Inspection on 29/07/05 for Heathside

This inspection was carried out on 29th July 2005.

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 20/02/07

Heathside 05/01/06

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 WA5 12EY Lead Inspector Paul Ramsden Unannounced 29 July 2005 10:00am th 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 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 F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 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 Martine Darbyshire Ms Benita Hardman Care Home 40 Category(ies) of Dementia - over 65 years of age - 20 registration, with number Old age, not falling witin any other category - 20 of places Dementia - 1 Physical disability over 65 years of age - 12 Learning disability over 65 years of age - 6 Mental Disorder - 2 Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 40 service users to include:Up to 20 service users in the category OP (old age not falling within any other category) Up to 20 service users in the category DE(E) dementia over 65 years of age) Up to 1 service user in the category DE (dementia) Up to 12 service users in the category LD(E) (learning disability over 65 years of age) Up to 6 service users in the category LD(E) (learning disability over 65 years of age) Up to 2 service users in the category MD may be accommodated 2. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 17th January 2005 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 operated and managed by Warrington Community Living, a registered charity and non-profit making organisation. Heathside 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. The home is registered to provide personal care for forty people. Accommodation is currently provided in 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 for service users. Aids to facilitate independence are in evidence throughout the home; these include bath hoists, grab rails and an emergency call bell system. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 29 July 2005 and lasted for five hours and ten minutes. The home manager was on duty together with the agreed numbers of senior, care and ancillary staff. Thirty-five people were living in the home at the time of the inspection. During the visit nine residents, a visiting relative, the manager, one of the assistant managers and three of the staff on duty were spoken with. A range of care, health and home records were examined and a tour of the premises, including all communal areas and a number of bedrooms, was undertaken. Comment cards for use by residents and relatives were handed to the manager during the inspection. Five resident and three relative cards have been returned to the CSCI. Building work to provide a further 25 beds at the home has recently commenced, this is due to finish next year. What the service does well: When asked the home manager said that in her opinion the staff members that worked at the home wanted to provide a good quality of care to the residents that lived there. The residents and the visiting relative spoken with confirmed this opinion by making a number of positive comments regarding the care and services provided at Heathside. In addition the comment cards received contained wholly positive comments about the home. One of the relatives has written, “We can rest assured that she is very well cared for and loved. Staff members are always happy and polite”. Good relationships were seen to exist between residents and staff. Residents considered that routines within the home were flexible and that this gave them some control over their lives and enabled them to be more independent. A variety of activities/social events are provided. Catering within the home appeared to be well managed and all residents said the food was good. They also said that they were offered choices at mealtimes. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 standard(s) 3 Residents are assessed prior to admission to ensure that the home will be able to meet their needs. EVIDENCE: . As part of the inspection process the care files of five people living at the home were reviewed. Pre-admission assessments that demonstrated that resident’s individual needs were being assessed in an accurate and consistent way had been carried out. Those seen contained enough information for staff to be able to meet individual needs. Residents, relatives and other healthcare professionals are involved with the pre-admission assessment. Various risk assessments were also completed. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 standard(s) 7,8 and 10 All residents have a care plan that shows how their individual needs are being met. Whilst the systems used to identify and meet an individual residents needs are good the care plans are not currently being reviewed on a monthly basis. EVIDENCE: The five care plans seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. Whilst there was written evidence to confirm that care plans were being reviewed as and when necessary they are not all being done on a monthly basis as specified within the standard. The manager and assistant managers are aware of this issue and are currently in the process of addressing it. A recommendation has therefore not been made. The care plans seen contained evidence of consultation with residents or their families/advocates. Records relating to support from other professionals such as GP visits, community psychiatric nurses, optician, dentist and chiropodist. It was evident that the health and well being of residents was carefully and appropriately monitored, and an appropriate record of development and actions taken is being kept. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 10 All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. Residents spoken with confirmed that they had been able to express their opinions and wishes about their daily routines. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15 Routines at the home are flexible to suit residents’ individual preferences. The food provided to residents is of a good quality. EVIDENCE: Residents confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living, for example times of rising and retiring, where to spend time and with whom. Staff members were observed to knock on the door and to await permission before entering a resident’s bedroom. The residents and a visiting relative made wholly positive comments during the inspection. The visiting family member said, “I looked at various homes but liked the homely atmosphere at Heathside. It has been wonderful and mum is well cared for. I visit at various times and the standards are immaculate”. The eight comment cards received also contain wholly positive comments about the home Meals can be taken in the dining room or in the privacy of residents’ own rooms. The menus have 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 F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Residents are able to voice their opinions and are confident that appropriate action would be taken to address any problems or complaints. Policies and procedures are in place to protect residents from abuse. EVIDENCE: There is a written complaints procedure for the home, this is displayed in the main reception area; this is also included in the Statement of Purpose and Service User Guide. Residents were aware of their right to complain if they were unhappy with any aspect of the service they received at Heathside. 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”. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 standard(s) 19 The home provides good facilities to meet the needs of the residents accommodated. Standards of hygiene and cleanliness are high. EVIDENCE: A tour of the premises was undertaken; this included communal areas and a number of bedrooms. The home both externally and internally is maintained to a very good standard. New bedroom furniture is currently being provided throughout the home. Building work to provide a further 25 beds at the home has recently commenced, this is due to finish next year. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staff members were seen to be working positively with residents, families and visiting professionals to improve the quality of life of people living in the home. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff were adequate to meet the needs of the residents within the home. The staff members seen on the day were cheerful and friendly and residents were complimentary about staff attitude and competence. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 and 38 The home is being well run and managed on a day-to-day basis EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. The residents that commented said that the home manager was approachable and supportive. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided has recently been undertaken. Copies of the results will be made available to residents, families and the Commission. All staff members are supervised on a continuous basis; in addition they will all receive formal supervision regularly. There was evidence that staff were receiving training in areas such as moving and handling, first aid and fire Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 16 safety. 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. Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x 3 Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? 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. Standard Regulation None 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 None Good Practice Recommendations Heathside F51 F01 S27013 Heathside V240775 290705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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