Inspection on 20/02/07 for Heathside

This inspection was carried out on 20th February 2007.

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

Heathside 05/01/06

Heathside 29/07/05

Heathside 01/07/04

Heathside 10/03/04

Heathside 17/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Heathside Honiton Way Penketh Warrington Cheshire WA5 2EY Lead Inspector Paul Ramsden Unannounced Inspection 20th February 2007 10:45 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 Heathside DS0000027013.V325666.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. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heathside Address Honiton Way Penketh Warrington Cheshire WA5 2EY 01925 722109 01925 721664 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) Warrington Community Living Ms Benita Hardman Care Home 40 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (20), Learning disability over 65 years of age of places (6), Mental disorder, excluding learning disability or dementia (2), Old age, not falling within any other category (20), Physical disability over 65 years of age (12) Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 40 service users to include:• No more than 20 service users in the category OP (old age, not falling within any other category) may be accommodated • No more than 20 service users in the category DE(E) (Dementia over 65 years of age) may be accommodated • No more than 2 agreed service users in the category DE (Dementia) may be accommodated • No more than 12 service users in the category PD(E) (Physical disability over 65 years of age) may be accommodated • No more than 6 service users in the category LD(E) (Learning disability over 65 years of age) may be accommodated • No more than 2 service users in the category MD (Mental disorder) may be accommodated The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and shall comply with any guidance that may be issued through the Commission for Social Care Inspection 5th January 2006 2. 3. Date of last inspection Brief Description of the Service: Heathside is a two-storey care home standing in its own grounds; access between floors is via a shaft lift or the stairs. The home is owned and managed by Warrington Community Living, a registered charity and non-profit making organisation. It is located in the Warrington suburb of Penketh and is close to the Honiton Way shopping precinct and other local amenities including a health centre. Residents accommodation consists of thirty-four single rooms and three double rooms. All of the bedrooms, with the exception of one single bedroom that has an en-suite are fitted with wash hand basins. There are six separate day lounges, four of which incorporate a dining area. Heathside has an adequate number of toilets and a variety of bathrooms available. Aids to help independence are in evidence throughout the home; these include bath hoists, grab rails and an emergency call bell system. The current fee range for the home is £319 - £358 per week. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 20 February 2007 and lasted 5.75 hours. Paul Ramsden, Inspector, undertook the visit. All of the key standards for older people were looked at. This visit was just one part of the inspection. Before the visit the home manager was also asked to complete a questionnaire in order to provide up to date information about services in the home. Survey forms were made available for residents and families to find out their views. Other information received since the last inspection was also reviewed. A letter from a family member, five resident and twelve relative survey forms have been returned. During the visit various records and the premises were looked at. A number of residents and staff members were spoken with; they gave their views about the home and the service provided. What the service does well: What has improved since the last inspection? The amendments to implemented. the care planning system have now been fully The facilities within the home are being improved all of the time and since the last inspection visit all curtains and bedding have been replaced, some redecoration has been carried out and some of the windows have been changed. Heathside DS0000027013.V325666.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. The summary of this inspection report can be made available in other formats on request. Heathside DS0000027013.V325666.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 Heathside DS0000027013.V325666.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information and opportunities to visit before choosing to move in are available and residents are assessed prior to admission to ensure that their needs can be met at the home. EVIDENCE: The home provides a range of information to residents; these contain all of the information required under the Care Homes Regulations 2001 and Standard 1 of the National Minimum Standards for Older People. As part of the inspection process the care files of three people living at the home were looked at. Pre-admission assessments demonstrating that a resident’s individual needs were being assessed in an accurate and consistent way had been carried out. Senior staff members with input from the resident [where possible] and family members undertake the assessments in order to identify specific individual needs before a service is provided. Where applicable Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 9 the assessment documentation provided by the placing authority was also seen on the files. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The clients care plans seen provided sufficient information for staff members to be able to take appropriate action to meet an individuals needs. EVIDENCE: The assistant managers are responsible for drawing up a resident’s plan of care, those seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. Each resident has a care plan and a separate health profile folder. The health and well being of residents was being monitored and an appropriate record of development and actions taken was being kept. The risk assessments seen in the residents’ files had been completed appropriately. There was written evidence to confirm that care plans were being reviewed monthly and where necessary re-written. Residents or their families/advocates are involved in the care planning process. The amendments to the care planning system that were in the process of being implemented during the previous inspection have now been completed. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 11 Staff members spoken with had a good understanding of the people they were supporting and were able to meet their diverse needs; they continually monitor the residents’ health needs and there was evidence to show that they were receiving appropriate support from health care professionals. This included GPs, community nurses, optician, dentist and chiropodist. The changing needs of individuals are discussed as and when required; the inspector was able to see this in practice during the visit. All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. The residents spoken with during the inspection all said that the standards of care provided were very good and that they had been able to express their opinions and wishes about their daily routines. It was also seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. Warrington Community Living has a written policy on the receipt, administration [including self-administration] safekeeping, handling, recording and disposal of medication within its homes. The home uses a blister pack system dispensed by a local pharmacist. No obvious issues were seen during the inspection visit. The pre-inspection questionnaire gives the names of those staff members who administer medication. The letter received from a relative following the death of their grandmother shows that the home treated her with care, sensitivity and respect; it states, “The support I received is especially valued, the genuine compassion and tenderness towards my Gran during her dying days was exceptional”. