Inspection on 06/06/06 for Heathlands

This inspection was carried out on 6th June 2006.

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 28/12/05

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 6th June 2006 09:05 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.V295532.R01.S.doc Version 5.2 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.V295532.R01.S.doc Version 5.2 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 heathlands@heart-of-england.co.uk www.heart-of-england.co.uk 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.V295532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The property is not used for any purpose other than that of a care home, without appropriate consultation and agreement from the CSCI. The home may accommodate three named people under the age of 65. 28th December 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 and is arranged in units. All bedrooms are single and with en-suite toilets and showers. Adapted bathrooms are available on each floor and 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. The registered providers are Heart of England Housing and Care Ltd and the registered manager is Mrs Candida Baker. Information regarding the home is available in their Statement of Purpose and Service Users’ Guide. Copies of these and the inspection reports are available in the home’s reception and on request. Alternative formats can also be provided. 0n the 05.06.06 the manager quoted the fees for the home as £1800 per month for the main house and £1920 per month for the Dementia care unit. Additional charges are made for hairdressing, private chiropody, newspapers, transport, toiletries, holidays, continence products and dry cleaning. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection. The focus was on the key standards and the recommendations made in the previous report. Evidence was gathered from information provided to the Commission for Social Care Inspection since December 2005, questionnaires that the Commission for Social Care Inspection asked the home to distributed to residents, relatives and health care professionals, and a site visit that took place on 06.06.06 extending over approximately eight and a half hours during which the inspector talked to three residents and six staff, undertook a partial tour of the building and assessed a range of documents. What the service does well: What has improved since the last inspection? Since the last inspection the manager of the home has been welcomed back from maternity leave. The home continued to be well managed in her absence however people are pleased she has returned and everyone can return to their usual posts. Some new carpets have been laid since the last inspection and implementation of a new care record system has commenced. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 6 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. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 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 Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 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): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are provided with the information they need and have an opportunity to visit and stay in the home before they make a decision regarding their future. Peoples’ needs are assessed to ensure the home is able to provide the care that is needed. EVIDENCE: The records of four people were assessed and they all contained information obtained prior to the residents’ admission to the home. This was supported by the eight questionnaire responses received. Some of the respondents had been unable to make pre-admission visits but these had been undertaken on their behalf by family supporters. The new care record format was clearly designed but some elements were missing. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ have care plans that provide the information staff need to deliver individual care. Health care is monitored and provided as necessary. Residents are able to receive their medication safely as prescribed and staff relate to residents with sensitivity and respect. EVIDENCE: The records were detailed and informative. The change from one document style to another was posing a challenge that was being met. The manager said that she was concentrating on training the staff and this would lead to the successful full implementation of the system. It was observed that residents were being provided with the care they needed and this was confirmed by a resident and in the questionnaires that were returned. Residents said that the staff were friendly and considerate and another said that there were ’no complaints whatsoever’. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 10 The evidence of monthly reviews was not complete but monthly evaluations had been undertaken with the residents. Health care needs were being met and the documents indicated that residents had access to doctors, district nurses, hospital specialists, chiropodists, audiometricians and opticians. This was confirmed by a resident. Annual health reviews of residents were undertaken either by their doctors or the visiting practice nurse. Medication records, storage and training were acceptable. Residents were administered their prescribed medication and a resident confirmed that he always received ’what he should’. Two people either fully or partially self medicated. Their ability and understanding had been assessed and was kept under review. Privacy and dignity was respected. Staff were observe to knock on doors and await a response. Mail was delivered unopened to the resident or with their consent held for a named relative. The staff confirmed that they gave assistance discreetly if requested. Every bedroom was fitted with a telephone socket so that private phone calls could be made and received and all residents were offered the keys to their bedroom doors and lockable storage in their room. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have access to a range of in-house activities and events in which they can choose to participate. Community links are encouraged and maintained. A range of menu choices is provided and residents enjoy their meals. EVIDENCE: Residents are assisted in their daily routines according to their preferences and needs. A range of in-house activities are provided and residents are free to decide whether or not to participate. The questionnaires reflected that they were able to make choices and this was confirmed by a resident who spoke to the inspector. The home is imaginative in proposing and obtaining support for different projects that can be undertaken in the home providing activities interests and comment from residents and visitors. Currently they are about to start ‘World Cup Fever’. