Inspection on 07/02/06 for Heathlands Residential Home

This inspection was carried out on 7th February 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 Residential Home 20/06/07

Heathlands Residential Home 13/09/05

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 7th February 2006 12:20 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.V279765.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. DS0000031025.V279765.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathlands Residential Home Address Crossfell Wildridings Bracknell Berks RG12 7RY 01344 351459 01344 302427 linda.parsons@bracknell-forerst.gov.uk 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) 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.V279765.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 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.V279765.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which focussed on outcomes not assessed at the last inspection. Considerable time was spent talking to the manager and most of the evidence for this report was provided by her and from supporting documentation. All outcomes were assessed as met with many examples of good practice being provided. Most of the communal areas were seen together with the 3 dedicated respite beds. What the service does well: What has improved since the last inspection? What they could do better: The manager could introduce more consistent recording of staff meetings and important decisions affecting the staff group. Please contact the provider for advice of actions taken in response to this DS0000031025.V279765.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000031025.V279765.R01.S.doc Version 5.1 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.V279765.R01.S.doc Version 5.1 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): No outcomes were inspected under this heading on this occasion. EVIDENCE: DS0000031025.V279765.R01.S.doc Version 5.1 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 The arrangements for medication are robust and protect service users. EVIDENCE: Evidence was provided by the manager and from a range of records concerned with the arrangements for medication. There are currently no service users in the home who self medicate. However, there are procedures in place to enable service users who have the desire and capacity to self medicate for as long as they are able. The manager is confident that the system is robust and she demonstrated the essential elements of staff training which are designed to reduce the potential for errors. The system is internally audited on a frequent basis. It would be useful to record when these audits take place and whether any issues have been identified. The arrangements for medication are reviewed by a pharmacist at approximately 6 monthly intervals. The manager will investigate whether written reports are provided as a result of these reviews. DS0000031025.V279765.R01.S.doc Version 5.1 Page 10 DS0000031025.V279765.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): No outcomes were inspected under this heading on this occasion. EVIDENCE: DS0000031025.V279765.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 All complaints and concerned are taken seriously and are acted upon without delay. EVIDENCE: There are robust procedures in place which determine the action to be taken in the event of any complaints about the service being made. There had been no complaints recorded since the last inspection. DS0000031025.V279765.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No outcomes under this heading were inspected on this occasion. EVIDENCE: DS0000031025.V279765.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 This home benefits from a good skill mix of staff which meets the needs of service users. Health and safety procedures ensures that service users are in safe hands. Recruitment procedures are robust and protect service users. EVIDENCE: Evidence was provided from discussion with the manager and from the perusal of a range of records. The home has a core of dedicated staff and has consistently managed to maintain an appropriate ratio in its staff numbers. Evidence was also provided which confirmed that a flexible approach to staffing is undertaken when service users are unwell or in need of additional attention. Communication is good but staff meetings and important decisions effecting staff should be recorded. Induction training includes a range of health and safety matters. All new staff are supervised to ensure that safe practices are adopted. Further training is provided on a rolling programme and all staff are encouraged to undertake NVQ training. The records for the most recently employed staff were seen. The majority of required documentation was present in the records. Written references are DS0000031025.V279765.R01.S.doc Version 5.1 Page 15 retained by the central personnel department and they were able to verbally confirm that appropriate references were in place for the staff files in question. DS0000031025.V279765.R01.S.doc Version 5.1 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): 33, 35 & 38 The home is run in the best interests of service users. Arrangements for protecting the financial interests of service users are robust. The arrangements for health and safety protect service users and staff. EVIDENCE: Evidence was provided from discussion with the manager and from a range of records. The interests of service users are captured through the assessment process and through care planning and regular reviews. The manager is considering re-introducing small service user group meetings in order to identify further preferences. However, it was made clear that one to one discussions with all service users are undertaken on a regular basis by key workers and other staff. DS0000031025.V279765.R01.S.doc Version 5.1 Page 17 The home does not act on behalf on any service user in respect of their financial matters. The home does offer a limited pension collection service where alternative arrangements cannot be secured. The local authority does take on responsibility for appointee-ship where appropriate. The financial systems as a whole are thoroughly audited by an outside contractor on an annual basis. The home has sought advice from the benefits agency in the past when potential financial abuses by representatives have been suspected. A range of health and safety records were seen. Overall the various checks which are regularly undertaken are comprehensive and include fire safety, utilities, hot water outlets, disability equipment including the lift system and the identification of general hazards. Risk assessments are in place which provide management procedures for staff. Risk assessments are reviewed and updated on a regular basis. DS0000031025.V279765.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 DS0000031025.V279765.R01.S.doc Version 5.1 Page 19 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.V279765.R01.S.doc Version 5.1 Page 20 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. 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