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents spoken with were positive about the home and the support they received so they could maintain contact with friends and family and make choices about their daily lives. EVIDENCE: Residents were able to move around freely within the home and a good choice of sitting areas was available. Routines within the home were flexible and they were able to make choices in many areas of daily living, for example times of rising and retiring, where to spend their time and with whom and participation in planned activities. Staff members were seen to knock on the door and to await permission before entering a resident’s bedroom. A variety of social and other activities are organised by the home’s staff. One of the relative comment cards received said that in their opinion the residents would benefit from more activities. This was discussed with the home manager who said that she was actively trying to recruit an activities coordinator to do this job. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 13 Links with the local community are maintained and people are able to come and go from the building subject to a risk assessment. Visitors are free to visit the home at any reasonable time. Personal mail is delivered unopened, or given to relatives if appropriate. Meals can be taken in the dining room or in the privacy of residents’ own rooms. There is a menu that has the flexibility to meet individual needs and choices. All of the residents that commented said that the food was good and that choices were available. Special diets are prepared where necessary. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are able to complain and action is taken to respond to their concerns. Adult protection training for staff is available to ensure the continued safety of residents. EVIDENCE: There is a clear complaints procedure for the home. The pre-inspection questionnaire indicates that no complaints have been received during the previous 12 months. The residents and relatives spoken with during the visit confirmed that they knew what to do if they were unhappy or wanted to make a complaint. A relative has written on a survey form, “I have no complaints at all, the carers are very kind and considerate”. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance ‘No Secrets’. The manager is aware of the appropriate procedures to follow should an incident arise. Staff members receive training in this area. Heathside DS0000027013.V325666.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, homely, clean and comfortable home. EVIDENCE: A tour of the premises was undertaken; this included the communal areas and a number of bedrooms. Furnishings, fittings and lighting in the communal areas are of a good quality and are domestic in character. Since the last inspection visit all curtains and bedding have been replaced, some redecoration has been carried out and some of the windows have been changed. Bedrooms seen during the inspection were personalised, comfortable, wellfurnished and contained items of furniture belonging to residents’. The home provides adaptations for use by residents with mobility problems: these include bath and toilet aids, hoists, grab rails and wheelchairs. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 16 The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Heathside DS0000027013.V325666.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members work positively with residents and families to improve the quality of life of people living in the home. A robust staff recruitment process is in place in order to protect residents from possible harm. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff is adequate to meet the needs of the residents within the home. Staff members were cheerful and friendly. Residents spoken with were complimentary about staff attitude and competence. Two residents have written on survey forms, “very good staff”, “I like the care from staff, always good”. A relative has written on a survey form, “The staff are friendly and my relative is well looked after, a very well run home”, another has written, “The staff are a credit to the home”. The pre-inspection questionnaire indicates that 14 of the 21 care staff members are qualified to NVQ level 2, a recognised qualification for staff involved in delivering care. Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 18 The files for three recently appointed members of staff seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. Prospective staff members are checked against the POVA list before employment commences and CRB disclosures are obtained. New staff members undertake a two-week induction-training programme that is run by Warrington Borough Council. Heathside DS0000027013.V325666.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 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 being well run and managed on a day-to-day basis. There are appropriate procedures in place to make sure that residents are safe. EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. She is currently undertaking the registered managers award and has attended courses/training in order to fulfil her management responsibilities. She was able to demonstrate an awareness of the diverse needs of the client user group and how to manage the staff group. Assistant managers, senior carers and an administrator support the manager in the running of the home. A resident has written on a survey form, “The manager and staff are there for me” Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 20 A quality assurance system to ascertain whether residents and families are happy with the standards of care being provided is in place. Residents’ personal allowances are being handled appropriately. Personal monies were being kept securely and those inspected had correct balances and accurate records. There is a health and safety manual as well as policies and procedures in relation to safe working practices in place. There was evidence that staff were receiving training in areas such as moving and handling, first aid and adult protection. The fire precautions record book was up to date and demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out. Heathside DS0000027013.V325666.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 X X X 3 3 3 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 X 3 X 3 X X 3 Heathside DS0000027013.V325666.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. Refer to Standard Good Practice Recommendations Heathside DS0000027013.V325666.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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