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 12 Documents are maintained that reflect how the residents pass their time. Community links are maintained and the home is able to use the day care transport on occasions. Visitors were always welcome (dependent on the wishes of the resident concerned) and it was observed that there was a steady stream during the day. The garden was well used and residents were seen walking alone and with their visitors enjoying the good weather. A choice of menu was provided for each meal and records of the choices and food provided were maintained. Of the eight questionnaire responses received from residents, five people said that they ‘always’ liked the meals, two said ‘usually’, and one said ‘sometimes’. One person commented that they were ‘quite satisfactory and another person told the inspector that there was always a good choice of food. It was not always to his liking but there were always alternatives. The records reflected this. It was recommended that care plans be drawn up in more detail regarding diets for people who had diabetes. So that staff were aware of the ideal and could advise the resident accordingly. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, relatives and staff raise concerns when they wish and are confident that they will be responded to appropriately. The recruitment and training procedures ensure appropriate staff are employed to care for vulnerable people. EVIDENCE: No complaints had been received by the Commission for Social Care Inspection regarding the home since the last inspection. The information provided by the manager indicated that the home had received 31 complaints, 28 of which were substantiated and 3 were partially substantiated. Many of the complaints had been generated by staff and concerned work practices. All had been investigated and appropriately addressed. Good records had been maintained. Three questionnaires indicated that the residents knew how to make a complaint and two people were unsure. Complaint procedures were available in the copies of the Statement of Purpose and Service Users’ Guide. All residents had received copies either prior to or on admission. The staff that were interviewed confirmed that they knew the appropriate action to take should anyone raise a concern with them. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 14 The home operated an acceptable recruitment process during which applicants where checked to ensure their suitability and protect the vulnerable people in the home. Training records indicated that everyone had received appropriate training to enable them to recognise and respond to concerns. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 15 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean comfortable well maintained home that meets their needs. Systems are implemented to reduce as far as possible the risks of cross infection. EVIDENCE: A partial tour of the home was conducted. It was observed that the premises were clean and there were no offensive odours. The home was well decorated, well maintained and furnished. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 16 One resident commented on the cigarette smoke from the ‘smokers lounge’. The manager was aware of this and had initiated action to reduce the distress experienced. One person commented that ‘the toilets could be cleaner and toilet paper always provided’. No issues were observed by the inspector during the site visit. The toilets that were seen were clean and well equipped. There had been no major changes to the premises since the last inspection. However some new carpets had been laid and there were plans to replace others. Several residents use motorised scooters and it is proposed that a building be constructed in the grounds to house them when not in use. It was observed that the laundry was very busy but well organised. The laundress said that they tried to do all washing within twenty-four hours of receipt. Suitable equipment was available and personal protective equipment to reduce the risks of cross infection. Staff and their records indicated that Infection Control training was provided. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 17 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, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient suitably recruited and trained staff are employed to provide the care the residents need and enable them to live in a safe home. EVIDENCE: The duty rota indicated that an acceptable level of staffing was provided. One relative responded in a questionnaire that they “would like to see a few more carers”. Four residents responded that staff were ‘always’ available when needed, three people said that they were ‘sometimes’ available and one person said they were ‘usually’ available. Eleven staff had left the home since the last inspection and fifteen had been employed. The manager said that there had been some staffing and recruitment difficulties last December but these had now been resolved. The staff records that were assessed indicated that an acceptable recruitment procedure was used and appropriate checked had been made before applicants were appointed. The staff that spoke to the inspector were enthusiastic and knowledgeable. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 18 They and their records indicated that they were well trained and the training matrix for the home demonstrated that the provision of training was well managed. Fifty one percent of the care staff were trained to NVQ level 2 or above. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the interests of the residents are safe guarded. Financial policies and procedures protect those who have money held for them in safekeeping. The quality of the service is checked and action taken to improve and develop the home. Health and safety is actively addressed for the well being of everyone in the home. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager was experienced and well trained. She had just returned to work full time from maternity leave and was eager to settle back into her role. The staff described her as very fair, open and approachable, fabulous. A quality assurance programme was available and although this had not been followed entirely during the manager’s absence, questionnaires had been completed by residents and systems had been audited to ensure good standards were maintained. The storage and management of monies held for residents was well managed and the administrator said that the accounts were audited monthly internally and regularly by an eternal auditor. Health and safety matters were well addressed. Chemicals were stored in locked cupboards and none were observed unattended in the home. The information provided by the house indicated that services and equipment were maintained and checked at appropriate intervals. Information regarding the fire safety systems, emergency lights, fire doors and equipment was stored in three different documents. It was recommended that this system be reviewed and simplified. Staff had received health and safety training and good records were maintained of their achievements. All fire safety training was up to date and twenty-five staff held current first aid certificates. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 21 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 22 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. Refer to Standard OP3 Good Practice Recommendations Assessments should all be dated. Heathlands DS0000041859.V295532.R01.S.doc Version 5.2 Page 23 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.V295532.R01.S.doc Version 5.2 Page 24 - 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. 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