Inspection on 13/09/05 for Heathlands Residential Home

This inspection was carried out on 13th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heathlands Residential Home 20/06/07

Heathlands Residential Home 07/02/06

Heathlands Residential Home 27/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton 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 Heathlands Residential Home Crossfell Wildridings Bracknell Berks RG12 7RY Lead Inspector Sally Newman Unannounced Inspection 13th September 2005 9:30 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 DS0000031025.V249323.R02.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. DS0000031025.V249323.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Heathlands Residential Home Address Crossfell Wildridings Bracknell Berks RG12 7RY 01344 351459 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) linda.parsons@bracknell-forerst.gov.uk Bracknell Forest Borough Council Mrs Linda Frances Parsons Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places DS0000031025.V249323.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2005 Brief Description of the Service: This description is given within the statement of purpose of the home. ‘Heathlands is a residential home for people who are elderly, within an environment which satisfies all legislation relating to premises and practice, meeting all requirements under the Care Standards Act 2000, provides the following service. Within 3 group settings there are 36 permanent beds. We aim to provide a warm, friendly environment with an emphasis on independence, dignity and individual choice, in an anti-discriminatory environment for the residents who live there. Adjacent to the home, serving the community, is a 12 place purpose built Day unit for older people who are mentally infirm. The centre is open 7 days a week, providing transport, meals and daily activities.’ DS0000031025.V249323.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which was conducted over the course of a morning and lasted for 3 and a half hours. Staff, service users, visitors and management were spoken to and these discussions provided the basis for the evidence for the report. A range of standards was evaluated and the details for the outcomes can be found in the main body of the report. Since the last inspection refurbishment of the home has continued and the good standards of care seen previously have been maintained. This home benefits from a dedicated staff team who are ably led by a competent and confident manager. What the service does well: What has improved since the last inspection? What they could do better: DS0000031025.V249323.R02.S.doc Version 5.0 Page 6 This home strives to provide good quality staff training and wishes to improve further over the next year. The range of activities currently on offer will be further enhanced by the appointment of a dedicated activities organiser. 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. DS0000031025.V249323.R02.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 DS0000031025.V249323.R02.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): 3 The needs of prospective service users are thoroughly assessed prior to a place being offered. EVIDENCE: Evidence was primarily provided by discussion with members of the management team. A robust system of assessment is in place which ensures that the needs of all prospective service users are thoroughly assessed to ascertain whether the home can meet those needs. A particular strength of this home is the ability to adapt flexibly to changing needs, which are subjected to a process of ongoing assessment. DS0000031025.V249323.R02.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): 8 and 10. Service users’ health care needs are fully met. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Emerging health care needs are responded to promptly by the manager and the staff team. At the time of the inspection one service user was attending a hospital appointment and was being supported by a staff member. The home is particularly competent at maintaining the mobility skills of service users and supporting people to regain confidence following hospital admissions. One example provided involved a service user who was being supported by a Physiotherapist with the assistance of a named care worker from the home. All service users who could provide a view were complementary about the staff team and felt that their right to privacy was respected. DS0000031025.V249323.R02.S.doc Version 5.0 Page 10 DS0000031025.V249323.R02.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15, Service users can be confident that the lifestyle experienced in the home matches their expectations and satisfies specific preferences and interests. Service users are supported to maintain contact with people outside the home. Wherever possible service users are helped to exercise choice and control over their lives. The food provided in this home is of a high quality and is valued by service users. EVIDENCE: Sound evidence was provided that the home does endeavour to meet specific needs of service users in relation their preferred lifestyle. Examples provided included particular religious beliefs and individual interests pursued prior to admission to the home. Service users are encouraged and supported to maintain contact with people outside the home. Several examples were provided where staff access appropriate transport to assist individuals to maintain contact with significant family members. DS0000031025.V249323.R02.S.doc Version 5.0 Page 12 Service users right to choose is upheld in this home and numerous examples were provided to the inspector throughout the course of the inspection whilst talking with service users and staff. One service user wanted to move to another room and this was being accommodated by management in consultation with family members. Service users indicated that they had selected their lunch from a choice although not many could remember their own particular preference. The food provided in this home is highly regarded and all those service users who provided an opinion stated that the food was varied and plentiful. The home does benefit from a dedicated kitchen staff who provide some limited outside catering facilities as a means of obtaining income for the benefit of service users. DS0000031025.V249323.R02.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Service users and their advocates can be confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: There had been no complaints about the service since the last inspection. There is a robust complaints procedure in place, which has been implemented by the Local Authority. Two service users spoken to indicated that they are happy to speak up when they are not satisfied with something and gave examples of when they had done this in the past. Both service users had been happy with the outcome of their concerns and the homes response to them. DS0000031025.V249323.R02.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 This home provides a safe, well-maintained environment for service users. The home throughout is clean, pleasant and hygienic. EVIDENCE: The home has been subjected to continuing refurbishment and a programme to replace all the old windows is well underway and is due for completion in April 2006. Carpets have been replaced where needed and bedrooms have been redecorated in conjunction with a local community initiative. Some specialist equipment has been installed in relation to clinical waste and is proving to be invaluable. The inspector had access to all parts of the home and everywhere was seen to be clean and hygienic with no unpleasant odours in evidence. DS0000031025.V249323.R02.S.doc Version 5.0 Page 15 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 Staff are trained and competent to do their job.s EVIDENCE: Staff training is promoted and valued by the management team. The service has already achieved completion by 55 of staff in NVQ training. 3 members of the management team have achieved NVQ 4 and 2 of these have completed the Registered Managers Award. There is a rolling programme of staff training and the manager confirmed that all staff had received basic core training with many others attending specialised courses. The manager wishes to continue this work to ensure the staff team has access to all relevant and specialised training. DS0000031025.V249323.R02.S.doc Version 5.0 Page 16 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 Service users benefit from a home which is run and managed by a fit person who is of excellent character and able to discharge her responsibilities fully. EVIDENCE: The manager is of proven ability and competence. She has now achieved NVQ 4 training including the Registered Managers Award. The manager is assertive in advocating on behalf of service users and commands respect within the organisation as a whole. She has demonstrated that she can balance a caring attitude and approach to service users with the demands and responsibilities of a managers position. DS0000031025.V249323.R02.S.doc Version 5.0 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 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 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 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 4 X X X X X X X DS0000031025.V249323.R02.S.doc Version 5.0 Page 18 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 DS0000031025.V249323.R02.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 DS0000031025.V249323.R02.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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