Inspection on 28/12/05 for Heathside

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 Adequate. 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 30/07/08

Heathside 26/07/07

Heathside 22/06/06

Heathside 30/06/05

Heathside 03/11/04

Heathside 28/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Heathside Heathside Coley Avenue Woking Surrey GU22 7BT Lead Inspector Kathy Martin Unannounced Inspection 28th November 2005 10:00 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 Heathside DS0000013671.V269641.R01.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. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Heathside Address Heathside Coley Avenue Woking Surrey GU22 7BT 01483 765046 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) Anchor Trust Ms Michelle Saville Care Home 51 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (31), of places Physical disability over 65 years of age (8) Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE 30th June 2005 Date of last inspection Brief Description of the Service: Anchor Trust Ltd who also runs other establishments in the country runs this home. Heathside accommodates up to 51 residents with currently up to 12 with Dementia. (This may change by the time the report is published, as the home will be making an application to increase the Dementia provision). The home was purpose-built and is located in a residential street close to the centre of Woking town. There are ample grounds and the house is well maintained. The environment is safe and homely and residents can benefit from a range of activities. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second CSCI inspection this year. The home was inspected against most of the key standards in June 2005. Therefore all of the key national minimum standards have now been assessed during both inspections. This inspection was unannounced and therefore all residents, staff and their families were unaware that this was going to take place. During this inspection, the manager provided a lot of information used in the report. The residents and other members of staff also spoke with the inspector and gave their feedback on their experience of living in Heathside and of working there (staff). The manager was present during the inspection and the inspector had ample opportunity to speak to residents and staff. Several residents were engaged in planned activities and busy in their own routines preparing for lunch, socialising with each other or resting. Staff were observed responding well to the residents’ requests and were calm and relaxed. They appeared confident in their approach and showed respect and sensitivity towards the residents. The home was clean and tidy. There was an open culture in the home in that staff felt happy to talk openly about their working environment. The manager introduced the new deputy manager to the inspector who had just commenced work in Heathside. The previous deputy is now managing another Anchor service. The new deputy was following induction. During her conversation with the inspector it was apparent that she was very keen in her new role and demonstrated her confidence to work alongside the manager to maintain a good standard of service in the home. Also discussed at length during the inspection was the application for variation to increase the Dementia beds in order to meet the needs of the local community. The inspector is unable to comment on this in this report, as the CSCI had not yet received an application to process. However a requirement was made to provide Dementia training from induction for all staff especially in view of a potential increase of Dementia provision. The current induction programme did not include this training. The home was running efficiently and preparing for the festive season. There was a lot being planned for Christmas day with parties and a special dinner celebration, which the chef was busy organising. The inspector wishes to thank all those who participated in providing the information for this report and for their hospitality during the visit. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There were two requirements made during this inspection: 1. To provide Dementia training to all staff from induction. (This was especially important as the home wishes to apply to the CSCI to increase the Dementia provision and the current induction does not cover this important training) 2. The medication policy must include a clear procedure to guide staff how to deal with drug errors. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 7 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. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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 Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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): 2 The home maintained a contract for all the residents stating the terms and conditions of their placement. EVIDENCE: The inspector sampled contracts from social services and private ones as the home accommodated both referrals. The home, the sponsoring authorities and the resident/ next of kin signed those. The home was in the process of introducing new contracts. A copy of the draft contract was shown to the inspector. The home would need to submit to the CSCI a new Statement of Purpose if the variation application is approved to clearly demonstrate their categories of registration and the numbers accommodated for and state how they would meet the demands of the new category of residents. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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): 9 The home had procedures to manage medication, which was working generally well. There were issues raised with some G.Ps, which the home is aiming to resolve soon. EVIDENCE: Standard 9: A requirement was made for the medication policy to include a clear procedure to guide staff how to deal with drug errors. Otherwise the procedure for the management of medication was comprehensive. Staff received training in medication and there are internal audits to check that procedures were being followed. The staff highlighted that the home was served by 5 different G.P practices. Because of this the staff had written to the surgeries to encourage the prescribers to give more detailed information for staff to understand their instructions for creams and eye-drops. In the majority of cases, the surgeries were compliant. This improved practice would certainly help the staff to understand exactly what the G.Ps mean in their prescriptions. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 11 Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed in full during the last inspection. EVIDENCE: The inspector was advised that the comments made during the last inspection remained current. The residents still benefited from a range of activities and open visiting. Heathside DS0000013671.V269641.R01.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 and 18 The home had procedures to deal with complaints and referrals under the protection of vulnerable adults procedures (POVA). EVIDENCE: The home has a complaints procedure in place. The manager and staff talk to residents and visitors regularly to obtain feedback and any issues raised are promptly dealt with. There is a log of all complaints made. The home received Regulation 26 visits from a representative of Anchor Trust ltd and during these visits residents’ feedback was obtained. The staff received training in the Protection of Vulnerable Adults and were able to raise any issues under those procedures. The home was currently dealing with one case referred under these procedures and assisting with the investigation, which had not concluded. There are POVA procedures in place to guide staff. Heathside DS0000013671.V269641.R01.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): This whole section was assessed during the inspection in June. EVIDENCE: Heathside DS0000013671.V269641.R01.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 The home provides a training programme, which included a range of valuable training to staff including NVQ. However there is a need to include Dementia training for all staff. EVIDENCE: Standard 30: There is a good range of training offered to all levels of staff. All staff received induction. There is a budget in place. Mandatory training included Moving and Handling, Fire, First Aid (1 day course), Heath and Safety, Basic Food Hygiene and POVA. A requirement was made for the home to provide Dementia training to all staff from induction especially in view of its intention to increase the Dementia provision. The home also provided NVQ training for levels 2 and 3 and there is a rolling programme to cope with the staff movement. Heathside DS0000013671.V269641.R01.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): 33 and 38 There is evidence to suggest that the home took residents’ experience and welfare seriously and aimed to provide a reasonable and happy environment. There were policies and procedures for health and safety. EVIDENCE: The manager stated that the home welcomes feedback from all the visitors and the residents. There are consistent efforts from both the management and the care staff to encourage residents to take part in the running of the home. The residents and their families are regularly consulted when changes are planned. There are opportunities offered for one to one discussions with the manager. The management style is proactive. Staff met regularly to discuss their involvement in the home and there is much teamwork observed. Staff appeared encouraged to suggest changes if they thought of any ideas that would benefit the residents. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 17 There are a number of good health and safety policies and procedures in the home. The staff received training in all aspects of health and safety with regular yearly updates. There is a maintenance man available to take care of any day-to-day repairs and general checks on premises and equipment and contractors are also used. The temperatures of all the kitchen refrigeration equipment are recorded daily and any faults duly reported and fixed. Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 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 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Heathside DS0000013671.V269641.R01.S.doc Version 5.0 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. 1 2 Standard 30 9 Regulation 18 (1) (a) (c) 13 (2) Timescale for action To provide Dementia training to 28/02/06 all staff from induction The medication policy must 28/02/06 include a clear procedure to guide staff how to deal with drug errors. Requirement 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 DS0000013671.V269641.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Heathside DS0000013671.V269641.R01.S.doc Version 5.0 Page 21 - 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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