored and risk assessments were in place for the home and personnel. Relevant health and safety policies and procedures were available. Accident records were maintained, monitored and analysed. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X x 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 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. 1. 2 Refer to Standard OP3 OP12 Good Practice Recommendations Assessments should all be dated. An activities program should be developed and displayed for residents. Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Heathlands DS0000041859.V275489.R01.S.doc Version 5.1 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!